This role provides post holders the opportunity to work
across our hospital at home services including our virtual ward, urgent care
wrap around service as well as assessing undifferentiated patients. The role
will provide post holders with opportunities to develop their experience of
urgent and primary care as part of a multidisciplinary team whilst supported by
our clinical leads. GPN is an innovative patient focused organisation seeking
to support patients to be cared for at home whenever possible.
The post holder will be practising in a highly autonomous manner as an advanced clinical practitioner (ACP) This will encompass the skills of history taking, extended assessment, examination, diagnosis and treatment within an agreed extended scope of practice. Providing definitive care without requirement for supervision. Where patients require further input undertake appropriate referrals. The post holder will be a highly experienced independent senior clinician with excellent interpersonal and communication skills and clinical attributes, enabling them to provide expert clinical and professional support to other clinicians and staff
Provide support, advice and supervision of more junior registered and unregistered staff within the service.
Our vision:To provide the patients of Greater Peterborough with high quality, sustainable healthcare that supports them to stay well and at home for as long as possible.
We are an ambitious at scale primary care organisation with a passion for integration and innovation.
Job description
Job responsibilities
1. Clinical/patient
care
To
deliver and participate in the clinical care of patients working as a highly
autonomous practitioner.
To ensure that every patient
receives specialised advice and appropriate management to facilitate a safe
discharge, transfer or admission as required.
Provide a level of
advanced and comprehensive assessment based on a specialist body of knowledge,
with a focus on assessing and managing risk.
Direct
responsibility for the management of patients within own case load and
supervision /development of junior members of the multidisciplinary team.
To appropriately
assess, examine, investigate, diagnose and treat patients, resulting in the
safe management, appropriate referral or discharge of patients
To gain collateral
history for patients to ensure appropriate management decisions are taken, this
includes accessing summary care records
To manage patient
expectations using highly developed communication skills, recognising that many
patients will have chronic conditions that should be managed within primary
care This communication will often involve conflict due to unrealistic
expectations and that managing these expectations will require delivery of a
contentious message. To work in an environment that is high pressured, with
multiple competing priorities, caring for patients from a range of backgrounds
and conditions.
To contribute to
the development and improvement of systems, policies and processes that
facilitate patient care.
Maintain own
clinical development by keeping abreast of new treatments and technologies
within primary, acute and emergency care.
To improve the
quality of the patient experience by identifying and meeting the individual
clinical needs of patients.
Where appropriate
to their presenting circumstances, to rigorously review all aspects of the
patients plan of care and identify and address issues that cannot wait for the
patient to be reviewed by their own GP.
Contribute to the
review and development of integrated care pathways and clinical guidelines to
ensure a standardised approach.
Practice with
confidence and competence within professional bodies guidelines (e.g. NMC, HCPC).
To ensure that
accurate documentation and records of patient care are kept.
To provide expert
advice on patient care to the healthcare team taking into account all aspects
of clinical governance, and act as a specialist resource within the team.
Ability to adapt
expert clinical knowledge and skills to different clinical settings and
influence service delivery and patient care.
To prescribe safely and
effectively as a non-medical prescriber in accordance with relevant guidelines
and within the individuals scope of professional competence, to ensure all
prescribing practice offers best value for money to the health system.
Actively implement
effective systems and processes for infection control management and relevant
audit within their clinical area.
To be a conscientious,
confident and competent practitioner who works within their own scope of
professional practice.
2. Management
and Leadership
Support the
delivery of the service KPIs and play an active part in clinical governance,
developing and leading on action plans.
Lead and develop
an area of responsibility related to advanced clinical practice or service
development.
To co-ordinate and
provide leadership for the non-medical teams.
Deliver the highest level of
interpersonal and communication skills and be actively involved in the
development of effective communication strategies with other members of the
multidisciplinary team. This will include discussions with patients around sensitive
information and difficult conversations with patients and relatives.
