Job description

Job responsibilities

Purpose of the Role

The post holder will provide autonomous, high-quality clinical assessment and care to patients contacting NHS 111, including infants, children, pregnant women, dental concerns and mental health presentations. Using evidence-based practice and professional standards, the role provides telephone and digital clinical assessment, treatment, discharge and onward referral to ensure patients receive the right care, at the right time and in the right place.

The role supports urgent and emergency care, promotes patient safety, reduces unnecessary A&E and face-to-face attendances and ambulance dispatches, and improves patient outcomes through sound clinical decision-making and prescribing skills.

A commitment to quality, clinical excellence and continuous professional development is essential, alongside supporting the ongoing development of DHU Healthcare CIC.

Caring & Compassion: Listen actively, understand and empathise with patients and colleagues, and provide support where needed.

Always Professional: Remain accountable for consistently delivering high-quality healthcare.

Respect & Dignity: Listen to patients and colleagues, respond to concerns and questions, and protect patient dignity at all times.

Everyone Matters: Encourage feedback, ensure people have a voice and support the development of skills and competencies.

• Provide telephone-based clinical care and advice to NHS 111 callers using the Pathways Clinical Consultation System (PaCCS). Assess patients and provide appropriate self-care advice, prescriptions or onward referral.
• Practise autonomously without direct supervision, maintaining a controlled, professional, compassionate and respectful approach.
• Use robust clinical knowledge to validate ambulance, Emergency Department and other patient care outcomes generated through NHS 111.
• Complete callbacks to healthcare professionals and ambulance crews at the scene where required.
• Promote self-care where clinically appropriate.
• Ensure all patient contacts are documented accurately and promptly in line with service standards and professional requirements.
• Work within your skills, knowledge, training and capability, recognising limitations and complying with regulatory codes of conduct.
• Maintain awareness of developments in clinical practice and use advanced communication skills to provide evidence-based healthcare advice.
• Work effectively within a multi-professional team and meet performance measures.
• Provide health promotion and accident prevention advice to patients and carers.
• Discharge or refer patients through appropriate internal or external clinical pathways using the Directory of Services (DoS).
• Use negotiation skills to establish concordance with patients regarding the appropriate level of care.
• Where acting as a Non-Medical Prescriber (NMP), prescribe using Electronic Transfer Prescribing (ETP) within current NMP legislation, local and national guidance, individual competence and the Royal Pharmaceutical Society prescribing framework.
• Communicate outstanding issues or concerns to the appropriate manager before going off duty.

• Participate in clinical governance and work within DHU policies, protocols and guidelines.
• Contribute to quality improvement, evaluating outcomes of own practice, interventions and treatment, and reporting service shortfalls to relevant managers.
• Provide mentorship, leadership and training to colleagues.
• Comply with Health & Safety requirements and participate in DHU research and development activities.

• Participate in the clinical supervision framework and ongoing professional development.
• Provide appropriate advice to health and social care professionals on care practice, delivery and service development within the role and scope of practice.
• Mentor and role model, including coaching colleagues where appropriate.
• Complete mandatory training and maintain compliance.
• Work within the regulatory requirements, codes and professional standards of the NMC, HCPC or GPhC.

• Maintain professional and clinical competence through continuing professional development.
• Promote confidence, public trust and the reputation of DHU Healthcare CIC.
• Maintain strict confidentiality and comply with Freedom of Information, Information Governance, GDPR, Data Protection and DHU requirements.
• Follow DHU procedures, protocols and guidance, attend professional and team meetings, and participate in working groups as required.
• Manage challenging behaviour sensitively and understand the process for reporting incidents, complaints and compliments through Datix.

The role works collaboratively with the Director of Nursing and Quality, Executive Directors, NHS 111 Clinical Director and Deputy Clinical Director, Clinical Heads of Service, Clinical and Non-Clinical Performance Managers, Clinical Shift Leads, Operational Leads, Governance and Clinical Training teams, and relevant health and social care services.

Essential

• Registered Adult Nurse (NMC), Paramedic (HCPC) or Pharmacist (GPhC).
• Recognised clinical assessment, decision-making and risk management.
• Non-Medical Prescriber (V300 or equivalent).
• BSc (Hons) or equivalent Level 6 qualification.

Desirable

• Mentorship qualification.
• MSc Advanced Practice.

• Broad and sound knowledge of common and complex conditions in urgent or primary care across adults and children.
• Extensive clinical experience within a multi-professional team.
• Extensive urgent or primary care experience.
• Demonstrable triage and clinical assessment experience.
• Evidence of continuing professional development.
• 12 months' consolidated independent prescribing experience.
• Experience and competence in telephony-based assessment and care within urgent or primary care.

• Ability to complete a concise clinical history and formulate a differential diagnosis and management plan.
• Strong verbal, non-verbal and written communication skills.
• Experience of history taking, critical thinking and clinical curiosity.
• Ability to identify individual needs and provide holistic, patient-centred care.
• Effective prioritisation and time management.
• Facilitation and negotiation skills.
• Commitment to lifelong learning and service development.
• Computer literate.
• Understanding of accountability in clinical practice.
• Awareness of current developments in urgent care, primary care, out-of-hours care, health and social care.
• Understanding of patient management across primary, secondary, community and tertiary care.
• Adastra experience is desirable but not essential.

• Commitment to the role and ability to work unsocial hours, including bank holidays.
• Flexibility to meet service and rota requirements.
• Proven team player with strong interpersonal skills.
• Compassionate, patient-centred approach.
• Ability to work autonomously and under pressure in a fast-paced environment.
• Commitment to continuing professional development.

Take responsibility for personal safety and the safety of others affected by your acts or omissions at work, and comply with DHU Health & Safety policies and procedures.

Infection Prevention & Control is central to maintaining a safe and clean environment for patients and staff. All employees are responsible for adhering to DHU IP&C policies.

DHU Healthcare is committed to safeguarding and promoting the welfare of adults, children and young people, and expects all staff and volunteers to share this commitment.

DHU Healthcare values the diversity of our communities and is committed to an environment where every person is valued, respected and empowered to bring their authentic selves to work, free from discrimination or bias. Further information is available through the DHU Equity, Diversity, Inclusion & Belonging pledge and ED&I team.

Person Specification

Qualifications

Essential

• Registered Adult Nurse registered with the Nursing and Midwifery Council NMC Paramedic registered with the Health Care Professions Council HCPC or Pharmacist registered with the General Pharmaceutical Council GPhC
• Non medical Prescriber V300 or equivalent
• BSc Hons or equivalent Level 6 qualification
• Recognised clinical assessment decision making and risk management

Experience

Essential

• Can demonstrate a broad and sound knowledge of complex and common conditions in Urgent or Primary Care in both adults and children
• Extensive clinical experience working as part of a multi professional team
• Extensive experience in an Urgent Care or Primary Care setting
• Evidence of using triage and assessment skills in practice
• Evidence of Continuous Professional Development
• Twelve months consolidated Independent Prescribing experience

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 NHS Careers website (opens in a new window).

Employer details

Employer name

DHU Healthcare

Address

DHUHEALTHCARE

Orbis Building

Riverside Road, Pride Park

Derby

Derbyshire

DE24 8HY

United Kingdom

Employer's website

http://www.dhuhealthcare.com/ (Opens in a new tab)