Job summary
This is anexciting opportunity for qualified Advanced Clinical Practitioners to join theteam at North Hampshire Urgent Care (NHUC).
NHUC provideshigh-quality care NHS primary care and talking therapies for local communitiesacross North and North East Hampshire, Farnham and Surrey Heath. Born from ashared desire to change healthcare for the better, we believe that by workingtogether we can achieve so much more for our patients and our people.
We thrive onbeing compassionate, responsive and adaptable; working together to help ourcommunities live well.
If you cansee yourself being part of our dynamic and forward-thinking clinical team, wewould love to hear from you.
If you would like an informal visit to either site, please contact Chris Stark on .
Main duties of the job
The primary focus of the role is work as an autonomous practitioner providing high quality and timely patient centred care. A key role of this post is to have responsibility for those patients attending our Same Day Care bases who have primary and urgent care problems and could be safely and appropriately seen by an autonomous practitioner.
The post holder will be responsible for the assessment, diagnosis, treatment, referral and discharge of a diverse range of patients with minor illnesses and within their level of competence and agreed protocols.
1. To deliver high quality safe, effective patient centred care.
2. To provide competent, compassionate responsive care.
3. To communicate effectively with patients, carers and colleagues.
4. To integrate clinical knowledge and skills into the out of hours service, providing first contact patient care.
5. To integrate clinical knowledge and skills and work as part of a multidisciplinary team to provide high quality patient care out of hours.
Please see the Job Description for the full range of responsibilities.
About us
NHUC is anot-for-profit Community Benefit Society, working in partnership with the NHS.NHUC provides services through two divisions, Same Day Care (SDC) and TalkPlus.
SDC providesservices through the Integrated Urgent Care (IUC) contract which covers the inHours Clinical Assessment Service (CAS) and Out of Hours (OOH) provision forNorth Hampshire, North East Hampshire and Farnham (NEHF) and Surrey Heathplaces who are part of the Hampshire and the Isle of Wight ICB and Frimley ICBrespectively. SDC also support projects such as ED streaming in Frimley ParkHospital and the Aldershot Urgent Care Centre in the Aldershot Centre forHealth. It also holds some smaller contacts such as supporting CommunityHospitals OOH and Flu response. Finally SDC has a virtual care arm supportingpatients at home.
TalkPlus arepart of the Improving Access to Talking Therapies programme, providing supportto people with common mental health problems in Northeast Hampshire and Farnhamplace. TalkPlus offers a range of treatments to people who are experiencingsymptoms of stress, anxiety, low mood, depression, panic, phobias or OCD.TalkPlus has care pathways to provide timely treatment for perinatal andmilitary veteran referrals.
Job description
Job responsibilities
Job Title: Advanced Care Practitioner - Nurse/Paramedic/ Clinical Pharmacist
Responsible To: Chief Executive, North Hampshire Urgent Care
Accountable To: Director of Nursing, North Hampshire Urgent Care
The primary focus of the role is work as an autonomous practitioner providing high quality and timely patient centred care. A key role of this post is to have responsibility for those patients attending our Same Day Care bases who have primary and urgent care problems and could be safely and appropriately seen by an autonomous practitioner.
The post holder will be responsible for the assessment, diagnosis, treatment, referral and discharge of a diverse range of patients with minor illnesses and within their level of competence and agreed protocols.
To deliver high quality safe, effective patient centred care.
6. To provide competent, compassionate responsive care.
7. To communicate effectively with patients, carers and colleagues.
8. To integrate clinical knowledge and skills into the out of hours service, providing first contact patient care.
9. To integrate clinical knowledge and skills and work as part of a multidisciplinary team to provide high quality patient care out of hours.
Main Duties and Responsibilities
Clinical Care
Actas an expert practitioner, demonstrating clinical competence and a knowledgebase supplementing those associated with conventional nursing/ paramedic/pharmacist roles.
Undertakean element of triage, streaming patients to the appropriate service or closingcall with appropriate advice and safety netting.
Undertakeface-to-face consultations with patients as an autonomous practitioner andusing own clinical judgement, diagnose, treat, refer and/or discharge patientswithin competence and home visit if required
Make direct referralsto primary, secondary and social services within locally agreed pathways,guidance and protocols.
Ensurethat patients receive high quality clinical care, delivered in a timely manner.
Bean independent prescriber and safely supply and administer medicines.
Provideclinical advice to Administration staff where required
Ensurecomplete and accurate documentation of each and every patient contact
Workas an autonomous practitioner and as part of multi-disciplinary andmultiagency teams in order to ensure patients needs are met.
Professional
Adhereto the relevant Professional Conduct/ Standards and at all times work withinthe scope of professional practice, in particular but not exclusively to thefollowing:
10. Code of Professional Conduct (NMC, 2015)
11. Standards for competence for registerednurses (NMC 2008)
12. Standards for Medicines Management (NMC2008)
13. HCPC Standards (HCPC, 2016)
14. GPhC Standards (GPhC, 2018)
Ensurethat professional practice adheres to organisational policies, procedures andguidelines.
