Advanced Care Practitioner - Hyndburn Central
An exciting opportunity has now come available for an Advanced Care Practitioner to join the Hyndburn Central PCN.
The successful post holder will be an experienced Advanced Care Practitioner or a suitably experienced Nurse, acting autonomously within their professional scope of practice, providing care for patients from initial history taking, clinical assessments, diagnosis, treatment, evaluation, and follow up of care. They will operate within their own sphere of competence and acceptable limits of practice to demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary general practice team to provide expert professional clinical advice to patients, carers, and colleagues, ensuring clinical safety and excellence and providing nurse leadership as required. In order to work at this level, NMC requirements for advanced practice must be met.
Please note:
You may be asked to work from different practices within the area of the PCN and Care Homes.
Main duties of the job
The successful post holder will provide high levels of clinical care for patients in Care homes, managing a range of acute, non-acute, and chronic disease conditions, using advanced autonomous clinical skills and a broad in-depth theoretical knowledge base. They will be reliable and flexible with understanding their duty of care; ensuring timely and effective communication is maintained with patients, colleagues, and other healthcare professionals to achieve planned goals. Education, training, and support may be provided to the Care home team (where applicable) to ensure the highest standards of care are provided for patients. The successful candidate will undertake nursing, medical, and social care assessments to initiate interventions to improve the quality of life within the setting and will assist with the admissions, care programme, and discharge process of all patients. They will also ensure confidentiality is maintained regarding all aspects of patient care.
About us
The East Lancashire Alliance is a network of 9 PCNs covering 48 GP practices covering a population of over 390,000 patients across East Lancashire. Patients are at the heart of everything we do and we pride ourselves in ensuring our patients feel safe, supported, communicated with, and respected at a time when they may be feeling vulnerable. The Alliance is proud to represent our member practices and to champion our Primary Care Partners, by working with local general practice and other system partners in the provision of patient-centred, local healthcare services. Each practice has a close-knit team of staff who collectively seek to improve the health of their patient populations. East Lancashire is one of the world's most innovative, original, and exciting places to live and work. From the beauty of the surrounding countryside to the heart of the vibrant inner Towns and Villages with great shopping, entertainment, and dining options. Wherever you go, you will experience a great northern welcome with people famed for their warmth, humour, and generosity.
Job responsibilities
Acting within their Professional Boundaries, providing care for patients from initial history taking, clinical assessment, diagnosis, treatment, appropriate follow-up, and evaluation of care.
The successful candidate will demonstrate safe clinical decision-making and expert care, including assessment and diagnostic skills and safety netting. They will demonstrate critical thinking in the clinical decision-making process, with the ability to prioritise and triage the needs of patients. Accordingly, instigating appropriate investigations or referrals to colleagues and other care providers.
They will be able to follow local and national guidelines and pathways, working to the latest evidence base, and will practise in a reflective manner, completing significant event analyses and audits to evaluate the effectiveness of the care they provide.
They will work collaboratively as part of the general practice multidisciplinary team to meet the needs of the patients, supporting the delivery of the PCN priorities for improved health and care across our geographical area.
The role exists within a team and will be varied and diverse with clinical support and mentorship provided to allow the successful recruit to flourish. There is a strong focus on self-development and team engagement. The planned care will involve teamwork with social prescribers, pharmacists, and physiotherapists.
Primary Duties and Areas Of Responsibility
A. Clinical Practice:
* Provide a first contact for Care Homes for advice regarding medical and nursing conditions of patients, making use of skills in history taking, physical examination, problem-solving, and clinical decision-making, to establish a diagnosis and management plan.
* Provide continuity of care for housebound patients in the community for advice regarding medical and nursing conditions of patients, making use of skills in history taking, physical examination, problem-solving, and clinical decision-making, to establish a diagnosis and management plan.
* Work as part of a multi-disciplinary team to deliver safe and high-quality care.
