Advanced Clinical Practitioner / Unscheduled Care Practitioner
We are looking for Advanced Clinical Practitioners and Unscheduled Care Practitioners to come and work with us at Fleetwood Urgent Treatment Centre.
Join our lively and vibrant Urgent Care team in Fleetwood with a highly skilled team of clinicians who autonomously assess, treat, and manage minor injury and illness, across the full spectrum of ages. Patients can access our service via 111, 0300, NWAS, and walk in. We form part of a larger Urgent Care system, mainly working closely with local GPs and acute hospital trust. Integration of teams and services is important for our continued success.
Pay: £23.61 - £30.63 per hour depending on qualifications and experience (plus 40% enhancements on Saturdays and 60% enhancements on Sundays and Bank Holidays)
PLUS, a Golden Hello of £2.5k paid in two instalments over 6 months (pro rata this applies to EXTERNAL APPLICANTS ONLY)
We offer NHS Pension.
NHS continuous service annual leave entitlement will be considered.
The post holder will exercise clinical expertise, levels of judgment, discretion, and decision-making in clinical care, as demonstrated under agreed parameters. Provide a high standard of care for patients presenting with undifferentiated and undiagnosed minor illness & injury needs. There are development opportunities with training and mentorship in order to extend clinical competencies (illness or injury) for the right candidate.
Main duties of the job
1. The post holder will work with and champion the unit in conjunction with Senior Managerial colleagues.
2. Support the Management team and Clinical manager to ensure all service KPIs/Targets are met, and looking for improvement over and above the set commissioned targets.
3. Ensure mandatory training is kept up to date and receive suitable training/CPD for their ongoing development needs.
4. Practice autonomously, as an independent practitioner, participating in the care of and undertaking assessment, diagnosis, treatment/referral and discharge of patients presenting with minor injury and illness within agreed parameters.
5. Provide advanced clinical skills and advice demonstrating a sound understanding of the issues related to identification, assessment, diagnosis, treatment and management of a client group whilst working autonomously.
6. Identify the need for and initiate and interpret relevant diagnostic investigations and results.
About us
The ethos of FCMS as a social enterprise, health and wellbeing services provider is to be passionate in its drive to ensure that patients and callers remain the central focus of all that it does. Coupled with excellent and well-established clinical governance systems and extremely effective operational expertise, it has meant that the company has the ability to strategically visualize, develop, and implement award-winning services.
Over many years we have invested in our staff so that we have a core team of highly trained individuals who can manage the needs of our patients and callers. Our staff are able to significantly improve the service delivery and user experience due to their considerable experience and commitment to what they do.
Job responsibilities
1. To safely and competently undertake invasive and non-invasive procedures to establish a diagnosis.
2. Be able to independently undertake telephone triage.
3. To work within the parameters of current nurse prescribing legislation.
4. Monitor and lead improvements to standards of care through supervision of practice, clinical audit, and evidence-based practice, teaching and supporting professional colleagues and the provision of skilled professional leadership.
5. Contribute to the Clinical Governance agenda within the service by leading audit and research as part of the multi-disciplinary team within the area of expertise.
6. Act in accordance with the NMC Code of Professional Conduct or other relevant professional body.
7. Provide professional and clinical advice within the multi-disciplinary team.
Knowledge, skills and experience required:
* Experience of working independently as an unsupervised practitioner in the primary or urgent care setting.
* Experienced in undertaking telephone triage and remote prescribing.
* Teaching and mentorship.
* Demonstrate the ability to work in a highly demanding environment.
* Maintained development of clinical leadership skills.
* Evidence of diplomacy and negotiation skills.
* Able to demonstrate imaginative and effective use of resources.
* Able to articulate personal development needs.
* Implementation of audit/research recommendations and demonstrates ability and knowledge on how to undertake audit and feedback to clinicians.
* Excellent communication and leadership skills.
* Evidence of significant involvement in change.
* Competent in use of IT packages such as Microsoft Word and PowerPoint.
* Knowledge of current clinical and professional issues.
* Awareness of the impact of evidence-based practice within unscheduled care.
* Ability to work collaboratively with an appropriate range of multi-agency and inter-professional resources, maintaining and evaluating links to manage risk across organization and setting.
* Ability to identify risk assessment and act accordingly.