Maintaina professional manner.
Maintainconfidentiality with regard to information pertaining to patients and staff.
Ensurethat the service interfaces with all other stakeholders in a professional andproductive manner, providing an effective service to partner organisations andother service providers.
Actas a positive role model.
Communication
Communicateeffectively with patients and families regarding complex information abouttheir care
Provideadvice and information to patients, carers and their families where appropriate
Communicateeffectively and work collaboratively with medical, nursing and allied healthprofessionals to ensure delivery of a co-ordinated service.
Ensureaccurate documentation record keeping in line with local policies and NMC/ HCPC/GPhC guidelines.
Promoteand demonstrate effective communication networks within the organisation, withpartner organisations and other service providers
Clinical Governance
Cooperatewith all investigations and audits as required.
Adhereto North Hampshire Urgent Cares policies, procedures and guidelines.
Service Improvement
Contributeto quality improvement within the service through the identification andinitiation of changes, which lead to better evidence based practice andimproved standards of care
Participatein clinical audit identifying areas of best practice and areas for improvement.
Contributeto the setting and monitoring of standards of care.
Helpdevelop the services available to the urgent care population to reflectidentified needs
Educational/Personal Development
Contributeto the development and maintenance of an excellent learning environment.
Supportclinical practice and development of knowledge/skills.
Adhereto professional registration requirements to maintain professional development,participate in supervision and revalidation in line with NMC/ HCPC/GPhCguidance.
Participatein defining own developmental plan to maintain and develop own clinical skillsand ensure own professional development
Undertakeand complete all statutory and mandatory training, in line with NHUCrequirements in particular for Basic Life Support/Intermediate Life Support,Information Governance, Infection Prevention Control, Safeguarding and conflictresolution. (Access to these training requirements will be available throughNHUC if you are not able to access via your primary job).
Toaccess regular peer support and clinical supervision.
Contributeto your own personal development and participate in an appraisal and regularperformance reviews.
Tosupport and coach peers, new colleagues, students and personnel on temporaryplacements.
Other
Demonstratecommitment to flexible working patterns, to meet the needs of the service andstaff.
Undertakehome visits if within competence and agreed with visiting GP.
SupportEmergency Department Primary Care Streaming services if competent andexperienced.
Person Specification
Qualifications
Essential
15. Registered General Nurse, Specialist Paramedic or Clinical Pharmacist
16. Evidence of current NMC/HCPC/GPHC registration
17. Educated to Masters level or RCN Accredited
18. Accredited Advanced Nurse / Paramedic Practitioner / Clinical Pharmacist Training Programme
19. Non Medical Prescribing qualification
Desirable
20. Leadership qualification
21. Mentoring qualification
Skills
Essential
22. Demonstrate excellence in the ability to assess and manage patient risk effectively and safely
23. Excellent interpersonal, verbal and written communications skills
24. Reflective practitioner
25. Time management and ability to prioritise workload
Desirable
26. Experience of use Rotamaster
27. Experience of Adastra
28. Experience of telephone triage and video consultation
Other
Essential
29. Flexibility of working hours / able to work at the desired times
30. DBS Enhanced Level Check
31. Willingness to undergo additional training, education and mentoring to develop and maintain clinical skills.
32. Willingness to assist with mentoring, training and support of peers, colleagues, students and placement personnel.
Desirable
33. Car driver/clean license
34. Ability to undertake training during office hours.
Experience
Essential
35. At least five years clinical experience or relevant other field
36. Evidence of working as an Advanced Nurse Practitioner / Specialist Paramedic / Clinical Pharmacist with primary care experience
37. Evidence of continuing professional development activity to maintain up-to-date knowledge
38. Experience of providing whole episode of care to patients
39. Proven ability to evaluate the safety and effectiveness of their own clinical practice
Desirable
40. Post reg. experience in A&E unscheduled care, first response paramedic or related fields
41. Evidence of leadership and mentoring skills
Knowledge
Essential
42. Awareness of policy developments related to the delivery of out of hours primary care services including General Practice, Clinical Governance
43. Understanding of evidence based practice including knowledge of national standards that inform practice ( National Service Frameworks, NICE guidelines etc.)
44. Understanding of their accountability arising from the NMC Code of Professional Conduct / HCPC standards/GPHC Standards
45. Understanding of equal opportunity and diversity issues.
46. Good knowledge of Safeguarding both Adults & Children at Level 3
Qualities and Attributes
Essential
47. Able to demonstrate enthusiasm to developing clinical skills
48. An understanding, acceptance and adherence to the need for strict confidentiality
49. Ability to use own judgement, resourcefulness and common sense
50. Ability to work without direct supervision and determine own workload priorities
51. Ability to work as part of an integrated multi-skilled team
52. Able to work under pressure
53. Able to work in a changing environment
54. Able to use own initiative