Advanced Clinical Practitioner - GP Care Home

Merchiston Surgery; Swindon; On-site; GBP 45,000 - 60,000; Full time

Job summary

A healthcare facility in Swindon is seeking an experienced Advanced Clinical Practitioner to join its primary care team. In this role, you will assess, diagnose, and manage long-term conditions for residents in care homes and housebound patients. The ideal candidate will possess strong clinical and communication skills, with a commitment to delivering high-quality, person-centred care. You will be part of a supportive team dedicated to improving patient outcomes.

Qualifications

• 5 years post registration experience in primary care.
• Ability to work under pressure with competing priorities.
• Recent experience within primary, community or emergency setting.

Responsibilities

• Conduct ward rounds at nursing/care homes for clinical queries.
• Manage requests from patients for acute home visits.
• Support housebound patients and improve management of LTCs.

Skills

Clinical examination skills

Communication skills, both written and verbal

Negotiation and conflict management skills

Management of patients with long-term conditions

Education

Registration NMC or Registration HCPC paramedic

Evidence of ongoing professional development

Physical Assessment & Clinical Reasoning (PACR)

Job description

Advanced Clinical Practitioner - GP Care Home

Were looking for an experienced ACP to join our primarycare team, delivering high-quality, person-centred care to residents in carehomes and housebound patients. Youll assess, diagnose, prescribe, and managefrailty and long-term conditions, working closely with GPs, pharmacists,nurses, and care staff to improve outcomes and reduce hospital admissions.

If youre passionate about making a difference for some ofour most vulnerable patients and want to work in a supportive, innovative team,wed love to hear from you.

You will be working within the Enhanced Health in Care Homes(EHCH) model supporting people living in care homes who can expect to receivethe same level of support as if they were living in their own home.

Supporting our housebound patients to improve the managementof LTCs and help reduce admissions.

Triaging and attending acute home visits in rotation withthe clinical team.

Our aim is working together to provide high quality,accessible, patient focused and sustainable healthcare.

Main duties of the job

Working with our existing clinicians to support the work ofthe GPs in the practice with care-home visits and ward-rounds, houseboundpatients and acute home visiting.

Weekly care home rounds, liaising closely with care homestaff, practice GPs and colleagues in support of their residents.

Occasionally support the GPs by triaging and attending acutehome visits in rotation with the established clinical team. To manage acuteillnesses in patients who are not able to attend the surgery, may includearranging admissions to hospital or liaising with community teams, palliativecare teams and social care.

Delivering support to our housebound patients. To improvemanagement of LTCs, help with decisions around ceilings of treatment andreduce hospital admissions.

To deliver a high standard of patient care, using advancedautonomous clinical skills, and a broad in-depth theoretical knowledge base.

To contribute to the QOF/IIF targets for the Practices andsupport the ongoing development of both the care home and visiting service.

About us

The Merchiston practice was established around 1860 in the village of Stratton-St-Margaret. Until the 1950s, Stratton was a small farming community and it still retains its separate identity, despite now being a suburb of Swindon. The Partnership moved from the original Doctors house into new purpose-built premises in 1992.

Merchiston Surgery is the larger Practice with a raw patient list of 13,500 (13,700 weighted list)

We are a teaching practice with 2 Education Supervisors, 2 Clinical Supervisor, supporting 3 Trainee GPs. Rated excellent by the Swindon GP QA Panel for our trainee placement.

Following a recent inspection we are rated Good across all domains by the CQC.

We are a friendly, supportive and hardworking team; reflected by our shared values of caring for each other and our patients. We are committed to providing the highest quality of care for our patients and ensuring that our staff feel valued and motivated. There is a strong team ethos across the practice and have a friendly and relaxed working environment.

The Practices are supported by several ARRS roles employed by Hawthorn & Merchiston PCN:

First Contact Physiotherapists

Shared Care Home nurses

Repeat Prescription Administrators

Job responsibilities

Responsibilities

Clinical practice:

To include ward rounds at nursing/care homes to deal withclinical queries some which may be urgent to avoid admission, medicationreviews, referrals and end of life care.

Manage requests from patients requiring acutehome visits. Triaging appointments as well as visiting.

Support in the care of housebound patients.

Ensure the highest standards of treatment and care for allpatients (including complex patients, both acute and chronic). This willinvolve diagnosis, implementation of care plans to ensure physiological andpsychological factors are taken into consideration and ongoing evaluation ofany plans to ensure patient compliance.

Working closely with our team of Pharmacists to prescribeand review medication for therapeutic effectiveness, appropriate to patientneeds and in accordance with evidence-based practice and national and practiceprotocols, and within scope of practice.

Health promotion and motivation of patients to improvegeneral health.

Communicate effectively with patients and carers/care homestaff (nurses/carers), recognising the need for alternative methods ofcommunication to overcome different levels of understanding, culturalbackground, and preferred ways of communicating.

Recognising issues and gathering sufficient information torefer (e.g. drugs; domestic violence; child protection; vulnerable adults;senior patients; social problems).

Manage and assess risk within the areas of responsibility,ensuring adequate measures are in place to protect staff and patients.

Be mindful of work areas and practices to ensure they aresafe and free from hazards and conform to health, safety and securitylegislation, policies, procedures and guidelines.

Follow all necessary infection-control measures according tolocal and national guidelines.

Person Specification

Experience

• 5 years post registration experience.
• Recent experience within primary, community or emergency setting. Independent consulting.
• Ability to work under pressure with competing priorities

Qualifications

• Registration NMC or Registration HCPC paramedic
• Evidence of ongoing professional development.
• Physical Assessment & Clinical Reasoning (PACR),

Knowledge & Skills

• Clinical examination skills.
• Clinical practice skills.
• Management of patients with long-term conditions.
• Management of patients with complex needs.
• Accountability of own role.
• Clinical governance issues in primary care.
• Communication skills, both written and verbal
• Ability to assess a situation and get the support required
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Work within General Practice.
• Understanding of Quality Outcomes Framework Impact Investment Fund

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.