Advanced Clinical Practitioner

Millstream Medical Centre; Salisbury; On-site; GBP 40,000 - 50,000; Full time

Job summary

Millstream Medical Centre is seeking an Advanced Clinical Practitioner to join their dedicated team in Salisbury. The ideal candidate will work independently to provide high-quality healthcare, diagnosing and treating patients of all ages. The role emphasizes patient-centered care within a multidisciplinary team, leveraging clinical expertise to enhance patient outcomes while supporting a culture of continuous improvement.

Qualifications

• Registered with a Professional Body.
• Experience working in a General Practice/Primary Care setting.
• Working autonomously in an Advanced Practitioner role.

Responsibilities

• Diagnosing, managing, and prescribing for patients across all age groups.
• Managing acute and chronic medical conditions.
• Implementing and evaluating treatment plans.

Skills

Autonomy

Patient Management

Clinical Knowledge

Education

Relevant Nursing/Health Degree

Job description

Job summary

Are you a tenacious, organised and skilled Advanced Clinical Practitioner? Are you committed to delivering high-quality healthcare topatients? Do you want to make a real difference in people's lives? Come andjoin our team.

This Advanced Clinical Practitioner role will involveworking alongside our multi-disciplinary team which consists of a GP Partners,Advanced Clinical Practitioner Partner and Pharmacist Partner. They are allsupported by Advanced Clinical Practitioners who lead on acute same day care,alongside the Home Visiting Team, First Contact Physio, Pharmacists,Practice Nurses and HCAs. We also have Social Prescribers who work as PCNstaff dealing with the Mental Health of our patients.

The successful Advanced Clinical Practitioner willwork as an autonomous practitioner, diagnosing, managing, prescribing anddischarging patients with illness or injury across all age groups includingyoung children. This may be by face-to-face consultation, telephone or videoconsultation.

Our mission statement is to be committed toproviding high quality, patient centred care using a multi-disciplinary teamapproach, with patient and staff wellbeing at the heart of our Sarum HealthGroup family.

Do you think you could fit in with our well-oiledunit here at Sarum Health Group?

Main duties of the job

The Advanced Clinical Practitioner (ACP) has been assessed as competent in practice using theirexpert clinical knowledge and skills. They have the freedom and authority toact and make autonomous decisions in the assessment, diagnosis and treatment ofpatients.

The ACPprovides an opportunity for patients to avoid the need to be referred to a GP,thereby enabling them to receive timely care and negate unnecessary delay inreceiving treatment.

ACPs in primarycare can develop close, long-term relationships with their patients and work inpartnership with them to achieve optimum health. They are autonomous in makingdecisions based on assessment, diagnosis and interpretation of test results. Theycan independently prescribe appropriate medication, evaluate or refer to otherspecialists if necessary.

A full job description can be seen.

About us

More about us:

16,504 patient practice in ruralWiltshire and Dorset

Main surgery at Salisbury withbranch surgeries at Larkhill, Sixpenny Handley and Broad Chalke.

CQC rating Good

High QOF achievers due to ourefficient admin support team

Home Visiting team meaninglimited GP cover.

Part of the Salisbury Plain PCN withexpanding team which includes for our practice Paramedic,Clinical Pharmacist, Social Prescribers, First Contact Physiotherapist and aGPA.

Workflow optimisation for datateam, reduced admin for ACPs

On-site dispensary located in atour branch sites in Larkhill, Sixpenny Handley and Broad Chalke.

SystmOne Web clinical system, alsousing Cinapsis, AccuRX, SystmConnect, T-Quest and TeamNet.

Full complement administrationteam who oversee letter processing, insurance reports, solicitor reports andall other non-NHS works, safeguarding reports and referrals.

Enhanced hours as part of our PCNnetwork of practices

1 intermediate care bed which weprovide a weekly on-site clinic with limited number of patients.

Nurse-led chronic diseaseclinics.

Comprehensive clinical pathwaysthat are ever evolving.

Continued personal developmentsupport.

Starting salary: dependant onexperience.

Further information about the Practice is available from our PracticeManager.

Job description

Job responsibilities

CorePrinciples:

Tobe courteous and polite to all people associated with the practice on thetelephone, face to face or in written form.

Toensure confidentiality of information (written/oral or electronic) is alwayspreserved whether at or away from work in accordance with the contract ofemployment.

Tofollow practice procedures to ensure that Caldicott Guardian and Securityrequirements are always met.

Tofollow procedures to ensure compliance with the Data Protection Act 1998

Tofollow all practice policies, protocols and procedures concerned includingSafeguarding, with the maintenance of ethical practice.

