JOB SUMMARY
As an autonomous practitioner, the post holder is responsible for the care delivered, demonstrating critical thinking and skills in clinical decision-making in the management of patients. Assess, diagnose, plan, implement, and evaluate interventions/treatments for patients with complex needs. Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition (as appropriate). Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan. Will work collaboratively within the general practice team to meet the needs of patients, supporting the delivery of KPIs, QOF, and any other performance monitoring systems. The post holder will participate fully in the delivery of well-coordinated health care for patients within the practice, assisting with the supervision and mentoring of the nursing team including nurses and healthcare assistants.
CLINICAL
Assess, diagnose, plan, implement, and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly. Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice. Work with patients to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side effects, and interactions. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent, or emergency situations, including initiation of effective emergency care. Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care. Assess, identify, and refer patients presenting with mental health needs in accordance with the NSF for Mental Health.
COMMUNICATION
Utilise and demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment. Communicate with and support patients who are receiving bad news. Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background, and preferred ways of communicating. Anticipate barriers to communication and take action to improve communication. Maintain effective communication within the practice environment and with external stakeholders. Act as an advocate for patients and colleagues. Ensure awareness of sources of support and guidance (e.g., PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.
DELIVERING A QUALITY SERVICE
Recognise and work within own competence and professional code of conduct as regulated by the NMC. Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies, and procedures. Prioritise, organise, and manage own workload in a manner that maintains and promotes quality. Deliver care according to NICE guidelines and evidence-based care. Assess the effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation. Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required. In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate. Evaluate patients' responses to health care provision and the effectiveness of care. Support and participate in shared learning across the practice and wider organisation. Use a structured framework (e.g., root-cause analysis) to manage, review, and identify learning from patient complaints, clinical incidents, and near-miss events. Assess the impact of policy implementation on care delivery. Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients' health procedures and local guidance.
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