* Carry out clinical nursing practice at an advanced level using expert clinical skills, critical judgments, and knowledge to deliver appropriate and safe care.
* Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary healthcare teams as appropriate.
* Co-ordinate the planning and delivery of holistic care ensuring patients and carers/relatives are involved.
* Where the post holder is an independent prescriber; prescribing and reviewing medication that is appropriate to patient needs and in accordance with the latest evidence-based practice, national and practice protocols and within the scope of qualified practice.
* Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.
* Promote health and well-being through the use of health promotion, health education, screening, and therapeutic communication skills.
* Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.
* Refer patients to other members of the multi-disciplinary practice teams, secondary care organization, and other organizations where it may be necessary.
B. Professional Role:
* Hold or be working towards obtaining the Advanced digital badge.
* Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.
* Assess effectiveness of own clinical practice and care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.
* Promote evidence-based practice through the use of latest research-based guidelines and the development of practice-based research.
* Participate in continuing professional development opportunities to ensure up to date evidence-based knowledge and competence in all aspects of the role is maintained.
* Develop and maintain a Personal Learning Plan.
* Maintain their professional registration.
* Work within the latest NMC Code of Professional Conduct.
* Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards.
* Keep up to date with the pertinent health-related policy and work with the Locality team to consider the impact and strategies for implementation.
* Work collaboratively with colleagues within and external to the PCN.
* Participate in multi-disciplinary protocol and clinical pathways.
* Participate in audits and inspections as appropriate.
* Participate in PCN meetings reporting progress as required.
C. Teaching and Mentoring Role:
* Promote a learning environment for patients, care home staff, and other health professionals.
* Contribute to the planning and implementation of the teaching for existing staff, such as medical students, nursing students, GP registrars, and health care assistants within the PCN.
Health and Safety/Risk Management
The post holder must always comply with the Practices Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System.
The post holder will also comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).
Confidentiality
In the course of seeking treatment, patients entrust us with sensitive information relating to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy. The post holder may have access to confidential information relating to patients and their careers, practice staff, and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All information from any source is to be regarded as strictly confidential.
Equality and Diversity
The post holder must cooperate with all policies and procedures designed to ensure equality of employment. Co-workers, patients, and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion, etc.
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.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously, or dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.
Person Specification
Qualifications
* Registered General Nurse (Currently registered with the Nursing Midwifery Council).
* Masters Degree.
* Qualification Advanced Digital badge - obtained through an accredited programme or the eportfolio supported route or in the process of working towards it.
* Teaching or Mentoring experience and/or qualification.
Experience
* Minimum of 5 years post registration experience.
* Experience in the management of long-term conditions for example asthma, COPD, diabetes, coronary heart disease.
* Evidence of appropriate continuing professional development activity to maintain up to date knowledge and ongoing competence in all aspects of the NP role.
* Proven ability to evaluate the safety and effectiveness of their own clinical practice.
* Interpreting and implementing local and National policy agendas for health.
* Experience of undertaking audit.
Knowledge and Skills
* Understanding and knowledge of policy developments regarding the delivery of primary care services including General Practice, the GMS/PMS contract, Clinical Governance, Quality and Outcomes Framework, and Local/Directed Enhanced Service contracts.
* Understanding of evidence-based practice.
* Knowledge of national standards that inform practice for example National Service Frameworks, NICE guidelines.
* Understanding of their accountability arising from NMC Code of Professional Conduct (2009) and medicolegal aspects of the Nurse.
* Understanding of equal opportunity and diversity issues.
* Understanding and maintaining effective communication pathways within the organisation, the PCN, and with key external stakeholders.
* Effective time management and ability to prioritise workload.
* Excellent interpersonal, verbal, and written communication skills.
* Able to analyse data and information; drawing out implications for the practice.
* Experience of using medical software packages.
* Flexibility to work outside core hours.
* Proven record of effective use of networking and influencing skills.
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.
Depending on experience Band 8 a Agenda For Change Like.
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