Job description

Job responsibilities

Clinical responsibilities:

- In accordance with the practice timetable, as agreed, the post-holder will make him/her-self available to undertake a variety of duties including surgery consultations, telephone consultations and queries, visiting patients at home, checking and signing repeat prescriptions and dealing with queries, paperwork and correspondence in timely fashion

- Making professional, autonomous decisions in relation to presenting problems, whether self-referral or referred from other health care workers within the organisation

- Assessing the health care needs of patients with undifferentiated and undiagnosed problems

- Screening patients for disease risk factors and early signs of illness

- In consultation with patients and in line with current practice disease management protocols, developing care plans for health

- Providing counselling and health education

- Admitting or discharging patients to and from the caseload and referring to other care providers as appropriate

- Recording clear and contemporaneous consultation notes to agreed standards

- Collecting data for audit purposes

- Compiling and issuing computer generated acute and repeat prescriptions (avoiding hand-written prescriptions whenever possible)

- Prescribing in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate

- In general the post-holder will be expecting to undertake all the normal duties and responsibilities associated with a GP working within primary care

Other responsibilities within the organisation:

- Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety

- A commitment to life-long learning and audit to ensure evidence-based best practice

- Contributing to evaluation/audit and clinical standard setting within the organisation

- Contributing to the development of computer-based patient records

- Contributing to the summarising of patient records and read-coding patient data

- Attending training and events organised by the practice or other agencies, where appropriate.

Confidentiality:

- In the course of 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 person 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 implement and lead on a full range of promotion and management their own and other health and safety and infection control 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 (but not be limited to)

- Using personal security systems within the workplace according to practice guidelines

- Awareness of national standards of infection control and cleanliness and regulatory/contractual, professional requirements and good practice guidelines

- Providing advice on the correct and safe management of the specimens process including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements

- Correct personal use of Personal Protective Equipment (PPE_ and ensuring correct use of PPE by other, advising on appropriate circumstances for use by clinicians, staff and patients

- Management of the full range of infection control procedures in both routine and extraordinary circumstances (e.g. pandemic or individual infectious circumstances)

- Hand hygiene standards for self and others

- Managing directly all incidents of accidental exposure

- Management and advice relating to infection control and clinically based patient care protocols, and implementation of those protocols across the practice

- Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses / training needs are identified, escalating issues as appropriate to the responsible person

- Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process

- Making effective use of training to update knowledge and skills, and initiate and manage the training of others across the full range of infection control and patient processes

- Monitoring practice facilities and equipment in relation to infection control, ensuring that proper use is made of hand cleansing facilities, wipes etc, and that these are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate to the responsible manager

- Safe management of sharps use, storage and disposal

- Maintenance of own clean working environment

- Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile, and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management

- Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised

- Keeping own work areas and general / patient areas generally clean, sterile, identify issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with responsible managers

- Undertaking periodic infection control training 9minimum twice annually)

- Correct waste and instrument management including handing, segregation, and container use

- Maintenance of sterile environments

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-judgemental and respects their circumstances, feelings priorities and rights.

Personal/professional development:

In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that professional development requirements for PREP are met, 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 other 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

- 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, standards and guidance

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

- Participate in audit where appropriate.

Person Specification

Qualifications

Essential

• Fully qualified GP with GMC registration and inclusion on the NHS England Performers List; with evidence of up-to-date clinical practice and commitment to high standards of patient care.

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

Lowther Medical Centre

Address

1 Castle Meadows

Whitehaven

Cumbria

CA28 7RG

United Kingdom

Employer's website

https://www.lowthermedical.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

Job Description

Advanced Clinical Practitioner

Role Purpose

The Advanced Clinical Practitioners will work as part of team of diverse clinicians to provide access for patients and increase capacity and meet patient demand for appointments. The Advanced Clinical Practitioner will see and treat acute patients and support the management of ongoing and chronic conditions.

As part of the wider Healthcare Team there is the opportunity for practitioners to bring or develop particular specialities which support the health needs of our population. The post holder will work with the clinical and management team to ensure that staff and patients remain safe and services are delivered in adherence to agreed standards, policies and procedures.

Duties and Responsibilities

Clinical

Making professionally autonomous decisions

Managing patients with undifferentiated and undiagnosed problems.

Making differential diagnosis using decision making and problem solving skills.

Provide comprehensive healthcare sensitive to patients needs, including assessment, diagnosing, prescribing, and referrals where appropriate. Complementing the roles of GPs and the multidisciplinary team.

Conducting physical assessments to diagnose patients conditions and provide appropriate self-care advice, prescribing treatment, or referral using evidence based guidelines.

Direct and participate in provision of continuing care, health maintenance, screening and health promotion to patients as part of patient centred multidisciplinary team.

Managing and participating in Chronic disease management

Supporting and developing work towards agreed GMS targets.

