09 Oct
West Kent Primary Care
Royal Tunbridge Wells
Job description
Job summary
West Kent Primary Care is looking to recruit an Advanced Clinical Practitioner (ACP) on behalf of Tonbridge Primary Care Network (PCN).
Serving approximately 70,000 patients; TonbridgePCN strives to develop collaborative working across Tonbridge GPpractices and local health and care services.
This is a 12 month fixed contract, with a view to extend.
Main duties of the job
Jobsummary
TonbridgePCN are seeking to recruit an Advanced Clinical Practitioner to complement ourgrowing PCN team of paramedics, pharmacists, and care coordinators to supportour practices in the delivery of urgent care.
We are looking particularly foranACPwho isconfident in triage,
management of 'on the day' primary care and communicationwith GP and MDT colleagues in the ongoing follow up and treatment of patientsas required.
About Tonbridge PCN
Serving approximately 70,000 patients; Tonbridge PCN strives todevelop collaborative working across Tonbridge GP practices and local healthand care services.
Tonbridge recently won a Kent and Medway award for itsIntegrated Home Visiting Service, jointly staffed by PCN GPs, paramedics andlocal community nursing teams.
The PCN aims to support and strengthen delivery of primary care,offering high standards of patient care centred on the needs of our population,whilst working to support a happy and resilient workforce through thedevelopment of robust multi-disciplinary teams.
A Same Day Access PCN Hubservice with GP supervision using ACP clinical skills is currently indevelopment, and we hope this will not only support patient access but providea greater range of clinical experience for ACPs working at PCN level.
About us
West Kent Primary Care will act as employer for this role.
We are a collaborative and ambitious GP Federation working with GP practices across Sevenoaks, Weald, Tonbridge, Tunbridge Wells, Malling, and Maidstone to improve General Practice provision in the area.
West Kent Primary Care are a supportive and friendly organisation whose aim is to provide high quality, seamless health care that enables people to lead healthier lives, whilst feeling supported and cared for.
What we can offer :
- Favourable terms and conditions
- Match NHS Annual Leave entitlement
- NEST and NHS Pension
- A comprehensive induction into the company followed by a local induction to introduce you to the role
- Training, support, and development in your career
- Flexible working arrangements
- Recognition via Employee of the Month scheme
- Wellbeing support and Employee Assistance Programme
- Due to travel requirements for the role it would be beneficial for applicants to have a full driving license
Office Contact : 01892 481821
Job description
Job responsibilities
Coreresponsibilities
Clinical practice
The role willmainly involve working in our Same Day Access Hub seeing patients for urgent onthe day issues. The role will involve working alongside PCN team of GP supervisor / Paramedic Practitioner in the PCN Same Day Access Hub seeing patients on theday with urgent issues.
The post may include cross cover with the award-winningFrailty Visiting Team visiting patients who are housebound for urgent on theday issues.
Work as part of a multi-disciplinary team todeliver safe and high-quality care.
Carry out clinical practice at an advancedlevel using expert clinical skills, critical judgements & knowledge todeliver appropriate and safe care.
Assess, diagnose, plan, implement and evaluatetreatment / interventions and care for patients presenting with acute, long termand complex health needs.
Manage undifferentiated undiagnosed conditionand identify red flags
and underlying serious pathology and takeappropriate action
Triage and treat patients, including same daytriage, performing assessment of their needs and makes referrals as necessaryto other members of the primary and secondary health care teams as appropriate.
Interpret investigation findings to determineeffective treatment plans & discuss with GPs where a second opinion isrequired
Proactively identify,
diagnose and managetreatment plans for patients at risk of developing a long-term condition, usingboth non-pharmacological and pharmacological treatments.
Co-ordinate the planning and delivery of careensuring patients and carers or relatives are involved where required. Activelytake a personalised care approach and population centre care approach to enableshared decision making.
Prescribing and reviewing medication that isappropriate for patient needs and in accordance with latest evidence-basedpractice, national and practice protocols and within the scope of qualifiedpractice.
Diagnose and manage acute and chronicconditions, including drug and non-drug based treatment methods into amanagement plan.
Request diagnostic investigations andinterpret within agreed protocols x-ray, blood tests, scans, etc.
Assess,
diagnose and treat patients inpractice premises or their own home who require medical attention and / or referto appropriate agency.
Refer patients to other members of themulti-disciplinary practice teams, secondary care organisations and otherorganisations as necessary.
Communication
Uses and adapts communication style to meetindividual patient needs to ensure patients are fully informed about treatment.
Communicates effectively with patients andcarers, recognising the need for alternative methods of communication toovercome different levels of understanding, cultural background and preferredways of communicating
Anticipates barriers to communication and takeaction to improve communication
Maintains effective communication with theprimary care team and with external stakeholders
Ensures awareness of sources of support andguidance and provides information in an acceptable format to all patients,recognising any difficulties and referring where appropriate.
