Advanced clinical practitioner - fixed term

Title: Advanced Clinical Practitioner

Reports to: PCN Line Manager and the clinic lead / GP while on duty.

Responsible to: Surrey Heath Primary Care Network (The ‘PCN’) and Surrey Heath Community Providers Ltd (SHCPL, ‘The Federation’)

Professional Registration: Active professional registration with the relevant body is required; Nursing & Midwifery Council, Health & Care Professions Council, General Pharmaceutical Council.

Base: Local GP Practices – will require working across the 7 GP Practices within the Federation / PCN geography, as per the rotating site for Saturday clinic delivery.

Hours per week: This is a Fixed Term Contract for Saturday work between 09:00 and 13:00, and weekday evenings until 20:00.

Salary: Hourly rate of pay from £29.33 - £33.00 depending on experience, and Saturday enhancement (please note: no additional enhancement for weekday evenings).

Contract: 12 Months Fixed Term Contract

Holiday Entitlement: 30 days per year (based on full time hours) plus Bank Holiday entitlement

To liaise with: Practice team (internal); GPs and wider multi-professional general practice team operating the clinic. PCN / SHCPL team(s), line manager and clinical support teams. Surrey Heath Integrated Care Team (ICT), including ICT Managers across all the provider/service organisations, Frailty Navigator, administration teams, multi-disciplinary team colleagues, social care, health and other 3rd sector organisations. People that use the services, their relatives, carers.

ABOUT US:

We are Surrey Heath Community Providers Limited, which is a federation of 7 GP practices across 10 sites, covering a population of over 97,000 patients across Surrey Heath. We began in 2016 and now employ around 200 members of staff across our clinical and corporate support teams. Since 2019 we have hosted the Primary Care Network in Surrey Heath.

As a GP Federation and Primary Care Network, we are proud to represent our member practices and to champion primary care by working with local general practice and system partners, in the provision of community based healthcare services. We are dedicated to providing safe and compassionate care to our patients across our range of primary care services in Surrey Heath and believe in continuous commitment to quality service delivery and positive patient outcomes.

Patients are at the heart of everything we do, and we pride ourselves in ensuring our patients feel safe, supported, communicated with and respected, at a time when they may be feeling vulnerable.

Our vision is to provide high quality, seamless health care that enables people to lead healthier lives, whilst feeling supported and cared for.

ROLE SUMMARY:

This role is an exciting opportunity for an experienced Advanced Clinical Practitioner (ACP) with existing prescribing skills to join our Primary Care Network (PCN). You will support our local GP Practices with the provision of additional patient access on Saturdays and weekday evenings, working from a rotating site across our 7 GP Practices.

You will support core general practice capacity and work as part of a positive, proactive and collaborative primary care clinical team supporting residents in Surrey Heath. You will be experienced in general practice and be able to work autonomously, managing a caseload of booked appointments for on-the-day and urgent care needs, with minimal indirect supervision from the onsite GP under a Primary Care Consultant model. You will need to be skilled in providing urgent care and minor illness management and providing support to patients with long term conditions.

You will be able to expertly manage an identified caseload or cohort(s) of patients and presenting complaints; providing care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care, demonstrating safe, competent clinical decision-making and expert care evidence-based care.

You will work under a fixed term contract. Your work will primarily be focussed on urgent and on the day appointments, but may include some routine general practice appointments depending on the needs of the PCN/practices and your skillset and experience.

KEY DUTIES & RESPONSIBILITIES

Clinical Practice:

· Work as part of a multi-disciplinary team in a positive and proactive manner, within multiple practices across the Surrey Heath PCN footprint.

· Provide core general practice activity, within the scope of role and competence, to manage urgent and ‘on the day’ care needs as a first-contact practitioner or delivering clinics for patients with long term conditions.

· Clinically examine and assess patient needs (within scope of clinical practice) from a physiological and psychological perspective, and plan clinical care and treatment accordingly, including prescribing relevant treatment and making onward referral as appropriate.

· Adopt a supported self-management approach and shared decision-making (SDM) approaches to your practice.

· Work with patients and carers, supporting compliance and adherence to prescribed treatments and treatment plans, and working with support groups to overcome barriers.

· 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, implementing motivational interviewing and ‘making every contact count’ approaches.

· Contribute to public health campaigns. Implement and participate in vaccination and immunisation programmes for both adults and children.

· Undertake minor surgery as appropriate to role and competence (if required and appropriate to your skill and competence).

· 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.

· Produce accurate, contemporaneous and complete records of patient consultations, consistent with legislation, policies and procedures.

· Deliver high quality and evidence-based care in accordance to NICE guidelines.

· Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.

· Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities, particularly in regards to healthcare inequalities

· Utilise the audit cycle as a means of evaluating the quality of the work of self, the team and the service, implementing improvements where required,

· Support and participate in shared learning across the Practice team and PCN.

· 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, and responding to policies changes and initiatives.

· Develop effective relationships with care homes, the Surrey Heath PCN clinical team and practice-based teams. Work as part of the multi-disciplinary team (MDT), in a close and flexible manner to meet the complex needs of this cohort group.

Leadership:

· Acting as a clinical leader in the delivery of advanced clinical practice ensuring that patient needs are taken into account, and delivery of high quality care to patients.

· Act as a role model/ambassador for Surrey Heath GP Practices and the PCN, demonstrating values and vision of the organisation(s) in a positive manner.

· Critically evaluate and review innovations and developments that are relevant to the area of work and service provision, demonstrating impact of advanced clinical practice on service function and effectiveness.

