Advanced Clinical Practitioner
Middleway Surgery
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Job summary
Middleway Surgery in the United Kingdom seeks a motivated Advanced Clinical Practitioner (ACP) to join our clinical team. You will deliver high-quality patient care, develop clinical skills and contribute to the continued development of our nursing services.
You will work alongside experienced GPs with opportunities for professional development, shared learning and involvement in supervision and education of medical students within the practice.
Qualifications
- Qualified healthcare professional with Masters level education.
- Current UK professional registration and independent prescribing status.
- Experience with prescribing and medication reviews.
Responsibilities
- Assess, diagnose and manage a broad range of acute and chronic conditions.
- Provide advanced nursing care in line with NICE guidelines and standards.
- Deliver chronic disease reviews and treatment plans.
- Refer to secondary care as appropriate and manage emergencies.
Skills
Education
Job description
We are looking for a motivated, confident and forward-thinking Advanced Clinical Practitioner (ACP) to join our clinical team. This is an exciting opportunity for an enthusiastic clinician who is passionate about delivering high-quality patient care, developing their clinical skills and contributing to the continued development of our nursing services.
You will work alongside a supportive team of highly experienced GPs, with opportunities for professional development, shared learning and involvement in the supervision and education of medical students within the practice.
The role
We are looking for a motivated, confident and forward-thinking Advanced Clinical Practitioner (ACP) to join our clinical team. This is an exciting opportunity for an enthusiastic clinician who is passionate about delivering high-quality patient care, developing their clinical skills and contributing to the continued development of our nursing services.
You will work alongside a supportive team of highly experienced GPs, with opportunities for professional development, shared learning and involvement in the supervision and education of medical students within the practice.
The role
The successful candidate will provide comprehensive, evidence-based clinical care to patients presenting with a range of acute and chronic conditions, working autonomously within their professional scope of practice and recognising when further clinical input or referral is required.
Working arrangements:
- Hours: 32 hours per week.
- Patient contacts: Approximately 20 to 25 patient contacts per day.
- Appointment length: 15-minute appointments.
- Home visits: One home visit per day.
- Contract: Initial 12-month contract.
- Salary: Competitive, dependent on experience and qualifications.
- Assess, diagnose and manage patients presenting with a wide range of acute and chronic medical conditions.
- Provide advanced, specialist nursing care in line with evidence-based practice, NICE guidance and relevant national standards.
- Undertake comprehensive clinical assessments, prioritise health needs and initiate appropriate treatment plans.
- Recognise clinical deterioration, manage risk and elevate concerns or refer patients to secondary care and specialist services when appropriate.
- Recognise, assess and refer patients presenting with mental health needs.
- Support patients with substance misuse and addictive behaviours, referring to appropriate services when required.
- Participate in clinical emergencies and provide safe, effective care within your scope of practice.
- Act as an independent and/or supplementary prescriber, as appropriately qualified, registered and authorised.
- Prescribe safely and effectively in accordance with current legislation, professional guidance and practice policies.
- Review medication and support patients with the safe use of prescribed and over-the-counter medicines.
- Request, review and interpret investigations and pathology results, taking appropriate clinical action.
- Deliver chronic disease reviews and develop, implement and evaluate individualised treatment plans.
- Identify and support patients at risk of developing long-term conditions, promoting prevention and early intervention.
We are friendly, dynamic, forward thinking and a supportive GMS practice, with above average earnings and have 3 GP partners, 1 salaried GP, 2 Nurse Practitioners, 2 Practice Nurses, 2 HCAs, pharmacists, physios, social prescribers, womens health nurse and a full comprehensive admin team. We work closely with our neighbouring practices, and engage actively with our PCN Bosvena and 3 Harbours. We have good supportive working relationships and have completed and manage many successful projects providing additional benefits to our patients.
The following are the core responsibilities of the ACP in delivering health services.
a. Develop, implement and embed health promotion and wellbeing programmes
b. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice
c. Implement and evaluate individual specialised treatment plans for chronic disease patients
d. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health
e. Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
f. Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children
g. Request and collect pathological specimens. Upon receipt, to process and interpret pathology and other test results as required
h. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
i. Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively
j. Maintain chronic disease registers and implement and embed an effective call/recall system
k. Develop, implement and embed well woman and well man clinics
l. Chaperone patients where necessary
m. Prioritise health issues and intervene appropriately
n. Support the team in dealing with clinical emergencies
o. Recognise, assess and refer patients presenting with mental health needs
p. Support in the provision of vaccination programmes for both adults and children
q. Be an extended and supplementary prescriber, adhering to extant guidance
r. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
s. Contribute to practice targets (QOF, etc.), complying with local and regional guidance
t. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
u. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)
v. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
w. Deliver opportunistic health promotion where appropriate
x. Support Home Visits where possible
y. Support on-line triage and duty team
There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels
- Understanding of general practice and the wider NHS
- Experience of practice within the four pillars
- Job plan that demonstrates advanced clinical practice and has equity with peers working at this level
- Experience of prescribing and undertaking medication reviews
- Experience of quality initiatives, i.e., benchmarking
- An appreciation of the NHS landscape including the relationship between individual organisations, PCNs and the commissioners
- Understanding of the importance of evidence-based practice
- Ability to promote best practice regarding nursing matters
- Clinical knowledge and skills including:
- ECGs
- Venepuncture
- Chaperone procedure
- Requesting and processing pathology tests
- Advising patients accordingly
- Diabetes
- Hypertension
- Asthma
- Spirometry
- CHD
- Womens health (cervical cytology, contraception, etc.)
- Ability to work within own scope of practice and understanding when to refer to GPs
- Qualified healthcare professional that is educated to Masters degree as detailed within the HEE document tilted Multi-professional framework for advanced clinical practice in England
- Has evidence of working at an enhanced level, as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework
- Proof of relevant professional and educational qualifications, coupled with details of any training
- Registration with their professional governing body
- Qualified independent prescriber, if not understand the requirement for PGDs and associated policy
- Qualified Independent Prescriber
- Qualified triage practitioner
- Teaching qualification
- ALS and PALS
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.
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Middleway Surgery
Middleway
St. Blazey
Par
Cornwall
PL24 2JL
United Kingdom
https://www.middlewaysurgery.co.uk (Opens in a new tab)
Depending on experienceCompetitive Salary depending on experience
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