Safeguarding adults and children
The postholder has a duty to safeguard andpromote the welfare of vulnerable adults and children.
When adults or children and / or their carersuse primary care services, it is essential that all adult and child protectionconcerns are both recognised and acted on appropriately.
The postholder has a responsibility to ensurethey are familiar with and follow local policies in relation to safeguardingvulnerable adults and that they follow the local child protection proceduresand any supplementary guidance.
The postholder has a responsibility to supportappropriate investigations either internally or externally.
To ensure the postholder is equipped to carryout their duties effectively, they must also attend vulnerable adult and childprotection training and updates at the competency level appropriate to the workthey do and in accordance with the local vulnerable adult and child protectiontraining guidance.
Leadership and management personal andpeople development
Takes responsibility for own learning andperformance including participating in clinical supervision and acting as apositive role model
Supports staff development in order tomaximise potential and support practice development
Critically evaluates and reviews innovationsand developments that are relevant to clinical practice
Contributes to the development of localguidelines, protocols and standards
Maintains effective communication with thoseresponsible for the overall commissioning and procurement process
Promotes the role of the Advanced ClinicalPractitioner in general practicecompleting relevant training in order toprovide multi-professional clinical practice and CPD supervision to other roleswithin primary care.
Team working
Understands own role and scope and identifyhow this may develop over time
Works as an effective and responsible teammember, supporting others and exploring the mechanisms to develop new ways ofworking
Creates and agrees clear referral mechanismsto meet patient need
Prioritises ownworkload and uses effective time-management strategies to complete work withinagreed timescales
Discusses,highlights and works with the team to create opportunities to improve patientcare
Manages and leadsthe delivery of specifically identified services or projects as agreed with thePCN Clinical Director and the PCN management team
Education
Undertakes mentorship for more junior staff,assessing competence against set standards
Use evidence-based strategies to improve andenhance the quality of patient care
Assesses own learning needs and undertakeslearning as appropriate
Provides an educational role to patients,carers, families and colleagues in an environment that facilitates learning
Research
Critically engage in research activity and useevidence-based strategies to improve and enhance the quality of patient care
Participates in clinical governance activityand contributes to the improvement in quality of health outcomes through audit,risk management and the Quality and Outcomes Framework
Participates in investigation of incidents andevents as required.
Identifies, applies and disseminates researchfindings relating to own practice
Collects data for audit purposes and usesclinical audit to monitor quality in the service and implements changeaccording to findings.
Participates in clinical trials and equipmenttesting.
Meets timescales / deadlines for audits andwritten returns to ensure that the Practice meets quality standards andreceives the designated funding ( Quarterly Enhanced Services returns,annual QOF audit
Quality
Under supervision and support of GPsin the practice, the post-holder will strive to maintain quality within thepractices, and will :
Participates in clinical governance activityand contribute to the improvement in quality of health outcomes through audit,risk management and the Quality and Outcomes Framework
Alerts other team members to concerns aboutrisk, quality and safety.
Participates in investigation of incidents andevents as required.
Contributes to the effectiveness of the teamby reflecting on own and team activities and making suggestions on ways toimprove and enhance the teams performance
Works effectively with individuals in otheragencies to meet patients needs
Effectively manages own time, workload andresources.
Delivery of care in line with NSF, NICEguidelines and evidence-based care
See attached job description and person specification for further details.
Person Specification
Knowledge
Essential
- A clear understanding of the Multi-professioanl framework for advanced clinical practice in England
- Advanced clinical practice skills
- Clinical examination skills
- Accountability of own role and other roles
- Management of patients with long-term conditions
- Management of patients with complex needs
- Local plan and national health policy
- Wider health economy
- Clinical governance issues in primary care
- Patient group directions and associated policy
- Knowledge / experience in general practice / elderly care or palliative care
Desirable
- Able to identify determinants on health in the area
- Knowledge of public health issues in the area
Personal qualities
Essential
- Self-directed practitioner
- Highly motivated
- Flexibility
- Enthusiasm
- Team player
Skills
Essential
- Clinical leadership skills
- Communication skills, both written and verbal
- Communication of difficult messages to patients and families
- Negotiation and conflict management skills
- Change management
- Teaching and mentorship within a clinical setting
- Resource management
Experience
Essential
- Significant post registration experience
- Recent primary or community experience
- Management of minor illness, minor ailments and injuries
- Triage
- Compiling protocols and clinical guidelines
- Clinical Leadership
- Audit
- Research
Desirable
- Project management
- Health-needs assessment
Qualifications
Essential
- Masters degree level in the relevant area of expertise
- for Advanced Clinical Practitioner Nurses only, have either graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centres ePortfolio (supported) Route
- MSc in advanced practice or equivalent accreditation
- Independent prescribing qualification
- for advanced practice pharmacists only, qualified from an approved 18-month training pathway or equivalent and qualified as an independent prescriber
Desirable
- Mentor / teaching qualification
- Clinical supervision training and experience