Advanced Clinical Practitioner

Integrated Care System; Halifax; On-site; CAD 80,000 - 110,000; Full time

Job summary

North Halifax PCN is seeking an Advanced Practitioner, including Nurses and Pharmacists, to join a forward-thinking, multidisciplinary team dedicated to improving patient outcomes. This role offers the opportunity to conduct clinical assessments, manage conditions, and lead clinical education to enhance service delivery across multiple practices.

Qualifications

• Registered with NMC or HCPC with advanced clinical practice.
• Ability to manage acute and chronic conditions with evidence-based practice.
• Experience with clinical governance frameworks.

Responsibilities

• Conduct clinical assessments, diagnosis, and autonomous prescribing.
• Manage complex caseloads including frailty and long-term conditions.
• Lead clinical education and support team development.

Skills

Clinical decision-making

Patient-centered care

Holistic assessment

Evidence-based practice

Collaboration

Education

Advanced clinical practice qualification

Master's degree in advanced clinical practice

Post-registration study at undergraduate level (Level 6 or 7)

Relevant education qualification (PG Cert Clinical Education or equivalent)

Tools

SystmOne

EMIS

Job description

Are you an experienced and dynamic Advanced Practitionerlooking to join a thriving and supportive team?

North Halifax PCN is a well-established network of fourcollaborative practices delivering outstanding care to our population for over5 years. Our vision is to build services that improve patient outcomes, shareclinical skills consistently, ease practice workloads, and develop premises fitfor future growth.

We are seeking an Advanced Practitioner (Nurse,Pharmacist, Paramedic, or other AHP) to join our innovative team. This roleoffers a fantastic opportunity to work across multiple practices, developadvanced clinical skills, and support enhanced services within the PCN.

The role will also support any future PCN Enhanced Servicesprojects or workstreams as directed by the PCN Manager and the PCN Boardrepresentatives. Clinical supervision will be provided by the Clinical Directoras well as regular individual Practice sessions (to fit the pathways of thePractices). You may be asked to support junior colleagues with clinicalsupervision and development.

The role will work closely with the PCN Practices, PCNManager and other AHP's to achieve the objectives of the PCN.

You will be accountable for your practice including theassessment, diagnosis, treatment, and discharge or referral of patients, to provide high-quality support forprofessional practice within the organisation.

Main duties of the job

• Conduct full clinical assessments, diagnosis, and autonomous prescribing.
• Manage acute and chronic conditions using evidence-based practice.
• Provide holistic, patient-centered care considering physiological and psychological needs.
• Support advance care planning and admission avoidance strategies.
• Lead and contribute to clinical education, supervision, and team development.
• Work collaboratively across the PCN and wider healthcare system.
• Prioritise and manage complex caseloads including frailty and long-term conditions.
• Participate in audit, service improvement, and clinical governance activities.
• Maintain accurate and contemporaneous patient records.

About us

North Halifax PCN is a well-established, forward-thinking collaboration of four GP practices (Beechwood Medical Centre, Caritas Group Practice, Keighley Road Surgery, and Plane Trees Group Practice) serving approximately 38,000 patients across North Halifax. We operate a hub-and-spoke model that supports integrated, patient-centred care.

Our multidisciplinary team includes Mental Health Practitioners, Clinical Pharmacists, First Contact Physiotherapists, Podiatrists, Paramedics, Ageing Well Practitioner, and Phlebotomists. This diverse clinical mix allows us to address a wide range of health needs and deliver high-quality, personalised care.

The network is clinically led by a Clinical Director and supported by a dedicated team under a Lead Practice model. This structure ensures service continuity and integration with NHS pension benefits.

At North Halifax PCN, we pride ourselves on being progressive, collaborative, and adaptive to the evolving needs of our population. We are equally committed to fostering innovation and professional development within our team.

Our Vision and Purpose

Collaborate to build services that improve patient care and outcomes.

Share clinical skills consistently across practices, focusing on effective delivery of Directed Enhanced Services.

Reduce workload for practices by utilising the specialist expertise of our PCN roles.

Develop infrastructure through a robust estates strategy that supports service growth and delivery.

Job responsibilities

The post holder should demonstrate critical thinking and is a caring, compassionate and committed experienced ACP 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 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 clinical leadership as required.

The post holder will be able to work collaboratively with all members of the multi-professional team to help resolve clinical issues and work to improve the quality and safety of care offered to the registered patients.

Key Responsibilities Summary

• Conduct full clinical assessments, diagnosis, and autonomous prescribing.
• Manage acute and chronic conditions using evidence-based practice.
• Provide holistic, patient-centered care considering physiological and psychological needs.
• Support advance care planning and admission avoidance strategies.
• Lead and contribute to clinical education, supervision, and team development.
• Work collaboratively across the PCN and wider healthcare system.
• Prioritize and manage complex caseloads including frailty and long-term conditions.
• Participate in audit, service improvement, and clinical governance activities.
• Maintain accurate and contemporaneous patient records.

