Advanced Clinical Practitioner

Job responsibilities

The post holder will:

• Work with and champion the unit in conjunction with Senior Managerial colleagues

Support the Management team and Clinical manager to ensure all service KPIs/Targets all are met, and looking for improvement over and above the set commissioned targets

Ensure mandatory training is kept up to date and receive suitable training/CPD for their ongoing development needs

Practice autonomously, as an independent practitioner, participating in the care of and undertaking assessment, diagnosis, treatment / referral and discharge of patients presenting with minor injury and illness within agreed parameters

Provide advanced clinical skills and advice demonstrating a sound understanding of the issues related to identification, assessment, diagnosis, treatment and management of a client group whilst working autonomously

• Identify the need for and initiate and interpret relevant diagnostic investigations and results
• To safely and competently undertake invasive and non-invasive procedures to establish a diagnosis
• Be able to independently undertake telephone triage
• To work within the parameters of current Non-medical prescribing legislation / guidelines.
• Monitor and lead improvements to standards of care through supervision of practice, clinical audit, and evidence-based practice, teaching and supporting professional colleagues and the provision of skilled professional leadership
• Contribute to the Clinical Governance agenda within the service by leading audit and research as part of the multi-disciplinary team within the area of expertise
• Act in accordance with the NMC Code of Professional Conduct or other relevant professional body
• Provide professional and clinical advice within the multi-disciplinary team

Clinical

The post holder will:

• Assess, treat, and advise patients presenting with health care needs.
• Provide supervision of the clinical team, assisting and developing their team and individuals
• When required ensure patients are referred on to other members of the primary health care team or secondary care as necessary and support and guide others as required.
• Ensure all practice is safe and effective and remains within boundaries and scope of competence of individuals and to acknowledge limitations.
• Work at an advanced level of practice reflected under the 4 pillars of advanced practice of the HEE
• Perform investigatory procedures, including assessing patients with minor injuries, request, and review x-rays, treat minor injuries /implement expanded roles in practice
• In general, the post-holder will be expected to undertake all the duties and responsibilities associated with an expert practitioner working within Unscheduled Primary Care.
• Develop and maintain clinical/nursing policies, procedures, and protocols.
• Ensure any patient information is up-to-date and produced in appropriate formats

Professional

The post holder will:

• Role model standards of care and behaviour through clinical practice.
• Act as a role model for standards of behaviour and professionalism, through commitment to the integration of policies and procedures within the role and workplace
• Analyse relevant local and national policy, within their area of expertise and advise on the impact for service, leading the implementation of changes and evaluation of processes
• Maintain professional registration and practice through CPD
• Maintain a professional portfolio to demonstrate competency in line with NMC competency framework or other professional body
• Prescribe medication in accordance with competency, professional guidelines and NICE / CKS guidelines.
• Maintain NMP competency and regularly review prescribing practice through CPD and reflective practice.
• Maintain their personal standards of conduct and behaviour consistent within FCMS, NMC guidelines or other professional body
• Allocate, coordinate, monitor and assess own workload within an accepted time frame
• Ensure appropriate use of resources to meet service needs
• Recognise and act as an advocate for patients, carers, service, and the organisation
• Carry out annual review of best practice/national standards and implement recommended changes
• Promote workforce integrity (empower professional accountability within the clinical team, ensure accreditation process followed, complaints management, competency assessment, ensuring mandatory training requirements fulfilled, robust clinical induction)
• Maintain a sound knowledge of NHS policy and NICE guidance in relation to scheduled and unscheduled care

Education and training

The post holder will:

• Identify own development needs in line with service requirements within a personal development plan
• Develop and distribute educational leaflets in relevant formats, for patients relating to services and patient pathways
• Ensure personal, peer support and clinical supervision needs are met
• Contribute to clinical governance outcomes
• Understand and apply professional and national guidelines on confidentiality
• Be fully involved in the progress and development of clinicians and provide constructive and relevant feedback
• Assist in the implementation of training and development in your locality

Research and development

The post holder will:

• Evaluate clinical practise through audit of service and develop and manage strategies to address any shortfalls
• Undertake audits as required by the service working with the clinical manager
• Demonstrate knowledge of current research in all aspects of their work and advise others on the implementation of relevant research findings
• Initiate and/or become involved in research projects in response to identified needs
• Disseminate results/research/ audit findings via local teams and/or national/international publications
• Implement research findings appropriate to practice
• Promote the shared objectives of the multidisciplinary team by working closely to ensure that best practice is achieved utilising both Clinical Benchmarking and Essence of Care processes

Communication and working relationships

Communicates effectively with other team members

Communicates effectively with patients and carers

Communicates effectively with other healthcare professionals

Take all appropriate steps to minimise conflict

Health and safety

The post holder will:

• Comply with safety policies, procedures and guidelines for self and others
• Comply with the Organisations Business continuity Plan
• Refrain from the wilful misuse or interference with equipment provided in the interest of Health and Safety
• Report as soon as is practically possible any hazards or defects
• Report as soon as practically possible accidents or untoward incidents and ensure appropriate incident reporting documentation is completed
• Be actively involved as an appropriate departmental representative
• Making effective use of training to maintain knowledge and skills

Physical effort and working conditions.