Key results areas:
Clinical
1. The post holder will assess, treat, and advise patients presenting with health care needs.
2. Provide supervision of the clinical team, assisting and developing their team and individuals.
3. When required ensure patients are referred on to other members of the primary health care team or secondary care as necessary and support and guide others as required.
4. Ensure all practice is safe and effective and remains within boundaries and scope of competence of individuals and to acknowledge limitations.
5. Work at an advanced level of practice reflected under the 4 pillars of advanced practice of the HEE.
6. Perform investigatory procedures, including assessing patients with minor injuries, request, and review x-rays, treat minor injuries/implement expanded roles in practice.
Professional
1. Role model standards of care and behaviour through clinical practice.
2. Act as a role model for standards of behaviour and professionalism, through commitment to the integration of policies and procedures within the role and workplace.
3. Analyse relevant local and national policy, within their area of expertise and advise on the impact for service, leading the implementation of changes and evaluation of processes.
4. Maintain professional registration and practice through CPD.
5. Maintain a professional portfolio to demonstrate competency in line with NMC competency framework or other professional body.
6. Maintain their personal standards of conduct and behaviour consistent within FCMS, NMC guidelines or other professional body.
7. Allocate, coordinate, monitor and assess own workload within an accepted time frame.
8. Ensure appropriate use of resources to meet service needs.
9. Recognise and act as an advocate for patients, carers, service, and the organisation.
10. Carry out annual review of best practice/national standards and implement recommended changes.
11. Promote workforce integrity (empower professional accountability within the clinical team, ensure accreditation process followed, complaints management, competency assessment, ensuring mandatory training requirements fulfilled, robust clinical induction).
12. Maintain a sound knowledge of NHS policy and NICE guidance in relation to scheduled and unscheduled care.
Education and training
1. The post holder will identify own development needs in line with service requirements within a personal development plan.
2. Develop and distribute educational leaflets in relevant formats, for patients relating to services and patient pathways.
3. Ensure personal, peer support and clinical supervision needs are met.
4. Contribute to clinical governance outcomes.
5. Understand and apply professional and national guidelines on confidentiality.
6. Be fully involved in the progress and development of clinicians and provide constructive and relevant feedback.
7. Assist in the implementation of training and development in your locality.
Research and development
1. The post holder will evaluate clinical practice through audit of service and develop and manage strategies to address any shortfalls.
2. Undertake audits as required by the service working with the clinical manager.
3. Demonstrate knowledge of current research in all aspects of their work and advise others on the implementation of relevant research findings.
4. Initiate and/or become involved in research projects in response to identified needs.
5. Disseminate results/research/audit findings via local teams and/or national/international publications.
6. Implement research findings appropriate to practice.
7. Promote the shared objectives of the multidisciplinary team by working closely to ensure that best practice is achieved utilising both Clinical Benchmarking and Essence of Care processes.
Physical effort and working conditions.
1. The post holder will be responsible to ensure all aspects of the Manual Handling guidelines are followed, providing appropriate risk assessments.
2. The post holder will be responsible to manage clinical care following required Policies and Procedures pertaining to bodily fluids, infection control and COSHH regulations resulting in frequent exposure to highly unpleasant working conditions.
3. The post holder will be responsible to manage challenging situations and people with some exposure to hazards, e.g. violent and abusive patients, child abuse, critically ill patients.
4. Manage own time effectively within variable shift patterns.
Health and safety
1. The post holder will comply with safety policies, procedures and guidelines for self and others.
2. The post holder will comply with the Organisations Business continuity Plan.
3. The post holder will refrain from the wilful misuse or interference with equipment provided in the interest of Health and Safety.
4. The post holder will report as soon as is practically possible any hazards or defects.
5. The post holder will report as soon as practically possible accidents or untoward incidents and ensure appropriate incident reporting documentation is completed.
6. The post holder will be actively involved as an appropriate departmental representative.
7. Making effective use of training to maintain knowledge and skills.
Most challenging part of the role.
1. Ability to work under pressure in an ever-changing, challenging specialist environment whilst maintaining excellent standards of patient care.
2. Dealing with difficult situations and people by demonstrating and exercising critical thinking skills when faced with incomplete or lack of information or complexity.
3. Seeing, treating, referring, or discharging patients independently without direct supervision.
4. Triaging, referring, or discharging patients independently without direct supervision.
5. Manage patient and public expectations of the service within set national targets and time constraints.
6. Manage effective change and development within clinical areas, maintaining highly specialised knowledge and competences.
Disability Conf
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