You will be an integral member of the clinical team, completing streaming, independently assessing patients and prescribing clinical intervention. You will also be completing administrative tasks to include prescriptions, referrals, pathology results for the patient's you've seen.

Work as an autonomous clinician across all areas to develop and provide expert clinical advice, support and care.

Develop and use advanced clinical skills to analyse and interpret history of illness, presenting symptoms and physical findings to enable diagnosis, planning and treatments of patients.

Recognise the early symptoms of disease exacerbation and acute illness based on an understanding of disease, the disease process, and current evidence and practice standards.

Interpret history of illness, presenting symptoms and physical findings to enable diagnosis, planning and treatment of patients.

Work with patients in order 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.

Evaluate the outcomes of interventions.

Prioritise and co-ordinate the multiple health care needs of the patient, co-ordinating and facilitating timely referrals to other team members within acute and primary care settings.

Facilitate the integration of patient goals for health and social care into care plans and plan for future health needs.

Advocate high quality care for people, act as a champion for people by representing and supporting the persons interests at team meetings, during hospital care, home care and when interfacing with statutory and non-statutory service providers.

Empower patients and their families through appropriate support and education.

Collect, collate, evaluate and report clinical information, maintain accurate patient records related to assessment and care planning.

Develop clinical protocols and guidelines within own area of practice to ensure quality of care at all times.

Review medication and act as a resource to other colleagues for medication advice and support. Discuss side effects and where appropriate prescribe within own formulary and competencies relevant medication and liaise with pharmacy and medical staff.

To regularly evaluate practice to ensure continuous improvement.

Work across professional boundaries providing expert clinical knowledge whilst developing new and transferable skills.

To support best practice end of life planning (last twelve months) including advance care planning for patients identified according to best practice end of life care.

To work with patients and carers to develop care plans for frail patients which encourage self-care and reduce avoidable hospital admissions.

Initiate and contribute to the audit processes as required by the organisations.

Responsible for ensuring own equipment fit for purpose and, calibration is up to date.

Work within the Advanced Practice Competency framework as agreed by the PCN board to ensure a predetermined level of practice is achieved. They will be required to work with their clinical supervisor to produce a portfolio of skills knowledge and extended practice as outlined which will be reviewed annually during the appraisal process.

Recognise and work within own competence and appropriate professional code of conduct as regulated such as NMC and HCPC.

Prioritise, organise and manage own workload in a manner that maintains and promotes quality.

GENERIC RESPONSIBILITIES

All North Halifax PCN staff have a duty to conform to the following:

Equality, Diversity & Inclusion (ED&I)

• A good attitude and positive action towards ED&I create an environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.
• Patients and their families have the right to be treated fairly and to be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.
• Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued, and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

• This PCN is committed to supporting and promoting opportunities for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

Confidentiality

• This PCN is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect that all staff will respect their privacy and maintain confidentiality at all times. It is essential, if the legal requirements are to be met and the trust of our patients is to be retained, that all staff protect patient information and provide a confidential service.

Quality & Continuous Improvement (CI)

• To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice.
• This PCN continually strives to improve work processes which deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts, and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Induction training

• On arrival at the PCN, all personnel are to complete a Network induction programme.
• Staff working for North Halifax PCN must adhere to the information contained within Network policies and regional directives, ensuring that protocols are adhered to at all times. Staff will be given detailed information during the induction process regarding policy and procedure.

Security

• The security of the PCN is the responsibility of all personnel. Staff must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager. Under no circumstances are staff to share the codes for the door locks with anyone and they are to ensure that restricted areas remain effectively secured.

Professional conduct

• All North Halifax PCN staff are required to dress appropriately for their role.

Person Specification

Experience

• Knowledge of clinical governance framework.
• Ability to write and present information effectively and concisely.
• Broad knowledge of professional, educational and other health care policy.
• Knowledge / experience of development advanced clinical skills / roles.
• Knowledge of SystmOne & EMIS

Qualifications

• Registered with NMC or HCPC with advance clinical practice/Advanced Nurse Practitioner qualification
• Nurse-led/HCPC management of minor illness, or minor ailments and injuries
• Evidence of post-registration study at undergraduate level (Level 6 or 7 in minor illness)
• Undertake full clinical assessments and prescribe autonomously
• Manage complex frailty cases and long-term conditions
• Experience of clinical and educational programmes
• Relevant Education Qualification (PG Cert Clinical Education or equivalent)
• Master degree in advance clinical practice
• Provide leadership and support for enhanced services and PCN development
• Experience of participating in care planning, audit, and continuous service improvement

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.