Advanced Clinical Practitioner

NHS; Morecambe; On-site; GBP 51,000 - 64,000; Full time

Job summary

A leading healthcare service in Morecambe is looking for an Advanced Clinical Practitioner to join their urgent care team. This role involves autonomous assessment, management of patients, and collaboration with healthcare professionals. Ideal candidates will have a strong background in clinical decision making and a passion for improving patient care. The position includes opportunities for professional development and a competitive salary ranging from £51,015 to £63,647 per year.

Benefits

Professional development support

Comprehensive preceptorship programme

Leadership pathways

Qualifications

• Demonstrates specialist clinical expertise underpinned by theory acquired through CPD.
• Registered health professional (NMC/HCPC).
• Current registration with a relevant professional/statutory body.

Responsibilities

• Autonomous assessment and management of urgent patients.
• Lead specialist management of complex conditions.
• Collaborate with multidisciplinary teams for patient care.

Skills

Autonomous assessment

Clinical decision making

Multi-disciplinary collaboration

Management of complex conditions

Education

First degree in health related subject

MSc Advanced Practice or equivalent

Tools

Clinical decision support systems

Electronic health records

Job description

Are you an experienced Advanced Clinical Practitioner ready to lead innovative patient care in one of the UK's most progressive primary care settings? Bay Medical Group is seeking an ACP to join our award-winning urgent care team, serving over 54,000 patients in the vibrant Morecambe Bay area.

This is a permanent position, working 37.5 hour per week (part time considered). Working pattern must cover a Wednesday and a Friday and the post holder will be expected to work across our 5 sites.

We are particularly interested in candidates with advanced skills in frailty assessment/ home visits, cardiovascular risk management, and complex comorbidity care.

Join Bay Medical Group and become part of a forward-thinking team that's shaping the future of primary care. We're committed to supporting your professional growth while delivering exceptional care to our community.

Main duties of the job

Key Responsibilities

Clinical Excellence

• Autonomous assessment, diagnosis, treatment and management of patients with acute and chronic presentations
• Lead specialist management of frailty patients including comprehensive geriatric assessments
• Advanced cardiovascular disease management including risk stratification, medication optimization, and care coordination
• Demonstrate expert-level clinical decision making within the primary care urgent care setting
• Develop and deliver specialist pathways for complex multimorbidity management
• Manage complex, undifferentiated and undiagnosed conditions with confidence
• Provide high-quality, patient-centred healthcare services with focus on vulnerable populations
• Work as an integral part of our Advanced Clinical Practitioner-led urgent care team
• Collaborate seamlessly with multidisciplinary healthcare professionals
• Contribute to service development and quality improvement initiatives
• Mentor and support junior colleagues and students
• Champion new models of care delivery
• Seek innovative solutions to evolving NHS challenges
• Participate in clinical governance and service improvement projects
• Contribute to research and evidence-based practice initiatives

About us

Why Choose Bay Medical Group?

• Comprehensive 12-month voluntary preceptorship programme for new-to-practice/new-to-primary care ACPs
• Specialist area development opportunities aligned with your interests
• Support for continuous professional development and innovation
• Leadership pathways within our expanding ACP-led team

Cutting-Edge Clinical Environment

• Work primarily in our established Urgent Care Service
• Lead specialist clinics cardiovascular risk management or frailty assessment as part of our integrated visiting team
• Multidisciplinary team approach with collaborative decision-making
• Embrace new models of care and innovative healthcare solutions
• Develop integrated care pathways for complex comorbidities and frailty management
• Opportunity to shape and deliver our Unscheduled Care pathway

Perfect Location & Community

• Serve a diverse patient population of 54,000
• Make a real difference in your local community

We offer:

• Peer support and a planned educational programme for clinical teams
• Protected time for monthly group supervision (Microteams)
• 15 minute appointments for urgent care (both telephone and F2F)
• Competency based pay progression structure
• Access to Occupational Sick Pay scheme after one year

For more benefits visit https://www.baymedicalgroup.co.uk/jobs-staff-benefits

Job responsibilities

Job Summary

The post holder will be expected to work within the existing AdvancedClinical Practice (ACP) team. As a qualified or trainee ACP, the post holder isexpected to hold or be working towards an MSc level award or equivalent, anddemonstrate the competencies and capabilities outlined within themulti-professional framework for advanced clinical practice, encompassing thefour pillars of clinical practice.

