Advanced Clinical Practitioner

Job responsibilities

Core Clinical Function

Provide a welcoming, compassionate, and professional service to all patients.

Offer guidance and reassurance during procedures or assessments.

Ensure patients dignity, privacy, and confidentiality are always respected

Aid in treating acute patients

Act as the key accessible professional for the MDT proactively managing a clinical caseload. This will necessitate high levels of autonomy and advocacy, using analytical and judgemental skills in undertaking differential diagnosis to ensure the delivery of appropriate care

Work as an autonomous practitioner providing an expert level of care, developing own and others knowledge within the speciality

Proactively manage a caseload of patients within speciality and prioritise workload to meet patient and service need

Effectively manages pathways of care, adapting to patients emerging needs by ensuring a planned and co-ordinated approach to care, reducing inappropriate admissions to improve patient experience and safety

Ensure that patients individual needs are expressed and valued, and individual care plans are understood.

Act as a patient advocate to facilitate the process of shared decision making in

respect to health, choice of treatment and care. Use interpersonal and communication skills where there may be significant barriers to build confidence.

Advise on the complex disease and symptom management for patients

Evaluate response to interventions and advise on the adaptation of management.

Empower patients to self-manage their condition, undertaking risk stratification to determine those who can self-manage following education, those who will need guided support to self-manage and those who will need on-going face to face support.

Work autonomously in the development and delivery of clinics in line with National guidance and local service need.

Provide clinical advice and input to commissioning in relation to complex services.

Act as a resource providing clinical expertise, specialist advice and support across service boundaries to ensure optimum liaison and co-ordination of care.

Undertake clinical competencies relevant to this specialist service to demonstrate expertise in extended clinical roles.

Assess and effectively manage individual psychological reactions to diagnosis, treatment and associated side effects of interventions and medication

Produce accurate and timely documentation, conduct and manage the maintenance of accurate and timely documentation / records on all service users in line with your Professional Code of Conduct and PCN / Practice policy

Management & Leadership

Work with partner agencies including commissioners and influence their strategies in health and personal care of which complex will be a part of.

Be a credible and visible source of clinical expertise and leadership to others across the organisation, acting as a role model demonstrating high standards of holistic care.

Supervise the patient caseloads of more junior members of the clinical team assuming overall responsibility where applicable.

Lead and line manage junior members of the team of specialist clinicians including responsibility for annual appraisal where applicable.

Contribute to budget management where appropriate.

Analyse complex information including trends to support the delivery of complex services and review performance against defined targets.

Lead or contribute to annual service review and write annual report to reflect service activity and development.

Contribute to service re-design, leading on areas where appropriate.

Promote an ethos of continual service improvement and lead specific projects, monitoring progress in terms of milestones and key measures of performance.

Demonstrate transformational leadership through open communication, transparent decision making, seeking to motivate and involve others in developments in the speciality.

Embed public and patient involvement within the sphere of practice.

Lead on elements of the clinical governance agenda where appropriate to service.

Help scope, develop and implement the frailty strategy/service

Support the further development of complex conditions

Represent the PCN by contributing to and participating in meetings locally, regional and nationally relating to the speciality.

Experience

Essential

• Extensive and up to date post registration experience at band 7 or above within the speciality
• Proven leadership skills
• Experience of delivering service improvement
• Experience of managing significant change/ initiative projects
• Experience of working autonomously within the specialist area

Desirable

• Experience of delivering patient advocacy
• Experience of research, audit and evidence-based care
• Working with a diverse range of internal and external stakeholders
• Experience of student supervision and teaching

Knowledge and Skills

Essential

• Advanced clinical, managerial and leadership skills in speciality
• Advanced specialist knowledge of the diagnosis and current management of the disease/speciality area
• Evidence of highly effective planning and organisational skills Proven listening and counselling skills with the ability to manage complex situations and appropriately deliver sensitive and difficult outcomes
• Ability to clinically lead and influence others
• Up to date knowledge of current clinical and professional issues
• Excellent verbal, written, interpersonal and communication skills
• Managing a caseload
• Able to use skills of history taking and physical assessment to direct patient care
• Excellent decision making abilities
• Able to conduct and evaluate own projects successfully
• Knowledge of quality standards and relevant NICE guidelines
• Knowledge and use of governance and risk assessment to improve quality and service development
• Knowledge of current clinical and nursing research
• Ability to carry out audit and research
• Dynamic critical thinking skills
• Team player
• Proficient IT skills
• Presentation skills
• Ability to write reports and maintain accurate records

Desirable

• Demonstrate an understanding of the National agenda for speciality
• Undertaken clinical and nursing research

Qualifications

Essential

• Registered Practitioner, NMC or HPC registered
• First level degree in related subject
• Master's degree or the equivalent skills, knowledge or experience
• Post registration qualification in speciality
• Evidence of successful completion of relevant clinical courses e.g. advanced assessment skills, independent prescribing
• Evidence of continued professional development

Desirable

• Experience of student supervision and teaching
• Recognised teaching qualification (ENB 998, C&G 730 or equivalent)
• Leadership course
• Advanced communication skills training

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).