Whitby Coast and Moors Primary Care Network are looking to recruit an enthusiastic and compassionate Advanced Clinician Practitioner. Our PCN is setting up a new multidisciplinary holistic care team to provide dedicated support and care for patients with complex needs. The team will care primarily, but not exclusively, for older adults.
You will have the opportunity to share in the development of this new team which will focus on health, wellbeing and independence.
You will need to have clarity of professional identity and be comfortable working with a degree of uncertainty as new services are tested and developed.
In this new team there will be plenty of opportunity to use your service development, leadership and excellent clinical skills as you work with others to improve outcomes for patients.
If you are excited by the chance to work in a brand new team designed to make a real difference to patients' lives, and based in a beautiful area, please consider this role.
Main duties of the job
This key role will be embedded in the PCN Pilot and Transformation Team within Whitby Coast and Moors Primary Care Network, which supports system wide collaborative working to deliver multiple projects in work streams.
The post holder will provide strategic nursing leadership to the delivery of holistic services across the organisation, with a specific focus on complexity. The advanced clinical practitioner role will be primarily focused within the holistic care team. You will provide leadership to the team in evaluation and monitoring of the service, provide specialist assessment as per the service users and carers requirements.
You will lead with other senior colleagues the continuing development of a high-quality service that is underpinned by evidence-based practice and care pathways/packages and NICE guidance.
You will be required to engage a range of key partners and stakeholders, and lead on joint working across health and social care. They will need to work closely with colleagues within the PCN, Practices, councils, and the voluntary and community sector. You will also work alongside our primary care locality groups to support them in meeting their priorities around prevention and self-care.
Job responsibilities
Core Clinical Function
* Provide a welcoming, compassionate, and professional service to all patients.
* Offer guidance and reassurance during procedures or assessments.
* Ensure patients' dignity, privacy, and confidentiality are always respected.
* Aid in identifying patients with highly complex needs who would benefit from intervention.
* Manage and oversee management and care of service users with highly complex needs.
* Act as the key accessible professional for the MDT proactively managing a clinical caseload. This will necessitate high levels of autonomy and advocacy, using analytical and judgemental skills in undertaking differential diagnosis to ensure the delivery of appropriate care.
* Work as an autonomous practitioner providing an expert level of care, developing own and others' knowledge within the specialty.
* Proactively manage a caseload of patients within specialty and prioritise workload to meet patient and service need.
* Take the lead in the development and implementation of Individualised management plans for the specialty through holistic needs assessment, planning and evaluation of care and all care interventions.
* Effectively manage pathways of care, adapting to patients' emerging needs by ensuring a planned and coordinated approach to care, reducing inappropriate admissions to improve patient experience and safety.
* Receive and act upon referrals directly from health care professionals and make referrals to other team members and specialist departments as necessary to ensure optimal quality of care.
* Ensure that patients' individual needs are expressed and valued, and individual care plans are understood.
* Act as a patient advocate to facilitate the process of shared decision making in respect to health, choice of treatment and care. Use interpersonal and communication skills where there may be significant barriers to build confidence.
* Advise on the complex disease and symptom management for patients.
* Evaluate response to interventions and advise on the adaptation of management.
* Empower patients to self-manage their condition, undertaking risk stratification to determine those who can self-manage following education, those who will need guided support to self-manage and those who will need ongoing face to face support.
* Work autonomously in the development and delivery of clinics in line with National guidance and local service need.
* Provide clinical advice and input to commissioning in relation to complex services.
* Act as a resource providing clinical expertise, specialist advice and support across service boundaries to ensure optimum liaison and coordination of care.
* Undertake clinical competencies relevant to this specialist service to demonstrate expertise in extended clinical roles.
* Assess and effectively manage individual psychological reactions to diagnosis, treatment and associated side effects of interventions and medication.
* Produce accurate and timely documentation, conduct and manage the maintenance of accurate and timely documentation/records on all service users in line with your Professional Code of Conduct and PCN/Practice policy.
* Work with partner agencies including commissioners and influence their strategies in health and personal care of which complex will be a part of.
* Be a credible and visible source of clinical expertise and leadership to others across the organisation, acting as a role model demonstrating high standards of holistic care.
* Supervise the patient caseloads of more junior members of the clinical team assuming overall responsibility where applicable.
* Lead and line manage junior members of the team of specialist clinicians including responsibility for annual appraisal where applicable.
* Contribute to budget management where appropriate.
* Analyse complex information including trends to support the delivery of complex services and review performance against defined targets.
* Lead or contribute to annual service review and write annual report to reflect service activity and development.
* Contribute to service re-design, leading on areas where appropriate.
* Promote an ethos of continual service improvement and lead specific projects, monitoring progress in terms of milestones and key measures of performance.
* Demonstrate transformational leadership through open communication, transparent decision making, seeking to motivate and involve others in developments in the specialty.
* Embed public and patient involvement within the sphere of practice.
* Lead on elements of the clinical governance agenda where appropriate to service.
* Help scope, develop and implement the frailty strategy/service.
* Support the further development of complex conditions.
* Represent the PCN by contributing to and participating in meetings locally, regionally and nationally relating to the specialty.
Person Specification
Experience
* Extensive and up to date post registration experience at band 7 or above within the specialty.
* Proven leadership skills.
* Experience of delivering service improvement.
* Experience of managing significant change/initiative projects.
* Experience of working autonomously within the specialist area.
* Experience of delivering patient advocacy.
* Experience of research, audit and evidence-based care.
* Working with a diverse range of internal and external stakeholders.
* Experience of student supervision and teaching.
Knowledge and Skills
* Advanced clinical, managerial and leadership skills in specialty.
* Advanced specialist knowledge of the diagnosis and current management of the disease/specialty area.
* Evidence of highly effective planning and organisational skills.
* Proven listening and counselling skills with the ability to manage complex situations and appropriately deliver sensitive and difficult outcomes.
* Ability to clinically lead and influence others.
* Up to date knowledge of current clinical and professional issues.
* Excellent verbal, written, interpersonal and communication skills.
* Managing a caseload.
* Able to use skills of history taking and physical assessment to direct patient care.
* Able to conduct and evaluate own projects successfully.
* Knowledge of quality standards and relevant NICE guidelines.
* Knowledge and use of governance and risk assessment to improve quality and service development.
* Knowledge of current clinical and nursing research.
* Ability to carry out audit and research.
* Dynamic critical thinking skills.
* Team player.
* Ability to write reports and maintain accurate records.
* Demonstrate an understanding of the National agenda for specialty.
* Undertaken clinical and nursing research.
Qualifications
* Registered Practitioner, NMC or HPC registered.
* First level degree in related subject.
* Master's degree or the equivalent skills, knowledge or experience.
* Evidence of successful completion of relevant clinical courses e.g. advanced assessment skills, independent prescribing.
* Evidence of continued professional development.
* Experience of student supervision and teaching.
* Recognised teaching qualification (ENB 998, C&G 730 or equivalent).
* Leadership course.
* Advanced communication skills training.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such 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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