Advanced Clinical Practitioner / ANP

Portland Medical; London; On-site; GBP 40,000 - 50,000; Full time

Job summary

An exciting opportunity for an Advanced Clinical Paramedic Practitioner at a leading medical centre in London. The role involves providing high-quality patient care, clinical assessments, and managing undiagnosed problems. The successful candidate will work within a multidisciplinary team and support other healthcare professionals. Full-time and part-time options available, with flexible working considered.

Qualifications

• Professional registration with HCPC and no current issues under investigation.
• Driving Licence required.
• Level 3 Safeguarding (Children) certification.

Responsibilities

• Provide clinical assessment and management for patients of all ages.
• Undertake home visits and care home reviews.
• Prescribe and review medication for therapeutic effectiveness.

Skills

Patient Assessment

Clinical Management

Communication

Education

Degree in Paramedic Science

MSc level Advanced Clinical Practice education

Job description

Job summary

An exciting and innovative role has been developed at the Portland Medical Centre, part of the Bourne Partnership, for an Advanced Clinical Paramedic Practitioner /ANP. We are open to advanced practitioners from nursing, paramedic, secondary care or other clinical backgrounds.

We have a friendly and dynamic team Multidisciplinary team of GPs, Pharmacists, Medical assistants, Paramedics, Physician Associates and Practice nurses. We are a training practice with trainee GPs working within the team, as well as medical students.

We are looking for ideally a Full Time ANP (37.5 hours pw) but will consider part time and flexible working where appropriate.

We appreciate the interest of all applicants. Please note that we may close this vacancy early if we identify a suitable candidate before the advertised closing date, so we encourage interested applicants to apply as soon as possible.

Main duties of the job

The post holders main responsibility will be to work within the clinical team to provide high quality patient care. The ANP will provide clinical assessment and management for patients of all ages with undifferentiated and undiagnosed problems seeking a primary health care service, including on-call, telephone triage, face to face consultations, care home visits and home visits.

The ANP may have clinical care responsibility for an agreed number of care-homes or deputise this role to cover for staff absence. This includes weekly care home rounds. The ANP will work in partnership with the care-home lead GP, clinical team including practice pharmacists, community health and social care team members and care home staff.

The ANP will have ideally completed a prescribing course and have experience working as an independent prescriber or be accepted onto a prescribing course within the next year and be working towards becoming an independent prescriber.

As part of the role, the ANP will also be involved in the training and mentoring of other healthcare professionals, including trainee ANPs, paramedics, GPs, nurses and pharmacists.

The post-holder will also be expected to contribute to seasonal clinical campaigns primarily immunisation clinics that typically occur on a small number of Saturdays each year (approximately 45). Time off in lieu (TOIL) will be granted for these sessions.

About us

The Bourne Partnership consists of the Portland Medical Centre in South Norwood, Keston Medical Practice and The Moorings Medical Practice which are in Purley and Kenley respectively, and Esher Green Surgery in Surrey Downs, covering a combined list size of 55000.

Job description

Job responsibilities

• Main Responsibilities:

Clinical (for patients with undifferentiated, undiagnosed presentations OR long-term conditions)

Undertake minor ailment clinics (primarily face to face appointments but including telephone triage if necessary), with or without prior triage by themselves or another clinician

Perform chronic condition reviews, including QOF reviews

Undertake home visits and care home reviews, alongside the paramedic visiting team.

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated, undiagnosed problems

Assess and examine patients from a physiological and psychological perspective, and plan clinical care accordingly

Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs

Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan

Initiate and interpret tests and investigations as appropriate

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 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 and manage health needs of women presenting for family planning or sexual health consultation

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

Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care

Record accurate data in the patient records to an agreed standard

Collaborate with other members of the Primary Health Care Team including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care

Direct referral to and liaison with consultants and other professional agencies

Ensure a high standard of clinical practice is maintained by ensuring care is based on current best practice, embarking upon further training if required and continuing to update clinical knowledge

• You will have:

• A named mentor and be provided with daily GP supervision and support.

• We will assist you in gaining further skills as required and support any clinical interests you may have as appropriate.

• Regular teaching and mentoring sessions

• Regular Hours and days. Monday- Fridays only.