Any other duties as may be required by the practice in providing quality health care to patients.

Provide comprehensive healthcare sensitive to patient needs, including assessment, diagnosing, prescribing, and referrals where appropriate. Complementing the roles of GPs and the multidisciplinary team.

Performance and Quality

Ensure that accurate performance data is recorded.

Ensuring patient records are maintained accurately and used in accordance with agreed data security and management policies and regulations.

Ensure that significant events are recorded and actions implemented.

Where appropriate share and or escalate complaints and significant events

Liaison with other service providers to ensure effective care is delivered.

Maintain clinical knowledge and skills and identify training needs.

Comply with any regulatory, professional or registration requirements relevant to the role.

Relationships and Communication

Develop and maintain effective professional relationships with other members of the clinical, administrative and management teams of NCPC.

Demonstrate the NCPC values of Kindness, Respect, Collaboration and Ambition.

Person Specification

Qualifications

Essential

• Registered Advanced Clinical Practitioner

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

Fellview Healthcare - NCPC

Address

Beech House Surgery

St Bridgets Lane

Egremont

Cumbria

CA22 2BD

United Kingdom

Employer's website

https://www.fellviewhealthcare.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Main Duties and Responsibilities

Work using FEAT and champion evidence-base interventions

Conduct comprehensive geriatric assessments using appropriate tools

Monitor medication use and adjust treatment plans as required, autonomously working within scope of practice and in line with prescribing competencies.

Exercise advanced clinical reasoning to diagnose, treat, and manage patients without direct input from a medical practitioner, recognising own professional boundaries and seeking senior clinical support when required.

Provide expert management of frailty syndromes, dementia, delirium, polypharmacy, falls risk and end of life needs.

Escalate concerns appropriately and initiate urgent or emergency interventions when required.

Identify when clinical presentations fall outside of scope of practice and escalate appropriately to GP or senior clinicians.

Work closely with GPs, Occupational Therapists, Physiotherapists, Care Co-ordinators, Social Prescribers and Community Nursing Team

Attend the MDT meetings and case reviews

Support patients and families in understanding and managing frailty

Promote lifestyle and self management strategies to optimise health and independence

Functions at a high level to carry out clinical decision making such as diagnosing and managing patients without input from a medical practitioner remaining within scope of a professional practice.

Functions at a high level in relation to communication skills through patient consultation and nursing assessment of physical, psychological and social needs.

Completing proactive, individualised clinical management plans for care home residents improving their health experience and reducing unnecessary and potentially harmful hospital admissions

Conduct regular care plan reviews

Identify patients in need of palliative support and facilitate advanced care planning discussions with patients and families

Communicating with distressed/anxious/worried patients and relatives

Caring for patients and relatives following receipt of bad news and supporting them in identifying realistic expectations in relation to clinical conditions

Communicating and caring for patients who have reduced understanding and insight due to cognitive impairments

Participate/lead weekly enhanced care home reviews

Undertake daily acute care home visits requested through our clinical triage system identifying clinical emergencies, deteriorating patients or patients at risk of deterioration ensuring appropriate action

Participate in regular clinical supervision, reflective practice and case-based discussions to maintain safe, effective and autonomous practice.

Confidentiality:

In the course of 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 right.

Personal/Professional Development:

The post holder will participate in all training programmes implemented by the Practice, including annual performance reviews and competency assessments, and will take responsibility for their own ongoing development, learning and performance.

They will maintain a comprehensive professional portfolio demonstrating autonomous clinical practice, clinical supervision, CPD and reflective learning, ensuring that clinical competencies required for safe autonomous practice in frailty care are continually met.

The post holder will contribute to clinical governance activities such as audits, incident reviews and quality improvement initiatives, while engaging in regular clinical supervision and reflective discussions to support safe, accountable practice. They will also support the development of colleagues by sharing specialist frailty knowledge, offering mentorship and demonstrating skills and activities to others undertaking similar work

Quality:

The post-holder will strive to maintain quality within the Practice and will 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 recognise the importance of effective communication within the team and will strive to communicate effectively with other team members, communicate effectively with patients and carers and recognise peoples needs for alternative methods of communication and respond accordingly.

