Wentworth 1 Primary Care Network is made up of several GP practices in the Rotherham area. We are recruiting a number of Advanced Clinical Practitioners to work in our friendly GP Practices.
We have an exciting opportunity for a 22.5hr a week post based at our Parkgate Medical Centre Practice.
The Advanced Clinical Practitioner will utilise a range of advanced skills and expert knowledge for patients presenting with undifferentiated and undiagnosed conditions. The post holder will demonstrate critical thinking in the clinical decision-making process. Clinical care will include new patient clerking, initial history taking, face-to-face assessment, examination, diagnosis, treatment, management, referral, and evaluation of care.
Main duties of the job
* Work autonomously and be accountable for his/her own professional actions.
* Undertake clinical decisions at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary care service.
* Assess undifferentiated patients with a range of acute, non-urgent and chronic medical conditions.
* Obtain a clinical history, undertake appropriate physical examinations and investigations, formulate differential diagnosis and carry through management treatment plans ensuring relevant follow up.
* Undertake pre booked emergency clinics, face to face consultations, telephone or video consultation.
* Work as part of a larger primary care network to improve patient care and ensure more efficient ways of working.
* Promote a learning environment for patients, nurses and other health professionals.
Job responsibilities
* Maintain professional registration and work within the most up-to-date relevant professional standards set by the governing body.
* Record accurate consultation data in patients' records in the clinical systems (e.g., EMIS, System One) in accordance with professional standards.
* Make effective use of the clinical system by ensuring consistent and accurate data entry and use of read codes.
* Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports to discuss with clinician as appropriate.
* As an independent prescriber, prescribe safe, effective and appropriate medication as defined by current legislative framework within scope of practice.
* Provide safe, evidence-based, cost-effective, individualised patient care.
* Offer a holistic service to patients and their families, developing where appropriate an ongoing plan of care/support, with an emphasis on prevention and self-care.
* Promote health and well-being through health education, screening and therapeutic communication skills to improve self-care and promote independence for patients.
* Participate in screening patients for disease risk factors and early signs of disease.
* Refer patients directly to other services/agencies as appropriate or after discussion with a GP.
* Undertake home visits, telephone/video consultations, and telephone triage to improve service delivery and patient experience.
* Triaging patients for GP emergency surgery and support the on-call GP as appropriate.
* Work with allied health professionals to ensure Quality and Outcome Frameworks are delivered.
* Manage complex decision making which involves sensitive or contentious information and deal with situations which are hostile or emotive.
* Exercise professional judgment to manage risk appropriately, especially where there may be complex and unpredictable events.
* Use enhanced communication, negotiation, and conflict management skills to demonstrate empathy, reassurance and adopt persuasive skills to overcome barriers to acceptance.
* Work with multi-disciplinary team within the Practice and across the wider primary care network to promote integrated and seamless pathways of care.
* Monitor the effectiveness of clinical practice through quality assurance strategies such as audit and peer review.
Person Specification
Qualifications
* Registered Adult Nurse registered with the Nursing and Midwifery Council (NMC), Paramedic registered with the Health Care Professions Council (HCPC), or Pharmacist registered with the General Pharmaceutical Council (GPhC).
* Registered as an independent non-medical prescriber.
* A minimum of 2 modules at Level 7, with one module including assessment of clinical examination skills.
Experience
* Evidence of both team and autonomous working.
* Demonstrated use of autonomous physical examination and assessment skills.
* Broad and sound knowledge of complex and common conditions in primary care for both adults and children.
* Consolidated Independent Prescribing experience.
* Experience of telephone triage and working in Primary Care, particularly in a GP Practice.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975, and 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.
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