Quality Requirements

Recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

Be aware of data protection (GDPR) and confidentiality issues particularly within a GP surgery.

Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information

Review and process data using accurate Read codes to ensure easy and accurate information retrieval for monitoring and audit processes

Prioritise, organise and manage own workload in a manner that maintains and promotes quality

Deliver care according to NSF, NICE guidelines and evidence-based care

Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

Keep up to date with current evidence-based practice

Participate in research and utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

Support and participate in shared learning across the practice and wider organisation

Assist in the development and implementation of policies and procedures

Understand and apply legal issues that support the identification of vulnerable and abused children and adults and be aware of statutory child/vulnerable patients health procedures and local guidance

Participate in annual professional development review. Personal development will be encouraged and supported by the practice. It is the individuals responsibility to remain up to date with recent developments. Training requirements will be monitored by annual appraisal and will be in accordance with practice requirements.

To attend and participate in Significant Event Audits

To attend the UC planning meetings

To work within the HCPC code of professional practice and Scope of professional conduct, H&S at work Act 1974, Data Protection Act 1984 and Access to Health Records 1990

Confidentiality

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

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

Health & safety

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures. This will include:

Using personal security systems within the workplace according to practice guidelines

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

Making effective use of training to update knowledge and skills

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards

Actively reporting of health and safety hazards and infection hazards immediately when recognised

Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role

Undertaking periodic infection control training (minimum annually)

Reporting potential risks identified

Equality and diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/professional development

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work

Quality

The post-holder will strive to maintain quality within the practice, and will:

Alert other team members to issues of quality and risk, engaging in SI reporting

Assess own performance and take accountability for own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload and resources

Communication

The post-holder should recognize the importance of effective communication within the team and will strive to:

Communicate effectively with other team members

Communicate effectively with patients and carers

Recognise peoples needs for alternative methods of communication and respond accordingly

Contribution to the implementation of services:

The post-holder will:

Apply practice policies, professional standards and up to date knowledge of local and national guidance

Discuss with other members of the team how the policies, standards and guidelines will affect own work

Participate in organisation and PCN meetings

Participate in clinical and non-clinical audit

Job description
Job responsibilities

• Main Responsibilities:

Clinical (for patients with undifferentiated, undiagnosed presentations OR long-term conditions)

Undertake minor ailment clinics (primarily face to face appointments but including telephone triage if necessary), with or without prior triage by themselves or another clinician

Perform chronic condition reviews, including QOF reviews

Undertake home visits and care home reviews, alongside the paramedic visiting team.

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated, undiagnosed problems

Assess and examine patients from a physiological and psychological perspective, and plan clinical care accordingly

Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs

Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan

Initiate and interpret tests and investigations as appropriate

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 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 and manage health needs of women presenting for family planning or sexual health consultation

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

Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care

Record accurate data in the patient records to an agreed standard

Collaborate with other members of the Primary Health Care Team including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care

Direct referral to and liaison with consultants and other professional agencies

Ensure a high standard of clinical practice is maintained by ensuring care is based on current best practice, embarking upon further training if required and continuing to update clinical knowledge

• You will have:

• A named mentor and be provided with daily GP supervision and support.

• We will assist you in gaining further skills as required and support any clinical interests you may have as appropriate.

• Regular teaching and mentoring sessions

• Regular Hours and days. Monday- Fridays only.

Quality Requirements

Recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

Be aware of data protection (GDPR) and confidentiality issues particularly within a GP surgery.

Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information

Review and process data using accurate Read codes to ensure easy and accurate information retrieval for monitoring and audit processes

Prioritise, organise and manage own workload in a manner that maintains and promotes quality

Deliver care according to NSF, NICE guidelines and evidence-based care

Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

Keep up to date with current evidence-based practice

Participate in research and utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

Support and participate in shared learning across the practice and wider organisation

Assist in the development and implementation of policies and procedures

Understand and apply legal issues that support the identification of vulnerable and abused children and adults and be aware of statutory child/vulnerable patients health procedures and local guidance

Participate in annual professional development review. Personal development will be encouraged and supported by the practice. It is the individuals responsibility to remain up to date with recent developments. Training requirements will be monitored by annual appraisal and will be in accordance with practice requirements.

