The post holder will demonstrate a high level of expertise within the specialist service providingadvice, education and support to staff, patients, their families and carers.The post holder will be practising autonomously as an advanced clinical practitioner within thedesignated speciality area to provide patient-centred clinical care. This will encompass the skills ofadvanced clinical assessment, examination, diagnosis and treatment within an agreed scope ofpractice throughout the directorate.The post holder will support new ways of working that emphasises a more efficient and patientfocused service, and will ensure the safe treatment, referral and discharge of patients withundifferentiated and undiagnosed presentations in their area.2Responsibility for leading the on-going development of clinical practice and standards of care withinthe service, including the development of policies, procedures, protocols and guidelines incollaboration with multidisciplinary colleagues
Main duties of the job
* The post holder will demonstrate courageous and critical thinking and is a caring, compassionate and committed experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice.
* The post holder will commit to demonstrating critical thinking in the safe clinical decision-making process. They will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.
About us
We are a thriving, large GP practice serving a diverse community of over 15,000 patients. Our dedicated team is made up of experienced GPs, ACP's, practice nurses, healthcare assistants, Pharmacists supported by excellent administrative staff, all working together to provide the highest standard of care possible to our diverse patient demographic.
Our practice is dynamic, forward-thinking, with a strong focus on teamwork, innovation, and continuous improvement. We pride ourselves on creating a supportive and inclusive environment where every member of our team is valued and empowered to excel in their role.
With modern facilities and access to ongoing professional development, we are committed to helping our staff grow and succeed. We offer a healthy work-life balance, regular team events, and opportunities to contribute to shaping the future of patient care in our community.
Job responsibilities
Assess,diagnose, plan, implement and evaluate treatment, interventions and care forpatients presenting with an undifferentiated diagnosis from within your sphereof competence.
Clinicallyexamine and assess patient needs from a physiological and psychologicalperspective and plan care accordingly.
Assess,diagnose, plan, implement and evaluate interventions/ treatments for patientswith complex needs
Utiliseyour clinical supervisor/ mentor and other clinical staff appropriately toensure safe and effective patient care, demonstrating awareness of your ownlimitations
Providesafe, evidence-based, cost-effective, individualised patient care within thesurgery, patients own home or other environment where patient care is carriedout
Referpatients directly to other services/ agencies as appropriate, utilisingPractice and local guidelines and in a timely manner
Pro-activelyidentify, diagnose, monitor and manage treatment plans for patients at risk ofdeveloping a long-term condition, as appropriate
Diagnoseand manage acute conditions, integrating both drug and non-drug-based treatmentmethods into a management plan
Prescribeand review medication for therapeutic effectiveness, appropriate to patientneeds and in accordance with evidence-based practice and national and practiceprotocols, and within own scope of practice. Utilise Patient Group Directionsfor the administration of medication as appropriate.
Workwith patients in order to support compliance with and adherence to prescribedtreatments.
Provideinformation and advice on prescribed and over-the-counter medication onmedication regimens, side-effects and interactions
Prioritisehealth problems and intervene appropriately to assist the patient in complex,urgent or emergency situations, including initiation of effective emergencycare
Supportpatients to adopt health promotion strategies that promote healthy living andto apply principles of self-care
Recognise,assess and refer patients with mental health needs as appropriate
Communicatewith and support patients receiving bad news
Person Specification
* Awareness of accountability of own role and that required of a Registered Practitioner.
* Ability to assess and manage patient risk effectively and safely.
* Good communication (oral and written) and
* inter-personal skills.
* Change management skills and ability to support patients to change lifestyle.
* Ability to form good working relationships with a multi-disciplinary team.
* Ability to listen and empathise.
* Understanding of evidence-based practice.
* Ability to organise and prioritise workload.
* Demonstrable evidence and commitment to professional development.
Qualifications
* Registered Nurse (NMC) or Registered Paramedic (HCPC) or Registered Physiotherapist (HCPC), Registered Dietitian, Registered Podiatrist or Registered Pharmacist
* Minor illness qualification at degree level assessed by OSCEs.
* Current registration.
* Independent non-medical prescriber or working towards it, or proven ability to use Patient Group Directions.
* Undertaking a course in Advanced Clinical Practice at Masters level.
Qualities and Attributes
* Ability to work independently.
* Awareness of own sphere of competence and level of support required to practice safely.
* Ability to work as a team player.
* Initiative and drive.
* Pleasant and articulate.
* Able to work under pressure.
* Self-motivated and positive.
* Empathetic, honest, caring.
* Adaptable and forward looking.
* Observance of strict confidentiality.
* Ability to use own judgement, resourcefulness and common sense.
* Enthusiastic and energetic.
* Diplomatic and considered.
* Hard working, willing and flexible.
Experience
* Practitioner-led management of minor illness.
* Evidence of working autonomously, with some support and supervision.
* Proven ability to evaluate the safety and effectiveness of own clinical practice.
* Practitioner-led triage.
* Experience of Microsoft Office applications.
* Experience of GP Clinical IT systems.
* Experience of audit.
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.
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