Tosupport and participate in initiatives to ensure a safe and healthy environmentfor all practice users. This includes following procedures to ensure thecontrol of potential hazards to health and safety.

Torespect, support, contribute to and take personal responsibility forimplementing commitment to Diversity and Equality of Opportunity

Tocontribute to a culture of continuous improvement

Todeal with complaints promptly and according to practice policy

Toperform duties to standards required by the practice in accordance with qualityassurance.

Todemonstrate commitment to Continuing Professional Development

Todemonstrate computer literacy

PrimaryResponsibilities:

The followingare the core responsibilities of the Advanced Nurse Practitioner. There may be,on occasion, a requirement to carry out other tasks; this will be dependentupon factors such as workload and staffing levels:

Develop,implement and embed health promotion and wellbeing programmes

Managepatients presenting with a range of acute and chronic medical conditions,providing subject matter expert advice

Implementand evaluate individual specialised treatment plans for chronic diseasepatients

Identify,manage and support patients at risk of developing long-term conditions,preventing adverse effects to the patients health

Provideadvanced, specialist nursing care to patients as required in accordance withclinical based evidence, NICE and the NSF

Requestpathology services as necessary

Processand interpret pathology and other test results as required

Providechronic disease clinics, delivering patient care as necessary, referringpatients to secondary/specialist care as required

Maintainaccurate clinical records in conjunction with extant legislation

EnsureSNOMED CT codes are used effectively

Maintainchronic disease registers

Chaperonepatients where necessary

Prioritisehealth issues and intervene appropriately

Supportthe team in dealing with clinical emergencies

Recognise,assess and refer patients presenting with mental health needs

Bean extended and supplementary prescriber, adhering to extant guidance

Supportpatients in the use of their prescribed medicines or over the counter medicines(within own scope of practice), reviewing annually as required

Contributeto practice targets (QOF, etc.), complying with local and regional guidance

Liaisewith external services/agencies to ensure the patient is supportedappropriately (vulnerable patients, etc.)

Delegateclinical responsibilities appropriately (ensuring safe practice and that thetask is within the scope of practice of the individual)

Supportthe clinical team with all safeguarding matters in accordance with local andnational policies

Understandpractice and local policies for substance abuse and addictive behaviour,referring patients appropriately

Deliveropportunistic health promotion where appropriate

SecondaryResponsibilities:

In addition tothe primary responsibilities, the Advanced Nurse Practitioner may be requestedto:

Actas the audit lead, effectively utilising the audit cycle

Participatein local initiatives to enhance service delivery and patient care

Supportand participate in shared learning within the organisation

Opportunitiesto develop an area of specialist interest, taking the lead within theorganisation

Continuallyreview clinical practices, responding to national policies and initiativeswhere appropriate

Participatein the review of significant and near-miss events applying a structuredapproach i.e., root cause analysis (RCA)

Developpractice administrative and clinical protocols in line with the needs of thepatient and current legislation

Confidentiality:

Whileseeking treatment, patients entrust us with, or allow us to gather, sensitiveinformation in relation to their health and other matters. They do so in confidence and have the rightto expect that staff will respect their privacy and act appropriately.

Inthe performance of the duties outlined in this job description, the post-holdermay have access to confidential information relating to patients and theircareers, practice staff and other healthcare workers. They may also have access to informationrelating to the practice as a business organisation. All such information from any source is to beregarded as strictly confidential.

Informationrelating to patients, carers, colleagues, other healthcare workers or thebusiness of the practice may only be divulged to authorised persons inaccordance with the practice policies and procedures relating toconfidentiality and the protection of personal and sensitive data.

Healthand safety:

Thepost-holder must comply at all times with the Practices Health and SafetyPolicies, in particular by following agreed safe working procedures andreporting incidents by following the Practices incident reporting procedure.

Equalityand diversity:

Agood attitude and positive action towards ED&I creates an environment whereall individuals are able to achieve their full potential. Creating such anenvironment is important for three reasons: it improves operationaleffectiveness; it is morally the right thing to do, and it is required by law.

Patientsand their families have the right to be treated fairly and be routinelyinvolved in decisions about their treatment and care. They can expect to betreated with dignity and respect and will not be discriminated against on anygrounds including age, disability, gender reassignment, marriage and civilpartnership, pregnancy and maternity, race, religion or belief, sex, or sexualorientation. Patients have a responsibility to treat other patients and ourstaff with dignity and respect.

