Job description

Job responsibilities

Summary of Responsibilities:

Advanced clinical practice is delivered by experienced, registered health and care practitioners. It is a level of practice characterised by a high degree of autonomy and complex decision making.

This is underpinned by a masters level 7 award or equivalent that encompasses the four pillars of; clinical practice; leadership and management; education and research, with demonstration of core capabilities and area specific clinical competence.

A non medical prescriber with a minor injury and illness qualification essential and the ability to maintain and monitor high standards of care.

Advanced clinical practice embodies the ability to manage clinical care in partnership with individuals, families, and carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance peoples experience and improve outcomes.

Definition of advanced clinical practice provided by the Advanced Clinical Practice HEE Multi-professional (ACP) Framework (2017).

Main Duties & Responsibilities:

• Work as part of the multidisciplinary clinical team, for the provision of health care services to the patients of the organisation.
• Work as an autonomous practitioner, responsible for the delivery of evidence-based practice for patients within the scope of your capabilities.
• The post holder will take professional accountability for working at advanced level within the remit of qualifications and capabilities, as defined by the appropriate Framework for Advanced Practice, and working within the organisations standards and protocols, and local and national frameworks for best practice.
• Develop a portfolio of evidence demonstrating competencies and capabilities: in the four pillars for nurses as defined in the Core Framework for Advanced Clinical practice ACP Primary Care Nurse 2020.pdf (hee.nhs.uk) of,

1. Clinical practice

2. Leadership and Management

3. Education

4. Research

The postholder will be able to:

• Demonstrate highly developed interpersonal and communication skills
• Develop critical thinking, complex clinical reasoning, and problem-solving skills
• Be a caring, compassionate clinician that is committed to high quality patient care
• Practice, without direct supervision, as an autonomous primary care healthcare practitioner.
• Safely manage undifferentiated and undiagnosed presentations using data gathering, clinical examinations, diagnosis, organising investigations, safe prescribing, management, completing referrals, and follow-up within their agreed scope of practice and capabilities.

Clinical responsibilities:

• Safely manage undifferentiated and undiagnosed presentations using data gathering, assessing for red flags, investigation, diagnosis, management, and review within their agreed scope of practice and capabilities.
• Must demonstrate complex clinical reasoning skills, to use problem solving approaches to analyse and synthesise information, manage medical and clinical uncertainty particularly in relation to a wide range of contexts and clinical presentations, and to include physical, mental, and social problems.
• Have a sound understanding of referral pathways including routine, urgent, 2-week wait and emergency admissions.
• Use resources appropriately and effectively.
• Manage acute/chronic presentations and medical complexity.
• Safely and effectively use a range of consultation modes to include telephone, video, online and face to face.
• Prescribe treatment and medication safely in line with local and national guidelines (where professional regulation and training permits i.e., an independent prescriber)
• To offer personalised care to people and signpost to and link with other members of the organisation or wider health and social care team.
• Make every contact count in terms of public and patient health. Provide health promotion and patient education in supporting patients for healthier lifestyle, self-care and in managing their own conditions.
• Understand the needs of the organisations population and work to meet them effectively as part of the wider team.
• Work collaboratively as part of the multidisciplinary team understanding the capabilities of colleagues to promote the most appropriate care for people.
• Manage urgent situations by providing effective immediate emergency care, including initiating, and performing BLS/anaphylaxis management and use of AED
• To provide accurate, contemporaneous, and complete records of patient consultations, consistent with legislation policies and procedures
• Support the practices on-call triage system.
• Manage own and others pathology results in accordance with own level of capabilities and following shared care pathology guidance and organisations policies and procedures.
• Safely and effectively manage documents (clinical letters/hospital discharges) in accordance with own level of clinical capabilities and following organisations policies and procedures.

Communication skills:

• Have advanced and flexible interpersonal and communication skills to engage in effective and complex interactions with patients, carers, and colleagues as detailed in the profession specific framework.
• Communicate effectively with individuals who require additional assistance for consultation e.g., use of interpreters, BLS interpreters, easy read, people with LD etc.
• Use communication skills to maintain a professional approach when working with patient and colleagues.