This role is predominantly focused on the autonomous assessment,investigation and management of patients presenting with urgent problems withinthe primary care setting. Therefore an ability to manage the complexity,uncertainty and risk associated with undifferentiated and undiagnosedconditions is essential. The post holder must demonstrate expert level clinicaldecision making and critical reasoning skills, based upon both a breadth anddepth of relevant underpinning knowledge and experience.

Established ACPs are encouraged to diversify their role and develop areasof special interest, including but not limited to home visits/frailty, womenshealth or cardiovascular; this aids innovative service delivery and offersopportunity for the provision of specialist clinics. Educational sessions,provided by those with areas of special interest, benefit both individualclinicians and the wider team. It is expected that the post holder woulddemonstrate an awareness of ones own requirement for continuing professionaldevelopment, whilst engaging in both receiving and facilitating learning withinthe team.

PrimaryDuties and area of responsibilities

ClinicalPractice:

The post holder will:

Deliver a high standard of care using advancedclinical skills and in-depth theoretical knowledge.

Provide the first point of contact for clinicalqueries from the Patient Advisors on the Unscheduled Care Team, providingspecialist advice and support.

Be responsible for telephone triage of patients.

Undertake Unscheduled Care clinics for patients whoneed to be seen on the day.

Undertake home visits as part of the visiting team.

Practise in compliance with respective code ofprofessional conduct and within own scope of practice, being responsible andaccountable for decisions and actions.

Clinically examine, assess, diagnose, planimplement and evaluate treatment/ interventions and care for patients, usingexpertise and decision-making skills to inform clinical reasoning approacheswhen dealing with differentiated and undifferentiated individual presentationsand complex situations; using information from multiple sources to makeappropriate, evidence-based judgements and/or diagnoses.

Diagnose and manage both acute and chronicconditions, initiating, evaluating and modifying a range of interventions whichmay include prescribing and reviewing medicines for therapeutic effectiveness(appropriate to patient need and in accordance with evidence based practice andnational protocols within scope of practice) , therapies, life style advice andcare into a management plan.

Work in partnership with individuals, families andcarers, using a range of assessment methods as appropriate (e.g. ofhistory-taking; holistic assessment; identifying risk factors; mental healthassessments; requesting, undertaking and/or interpreting diagnostic tests; andconducting health needs assessments).

Offer a holistic service to patients and theirfamilies, supporting people in making decisions, planning care or seeking tomake positive changes, with an emphasis on health promotion and self-care.

Where the post holder is an independent prescriber:to prescribe safe, effective and appropriate medication in line with currentguidance and legislation.

Work with patients in order to support compliancewith and adherence to prescribed treatments, providing information and adviceon prescribed or over the counter medication on medication regimens, sideeffects and interactions.

Support and manage health needs of women presentingfor family planning or sexual health consultation.

Assess, identify and refer patients presenting withmental health needs in accordance with the NSF for Mental Health

Collaborate with other members of the PrimaryHealth Care Team, accepting referrals and referring to them.

Refer patients directly to other services andagencies as appropriate.

Exercise professional judgement to manage riskappropriately, especially where there may be complex and unpredictable eventsand supporting teams to do likewise to ensure safety of individuals, familiesand carers.

Act as a clinical role model/advocate fordeveloping and delivering care that is responsive to changing requirements,informed by an understanding of local population health needs, agencies andnetworks.

Deliver care according to NSF, NICE guidelines andevidence-based care.

To record accurate data in the patient records toan agreed standard.

Leadershipand management

The post holder will:

Pro-actively initiate and develop effectiverelationships, fostering clarity of roles within teams, to encourage productiveworking.

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

Role model the values of the Practice,demonstrating a person-centred approach to service delivery and development.

Evaluate own practice, and participate inmulti-disciplinary service and team evaluation, demonstrating the impact ofadvanced clinical practice on service function and effectiveness, and quality(i.e. outcomes of care, experience and safety).

Actively engage in peer review to inform own and otherspractice, formulating and implementing strategies to act on learning and make improvements.

Help the practice operate cost-effectively.

