This Advanced Clinical Practitioner post sits within the Pembroke Medical Group general practice team, where it extends an existing community matron service to housebound patients. The work centres on assessing, diagnosing and treating patients with complex and undifferentiated problems, including prescribing and urgent care, across care homes, patients' homes and the surgery. The role is autonomous, with much of the work for frail and housebound people in their own homes, and is part of a service being expanded. Applicants need to be a registered nurse or paramedic with extended independent non-medical prescribing.
What the job involves
- Assess, examine, diagnose, treat and evaluate patients with undifferentiated presentations, from history taking onwards
- Provide care to care home residents, patients at home and patients at the surgery
- Assess, diagnose and treat patients with complex needs
- Diagnose and manage acute and chronic conditions using drug and non-drug treatments
- Prescribe and review medication within scope of practice and protocols
- Advise on medicines, side-effects and interactions and support adherence to treatment
- Prioritise health problems and lead urgent and emergency care
- Identify and treat patients at risk of developing long-term conditions
- Support health promotion and self-care
- Assess, refer and support patients with mental health needs under the NSF for Mental Health
- Deliver care for aural conditions and opportunistic wound care
- Work within the multidisciplinary practice team and build working relationships with other health professionals
Qualifications
- Registered first level MSc or equivalent
- Relevant nursing or health degree
- Mentor or teaching qualification, with teaching experience in a clinical setting
- Clinical supervision training and experience
- Advanced clinical knowledge in the four pillars of advanced practice
- Knowledge of primary care clinical governance, patient group directions and local and national health policy
Registration & licences
- Extended independent non-medical prescribing
Experience
- Significant post-registration experience
- Recent primary and community nursing experience
- Compiling protocols and clinical guidelines
- Clinical leadership, audit and research
- Management of patients with complex needs
Skills & knowledge
- Written and verbal communication, including delivering difficult messages to patients and families
- Negotiation and conflict management
- Change management and resource management
Other
- Self-directed, highly motivated, flexible and able to work across boundaries as a team player
Nice to have
- Recent primary and community nursing experience of 5 years
What’s offered
- Practice-funded socials
- Supportive environment for new team members