Participate in the
development of a specialist service and act as a change agent, where necessary
leading staff and facilitating the change process whilst encouraging others to
be innovative and adaptable in the approach to change including development of
new services.
To act as a
champion for the team, proactively liaising with external and internal
stakeholders advocating advanced practice provision that is effective and
responsive and that patients and clinicians experience a high standard of
communication care and continuity.
To be an effective, competent
and confident role-model / clinician and to champion the ACP role to other
members of the team.
To act as a role
model for infection control practice, nutritional standards, medicines
management and falls prevention, ensuring best practice in these areas is
intrinsic to care delivery.
To develop
evidence based policies and procedures specifically required by the team.
To develop
clinical competencies for staff working within the team.
To develop and
maintain effective communication with the multidisciplinary team to ensure high
standards of care.
To work
collaboratively and strategically with representatives of other clinical areas,
disciplines and services to provide a seamless pathway of care.
Participate in the
recruitment, selection and retention of staff.
To be conversant
with all policies and procedures and ensure they are correctly implemented.
Participate in
business planning and the development of financial bids for service
development.
3. Education
and Training
To help identify,
plan and implement goals for clinical development of staff working within the
service, monitor the development of advanced skills within the team.
To develop and
maintain a positive learning environment for the team by providing support,
ensuring developmental requirements are addressed.
To support the
provision of clinical supervision and provide the opportunity to reflect and
discuss areas of practice.
To plan, implement
and participate in teaching programmes for nursing, medical and allied health
professional staff of all grades.
To maintain close
links with local Universities and to participate in the development and
delivery of new and established specialist practice programmes.
4. Audit
and Research
Contribute and at
times lead the development of multidisciplinary research and clinical audit in
the service and adjacent assessment areas, implementing effective and
evidence-based practice.
Exhibit advanced
research and audit skills and provide support and appropriate implementation
strategies for changes in clinical practice.
Ensure the results
of audit and research conducted by the team are disseminated.
To share best
practice; through publications and attendance/presentation opportunities at
conference level.
5. Resource Management
To apply sound
financial evaluation to proposed service developments.
Manage own
workload.
Support junior
nursing, AHP and medical staff to manage their work load.
Work as a member
of the multidisciplinary team, sharing in the responsibility for the provision
of 7 day, care.
Promote and adhere
to the principles and practice of clinical governance.
Responsible on a
shift by shift basis for the advanced clinical practitioner management of all
patients within the service.
Demonstrate
effective multidisciplinary team working and acknowledge the role of individual
team members, ensuring that expertise is seen as a resource within the team.
Utilise a
developed knowledge of vulnerable adult safeguarding procedures.
Support trainee,
new and experienced ACPs to manage their workload.
To ensure all prescribing
practice offers best value for money to the health system, that medications
classed as general sale and pharmacy items are not provided to patients.
To ensure appropriate use and
care of high value clinical equipment such as portable ultrasound equipment.
6. Risk Management
To ensure that
systems are in place to manage, reduce and prevent clinical risk to self and
others within acute services.
To assist in the
assessment and management of risk in line with the trust standard and alongside
the operational management team by ensuring adverse incidents are reported,
investigated and utilised to develop and open culture of learning from risk.
Share lessons
learned from significant events
To monitor
incidents highlighted by members of the team and communicate to appropriate
areas to address risk issues.
Promote best
practice in health & safety, utilising organisational policies.
All employees are subject to the requirements of
the data protection act and must maintain strict confidentiality in respect of
patients and staff records.
All employees have a responsibility under the organisations
health and safety policy, to be aware of and conform to the policy, ensuring
all health and safety rules are adhered to and ensuring that all accidents,
incidents, near misses, damages and irregularities are documented and reported
to a manager in accordance with policy.
This job description is not intended to be an
exhaustive list of duties and it may be reviewed and altered in the light of
changed service needs and developments after discussion with the post holder.