Advanced Clinical Practitioner

Job content

KEY 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 Framework 2020.pdf (hee.nhs.uk) of, 1.

Clinical practice 2. Leadership and Management 3. Education 4. Research The post holder will be able to: Demonstrate highly developed interpersonal and communication skills Develop critical thinking, complex clinical reasoning, and problem solving skills Be caring, compassionate clinician that is committed to high quality patient care Practice, without direct supervision, as an autonomous primary care healthcare practitioner holding a masters to be able to practice across primary care settings according to profession specific framework and agreed scope of practice.

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. Participate in clinical audit and quality improvement projects. Provide mentorship, supervision of other trainees, and appropriate leadership activities. Mentorship and clinical supervision will be provided by designated Educators.

The level and type of clinical supervision will be flexible depending on the post holders skills, knowledge, and capabilities, and determined by the organisations clinical governance arrangements. 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. This will include within the organisation setting, home visits and care homes 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 own workload and work flexibly to meet clinical demand on the day and the needs of the practice 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 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 RESEARCH, QUALITY AND LEADERSHIP The post-holder will strive to maintain quality within the organisation and will Demonstrate evidence-based care, working within local and national guidelines, and organisations policies and protocols Alert other team members to issues of quality and risk following organisations policies and procedures of significant event analysis 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 Take an active role in research studies within the policy framework of the organisation Assess effectiveness of care delivery through self and peer review, and formal evaluation including participation in regular appraisal Participate in audit, data collection and activity monitoring to improve own performance as well as organisation quality improvement projects Take an active leadership role across the organisation as required, leading on projects, contributing to strategic planning, leading a team or workstream within clinical, or non-clinical practice such as education, quality improvement, project management. PROFESSIONAL DEVELOPMENT AND EDUCATION Develop own skills and capabilities through education, training and development activities related to the current and future demands of the role, seeking opportunities to enhance skills to maintain current Registration and achieve Revalidation standards Participate in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development Work within codes of conduct and practice set out by relevant professional body Understand and observe professional and national guidelines on confidentiality Participate in teaching and mentoring of other health professionals and members of the multi-disciplinary team Understand own role and scope and identify how this may develop over time Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working Contribute and attend organisational meetings for own learning and development, to enhance team working, and improve patient care CONFIDENTIALITY The organisation is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality.

It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff must protect patient information and provide a confidential service. EQUALITY, DIVERSITY AND INCLUSION A good attitude and positive action towards Equality Diversity & Inclusion (ED&I) creates an environment where all individuals can achieve their full potential. Creating such an environment is important for three reasons it improves operational effectiveness; it is morally the right thing to do and it is required by law. Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care.

They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion, or belief, sex, or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect. Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued, and equality of opportunity is promoted.

Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion, or belief, sex, or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect. SAFETY, HEALTH, ENVIRONMENT AND FIRE This organisation is committed to supporting and promoting opportunities for staff to maintain their health, wellbeing, and safety. The post holder is to manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients and monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures, and guidelines.

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