Actively seek feedback and involvement from individuals,families, carers, communities and to help improve services.

Critically apply advanced clinical expertise toenhance quality, reduce unwarranted variation and promote the sharing andadoption of best practice.

Demonstrate team leadership, resilience and determination,managing situations that are unfamiliar, complex or unpredictable and seekingto build confidence in others.

Continually develop practice in response to changingpopulation health need, engaging in horizon scanning for future developments(e.g. impacts of genomics, new treatments and changing social challenges).

Attend and contribute to the UC planning meetings.

Demonstrate receptiveness to challenge andpreparedness to constructively challenge others, escalating concerns thataffect individuals, families, carers, communities and colleagues safetyand well-being when necessary.

Education, teaching and mentoring

The post holder will:

Maintain a clinical portfolio that evidencesadvanced health assessment skills and competencies. Assess and address own learning needs, growinga personal development plan that reflects the breadth of ongoing professionaldevelopment across the four pillars of advanced clinical practice.

Engage in self-directed learning, criticallyreflecting to maximise clinical skills and knowledge, as well as own potentialto lead and develop both care and services.

Participate in regular performance review withclinical supervisor and take part in the annual appraisal review where personallearning requirements will be identified and in accordance with Practicerequirements.

Undertake further specialist training as requiredby service needs and the changing requirements of service provision

Advocate for and contribute to a culture oforganisational learning to inspire future and existing staff.

Promote a learning environment for patients,clinicians and other members of the Practice

Share learning and best practice, contributing to thelearning experience of medical and clinical staff in practice such as medicalstudents, nurse students, GP Registrars etc.

Provide supervision and coaching/ mentoring toothers in the practice to help development of the practice team.

Take part in the in house education events,delivering sessions where appropriate

Research

The postholder will:

Engage in research activity, adhering to goodresearch practice guidance, so that evidence based strategies are developed andapplied to enhance quality, safety, productivity and value for money.

Monitor the effectiveness of their own clinicalpractice through quality assurance strategies such as the use of audit and peerreview, using the results to underpin own practice and to inform that ofothers.

Support and participate in shared learning acrossthe practice and wider organisation

Take a critical approach to identify gaps in theevidence base and its application to practice, alerting appropriate individualsand organisations to these and how they might be addressed in a safe andpragmatic way.

Actively identify potential need for furtherresearch to strengthen evidence for best practice.

Disseminate best practice research findings andquality improvement projects

Facilitate collaborative links between clinicalpractice and research through proactive engagement, networking with academic,clinical and other active researchers, including Practice Research team

Person Specification

Skills and Knowledge

• Demonstrates specialist clinical expertise underpinned by theory acquired through CPD.
• Effective communicator able to deliver complex and highly sensitive information.
• Excellent clinical reasoning / clinical decision making.
• Ability to work as part of a multi skilled team.
• Able to work autonomously and within professional boundaries, prioritising own workload.
• Able to seek support from peers as necessary recognising that help is required if patients present with conditions outside the sphere of their own clinical knowledge.
• Excellent interpersonal skills.
• Evidence of involvement in the development of programmes of care, protocols and clinical audit.

Personal

• Willing to embrace change that will enhance the quality of service at the practice.
• Committed to improving the healthcare for people living in are of high deprivation and clinical and social need.
• Flexibility of working hours and commitment to team working.

Qualifications

• Registered health professional (NMC/ HCPC) with a first degree (2:2 class or above) or equivalent in relevant subject (i.e. health related, pure science or social science) from an approved institution of higher education.
• Current registration with a relevant professional/ statutory body (e.g. NMC/ HCPC/ GPCGB).
• With or working towards MSc Advanced Practice level education.
• Non-medical Prescriber.
• Non-medical Prescriber.

Experience

• Several years post registration clinical experience in Practice OR proof of equivalent experience in Practice relevant to Urgent Care or General Practice.
• Experience in examination of adults and children.
• Demonstrable experience of CPD and desire to actively engage in ongoing learning of self and others.
• Of working under pressure and managing varying workloads and changing demands.
• Walk in Centre, /A&E/Primary Care experience.
• Recent experience as an autonomous practitioner diagnosing and treating patients.

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.

£51,015 to £63,647 a yearsalary shown is full time equivalent based on 37.5 hours