Job responsibilities
Outline of the post
The post
main functions but not exhaustive:
Clinical
Responsibilities:
To
assess and triage patients, including same day triage, and as appropriate
provide definitive treatment (including prescribing medications following
policy, patient group directives, NICE (national) and local clinical guidelines
and local care pathways) or make necessary referrals to other members of the
primary care team for patients unable to attend the surgery and requiring a
home visit or to those patients living in residential or care homes within the
PCN area.
To
work at an advanced level of practice working within PCN policies and
procedures and your own professional codes of conduct
You
will assess, examine, investigate, diagnose and treat patients in practice,
their own homes or in a care home setting undertaking relevant history taking
and physical examinations managing undifferentiated undiagnosed conditions and
identify red flags and underlying serious pathology and take appropriate
action.
Demonstrate
the ability to make sound clinical decisions supported by complex decision
making within a broad scope of practice using evidence-based practice to inform
your decisions.
Manage
a range of patient long-term conditions including but not limited to Asthma,
COPD, Diabetes and CHD following practice guidelines and supporting the
practice in achieving management of these conditions in line with QOF, QIS and
other local guidelines and targets.
Actively
take a personalised care approach prioritising health needs and creating
clinically appropriate treatment and management plans, ensuring the patients
views are considered in the decision-making process.
Identify
the need for appropriate diagnostic tests and demonstrate the ability to
interpret results.
Prescribe
and review medication within relevant professional scope of practice and
training appropriate to patient needs and in accordance with evidence-based
practice, national and local protocols, and within scope of PCN.
Ensure
patients are informed and consent is obtained prior to treatment, investigation
and management, as appropriate.
Provide
health promotion advice.
Appropriately
refer patients to the wider MDT to ensure the safe management and treatment of
the patient cohort.
Continuously
evaluate the patients condition and response to therapeutic intervention and
treatment modalities, modifying the care plan for optimal patient centred
outcomes, responding in a timely manner
To
maintain up-to-date contemporaneous clinical records in accordance with national
guidelines.
To
share knowledge and expertise, acting as an expert resource to others across
the PCN, as appropriate.
Consult
by telephone, online and face to face as appropriate.
Leadership /
Professional Responsibilities:
Working
with the PCN manager to ensure that all PCN employed clinical staff are
appropriately supported in their day-to-day roles and can work to agreed job
plans and are delivering services that meet the PCN DES and other plans.
Accountable
for own professional actions, undertaking all duties in accordance with Codes
of Professional Conduct, PCN policies and protocols that apply to the work you
are undertaking.
To
identify and intervene proactively where circumstances contribute to an unsafe
environment for patients, staff or relatives and escalate these appropriately.
Actively
implement effective systems and processes for infection prevention and control
management and relevant audit within their clinical area
Lead
and develop advanced clinical practice, developing and implementing protocols
and procedures for emergency care that impact across the PCN.
Contribute
to the review and development of clinical patient pathways to ensure a
standardised approach to care.
Adapt
specialist clinical knowledge and skills to different clinical settings and
influence service delivery and patient care.
Work
with your line manager to access regular clinical supervision, to enable you
to deal effectively with the difficult issues that people present.
Promote
and adhere to the principles and practice of clinical governance.
To
maintain knowledge and training in key areas to support professional competence
including safeguarding, infection control and keep mandatory training up to
date.
To
work with the relevant leadership team to develop and evaluate the role and job
description and to undertake other duties that are consistent with the duties
and responsibilities of this post as required.
Participate
in an annual review of progress and develop clear plans to achieve results
within priorities set by others.
Responsible
for accessing own continuing education, having undertaken modules and courses
at masters level, including advanced health/physical assessment and managing
complex patients.
Maintain,
advance and develop personal theoretical knowledge, high standards of clinical
competence and professional development through self-education.
Maintain
own portfolio in-line with professional registration requirements.
Generic Responsibilities
Personal & Professional development
Maintain continued education by attendance at courses as deemed
essential for professional development.
Participation in annual appraisal review
Maintaining a record of own personal and/or professional
development
Governance
Produce
complete and accurate records of patient consultation, in line with best
practice, confidentiality, policies and procedures.
Deliver
care according to NHS guidance, NICE guidelines and evidence-based care.
Take
part in the maintenance of quality governance systems and processes across
the PCN and its activities.
Utilise
the audit cycle as a means of evaluating the quality of the work of self and
the team, implementing improvements where required.
Work
with other clinical teams on improving the quality of healthcare in response to
local and national policies and initiatives as appropriate.
Evaluate
patients response to health care provision and the effectiveness of care.
Support
and participate in shared learning across the PCN and wider organisation.
Awareness
of statutory safeguarding, notification processes and local guidance for
children/vulnerable patients, applying relevant policies and legislation to
protect them.
Ensure
compliance with policies, procedures and guidelines for self and others, by
taking action or alerting senior management team if the practice appears to
contravene policy, or if there are concerns over any aspect of patient
care.
Health and Safety
The
post-holder will manage their own and others health & safety and
infection control as defined in the SEL GP Group Health & Safety Policy,
the SEL GP Group Health & Safety Manual, and the SEL GP Group Infection
Control Policy and published procedures.
Comply
with SEL GP Group health and safety policies by following agreed safe working
procedures.
Awareness
and compliance with national standards of infection control, hygiene,
regulatory / contractual / professional requirements, and good practice
guidelines.
Correct
personal use of Personal Protective Equipment (PPE) and ensuring correct use
of PPE by others, advising on appropriate circumstances for use by
clinicians, staff and patients.
Reporting
incidents using the organisations Incident Reporting System
Confidentiality
Maintain
confidentiality of information, acting within the terms of the Data Protection
Act and Caldicott guidance on patient confidentiality at all times.
Maintain
an awareness of the Freedom of Information Act.
Equality and Diversity
The
post-holder will support, promote and maintain the SEL GP Group Equality
& Diversity Policy.
No
person whether they are staff, patient or visitor should receive less
favourable treatment because of their gender, ethnic origin, age, disability,
sexual orientation, religion etc.
The
jobholder must comply with all policies and procedures designed to ensure
equality of employment and that services are delivered in ways that meet the
individual needs of patients and their families.
Other delegated duties
This job description is not intended to be exhaustive - it
may be changed after consultation with the post holder. The employee shares
with the employer the responsibility for review and modification of duties.