Equality and 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 organisations procedures and policies, and current legislation.
• Respecting the privacy, dignity, needs and beliefs of patients, carers, and colleagues.
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
• Safeguarding: Individuals have a duty of care to children and vulnerable adults that they encounter whilst at work to safeguard and promote their welfare and to work to prevent, recognize, respond, appropriately refer, and record potential neglect or abuse, adhering to the companys Safeguarding Children and Safeguarding Vulnerable Adults and PREVENT policies and procedures.

Person Specification

Qualifications

Essential

• MSc Advanced Practice from University or Credentialling via RCN, or completion of HEE pathway that provides a Digital Badge - Credentials - Advanced Practice (hee.nhs.uk)
• Health Assessment
• Non-Medical Prescribing Qualification
• Registered with NMC

Experience

Essential

• Experience of working in community / primary care with patients of all ages (0-99+ years)
• Management of long-term conditions
• Involvement in implementing and using protocols and clinical guidelines

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).

Employer details

Employer name

Coventry And Rugby GP Alliance

Address

1 The Boiler House, Electric Wharf

Sandy Lane

Coventry

CV1 4JU

United Kingdom

Employer's website

https://www.coventryrugbygpalliance.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Main Duties

Clinical

• To work within the multidisciplinary team to meet common goals.
• To participate in long term condition management for patients according to explicit protocols
• To provide family planning advice
• To administer IM Contraceptive injections as per protocol
• To administer childhood immunisations according to the national vaccination schedule
• Monitoring of ongoing treatments.
• To provide health education and cancer screening advice.
• Perform cervical cytology screening.
• To provide opportunistic screening and advice on mens health.
• To assist with planning and evaluating patient care.
• Clinical Measurements such as blood pressure recording, blood glucose monitoring and ECGs
• The administration of subcutaneous and intramuscular injections
• Undertake wound care and appropriate management of wounds.
• To provide Health Promotion in areas such as weight, smoking and alcohol.
• Teaching patients and their family self-care where appropriate.
• Assisting and or chaperoning the general practitioner.
• To work consistently within your own professional standards, maintaining an awareness of evidence based and current best practice.
• To ensure appropriate registration with your own professional body.
• To participate fully in the annual appraisal process and maintain own personal professional development.
• To participate in clinical supervision
• To advise, support and contribute to the education of other members of the multidisciplinary team.
• Lead on infection control. Maintain cleanliness and hygiene to infection control standards
• To participate in the maintenance of medical equipment, ensuring appropriate interim checks are carried out and equipment is appropriately calibrated, and faults are reported in line with policy.
• To support the maintenance of appropriate stock items in fridges and clinical areas and to adhere to cold chain policies
• Travel advice and vaccinations
• To support patients in their own homes that cannot attend the surgery.

Record Maintenance

• Keep contemporaneous clinical records using the computer system (paper records where appropriate), recording clinical history and examination findings, interventions and advice given.
• Ensure documentation is in line with NMC guidance

Stock Control & Equipment

• Have shared responsibility for the Treatment room stock and report any stock shortages to the service lead
• Maintain nursing drugs and equipment reporting any shortages/failures to the service lead

The duties of the post may be reviewed and, if appropriate, changed by discussion with the post holder to ensure the provision of effective and efficient services.

Person Specification

Qualifications

Essential

• Relevant nursing/health degree
• Registered first level nurse

Desirable

• Mentor/teaching qualification
• Clinical supervision training
• Non-Medical Prescribing Qualification or willingness to work towards

Knowledge

Essential

• Knowledge of needs of patients with long-term conditions
• Knowledge of health promotion strategies
• Aware of accountability of own role and other roles in a nurse-led service
• Awareness of clinical governance issues in primary care
• Knowledge of patient group directions and associated policy
• Knowledge and understanding of NMC Code of Conduct and other guidance.
• Escalating concerns appropriately

Desirable

• Awareness of local and national health policy
• Awareness of issues within the
• wider health economy

Experience

Essential

• Post-registration nursing experience
• Experience of working in community / primary care
• Management of long-term conditions
• Involvement in implementing and using protocols and clinical guidelines

Desirable

• Participation in quality initiatives such as clinical benchmarking
• Experience of using Emis and Docman

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).

Employer details

Employer name

Coventry And Rugby GP Alliance

Address

1 The Boiler House, Electric Wharf

Sandy Lane

Coventry

CV1 4JU

United Kingdom

Employer's website

https://www.coventryrugbygpalliance.nhs.uk/ (Opens in a new tab)