Advanced Clinical PractitionerNHS

Job summary

We are looking for a motivated, confident and forward-thinking Advanced Clinical Practitioner (ACP) to join our clinical team. This is an exciting opportunity for an enthusiastic clinician who is passionate about delivering high-quality patient care, developing their clinical skills and contributing to the continued development of our nursing services.

You will work alongside a supportive team of highly experienced GPs, with opportunities for professional development, shared learning and involvement in the supervision and education of medical students within the practice.

The roleThe successful candidate will provide comprehensive, evidence-based clinical care to patients presenting with a range of acute and chronic conditions, working autonomously within their professional scope of practice and recognising when further clinical input or referral is required.

Working arrangements:

• Hours: 32 hours per week.
• Patient contacts: Approximately 20 to 25 patient contacts per day.
• Appointment length: 15-minute appointments.
• Home visits: One home visit per day.
• Contract: Initial 12-month contract.
• Salary: Competitive, dependent on experience and qualifications.

Main duties of the job

• Assess, diagnose and manage patients presenting with a wide range of acute and chronic medical conditions.
• Provide advanced, specialist nursing care in line with evidence-based practice, NICE guidance and relevant national standards.
• Undertake comprehensive clinical assessments, prioritise health needs and initiate appropriate treatment plans.
• Recognise clinical deterioration, manage risk and escalate concerns or refer patients to secondary care and specialist services when appropriate.
• Recognise, assess and refer patients presenting with mental health needs.
• Support patients with substance misuse and addictive behaviours, referring to appropriate services when required.
• Participate in clinical emergencies and provide safe, effective care within your scope of practice.
• Act as an independent and/or supplementary prescriber, as appropriately qualified, registered and authorised.
• Prescribe safely and effectively in accordance with current legislation, professional guidance and practice policies.
• Review medication and support patients with the safe use of prescribed and over-the-counter medicines.
• Request, review and interpret investigations and pathology results, taking appropriate clinical action.
• Deliver chronic disease reviews and develop, implement and evaluate individualised treatment plans.
• Identify and support patients at risk of developing long-term conditions, promoting prevention and early intervention.

Job description

The following are the core responsibilities of the ACP in delivering health services.

a. Develop, implement and embed health promotion and wellbeing programmes

b. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice

c. Implement and evaluate individual specialised treatment plans for chronic disease patients

d. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health

e. Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF

f. Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children

g. Request and collect pathological specimens. Upon receipt, to process and interpret pathology and other test results as required

h. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required

i. Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively

j. Maintain chronic disease registers and implement and embed an effective call/recall system

k. Develop, implement and embed well woman and well man clinics

l. Chaperone patients where necessary

m. Prioritise health issues and intervene appropriately

n. Support the team in dealing with clinical emergencies

o. Recognise, assess and refer patients presenting with mental health needs

p. Support in the provision of vaccination programmes for both adults and children

q. Be an extended and supplementary prescriber, adhering to extant guidance

r. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required

s. Contribute to practice targets (QOF, etc.), complying with local and regional guidance

t. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)

u. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)

v. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

w. Deliver opportunistic health promotion where appropriate

x. Support Home Visits where possible

y. Support on-line triage and duty team

There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels

About us

We are friendly, dynamic, forward thinking and a supportive GMS practice, with above average earnings and have 3 GP partners, 1 salaried GP, 2 Nurse Practitioners, 2 Practice Nurses, 2 HCAs, pharmacists, physios, social prescribers, womens health nurse and a full comprehensive admin team. We work closely with our neighbouring practices, and engage actively with our PCN Bosvena and 3 Harbours. We have good supportive working relationships and have completed and manage many successful projects providing additional benefits to our patients.