Staffhave the right to be treated fairly in recruitment and career progression.Staff can expect to work in an environment where diversity is valued andequality of opportunity is promoted. Staff will not be discriminated against onany grounds including age, disability, gender reassignment, marriage and civilpartnership, pregnancy and maternity, race, religion or belief, sex or sexualorientation. Staff have a responsibility to ensure that they treat our patientsand their colleagues with dignity and respect.

Qualityand Continuous Improvement:

Topreserve and improve the quality of our output, all personnel are required tothink not only of what they do, but how they achieve it. By continuallyre-examining our processes, we will be able to develop and improve the overalleffectiveness of the way we work. The responsibility for this rests witheveryone working within the practice to look for opportunities to improvequality and share good practice.

Thispractice continually strives to improve work processes which deliver healthcarewith improved results across all areas of our service provision. We promote aculture of continuous improvement where everyone counts, and staff arepermitted to make suggestions and contributions to improve our service deliveryand enhance patient care.

Learningand development:

Theeffective use of training and development is fundamental to ensuring that allstaff are equipped with the appropriate skills, knowledge, attitude andcompetences to perform their role. All staff will be required to partake andcomplete mandatory training as directed by the training coordinator, as well asparticipating in the practice training programme.

Staffwill also be permitted (subject to approval) to undertake external trainingcourses which will enhance their knowledge and skills, progress their careerand ultimately enable them to improve processes and service delivery.

Communication:

Thepost-holder should recognize the importance of effective communication withinthe team and will strive to:

Communicateeffectively with other team members.

Communicateeffectively with patients and carers.

Recognisepeoples needs for alternative methods of communication and respondaccordingly.

Job description
Job responsibilities

CorePrinciples:

Tobe courteous and polite to all people associated with the practice on thetelephone, face to face or in written form.

Toensure confidentiality of information (written/oral or electronic) is alwayspreserved whether at or away from work in accordance with the contract ofemployment.

Tofollow practice procedures to ensure that Caldicott Guardian and Securityrequirements are always met.

Tofollow procedures to ensure compliance with the Data Protection Act 1998

Tofollow all practice policies, protocols and procedures concerned includingSafeguarding, with the maintenance of ethical practice.

Tosupport and participate in initiatives to ensure a safe and healthy environmentfor all practice users. This includes following procedures to ensure thecontrol of potential hazards to health and safety.

Torespect, support, contribute to and take personal responsibility forimplementing commitment to Diversity and Equality of Opportunity

Tocontribute to a culture of continuous improvement

Todeal with complaints promptly and according to practice policy

Toperform duties to standards required by the practice in accordance with qualityassurance.

Todemonstrate commitment to Continuing Professional Development

Todemonstrate computer literacy

PrimaryResponsibilities:

The followingare the core responsibilities of the Advanced Nurse Practitioner. There may be,on occasion, a requirement to carry out other tasks; this will be dependentupon factors such as workload and staffing levels:

Develop,implement and embed health promotion and wellbeing programmes

Managepatients presenting with a range of acute and chronic medical conditions,providing subject matter expert advice

Implementand evaluate individual specialised treatment plans for chronic diseasepatients

Identify,manage and support patients at risk of developing long-term conditions,preventing adverse effects to the patients health

Provideadvanced, specialist nursing care to patients as required in accordance withclinical based evidence, NICE and the NSF

Requestpathology services as necessary

Processand interpret pathology and other test results as required

Providechronic disease clinics, delivering patient care as necessary, referringpatients to secondary/specialist care as required

Maintainaccurate clinical records in conjunction with extant legislation

EnsureSNOMED CT codes are used effectively

Maintainchronic disease registers

Chaperonepatients where necessary

Prioritisehealth issues and intervene appropriately

Supportthe team in dealing with clinical emergencies

Recognise,assess and refer patients presenting with mental health needs

Bean extended and supplementary prescriber, adhering to extant guidance

Supportpatients in the use of their prescribed medicines or over the counter medicines(within own scope of practice), reviewing annually as required

Contributeto practice targets (QOF, etc.), complying with local and regional guidance

Liaisewith external services/agencies to ensure the patient is supportedappropriately (vulnerable patients, etc.)