To attend and participate in Significant Event Audits

To attend the UC planning meetings

To work within the HCPC code of professional practice and Scope of professional conduct, H&S at work Act 1974, Data Protection Act 1984 and Access to Health Records 1990

Confidentiality

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

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

Health & safety

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures. This will include:

Using personal security systems within the workplace according to practice guidelines

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

Making effective use of training to update knowledge and skills

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards

Actively reporting of health and safety hazards and infection hazards immediately when recognised

Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role

Undertaking periodic infection control training (minimum annually)

Reporting potential risks identified

Equality and diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/professional development

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work

Quality

The post-holder will strive to maintain quality within the practice, and will:

Alert other team members to issues of quality and risk, engaging in SI reporting

Assess own performance and take accountability for own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload and resources

Communication

The post-holder should recognize the importance of effective communication within the team and will strive to:

Communicate effectively with other team members

Communicate effectively with patients and carers

Recognise peoples needs for alternative methods of communication and respond accordingly

Contribution to the implementation of services:

The post-holder will:

Apply practice policies, professional standards and up to date knowledge of local and national guidance

Discuss with other members of the team how the policies, standards and guidelines will affect own work

Participate in organisation and PCN meetings

Participate in clinical and non-clinical audit

Person Specification

Qualifications

Essential

• Degree in Paramedic Science or equivalent.
• Have completed or currently engaged on MSc level Advanced Clinical Practice education
• Have completed or currently engaged on prescribing course
• Professional registration with HCPC and no current issues under investigation
• Driving Licence
• Level 3 Safeguarding (Children)

Desirable

• Independent Prescriber
• Mentoring experience
• Minor ailments qualification or experience
• Clinical reasoning in physical assessment (CRiPA) course completed
• Minor illness in Children qualification or experience
• Advanced Life Support
• Advanced Paediatric Life Support
• Experience of care home medicine

Knowledge

Essential

• Can demonstrate a broad base of competencies and skills in patient assessment and management
• Knowledge of NICE guidelines
• Understanding of legal and ethical issues/responsibilities relating to clinical practice.
• Understanding of the Serious Incident Framework
• Knowledge of own professional accountability and autonomous practice
• Infection Control (Health & Social Care Act 2008 (regulated activates) 2010
• Knowledge of research and audit
• Knowledge of the implementation of Care Quality Commission standards

Desirable

• Experience of General Practice IT Systems including Emis, Docman, AccuRx, NHS mail and dictation software
• Experience of conducting audits examining clinical notes, RCGP Toolkit, meeting national OOH standards, interpreting data, feeding back results

Person Specification
Qualifications

Essential

• Degree in Paramedic Science or equivalent.
• Have completed or currently engaged on MSc level Advanced Clinical Practice education
• Have completed or currently engaged on prescribing course
• Professional registration with HCPC and no current issues under investigation
• Driving Licence
• Level 3 Safeguarding (Children)

Desirable

• Independent Prescriber
• Mentoring experience
• Minor ailments qualification or experience
• Clinical reasoning in physical assessment (CRiPA) course completed
• Minor illness in Children qualification or experience
• Advanced Life Support
• Advanced Paediatric Life Support
• Experience of care home medicine

Knowledge

Essential

• Can demonstrate a broad base of competencies and skills in patient assessment and management
• Knowledge of NICE guidelines
• Understanding of legal and ethical issues/responsibilities relating to clinical practice.
• Understanding of the Serious Incident Framework
• Knowledge of own professional accountability and autonomous practice
• Infection Control (Health & Social Care Act 2008 (regulated activates) 2010
• Knowledge of research and audit
• Knowledge of the implementation of Care Quality Commission standards

Desirable

• Experience of General Practice IT Systems including Emis, Docman, AccuRx, NHS mail and dictation software
• Experience of conducting audits examining clinical notes, RCGP Toolkit, meeting national OOH standards, interpreting data, feeding back results

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

Portland Medical
Address

Portland Medical Centre

184 Portland Road

South Norwood

London

SE25 4QB

Employer's website