Advanced Clinical Practitioner

Job summary

The post-holder is an Advanced Clinical Practitioner (ACP). They have been assessed as competent in practice using their advanced clinical knowledge and skills. They have the freedom and authority to act and make autonomous decisions in the assessment, diagnosis and treatment of patients.

The post-holder works at the level of advanced clinical practice and has developed and can evidence the underpinning competencies applicable to the specialty or subject area, i.e., the knowledge, skills and behaviours appropriate to the healthcare professionals setting and job role.

ACPs in primary care can develop close, long-term relationships with their patients and work in partnership with them to achieve optimum health.

An ACP is autonomous in making decisions based on assessment, diagnosis and the interpretation of test results and will initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care. Main duties of the job Clinical

responsibilities

1. To independently undertake clinical assessments, diagnose, treat and discharge, or appropriately refer, patients with a wide range of acute and chronic illnesses. 2.

To ensure patients are fully involved in the design and implementation of their treatment plans. 3.

To ensure effective coordination and liaison with multidisciplinary teams across primary and secondary care, statutory and voluntary disciplines/groups to provide a seamless service to patients and their carers and prevent hospital admission where possible. 4.

To refer appropriately to clinical leads/supervising GP where a second opinion is required. 5. To adapt styles of communication appropriately to promote empowerment, self management and health education for patients. 6.

To attend clinical case conferences, review and clinical meetings as required. 7. To be a source of clinical expertise to less experienced staff within the team. 8.

To delegate duties/tasks to other members of staff where appropriate. 9. Provide specialist advice relating to minor illness and/or injury to local healthcare teams,patients, relative, and carers. 10.

To identify actual or potential clinical risks and take appropriate action using, when required, the appropriate reporting structure. 11. Able to interpret and file pathology results 12.

Manage patients across all age groups, including children. 13. No restrictions on prescribing. 14.

Able to see pregnant women in regards non pregnancy related issues

About us

We are a University Practice, seeking to appoint an Advanced Clinical Practitioner to join our team. Bradford Student Health Service is a busy GP practice in Bradford with approximately 8,500 registered patients. We are a university practice situated near to the University of Bradford.

We are a member of PCN 6. We are looking for applicants who are energetic, enthusiastic and focused on delivering a high standard of care to our patients. You should be proficient in all aspects of general practice nurse duties.

Our clinical team consists of two GP partners, locum GP's, a Practice Nurse, a Health Care Assistant, two GP Assistants, three Clinical Pharmacists and a Pharmacy Technician. The clinical team are supported by a Practice Manager, Operations Manager, Administrators and a Medical Secretary.

Our reception team work as Care Navigators providing enhanced signposting and ensuring patients have access to the appropriate clinicians or services available to them. The practice is a consistently high performer in relation to its contractual obligations including QOF and Quality Contract services.

Job description

Job responsibilities a.Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice b.Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information c.Act on professional judgement about seeking help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change d.Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate e.Develop, implement and embed health promotion and wellbeing programmes f.Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice g.Implement and evaluate individual specialised treatment plans for chronic disease patients h.Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health i.Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make a positive change j.Use expertise and decision-making skills to inform clinical reasoning k.Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care l.Exercise professional judgement to manage risk m.Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice n.Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children o.Request and collect pathological specimens.

Upon receipt, process and interpret/file pathology and other test results as required p.Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required q.Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively r.Maintain chronic disease registers and implement an effective call/recall system s.Chaperone patients where necessary t.Prioritise health issues and intervene appropriately u.Support the team in dealing with clinical emergencies v.Recognise, assess and refer patients presenting with mental health needs w.Support in the provision of vaccination programmes for both adults and children x.Be an extended and supplementary prescriber, adhering to extant guidance y.Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required The following are the core responsibilities of the ACP in delivering health services. a.Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice b.Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information c.Act on professional judgement about seeking help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change d.Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate e.Develop, implement and embed health promotion and wellbeing programmes f.Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice g.Implement and evaluate individual specialised treatment plans for chronic disease patients h.Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health i.Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make a positive change j.Use expertise and decision-making skills to inform clinical reasoning k.Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care l.Exercise professional judgement to manage risk m.Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice n.Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children o.Request and collect pathological specimens.

Upon receipt, process and interpret/file pathology and other test results as required p.Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required q.Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively r.Maintain chronic disease registers and implement an effective call/recall system s.Chaperone patients where necessary t.Prioritise health issues and intervene appropriately u.Support the team in dealing with clinical emergencies v.Recognise, assess and refer patients presenting with mental health needs w.Support in the provision of vaccination programmes for both adults and children x.Be an extended and supplementary prescriber, adhering to extant guidance y.Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required z.Contribute to practice targets (QOF, etc.), complying with relevant guidance aa.Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.) bb.Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual) cc.Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately dd.Deliver opportunistic health promotion where appropriate ee.Manage patients across all age groups, including children. ff.No restrictions on prescribing. gg.

Able to see pregnant women in regards non pregnancy related issues There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels

Person Specification

Qualifications Essential Qualified healthcare professional that is educated to Masters degree as detailed within the HEE document tilted Multi-professional framework for advanced clinical practice in England Has evidence of working at an enhanced level, as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework Proof of relevant professional and educational qualifications, coupled with details of any training Registration with their professional governing body Qualified independent prescriber Desirable ALS and PALS Experience Essential Understanding of general practice and the wider NHS Experience of practice within the four pillars Job plan that demonstrates advanced clinical practice and has equity with peers working at this level Experience of prescribing and undertaking medication reviews Experience of quality initiatives, i.e., benchmarking An appreciation of the NHS landscape including the relationship between individual organisations, PCNs and the commissioners Clinical knowledge and skills Understanding of the importance of evidence-based practice Ability to work within own scope of practice and understanding when to refer to GPs Good clinical system IT knowledge and the ability to record accurate clinical notes Broad knowledge of clinical governance Understanding of safeguarding adults and children Knowledge of public health issues in the local area and issues in the wider health arena Understanding of health promotion strategies Excellent interpersonal, influencing, negotiation and organisation skills with the ability to constructively challenge the view and practices of managers and clinicians Understanding and know