Job description

Job responsibilities

Please see supporting documents for the full job description and detailed role information attached.

Person Specification

Experience

Desirable

• Experience of working within the NHS or general practice
• Experience in working with SystmOne
• Experience in processing referrals and use of Gateway.

Competencies/Qualities/Attributes

Essential

• Competent in the use of Microsoft Applications
• Excellent written and verbal communication skills at all levels
• Able to work well under pressure and work to a deadline
• Able to work as part of a team
• Able to use own initiative
• Be self-motivated with a can-do attitude
• Able to listen and empathise
• Hard working and willing
• Flexible and adaptable, able to work according to changing priorities
• Commitment to professional / personal development

Qualifications

Essential

• Minimum level 2 Maths and English or equivalent experience (GCSE Grade C or Grade 4 or above)
• Ability to work to high standards of accuracy
• Excellent attention to detail
• Good numeracy, administrative and organisational skills
• Excellent customer service skills
• Excellent written and verbal communication skills
• Understand and observe strict confidentiality

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.

Employer details

Employer name

Nimbuscare Ltd

Address

Nimbuscare Limited

Gateway 1, Holgate Park Drive

Holgate

York

YO26 4GG

United Kingdom

Employer's website

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

Job description

Job responsibilities

Please refer to the supporting information section for full details of the role and a comprehensive list of duties and responsibilities.

The job description is provided as an outline of the key tasks and responsibilities and is not intended to be an exhaustive list. The job will evolve over time to reflect the changing needs of Nimbuscare and its services as well as the personal development of the post holder.

Person Specification

Skills and Competencies

Essential

• IT Skills (MS office / Systmone / EMIS)
• Advanced clinical assessment skills including history taking and clinical examination
• Excellent communication and interpersonal skills
• Ability to demonstrate problem solving with effective decision making skills, supported by a best practice approach
• Able to work autonomously and as part of a team
• Able to prioritise effectively
• Able to work under pressure

Desirable

• Evidence of Statutory and Mandatory Training

Qualifications

Essential

• Fully Qualified Doctor with current Professional Registration (GMC)
• MRCGP Qualification

Desirable

• Evidence of CPD
• Diploma in Geriatric Medicine Or equivalent

Personal Attributes

Essential

• Lead by example
• Flexible
• Adaptability
• Using initiative
• Self-audit and reflection

Experience

Essential

• Experience of Triage / Telephone Assessment
• Up to date knowledge of the latest guidelines and evidence in older peoples medicine

Desirable

• Minimum 2 years' experience of working within a Primary Care environment
• Experience in Geriatric Medicine

Qualifications

Essential

• Fully Qualified Doctor with current Professional Registration (GMC)
• MRCGP Qualification

Desirable

• Evidence of CPD
• Diploma in Geriatric Medicine Or equivalent

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

Nimbuscare Ltd

Address

Nimbuscare Limited

Gateway 1, Holgate Park Drive

Holgate

York

YO26 4GG

United Kingdom

Employer's website

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

Job description

Job responsibilities

Clinical responsibilities:

IUC Hub/Clinical Assessment Service:

Consistently monitor incoming calls, responding promptly based on clinical need

Provide telephone assessment for patients presenting via 111, closing cases over the phone where appropriate

Provide clinical advice for Health Care Professionals and co-ordinate care for patients depending on clinical need

Arrange to review patients face to face at the appropriate UTC/SDUC clinic

Arrange home visits when clinically needed

Provide clinical advice where appropriate to both internal and external staff as required eg triage nurse, GP colleagues, district nurses, ACPs, Paramedics etc

Through prior agreement and where trained to do so, provide Clinical Supervision for GP SpRs/Trainee ACPs whilst on shift

Develop knowledge of referral pathways to maximise the use of community services eg Pharmacy First, the community eye service etc.

Urgent Treatment Centres:

Work within current scope of practice whilst developing and maintaining skills required to work across the full scope of urgent care presentations including minor illness and injury.

Attend further training where needed to become competent in, for example, assessing and managing minor injuries

Provide leadership for minor illness presentations whilst on shift

Work with the Lead Urgent Care Practitioner for minor injuries to ensure appropriate prioritisation of patients based on clinical need

Provide mentoring, supervision and training for GP SpRs and trainee urgent care practitioners whilst on shift.

Provide regular clinical supervision meetings including Designated Medical Prescriber meetings and workplace-based assessments for Urgent Care Practitioners in training.

Ensure clinical coding of patients seen in the UTC is accurate and complete before the end of the shift.

Same Day Urgent Care (SDUC) clinics:

Work autonomously to assess, diagnose and manage minor illness presentations

Through prior agreement and where trained to do so, provide Clinical Supervision for GP SpRs/Trainee ACPs whilst on shift

and consistency.

