Advanced Clinical PractitionerNHS

Job summary

The post holder will deliver a high standard of patient care as an Advanced Practitioner in General Practice, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base.

The post-holder will demonstrate safe, clinical decision-making and expert care for patients within the general practice.They will work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures.

Main duties of the job

Act as an expert practitioner, demonstrating advanced clinical competence and a knowledge base beyond those associated with conventional nursing roles.

To work as an autonomous advanced practitioner providing high quality and timely patient centre care.

Undertake telephone triage in order to provide total triage during surgery opening hours. This will involve providing triage cover for annual leave. Triage, treat and/or refer/direct patients presenting as same day urgent to the most appropriate service.

Undertake consultations with patients as an autonomous practitioner and using own clinical judgement, diagnose, treat, refer and/or discharge patients.

Recommend, instigate and explain appropriate invasive and non-invasive diagnostic tests, investigations and interpret findings and reports.

Make direct referrals to primary, secondary and social services within locally agreed pathways, guidance and protocols.

Job description

In addition to the Key Duties/Responsibilities shown earlier, the role also requires the following:

Provide clinical advice to reception staff when required.

If an independent prescriber, supply and administer medicines in accordance with Patient Group Directives, prescribing safe, effective and appropriate medication as defined by current legislative frameworks.

Ensure complete and accurate documentation for each and every patient contact.

Work as an independent practitioner and as part of multidisciplinary teams in order to ensure patients needs are met.

Provide the choice of direct access to an Advanced Practitioner, both in the Practice and over the telephone, for the general practice population.

To take an active role in our acute home visiting service as required by the needs of the practice.

Provide a first point of contact within for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination,problem-solvingand clinical decision-making, toestablisha diagnosis and management plan.

Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care.

Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills.

Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery. Contribute to high level care for patients with chronic diseases including diabetes; respiratory and cardiac conditions.

Help develop and set up new patient services and participate in initiatives to improve existing patient services.

PROFESSIONAL ROLE

Adhere to the NMC Code of Professional Conduct, or other Professional bodies as appropriate, and at all times work within the scope of professional practice.

Promote evidence- based practice through the use of the latest research-based guidelines and the development of practice-based research.

Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review.

Maintain professional registration.

Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards.

Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation.

Pro-actively promote the role of the Advanced Practitioner within the Practice, and externally to key stakeholders and agencies.

Work with the team to investigate adverse clinical incidents and complaints.

Adhere to Lancaster Medical Practice policies, procedures and guidelines.

Confidentiality

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & Safety

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy, to include:

Using personal security systems within the workplace according to Practice guidelines.

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.

Making effective use of training to update knowledge and skills.

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.

Reporting potential risk identified.

Act as a Chaperone when requested by clinician and in accordance with the Chaperone policy.

Equality & Diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with the Practice policies and procedures, and current legislation.

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to the individual, is non-judgmental and respects their circumstances, feelings, priorities and rights.

Personal/Professional Development

The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include:

Participation in an annual individual performance review, including taking responsibility for maintaining a record of their own personal and/or professional development.

Taking responsibility for their own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality

The post-holder will strive to maintain quality within the Practice, and will:

Alert other team members to issues of quality and risk

Assess own performance and take accountability for own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload and resources.

Safeguarding

LMP is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. All staff are therefore expected to behave in such a way that supports this commitment. You will be responsible for safeguarding the interests of children and adults who you come into contact during your work. To fulfil these duties, you will be required to attend training and development to recognise the signs and symptoms of abuse or individuals at risk, to follow local and national policy relating to safeguarding practice and to report and act on concerns you may have appropriately.

Communication

The post-holder should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with other team members

Communicate effectively with patients and carers

Recognise peoples needs for alternative methods of communication and respond accordingly.

Infection Control

Adhere to the Practices infection control policies.

Undertake regular infection control training, as required.

Raise any infection control concerns to the infection control lead.

Participate in any infection control audits, as required.

Contribution to the Implementation of Service

The post-holder will:

Apply Practice policies, standards and guidance.

Discuss with other members of the team how the policies, standards and guidelines will affect own work.

Participate in audit where appropriate.

The job description and person specification are an outline of the main tasks, responsibilities and requirements of the role. The post holder will carry out any other duties as may reasonably be required by their line manager commensurate with the band of the post. The job description and person specification may be reviewed on an on-going basis in accordance with the changing needs of the LMP.

About us

Lancaster Medical Practice is a large, at-scale, GP provider delivering General Medical Services to around 68,000 patients in Lancaster and surrounding villages. Formed in April 2017 from our successful, legacy practices, Lancaster Medical Practice has continued to evolve to become the strong, high performing Practice it is today, receiving a rating of Outstanding by the Care Quality Commission in August 2018.

We deliver our services from seven locations throughout the city of Lancaster and its surrounding area and are continuing to develop ourselves to improve what we do for our patients, staff and the local community. We are a progressive, modern organisation with patient-centred General Practice at our core. When joining #teamlmp you are joining an organisation with a wide variety of clinical and non-clinical roles but who all work together to provide the best care we can to our patients.

LMP is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults.All successful candidates will be subject to a criminal records check with the Disclosure and Barring Service (DBS).All staff are therefore expected to behave in such a way that supports this commitment and will be responsible for safeguarding the interests of children and adults who they come into contact during their work.

We reserve the right to close the post before the closing date.