Job responsibilities
ROLES
AND RESPONSIBILITIES
Clinical Practice
1. Work as an
autonomous clinician across all areas to develop and provide expert clinical
advice, support and care
2. Develop and
use advanced clinical skills to analyse and interpret history of illness,
presenting symptoms and physical findings to enable diagnosis, planning and
treatments of patients.
3. Recognise the
early symptoms of disease exacerbation and acute illness based on an
understanding of disease, the disease process, and current evidence and
practice standards.
4. Interpret
history of illness, presenting symptoms and physical findings to enable
diagnosis, planning and treatment of patients.
5. Act as lead
specialist and a resource to all staff in the delivery of clinical care to
patients.
6. Evaluate the
outcomes of interventions.
7. Prioritise and
co-ordinate the multiple health care needs of the patient, co-ordinating and
facilitating timely referrals to other team members within acute and primary
care settings.
8. Facilitate the
integration of patient goals for health and social care into care plans and
plan for future health needs.
9. Undertake
diagnostic assessments, health screening and therapeutic interventions and will
recommend further investigations and refer to other agencies as appropriate.
10. Advocate high
quality care for people, act as a champion for people by
representing/supporting the persons interests at team meetings, during
hospital care, home care and when interfacing with statutory and non-statutory
service providers.
11. Empower
patients and their families through appropriate support and education.
12. Influence,
support and take an active role in Public Health/ Self-care of the individual
and community.
13. Collect,
collate, evaluate and report clinical information, maintain accurate patient
records related to assessment and care planning.
14. Develop
clinical protocols and guidelines within own area of practice to ensure quality
of care at all times.
15. Review
medication/act as a resource to other colleagues for medication advice and
support. Discuss side effects and where appropriate prescribe within own NMP
formulary and competencies relevant medication and liaise with pharmacy and
medical staff. Any changes to NMP formulary to be put forward via the NMP
steering group.
16. To regularly
evaluate practice to ensure continuous improvement.
17. Act as an
advocate for the patient negotiating and consulting with other clinicians and
associated staff to ensure high quality care.
18. Work with
clinicians and management in examining episodes of care delivery, critical
incidents and individual care plans to improve and develop services.
19. Work across
professional boundaries providing expert clinical knowledge whilst developing
new and transferable skills.
20. To support
best practice end of life planning (last twelve months) including advance care
planning for patients identified according to best practice end of life care.
21. To work with
patients and carers to develop care plans which encourage self-care and reduce
avoidable hospital admissions.
22. They should
be responsible for implementation, monitoring and training of infection control
policies and procedures.
23. Initiate and contribute to the audit
processes as required by the organisations
24. Responsible
for monitoring clinical equipment register, and ensuring own equipment fit for
purpose and, calibration is up to date
25. All staff whom come into contact with
children, young people and adults who may be parents or carers have a
responsibility to ensure they are trained and competent to be alert to
potential indicators of abuse or neglect in children and know how to act on
their concerns in line with Primary care network Board procedures.
26. Work within the Advanced Practice Competency
framework as agreed by the PCN board to ensure a predetermined level of
practice is achieved. They will be required to work with their clinical
supervisor to produce a portfolio of skills knowledge and extended practice as
outlined which will be reviewed annually during the appraisal process.
Leadership and operational duties
1. Contribute to
the leadership and management of a multi-professional team of staff within the
Directorate of Community Services.
2. Negotiate
with/influence clinicians and managers across various commissioning agencies.
3. Effectively communicates complex and sensitive
information at all levels of the organisation to a variety of health care
professionals and patients across organisations using the highest level of
interpersonal and communication skills to maximise understanding.
4. Provide highly
specialist, expert, clinical knowledge to clinical colleagues and professional,
community and policy-making organisations.
5. Present
specialist, expert, clinical knowledge at large national gatherings on progress
and service improvement initiatives.
6. Provide
leadership and co-ordination across professional boundaries working closely
with other clinicians within the same area of practice.
7. Provide
effective clinical leadership within the Primary Care Network to empower and
inspire the multi-disciplinary staff to develop their potential and ensure the
delivery of a quality service to patients/clients in line with Service
objectives and vision.
8. Act as an
ambassador and role model supporting the aims and vision of the PCN.
9. Act as a resource to all staff in delivery of
clinical care to patients.
10. work across multiple practices to manage the
needs of patients in care homes, supported accommodation, or trying to remain
at home, taking into consideration all aspects of those needs and including NHS
national care homes direct enhanced service specification (Enhanced Health in
Care homes)
11. Lead/support MDT in the care home and the GP
home ward round, ensuring the agreed proactive strategy is put into place.
12.Work with practices to identify patients at
home/extra care home who would benefit from a CGA assessment and the ACP.
13.Assessment using the Emis frailty template
identifying areas where they could be better supported and facilitates the
necessary intervention, create care and support plans and TEP/ACPs.
Education
1. Identify own
learning needs and subsequently, plan, implement and evaluate strategies to
meet identified needs.
2. Ensure own
compliance with mandatory training programmes and own ongoing professional
development and development of the advanced practitioner role.
3. Engage in
clinical supervision and self-reflection to develop own clinical standards and
work practices. Take lead role in implementing/monitoring supervision of
colleagues.
4. To lead the
development, planning and implementation of a range of specialist educational
and training programmes for all healthcare professionals, patients and carers.
5. Lead in the
teaching and development of healthcare professionals, patients and carers.
6. Participate in
pre and post registration training for staff from multi professional
backgrounds.
7. Undertakes health promotion across
organisational boundaries
Research and Development
1. Carry out
research or development work as part of their role.
2. Critically
appraise available research and apply this knowledge to current clinical
practice.
3. Use audit and
research skills to examine existing practice ensuring it is based on current
best evidence.
4. Work with
other clinicians in examining episodes of care delivery, critical incidents and
individual care plans to improve and develop services.
5. Implement and
evaluate new ways of working through planned programmes of care.
6. Act as a
critical thinker and challenger in all areas of work.
7. Develop a profession portfolio of clinical
practice within the Advanced Practice competency framework as part of the 4
pillars.
Policy and Service Development
1. Keep up to date with key
developments within the PCN that affect working practices and discuss with the
Service lead /Directorate Manager/Clinical Lead changes that need
implementation.
2. In conjunction with the Service
Lead /Directorate Manager/Clinical Lead implements policies for own areas of
work and proposes policy or service changes which impact beyond own area of
activity.
3. Contribute to the redesign of services in response to the
demands of the national and local agenda.