Operate diagnostic equipment to monitor and assess patients, ensuring accurate readings for informed clinical decisions.

Identify and report faulty equipment, ensuring it is removed from clinical areas for repair to maintain safety.

Completion of event report forms when indicated

Across all aspects of the service:

Appropriately assess, diagnose, treat & discharge or refer patients presenting to the IUC service

Make professional, autonomous decisions in relation to presenting problems and formulate evidence-based management plans

Provide health promotion and preventative health care advice to patients attending the service

Precribe and issue computer-generated electronic prescriptions

Prescribe generically whenever appropriately and in accordance with NICE guidance and Good Prescribing Practice (as defined by British National Formulary guidance)

Adhere to all medicines management governance and ensure correct procedures are followed

Clearly and accurately document consultations, including safety netting advice, in a timely manner

Where appropriate, educate patients about how best to use urgent care services

Work collaboratively with other health and social care professionals and services to deliver care to meet patients clinical, social and transport need

Proactively communicate with the On call Manager to escalate any concerns as appropriate to ensure smooth running of the shift

Work with urgent care colleagues working across the service to maximise the effective and efficient delivery of care to patients

Promote the application of standards and codes of Practice set by the Royal College of General Practice, General Medical Council, Department of Health and local NHS trust.

Be aware of service KPIs & work accordingly to assist in achieving compliance

Escalate and report patient safety/experience events or feedback in line with Nimbuscares governance framework

Contribute to and participate in the management of complaints and concerns where appropriate

Provide clinical feedback to enable service development

Understand, maintain knowledge of and adhere to relevant standard operating procedures, policies and pathways

Represent the service and Nimbuscare in a professional manner when in contact with the general public and other professionals

Report any concerns about the safety of the service particularly with regard to any concerns about the behaviour / performance of other staff working for the service.

Inform Nimbuscare of any restrictions which may impact on the post holders ability to undertake urgent care work

On request of the On-call Manager, be prepared to move to an alternative site to ensure service delivery, as is reasonable based on individual circumstances

Be aware of and comply with all relevant policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety.

Commitment and contribution to achievement of the highest possible quality standards.

Commitment to life-long learning and audit to ensure evidence-based best practice.

Attendance at regular in-house governance and educational meetings and training

Person Specification

Qualifications

Essential

• Fully Qualified Doctor with current Professional Registration (GMC) MRCGP Qualification On National Performance List for GPs
• Evidence of medical indemnity insurance

Desirable

• Evidence of CPD

Personal Attributes

Essential

• Lead by example The ability to prioritise effectively Able to work under pressure Flexible Adaptability Using initiative Self-audit and reflection

Skills and Knowledge

Essential

• IT Skills (MS office / SystmOne ) Advanced clinical assessment skills including history taking / clinical examination Excellent communication and interpersonal skills Ability to demonstrate problem solving with effective decision-making skills, supported by a best practice approach. Able to work autonomously and as part of a team.

Desirable

• Evidence of Statutory and Mandatory Training

Experience

Essential

• Experience of Triage / Telephone Assessment Experience of working in an Urgent Care setting (UTC/GP OOHs/ED/Pre-hospital care) For UTC, experience of assessing and managing minor illness and injuries

Desirable

• Experience of working or shadowing in Urgent 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

Nimbuscare Ltd

Address

Nimbuscare Limited

Gateway 1, Holgate Park Drive

Holgate

York

YO26 4GG

United Kingdom

Employer's website

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

Job description

Job responsibilities

Clinical responsibilities:

Autonomously assess, differentially diagnose, plan, implement, and evaluate individual treatment plans, interventions, and care packages for patients, ensuring safe and appropriate management, timely referrals, and safety netting as required.

Collaborate with the multidisciplinary team (MDT) to expedite safe and timely triage consultations, interventions, and reviews.

Prescribe independently (where legally permitted), review medication for therapeutic effectiveness, and ensure treatment is tailored to patient needs, adhering to contraindications, drug interactions, evidence-based practice, national and practice protocols, and within scope of practice to optimize outcomes.

Prioritise and manage personal and team workloads, embedding effective time-management strategies within the team culture.

Provide clinical leadership in line with the Patient Safety Incident Response Framework, ensuring clear alignment with company values, strategic direction, and policies impacting care delivery.

Maintain effective communication within the MDT and with wider stakeholders, ensuring active participation with senior team members and facilitating clear communication across roles.

Communicate independently with external stakeholders and agencies to ensure continuous, high-quality care during both admission and discharge.

Support patients and families receiving "bad news," engaging the team as needed to provide appropriate emotional support.

Act as an advocate for patients and colleagues, ensuring needs and concerns are effectively represented.