The post holder will:

• Be responsible to ensure all aspects of the Manual Handling guidelines are followed, providing appropriate risk assessments
• Be responsible to manage clinical care following required Policies and Procedures pertaining to bodily fluids, infection control and COSHH regulations resulting in frequent exposure to highly unpleasant working conditions
• Be responsible to manage challenging situations and people with some exposure to hazards, e.g. violent and abusive patients, child abuse, critically ill patients
• Manage own time effectively within variable shift patterns

Most challenging part of the role.

• Ability to work under pressure in an ever changing, challenging specialist environment whilst maintaining excellent standards of patient care
• Dealing with difficult situations and people by demonstrating and exercising critical thinking skills when faced with incomplete or lack of information or complexity.
• Seeing, treating, referring, or discharging patients independently without direct supervision
• Triaging, referring, or discharging patients independently without direct supervision
• Manage patient and public expectations of the service within set national targets and time constraints
• Manage effective change and development within clinical areas, maintaining highly specialised knowledge and competences

Any other duties considered relevant to the post and commensurate with the post holders grade and as agreed by their manager.

The main duties and responsibility shown above are not exhaustive and should merely be regarded as a guide. The job holder will be expected to conduct any reasonable activities according to the service needs at that time. These are subject to periodic review and may be amended to meet the changing needs of the service. The job holder will be expected to participate in this process and the company would aim to reach agreement to changes.

Disability Confident Employer - As users of the disability confident scheme, we guarantee to interview all disabled applicants who meet the minimum criteria for the vacancy

DBS - The role is subject to a DBS check which will require three forms of valid ID to be produced and verified. The onboarding process is also subject to an Occupational Health check, suitable professional references and eligibility to work in the UK (with the requirement to provide relevant documentation as evidence).

*Please note that our roles are not being considered for sponsorship at this time*

Qualifications

Essential

• Registered Practitioner (NMC / HCPC)
• First Contact Practitioner /Advanced Practice qualification or RCN Credentialled practitioner with experience dealing with both children and adults.
• Clinical experience within an unscheduled care setting
• Non-medical prescribing qualification (V300)

Desirable

• Recognised training in minor injury / illness, consultation, and examination skills
• IRMER / red dot xray interpretation course
• Practice assessor certificate
• Telephone triage qualification

Experience

Essential

• Minimum 5 years post registration experience and a passion for working in an integrated urgent care system and working with partner organisations
• Experience of expert autonomous practice within an unscheduled care setting managing minor injuries of all ages
• Health Promotion experience
• Experience using clinical computer systems including Adastra
• Understanding of current Urgent Health care issues and initiatives
• Ability to work effectively under pressure, intense conditions and within time constraints
• Understanding and awareness of CQC compliance and essential standards of quality and safety
• Teaching experience/clinical supervision experience

Desirable

• Experience of working within a community Urgent Care setting or ED or an appreciation of the nature of primary care prescribing, and strategies for improving prescribing practice
• Innovative practice to deliver patient centred care
• Evidence of clinical competence in a wide range of relevant clinical skills, local anaesthesia infiltration, suturing, x-ray interpretation, fracture management

Training and Personal

Essential

• Willing / able to attend appropriate training
• Experience of training and development of staff
• Commitment to own personal development
• Must have a positive can-do attitude
• Leadership qualities
• Commitment to personal and professional development
• Willing to work unsociable hours
• Able to deal with difficult and sensitive situations with tact and diplomacy
• Committed to service development
• Adaptable to the changing needs of the service.

Desirable

• Teaching Qualification

Teamwork, Management and Communication

Essential

• Commitment to working with multiple organisations to manage patient flows
• Commitment to multi-disciplinary team approach to care
• Excellent oral, aural, and written communication skills
• Excellent interpersonal skills and the ability to deal with difficult situations
• The ability to demonstrate an understanding of the current issues affecting Primary Care services
• Time management of work productivity
• Ability to challenge the norm and get the best out of team members
• Commitment to support, develop and manage change
• Evidence of good organisational and leadership skills
• Information governance understanding and awareness

Desirable

• Evidence of leadership experience
• Evidence of project management

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).