Advanced Clinical Practitioner

Cardiff and Vale University Health Board; Paignton; On-site; GBP 45,000 - 60,000; Full time

Job summary

Cardiff and Vale University Health Board in Paignton is seeking an experienced nurse or paramedic to join us as Community Matron/Advanced Visiting Practitioner. You will assess, diagnose, plan and evaluate care for frail or housebound patients, provide home visits, and work with the general practice team to deliver high-quality primary care.

You will lead on complex cases, prescribe within your scope, mentor staff, and contribute to clinical governance and service development.

Qualifications

• Significant post-registration experience in primary care or community settings.
• Recent primary and community nursing experience.
• Mentor, teaching qualification and clinical supervision training.

Responsibilities

• Assess, diagnose, plan, implement and evaluate treatment/interventions for patients with undifferentiated and complex needs.
• Prescribe and review medication within scope of practice and evidence-based guidelines.
• Lead clinical governance, contribute to policy development and service improvement.

Skills

Advanced practice

Clinical leadership

Nurse prescribing

Communication skills

Audit

Research

Education

First level MSc or equivalent

Nursing degree

Job description

• The post-holder will be an experienced nurse/paramedic, who acting within their professional boundaries; will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment, and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patient within the general practice.
• The post-holder will provide this service to our care home residents, patients in their own homes and at the surgery.
• The post-holder will work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures.
• The post-holder will build effective working relationships with other health care professionals.
• The post-holder will work within the team of GPs, nurses and health care assistants to deliver excellent primary health care services within the Practice., Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
• Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)
• Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan
• Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice
• 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 Promote and deliver evidence-based care for patients presenting with aural conditions
• Meet the needs of patients presenting for opportunistic wound care
  
  We are looking for an enthusiastic, experienced nurse or paramedic to join us as a Community Matron/Advanced Visting Practitioner. If you love building relationships, enjoy working autonomously, and want to make a real difference to frail or housebound patients, we would love to hear from you., Self-directed practitioner
• Highly motivated
• Flexibility
• Enthusiasm
• Team player
• Ability to work across boundaries, Registered first level MSc or equivalent.
• Relevant nursing/health degree
• Mentor, teaching qualification.
• Clinical supervision training and experience
• Extended independent non-medical prescribing
• Advanced clinical knowledge 4 pillars of advanced practice
• Management of patients with complex needs
• Accountability of own role and other roles
• Local and national health policy
• Wider health economy
• Clinical governance issues in primary care
• Patient group directions and associated policy, Significant post registration experience
• Recent primary and community nursing experience
• Compiling protocols and clinical guidelines
• Clinical Leadership
• Audit
• Research
• Nurse prescribing, Clinical leadership skills
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Change management
• Teaching and mentorship clinical setting
• Resource management
  
  Operating from our main site in Paignton and our branch site in Torquay we care for upwards of 25,000 patients in an organised and strong team environment. This means meeting for coffee every day, enjoying our practice funded socials and being supportive to new members of our team. Our 22 GPs are currently supported by ANPs, Pharmacists, Paramedics and ARRS roles staff including Pharmacy Technicians, and Social Prescribers as well as large and experienced nursing, reception, and admin teams.