Collaborate with clinical teams to improve healthcare quality, responding to local and national policies and initiatives, and assessing impact on service delivery.

Take responsibility for personal learning and professional development, promoting the Advanced Clinical Practitioner strategy, and maintaining a personal professional portfolio to demonstrate ongoing growth.

Partner with the Advanced Practice Lead to develop and implement the workforce strategy for Nimbuscare.

Provide expert support to practitioners, nursing staff, therapists, and students within the service.

While the ACP role is independent, senior support is always available as and when needed.

Responsible for assessing ongoing care needs and planning effective transitions, ensuring continuity and quality of care.

Ensure clear communication of care plans to the team, fostering collaboration and consistency.

Operate diagnostic equipment to monitor and assess patients, ensuring accurate readings for informed clinical decisions.

Identify and report faulty equipment, ensuring it is removed from clinical areas for repair to maintain safety.

Completion of event report forms when indicated

Other responsibilities:

Ensure that medical and patient records are comprehensive, accurate, and up-to-date.

Complete relevant coding forms accurately, providing a clear explanation of the patients condition and treatment plan.

Take responsibility for maintaining accurate and timely documentation of patient care, including information for referral purposes.

Ensure the proper completion of ReSPECT forms and advanced care planning, tailored to the patients level of frailty, clinical condition, co-morbidities and wishes.

Accurately document all discussions regarding care, ensuring that conversations with the patient and family members are properly recorded and discussed as appropriate.

Report any events via the Nimbuscare reporting system

Person Specification

Personal Attributes

Essential

• Ability to independently problem-solve, analyse, compare, and interpret complex information before making decisions. Ability to present information to individuals and groups using appropriate resources. Demonstrates excellent interpersonal skills. Demonstrates effective team management. Prioritises clinical workload and assesses associated risks, taking appropriate action. Demonstrates strong organisational skills. IT skills, use of S1, CPD Ability to present to groups of professionals at local, regional, and national levels. Negotiation skills Ability to lead and influence while advancing Nimbuscare's advanced practice strategy

Desirable

• Has already presented at a conference, regional or national event

Experience

Essential

• Extensive clinical experience in speciality Has led audit and research within the service. Can manage a highly complex caseload. Has led service improvement. Able to independently refer to other members of the MDT.

Desirable

• In a role within the service that directly supports enhanced and advanced practice. Experience in one of the four pillars of ACP at an advanced level. Experience as a principal investigator in research. Led service improvement initiatives.

Skills and Knowledge

Essential

• Professional knowledge acquired through a recognised qualification, enabling registration with a healthcare regulatory body. Supplemented by significant post-registration experience and specialist knowledge in the clinical area. Management skills gained through theoretical knowledge and/or significant practical experience. Strong leadership skills. IT literate. Knowledge of Nimbuscare values. Contribution to policy development. Good understanding of advanced and enhanced practice strategies and policies. Ability to autonomously problem-solve, analyse, compare, and interpret complex information before making decisions. Experience in mentoring and developing staff. Proven ability to lead research and implement service changes/improvements.

Desirable

• Additional teaching qualifications/experience Participation in audit, research, or service evaluation Understanding of the strategic vision for Nimbuscare Awareness of the NHS England Consultant Practitioner Capability and Impact Framework Willingness to undertake a PhD. Experience as a principal investigator

Qualifications

Essential

• Registered healthcare professional MSc in Advanced Clinical Practice or digital badge from a supported advanced practice portfolio, or equivalent. Completed a portfolio of professional development that demonstrates an advanced level of clinical practice in line with the HEE (2017) framework for ACP. Independent non-medical prescribing. Basic Life Support (BLS). Clinical Skills Level 7. Formal research module completed at Level 7 (Masters level) or equivalent, e.g., supported portfolio and digital badge. Will work towards and complete any relevant credentialing routes available and applicable to the clinical area. Minor Illness qualification or equivalent. Paediatric clinical skills or equivalent

Desirable

• ALS Provider/Instructor Intermediate Life Support (ILS) Principal Research Investigator Leadership module or qualification Digital badge in advanced clinical practice.

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

Nimbuscare Ltd

Address

Nimbuscare Limited

Gateway 1, Holgate Park Drive

Holgate

York

YO26 4GG

United Kingdom

Employer's website

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

Job description

Job responsibilities

Please see supporting documents for the full job description and detailed information about the role.

Person Specification

Experience

Essential

• Please see supporting documents for the full job description and detailed information about the role.

Qualifications

Essential

• Please see supporting documents for the full job description and detailed information about the role.

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

Nimbuscare Ltd

Address

Nimbuscare Limited

Gateway 1, Holgate Park Drive

Holgate

York

YO26 4GG

United Kingdom

Employer's website

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