· Developing effective relationships with stakeholders to encourage productive working.

· Contribute to the development of local guidelines, protocols and standards.

· Provide formal and informal education and training to healthcare professionals to ensure high quality, and safe care and support.

· Contribute to the development of an integrated care frailty pathway offering proactive and systematic care to people in their own homes and in care homes.

· Work as part of the MDT team and various stakeholders on identified project supporting continuous quality improvements and audits. This includes but not limited to, initiatives:

* reducing emergency admissions
* improving the quality, safety and timeliness of transfers of care and discharge from hospital setting
* developing & embedding anticipatory care planning,
* coordination of roles and responsibilities between teams delivering complex care
* delivering further improvements in the experience and outcomes of people receiving care.

Clinical & Professional Responsibilities Underpinning the Role

· Developing and facilitating a good working relationship with the PCN, other practices and community services.

· Work as an autonomous practitioner within appropriate clinical and professional guidelines.

· Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.

· Participate in clinical supervision and other professional support activities, as provided by the practice(s), PCN or local system. We encourage you to undertake the relevant training to act as a ‘supervisor’ for the local clinical supervision programme.

· Plan, organise and administer own workload, including audit and project work, and training sessions for members of the team, practice teams, community nurse team, patients, carers, etc.

· Be an integral part of the Practices’ and PCN clinical teams. Provide support to new members of the team as required, inputting to their induction and development, including contributing to the appraisal process and acting as a mentor.

· Participate in training, supervision and development of students and other learners in the setting.

· Actively seek to deliver and support continuous quality improvement. Lead and support the development of knowledge, ideas and work practice within the service and work area.

· Record personally generated information and maintain a database of information relating to the work done in the practice(s).

* Personally generated information includes information and records relating to audit and clinical work undertaken by the post holder, reference notes relating to clinical/technical information, etc.
* The database includes maintaining up-to-date, detailed records of all work done in the practices for which the post holder is accountable (done by the post holder or others).

· Recognise and work within own competence and professional code of conduct as regulated by your professional body.

· Maintain appropriate professional registration for the post, comply with appropriate professional codes, and work with their scope of professional practice.

· As appropriate to the post, keeping up to date with relevant professional evidence and opinion, legislation and policy developments, agreeing objectives and a personal development plan and participating in the appraisal process.

· Understanding own role and scope and identify how this may develop over time.

· To attend local, regional and national meetings of relevance as required and appropriate.

· To undertake any other duties commensurate with the post holder’s grade as agreed with the post holder’s line manager.

· All employees should understand that it is their personal responsibility to comply with all organisational and statutory requirements (e.g. health and safety, equal treatment and diversity, confidentiality and clinical governance).

Carry out any other duties as reasonably required by the Clinical Director.

This is not intended to be an exhaustive list of responsibilities, and it is expected that you will participate in a wide range of activities.

PERSON SPECIFICATION

Qualifications

· Maths and English GCSE (C and above) or equivalent - Essential

· First level professional registration with appropriate professional body (e.g. HCPC, NMC, GPhC) - Essential

· Relevant health-related degree - Essential

· Advanced Clinical Practice / MSc or equivalent level of practice evidenced through a recognised credentialing process - Essential

· Mentor/teaching qualification - Essential

· Extended/independent prescribing qualification - Essential

· Community or Primary Care specialist qualification - Desirable

· Care of the elderly specialist qualification - Desirable

· Additional qualification in management of a specific long term condition - Desirable

· Clinical supervision training and experience - Desirable

Knowledge

· Accountability of own role and other roles - Essential

· Local and national health policy - Essential

· Wider health economy - Essential

· Clinical governance issues in primary care - Essential

· Patient group directions and associated policy - Essential

· Able to identify determinants of health in Surrey Heath / Frimley ICS - Desirable

· Knowledge of public health issues in Surrey Heath / Frimley ICS - Desirable

Skills

· Advanced clinical practice skills, management of patients with long-term conditions, urgent and on-the-day needs - Essential

· Management of patients with complex needs - Essential

· Ability to manage patients at the point of presentation - Essential

· Clinical examination skills - Essential

· Strong clinical leadership - Essential

· Highly effective communication skills, both written and verbal - Essential

· Negotiation, resource and conflict management - Essential

· Change management / Service improvement - Essential

· Teaching and mentorship in the clinical setting - Essential

· Supervisor / facilitator for clinical supervision - Desirable

· Competent with spirometry performance and interpretation - Desirable

Experience

· Significant post registration experience - Essential

· Recent primary or community experience - Essential

· Healthcare-led management of minor illness, minor ailments and injuries - Essential

· Healthcare-led triage - Essential

· Compiling protocols and clinical guidelines - Essential

· Clinical Leadership - Essential

· Audit and Research - Essential

· Non-Medical Prescribing (NMP) Qualification - Essential

· Project management - Desirable

· Working with community development initiatives - Desirable

· Health-needs assessment - Desirable

· Experience as a supervisor / facilitator for clinical supervision - Desirable

Other

· Self-directed practitioner - Essential

· Highly motivated and enthusiastic - Essential

· Flexibility - Essential

· Team player - Essential

· Ability to respond to unpredictable work patterns on a frequent basis e.g. working to deadlines, interruptions - Essential

· Excellent awareness of own strengths and weaknesses - Essential

· Commitment to CPD/Revalidation - Essential

· Access to suitable transport in relation to the post - Essential

Job Type: Fixed term contract
Contract length: 12 months

Pay: £29.33-£33.00 per hour

Schedule:

* Monday to Friday
* Weekend availability

Work Location: In person

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