Person Specification

Essential Criteria

Essential

• Essential: Advanced clinical masters degree. Practice Registered Nurse on the NMC register. Non-medical prescriber. Demonstrate high level of competence/advanced skills in clinical examination and diagnosis Interpret pathology/radiology results/reports and action where appropriate. Excellent interpersonal and communication skills, providing enhanced discussions with patients and families regarding end of life wishes/planning Familiar with the complex geriatric assessment, 4AT, GPCOG Knowledge in EMIS clinical system Knowledge of the Accurx system Effective time management skills Advanced communication skills Ability to work as an autonomous Practitioner Able to work on own initiative Must be personable, polite and approachable Must be a team player Must be adaptable to change Commitment to ongoing training and education to develop clinical skills Have the ability to prioritise workload Able to work under pressure and remain calm Full clean driving licence

Desirable

• Desirable: Specialist knowledge within frailty Experience of working in a primary care setting would be beneficial Experience of working with frail/elderly patients at an advanced level

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

Lowther Medical Centre

Address

1 Castle Meadows

Whitehaven

Cumbria

CA28 7RG

United Kingdom

Employer's website

https://www.lowthermedical.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

Main Duties and Responsibilities

Work using FEAT and champion evidence-base interventions

Conduct comprehensive geriatric assessments using appropriate tools

Monitor medication use and adjust treatment plans as required, autonomously working within scope of practice and in line with prescribing competencies.

Exercise advanced clinical reasoning to diagnose, treat, and manage patients without direct input from a medical practitioner, recognising own professional boundaries and seeking senior clinical support when required.

Provide expert management of frailty syndromes, dementia, delirium, polypharmacy, falls risk and end of life needs.

Escalate concerns appropriately and initiate urgent or emergency interventions when required.

Identify when clinical presentations fall outside of scope of practice and escalate appropriately to GP or senior clinicians.

Work closely with GPs, Occupational Therapists, Physiotherapists, Care Co-ordinators, Social Prescribers and Community Nursing Team

Attend the MDT meetings and case reviews

Support patients and families in understanding and managing frailty

Promote lifestyle and self management strategies to optimise health and independence

Functions at a high level to carry out clinical decision making such as diagnosing and managing patients without input from a medical practitioner remaining within scope of a professional practice.

Functions at a high level in relation to communication skills through patient consultation and nursing assessment of physical, psychological and social needs.

Completing proactive, individualised clinical management plans for care home residents improving their health experience and reducing unnecessary and potentially harmful hospital admissions

Conduct regular care plan reviews

Identify patients in need of palliative support and facilitate advanced care planning discussions with patients and families

Communicating with distressed/anxious/worried patients and relatives

Caring for patients and relatives following receipt of bad news and supporting them in identifying realistic expectations in relation to clinical conditions

Communicating and caring for patients who have reduced understanding and insight due to cognitive impairments

Participate/lead weekly enhanced care home reviews

Undertake daily acute care home visits requested through our clinical triage system identifying clinical emergencies, deteriorating patients or patients at risk of deterioration ensuring appropriate action

Participate in regular clinical supervision, reflective practice and case-based discussions to maintain safe, effective and autonomous practice.

Confidentiality:

In the course of 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 right.

Personal/Professional Development:

The post holder will participate in all training programmes implemented by the Practice, including annual performance reviews and competency assessments, and will take responsibility for their own ongoing development, learning and performance.

They will maintain a comprehensive professional portfolio demonstrating autonomous clinical practice, clinical supervision, CPD and reflective learning, ensuring that clinical competencies required for safe autonomous practice in frailty care are continually met.

The post holder will contribute to clinical governance activities such as audits, incident reviews and quality improvement initiatives, while engaging in regular clinical supervision and reflective discussions to support safe, accountable practice. They will also support the development of colleagues by sharing specialist frailty knowledge, offering mentorship and demonstrating skills and activities to others undertaking similar work

Quality:

The post-holder will strive to maintain quality within the Practice and will 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 recognise the importance of effective communication within the team and will strive to communicate effectively with other team members, communicate effectively with patients and carers and recognise peoples needs for alternative methods of communication and respond accordingly.

Person Specification

Qualifications

Essential

• Masters degree in advanced clinical Practice
• Registered Nurse on the NMC register
• Non-medical prescriber
• Demonstrate high level of competence/advanced skills in clinical examination and diagnosis
• Interpret pathology/radiology results/reports and action where appropriate
• Excellent interpersonal and communication skills, providing enhanced discussions with patients and families regarding end of life wishes/planning
• Familiar with the complex geriatric assessment, 4AT, GPCOG
• Knowledge in EMIS clinical system
• Knowledge of the Accurx system
• Effective time management skills
• Advanced communication skills
• Ability to work as an autonomous Practitioner
• Able to work on own initiative
• Must be personable, polite and approachable
• Must be a team player
• Must be adaptable to change
• Commitment to ongoing training and education to develop clinical skills
• Have the ability to prioritise workload
• Able to work under pressure and remain calm
• Full clean driving licence

Desirable

• Specialist knowledge within frailty
• Experience of working in a primary care setting would be beneficial
• Experience of working with frail/elderly patients at an advanced level

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

Lowther Medical Centre

Address

1 Castle Meadows

Whitehaven

Cumbria

CA28 7RG

United Kingdom

Employer's website

https://www.lowthermedical.co.uk/ (Opens in a new tab)