Job description

Job Title: Advanced Clinical Practitioner

Team: Clinical

Base Location: Local Care Direct Sites

Accountable to: Director of Clinical Governance and Quality

Line Manager: Named Clinical Services Manager

Hours of Work: Various (incl. weekends, evenings and public holidays)

Staff Group: All Clinical & Dental Triage Nurses

DBS Check Level Required: Enhanced with Child/Adult Barring due to providing care

Vaccination Requirement Statement:

• Covid19 double vaccination not required but recommended.
• This job has been rated as Medium Risk for requiring Hepatitis B immunisation vaccination is recommended, therefore Post Holders will be offered a Hep B immunisation.
• Occupational Health clearance required.
• Flu jab recommended and will be offered.

Job Purpose:

The Advanced Clinical Practitioner will practice, without direct supervision, as an independent primary / urgent care healthcare practitioner within various clinical environments, participating in care of all age ranges and presenting conditions.

The Advanced Clinical Practitioner will undertake assessment, diagnosis, treatment/referral and discharge of patients with primary/urgent care needs within their clinical competence.

The Advanced Clinical Practitioner will provide clinical mentorship and leadership to all trainee and peer practitioners within the workplace when required.

KEY PRINCIPLES

Clinical

1. Independently prioritise, assess, treat, and safely discharge/refer patients attending with undifferentiated and undiagnosed urgent primary health care problems
2. Undertake a range of clinical consultations via a range of modalities primarily face to face but may include telephone and home visits (service specific).
3. Act as a referral agent and care co-ordinator by establishing multi-agency collaboration across the primary/secondary interface to meet the needs of the patient.
4. Work within the parameters of current prescribing legislation or approved Patient Group Directives.
5. Provide professional and clinical advice and direction to colleagues within your team.
6. Maintain accurate, contemporaneous records.

Research and Quality

1. Demonstrate evidence-based care, working within agreed guidelines and protocols.
2. Participate in audit, data collection and activity monitoring to improve performance and inform future service developments.
3. Proactivity report patient safety incidents in line with NHSs Just Culture and respond to Local Care Directs Quality Teams requests for information during incident investigations.
4. Take an active role in the management of safety incidents and organisational learning.

Management

1. Actively promote integrated working in collaboration with other health care professionals both within and outside the LCD organisation.
2. Contribute to the development, implementation, review and evaluation of clinical protocols.
3. Ensure effective communication, participating in meetings and liaising with other professionals, services and agencies as required.

Professional and Educational

1. Develop own skills and competencies through education, training and development activities related to the current and future demands of the role, seeking opportunities to enhance skills, undertake annual internal performance development review (PDR), in order to maintain current Registration and achieve Revalidation standards.
2. Work within codes of conduct and practice set out by relevant professional body.
3. Comply with the corporate governance structure in keeping with the principles and standards set by the organisation.
4. Ensure clinical supervision needs are met.
5. Participate in teaching and mentoring other health professionals including, but not exclusive of, trainee ACP, trainee UCP and GP Registrars from Deanery.

COMMUNICATIONS & RELATIONSHIPS

To ensure agreed lines of communication and reporting are implemented within the team to support all employees understanding LCD business plans, objectives, priorities and changes.

To promote effective cross-functional working and that the operational team supports the achievement of objectives, standards and protocols of other LCD areas.

To attend internal and external meetings representing LCD and engaging in discussions appropriate to the role and level of the post.

PATIENT CARE & SAFETY

To ensure that the quality of patient care and safety is firmly at the centre of the organisations objectives and vision.

To ensure the management and monitoring of the highest standards of safety and quality in the delivery of healthcare and related services, and manage risk within Local Care Direct.

Recognise and provide appropriate access and intervention so that all patients can receive person centre support, in line with organisational objectives to address/reduce Health Inequalities and promote Health Literacy.

FINANCIAL RESOURCES

To ensure financial policies and procedures are maintained and the budget is adhered to and that best value for money is achieved.

CONFIDENTIALITY

To operate and ensure the team operates within information governance protocols and that business confidentiality is maintained at all times.

TRAINING

To complete the defined company induction programme and core training for this role and mandatory refresher training thereafter and ensure that accurate records of training are maintained.

INFECTION PREVENTION AND CONTROL

Healthcare workers have a duty of care to patients and are expected to comply fully with the companies Infection Prevention and Control (IP&C) policies and attend/complete IP&C training, for personal and patient safety and for prevention of healthcare-associated infection (HCAI). Knowledge, skills and behaviour in the workplace should reflect this.

SAFEGUARDING

Individuals have a duty of care to children and vulnerable adults that they come into contact with whilst at work to safeguard and promote their welfare and to work to prevent, recognise, respond, appropriately refer and record potential neglect or abuse, adhering to the companys Safeguarding Children and Safeguarding Vulnerable Adults policies and procedures.

FREEDOM TO SPEAK UP

Local Care Direct welcomes speaking up and listens to any concerns. An open culture enables organisational learning, which will lead to improvement of our services for all patients and for the working environment for our staff. Therefore, all colleagues are encouraged to speak up.

MANAGING SELF

Ensure that relevant professional practice is evidence based and current.

Ensure that continual professional development is maintained and facilitates the ability to provide care to a high standard in a way that is both safe and efficient.

Ensure that mandatory training is up to date and participate in training as appropriate.

Effectively utilise time management, organisational, co-ordination and if required - management skills.

Identify own professional development needs through the Personal Development Review process (PDR).

The main duties and responsibilities shown here are not exhaustive and the postholder will be expected to carry out any reasonable activities according to the needs of the business as directed by the line manager.

Person Specification

Experience

Essential

• Evidence of a range of clinical expertise, working independently in a healthcare role.
• Experience of working in an autonomous practitioner role. Evidence of competence in the clinical assessment, diagnosis and management of adults and paediatrics presenting with undifferentiated diagnosis.
• Experience of managing minor illness.

Desirable

• Experience of mentorship, leadership and research in clinical practice.
• Experience of working in primary/urgent care.
• Emergency Care.

Other requirements

Essential

• Able to pass pre-employment health assessment.

Qualifications

Essential

• One of the following: NMC Registered General Nurse OR BSc in Paramedic Science / IHCD Paramedic qualification OR BSc in Physiotherapy OR MPharm AND Advanced Clinical Practitioner MSc/Post Grad Diploma in advanced clinical practice (minimum 1 year post Masters study).
• Independent Prescribing qualification.
• Current registration with HCPC, NMC or GPhC.

Desirable

• Spotting the sick child.
• Level 7 Minor Injury Qualification.
• MSc or PGdip in advanced practice (or equivalent (mapped to all outcomes on the Multiprofessional advanced practice framework HEE).
• HEE digital badge.
• NHS credentialing via the supported e portfolio route.

Special Knowledge / Skills

Essential

• Effective communication skills: verbal, written and non-verbal.
• Professionally accountable for clinical practice.
• Knowledge of current clinical and professional issues.
• Up-to-date knowledge of health agenda and health inequalities (local and national).
• Innovative approach to practice.
• Keyboard/PC skills.
• Awareness of the impact of evidence-based practice.

Desirable

• Able to develop self and others.
• Able to work effectively within and contribute to team working.
• Aware of impact of change on self and service.
• Experience of change management.
• Evidence of previous contribution to service change or improvement.
• Evidence of development of others in previous roles.
• SystmOne Experience.

Training

Essential

• Evidence of continuing professional development and application to practice in line with own professional regulatory requirements.

Desirable

• Understanding of training needs in relation to post.