An exciting opportunity has arisen for an Advanced Practitioner to join the Medics PCN Ltd. The Medics PCN is a mature, stable and innovative Primary Care Network based in Luton. Medics Primary Care Network consists of 5 friendly practices working together to provide excellent patient care to a population of over 59,000 patients.
You will be a senior member of our large and established multi-disciplinary team (MDT), made up of Clinical Pharmacists, First Contact Physiotherapists, Paramedics, Nursing Associates and a vast personalised care team.
The post holder will be responsible for the autonomous clinical assessment, treatment and/or referral or giving advice as appropriate to first contact patients across a wide spectrum of clinical conditions within the services provided by Medics Primary Care Network Limited.
A commitment to a quality service, excellence in clinical practice and continuous professional development are integral to the role and the development of the service.
To practice autonomously without direct supervision across the four pillars of advanced practice of clinical practice, leadership & management, education & research. To utilise advanced clinical skills to assess, diagnose, treat and refer patients requiring the clinical service.
Main duties of the job
* To recognise the need for, initiate & where appropriate interpret relevant diagnostic investigations.
* To recognise the need for and initiate where appropriate advice of relevant specialisms.
* To exhibit excellent nonverbal & verbal communication skills when dealing with patients and carers. To have the ability to make clear decisions with confidence & communicate these effectively.
* To maintain appropriate clinical records in line with current practice guidelines.
* To work within the parameters of your skills and knowledge, recognising the limitations to your own practice and to work within the bounds of your training and capability according to regulatory codes of conduct.
* To maintain an awareness of developments in clinical practice.
* To work effectively as part of a multi professional team in collaboration with other members of the service.
* To provide health promotion/accident prevention advice for patients and carers.
* To promote the protection of children and vulnerable adults in accordance with local safeguarding procedures.
* To adhere to the Infection Prevention and Control policy.
* To prescribe medication and work within the limitations of current extended Non-Medical Prescribing legislation.
* Discharge or refer patients as appropriate to internal or external clinical pathways.
About us
Values, behaviours and principles
We are always:
* Compassionate: we show kindness, consideration and understanding in everything we do and demonstrate our caring nature to our patients, people and communities.
* Accomplished: a responsive, adaptable, professional NHS partner, providing the best advice, care and treatment for every individual.
* Respectful: we recognise the value that individual and team differences bring, welcoming views, listening, being honest, and learning from others' experiences.
* Encouraging: we believe everyone matters, so we inspire confidence in others, promoting speaking up, fostering career-long learning and development, and supporting improvement ideas.
Job responsibilities
Key Areas of Responsibility & Accountability
Clinical
* To practice autonomously without direct supervision across the four pillars of advanced practice of clinical practice, leadership and management, education and research.
* To utilise advanced clinical skills to assess, diagnose, treat and refer patients requiring the clinical service.
* To adhere to performance measures.
Managerial
* Take part in clinical audits.
* To attend professional meetings and participate in team meetings.
* The Clinician will work within guidelines and policies and will support the implementation of policies in own work area and participate in working groups as required.
* To lead and participate in clinical audit cycles as required.
* Participate in inductions for newly appointed staff.
* Responsible for day-to-day supervision, delegation and coordination of staff making the best use of their abilities as appropriate.
* To participate in the appraisal process for themselves and others as appropriate.
* To identify, report and address poor performance issues.
* To diffuse challenging behaviour, ensuring that the situation is managed in a sensitive way.
* To ensure efficient and effective use of material resources/supplies.
* To identify any problems with resource use/availability and make recommendations for corrective action.
Clinical Governance
* To participate in the clinical governance requirements within the work of the organisation.
* To practice within the parameters of company policies, protocols and guidelines.
* To participate in quality improvement within the organisation.
* To assess and evaluate outcomes of own practice, service intervention and treatment and identify any shortfalls in service reporting to relevant managers.
* To provide mentorship, leadership and training to other team members.
* To ensure the requirements of Health and Safety policy and legislation are maintained.
* To participate in research and development activities of DHU Health Care.
Education Practice Development
* To participate in the clinical supervision framework for health care professionals within the company.
* To offer appropriate advice to health and social care professions on care practices, delivery and service development within the parameters of the role and scope of practice.
* To participate in the ongoing individual professional development within the organisation.
* To mentor and role model as appropriate in the development of triage consultation, the mentorship of junior staff and students, specifically the ARRS team.
* To complete the mandatory training programme to ensure compliance at all times.
Professional
* To work within the regulatory requirements, codes and Professional Standards of practice of the NMC.
* To maintain professional and clinical competence through mechanisms of continuing professional development.
* To act in such a manner at all times to promote confidence and public trust and uphold the reputation and image of DHU Health Care CIC.
Communications and Working Relationships
* Medics PCN Clinical Director.
* Medics PCN Digital & Transformation Manager and Operational Manager.
* Medics PCN Clinical Leads.
* Medics PCN ARRS multidisciplinary team.
* Practice Managers and staff within the Medics Primary Care Network footprint.
* Other related services within the local population footprint.
Person Specification
Qualifications
* Registered Adult Nurse registered with the Nursing & Midwifery Council (NMC).
* Registered as an independent prescriber.
* MSc Advanced Practice or Educated to Masters level award in relevant field.
Experience
* Substantial Autonomous practice working in a multi-professional team.
* Can show evidence of using autonomous physical examination and assessment skills in practice.
* Can demonstrate a broad and sound knowledge of complex and common conditions in primary care in both adults and children.
* Has experience in one of the following: nurse-led clinics, emergency care centres, out of hours facilities or walk-in centres.
* Consolidated Independent experience of General Practice.
* Use of examination skills in practice.
* Experience of Telephone Triage.
* Experience of Emergency Care.
Personal Skills
* Proven team player.
* Able to work autonomously.
* Committed to continuing professional development.
* High level of interpersonal skills.
Skills & Knowledge
* Can complete a concise clinical history and physical examination.
* Can formulate a differential diagnosis and management plan.
* Prepared to participate in service development.
* Demonstrable awareness of accountability in clinical practice.
* Can give evidence of using effective communication skills within practice.
* Must have excellent verbal and written skills.
* Is able to use negotiation skills.
* Ability to identify individual patient needs.
* Able to prioritise and effective time management.
* Commitment to lifelong learning.
* Counselling & communication skills.
* Specialist clinical/technical skills.
* Telephone triage.
* ECG recording and interpretation.
* Venepuncture.
* ALS / PALS.
* Suturing and wound closure.
* Pathology interpretation.
Job Circumstances
* Commitment to the role.
* Flexibility to meet service/Rota needs.
* Be prepared to travel between different primary care sites when on duty.
* Full driving license essential (Possible home visiting duties).
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, equivalent to Band 8a.
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