Delegateclinical responsibilities appropriately (ensuring safe practice and that thetask is within the scope of practice of the individual)

Supportthe clinical team with all safeguarding matters in accordance with local andnational policies

Understandpractice and local policies for substance abuse and addictive behaviour,referring patients appropriately

Deliveropportunistic health promotion where appropriate

SecondaryResponsibilities:

In addition tothe primary responsibilities, the Advanced Nurse Practitioner may be requestedto:

Actas the audit lead, effectively utilising the audit cycle

Participatein local initiatives to enhance service delivery and patient care

Supportand participate in shared learning within the organisation

Opportunitiesto develop an area of specialist interest, taking the lead within theorganisation

Continuallyreview clinical practices, responding to national policies and initiativeswhere appropriate

Participatein the review of significant and near-miss events applying a structuredapproach i.e., root cause analysis (RCA)

Developpractice administrative and clinical protocols in line with the needs of thepatient and current legislation

Confidentiality:

Whileseeking treatment, patients entrust us with, or allow us to gather, sensitiveinformation in relation to their health and other matters. They do so in confidence and have the rightto expect that staff will respect their privacy and act appropriately.

Inthe performance of the duties outlined in this job description, the post-holdermay have access to confidential information relating to patients and theircareers, practice staff and other healthcare workers. They may also have access to informationrelating to the practice as a business organisation. All such information from any source is to beregarded as strictly confidential.

Informationrelating to patients, carers, colleagues, other healthcare workers or thebusiness of the practice may only be divulged to authorised persons inaccordance with the practice policies and procedures relating toconfidentiality and the protection of personal and sensitive data.

Healthand safety:

Thepost-holder must comply at all times with the Practices Health and SafetyPolicies, in particular by following agreed safe working procedures andreporting incidents by following the Practices incident reporting procedure.

Equalityand diversity:

Agood attitude and positive action towards ED&I creates an environment whereall individuals are able to achieve their full potential. Creating such anenvironment is important for three reasons: it improves operationaleffectiveness; it is morally the right thing to do, and it is required by law.

Patientsand their families have the right to be treated fairly and be routinelyinvolved in decisions about their treatment and care. They can expect to betreated with dignity and respect and will not be discriminated against on anygrounds including age, disability, gender reassignment, marriage and civilpartnership, pregnancy and maternity, race, religion or belief, sex, or sexualorientation. Patients have a responsibility to treat other patients and ourstaff with dignity and respect.

Staffhave the right to be treated fairly in recruitment and career progression.Staff can expect to work in an environment where diversity is valued andequality of opportunity is promoted. Staff will not be discriminated against onany grounds including age, disability, gender reassignment, marriage and civilpartnership, pregnancy and maternity, race, religion or belief, sex or sexualorientation. Staff have a responsibility to ensure that they treat our patientsand their colleagues with dignity and respect.

Qualityand Continuous Improvement:

Topreserve and improve the quality of our output, all personnel are required tothink not only of what they do, but how they achieve it. By continuallyre-examining our processes, we will be able to develop and improve the overalleffectiveness of the way we work. The responsibility for this rests witheveryone working within the practice to look for opportunities to improvequality and share good practice.

Thispractice continually strives to improve work processes which deliver healthcarewith improved results across all areas of our service provision. We promote aculture of continuous improvement where everyone counts, and staff arepermitted to make suggestions and contributions to improve our service deliveryand enhance patient care.

Learningand development:

Theeffective use of training and development is fundamental to ensuring that allstaff are equipped with the appropriate skills, knowledge, attitude andcompetences to perform their role. All staff will be required to partake andcomplete mandatory training as directed by the training coordinator, as well asparticipating in the practice training programme.

Staffwill also be permitted (subject to approval) to undertake external trainingcourses which will enhance their knowledge and skills, progress their careerand ultimately enable them to improve processes and service delivery.

Communication:

Thepost-holder should recognize the importance of effective communication withinthe team and will strive to:

Communicateeffectively with other team members.

Communicateeffectively with patients and carers.

Recognisepeoples needs for alternative methods of communication and respondaccordingly.

Person Specification

Qualifications

Essential

• Registered with Professional body
• Relevant Nursing/health degree
• Experience working in General Practice/Primary Care setting

Experience

Essential

• Experience of working to achieve standards within the Quality and Outcome Framework (QoF)
• Working autonomously in an Advanced Practitioner role

Person Specification
Qualifications

Essential

• Registered with Professional body
• Relevant Nursing/health degree
• Experience working in General Practice/Primary Care setting

Experience

Essential

• Experience of working to achieve standards within the Quality and Outcome Framework (QoF)
• Working autonomously in an Advanced Practitioner role

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.
UK Registration

Applicants must have current UK professional registration. For further information please see

Additional information
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.
UK Registration

Applicants must have current UK professional registration. For further information please see

Employer details

Employer name

Millstream Medical Centre
Address

Avon Approach

Salisbury

SP1 3SL

Employer's website