Advanced Clinical Practitioner Paramedic / Advanced Nurse Practitioner RESPONSIBLE TOGP Partners Clinically, Practice Manager - Administratively OVERVIEW This is a role established to work with vulnerable patients from our practice location, both remotely and in person. You will be required to deliver a high standard of patient care within your scope of practice to meet the needs of the Practice patient population and to deal with presenting patients needs in a Primary Care setting. MAIN PURPOSES Provide first point of contact for patients presenting with undiagnosed problems, using history taking, physical examination, problem solving and clinical decision making skills to reach a working diagnosis and management plan in partnership with patients and their carers. Assess and triage patients, including same day triage and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways. Undertake Practice based consultations for emergency or routine problems including management of exacerbations of long term conditions. Undertake telephone consultations, clinics, home visits and participate in our same day service during Practice opening hours. Instigate diagnostic tests or investigations in Primary Care and interpret findings/reports within the scope of your practice, discussing the results and implications with your patients Utilise clinical guidelines and promote evidence based practice Refer patients directly to other services using appropriate referral pathways Provide preventative healthcare and advice Provide medical support as required to patients Ensure safe handover of care within and outside the Practice as appropriate Work directly with members of the Practice team and support integrated patient centred care working with wider Primary Care / Community Care / Social Care networks Identify Community Health needs and participate in the development of patient/family centred strategies to address them Contribute to the Practice quality targets to consistently achieve high standards of safe, evidence based, cost effective patient care and service delivery Act upon alerts and reminders during consultations Training requirements will be monitored by annual appraisal. Personal development will be encouraged and supported by the practice. It is the individuals responsibility to remain up to date with recent developments. PRINCIPAL DUTIES AND RESPONSIBILITIES Health & safety The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include Using personal security systems within the workplace according to practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks Making effective use of training to update knowledge and skills Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and keeping them free from hazards Actively reporting health and safety hazards and infection hazards immediately when recognised Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role Undertaking periodic infection control training (minimum annually) Reporting potential risks identified Demonstrate due regard for safeguarding and promoting the welfare of children. Production of performance and quality information To ensure that documentation (electronic and paper-based) exists to support performance standards across the full range of performance-based activity QOF, Enhanced Services etc. To assist in the production of information for clinical audit. To undertake ad-hoc work related to the performance of the practice under the guidance of the practice manager. Data quality To work within the clinical computer system to improve data quality, using the expertise of other data staff where appropriate. Equality and diversity The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues. Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights. Personal and Professional development The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development. Taking responsibility for own development, learning, and performance and demonstrating skills and activities to others. This role is considered to be a developmental position and the jobholder will be encouraged to develop personal and business skills. Quality The post-holder will strive to maintain quality within the practice, and will Alert other team members to issues of quality and risk. Assess own performance and take accountability for own actions, either directly or under supervision. Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance. Work effectively with individuals in other agencies to meet patients needs. Effectively manage own time, workload and resources. Communication The post-holder should recognize the importance of effective communication within the team and will Communicate effectively with other team members. Communicate effectively with patients and carers Recognise peoples needs for alternative methods of communication and respond accordingly. Most instruction and communication of activity will be via the practice manager. External communication will be with patients, ICB and other NHS bodies, and other GP practices and service providers. Contribution to the implementation of services The post-holder will Apply practice policies, standards and guidance. Discuss with other members of the team how the policies, standards and guidelines will affect own work. Participate in audit where appropriate. Confidentiality In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data. Notes This is not intended to be an exhaustive list of responsibilities, and it is expected that the successful applicant will participate in a wide range of activities.
