Job description

Job responsibilities

Undertake structured medication reviews and clinical medication reviews

Review patients with complex polypharmacy, particularly older people and those with multiple long-term conditions

Support the management of patients with chronic diseases

Identify and address medication-related problems, adherence issues and medicines wastage

Respond to medication queries from patients and healthcare professionals

Support patients to obtain the best outcomes from their medicines

Review and manage repeat prescribing in accordance with practice policies

Support patients recently discharged from hospital with medication reconciliation and follow-up

Contribute to safe and effective prescribing and medicines optimisation

Promote antimicrobial stewardship in line with local guidance

Support the practice with prescribing audits, clinical audits and quality-improvement projects

Contribute to relevant QOF and enhanced-service activity

Liaise appropriately with community pharmacy, hospital pharmacy and other healthcare professional

Contribute to the development and implementation of shared-care arrangements, where appropriate

Maintain accurate and contemporaneous clinical records

Ensure that any clinical activity is undertaken within professional competence, local protocols and agreed supervision arrangements

Escalate clinical concerns promptly to the appropriate GP or clinician

the postholder may prescribe within their competence and agreed scope of practice

Person Specification

Qualifications

Essential

• Registered with the General Pharmaceutical council

Experience

Essential

• Current registration with the General Pharmaceutical Council.
• Appropriate clinical experience as a pharmacist.
• Experience of conducting medication reviews.
• Knowledge of safe prescribing and medicines optimisation.
• Ability to communicate effectively with patients and colleagues.
• Ability to maintain accurate clinical records.
• Understanding of confidentiality, safeguarding and information governance.
• Commitment to continuing professional development.

Desirable

• Independent prescribing qualification, or willingness to work towards this where appropriate.
• Experience working in general practice, primary care or a multidisciplinary team.
• Experience of managing chronic disease and complex polypharmacy.
• Experience of prescribing audits, QOF or quality-improvement projects.
• Experience of working with community and hospital pharmacy colleagues.
• Familiarity with EMIS

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

Primary Health Care Centre

Address

South Road

Chopwell

Newcastle Upon Tyne

NE17 7BU

United Kingdom

Employer's website

http://www.chopwellmedicalpractice.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

A detailed job description and person specification is attached and we welcome calls and pre arranged visits

Person Specification

Qualifications

Essential

• A medical practitioner on the General Practice Register under Article 10 of the Specialist Medical Practice Order 2003
• Not the subject of suspension under section 41A if the Medical Act 1983
• Qualified General Practitioner(completed certificate of Completion of Training
• Currently on a performers list and not suspended from the list or the medical register
• Accredited as a member of the Royal College of General Practitioners (MRCGP) MBBS or equivalent degree

Experience

Essential

• In practice as a GP or Locum
• Experience of and commitment to working as part of a multidisciplinary team
• Experience of working to achieve standards within Quality and Outcome Framework (QOF)
• Experience of working in a Primary Care environment in areas with significant health problems
• Development of areas of clinical expertise
• Experience of audit and improving care for patients

Desirable

• Experience of using EMIS

Knowlwdge and Skills

Essential

• Understanding the roles of medical services in a wider public health agenda
• Knowledge of the demographic characteristics that affect health and health care in the area
• Undertanding current NHS policy
• Understanding health and social needs of a practice population
• Understand the issues and challenges facing primary care

Personal

Essential

• Commitment to ongoing personal development / education and training
• Ability to communicate clearly and effectively in English. This includes written and verbal communications
• Strong interpersonal skills
• Good organizational skills
• Strong leadership skills
• Excellent record keeping skills
• Provision of enhanced services - i.e. minor surgery
• Ability to work under pressure and on own initiative
• Ability to support and mentor GP Registrars, Medical Students and other Health Professionals

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

East Lancashire Hospitals NHS Trust

Address

Pendle Valley Practice

Yarnspinners Primary Health Care Centre

Nelson

BB97SR

United Kingdom

Employer's website

http://jobs.elht.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

The post holder will demonstrate a high level of expertise within the specialist service, Digital Rectoscopy providing advice, education and support to staff, patients, their families and carers in Primary Care.

The post holder will be practising autonomously as an advanced clinical practitioner within the designated speciality area to provide patient-centred care as being specifically to identify and diagnose causes of rectal bleeding and detect polyps, inflammation, tumours, or other abnormalities in the rectal mucosa. In addition to diagnostics, tissue samples where necessary.

This will encompass the skills of advanced clinical assessment, examination, diagnosis and treatment within an agreed scope of practice throughout the organisation for patients across sheffield . The post holder will support new ways of working that emphasises a more efficient and patient focused service, and will ensure the safe treatment, referral and discharge of patients with undifferentiated and undiagnosed presentations in their area. Responsibility for leading the on-going development of clinical practice and standards of care within the service, including the development of policies, procedures, protocols and guidelines in collaboration with multidisciplinary colleagues.

Key Areas of Responsibility Clinical

1. Work autonomously as an advanced practitioner within the specialty, managing a caseload of patients delivering individualised direct patient care.

2. Direct responsibility for assessment, examination, investigation and diagnosis of patients within their area of work.

3. Appropriately treat patients, resulting in the safe management and appropriate referral or care planning of patients with undifferentiated and undiagnosed presentations.

4. Manage own caseload and clinical priorities according to agreed protocols and working practices.

5. Undertake a variety of clinical skills and provide treatment/advice as per speciality and scope of practice. Using agreed protocols of clinical practice and professional guidelines.

6. Within scope of practice and clinical competence request and/or undertake diagnostic procedures and clinical investigations related to plans of care.

7. Utilise scope of practice to undertake Non Medical Prescribing role and provide advice on medicine management issues associated with the patient specialty group.

8. Provide a seamless, high quality service from assessment to diagnosis, treatment and review, referring to other specialists as required. Provide guidance to staff, patients and their families and carers on pathway navigation.

9. Lead in the development and updating of referral guidelines and policies for the service.

10. Use highly developed communication skills to effectively communicate with colleagues, patients and their relatives/carers, making reports and liaising as required with medical staff and other members of the multidisciplinary team both verbally and in writing.

11. Use professional judgement to act as an advocate for patients to ensure a patient focused approach to the delivery of care. Support and enable patients and carers to make informed decisions relating to their treatment and management. Escalate any concerns via clinical structures as required.

12. Work towards safe and timely provision of care of patients between Primary and Secondary Care services/healthcare professionals, ensuring barriers to care provision are identified and acted upon appropriately.

13. Report and raise concerns related to Safeguarding, accessing advice and support as required. Be conversant with Organisational policies for safeguarding including the assessment of mental Capacity.

14. Ensure effective and accurate communication whether verbal or written between healthcare professionals as necessary.

15. Ensure that high standards of all documentation are maintained, with accurate, complete and up-to-date information regarding patient care are kept in accordance with professional standards.

16. Undertake training where necessary to develop further advanced clinical practice roles required by the service in order to provide a high standard of patient care.

17. Practice within the scope of professional registration (i.e. NMC, HCPC).

Professional Leadership & Management

1. Provide highly visible and accessible professional leadership and demonstrate expert knowledge and standards of clinical practice.

2. Lead and develop a defined area of Advanced Clinical practice within the designated area of practice, promoting interdisciplinary team and collaborative working practices.

3. Act as a clinical role model demonstrating high standards of advanced clinical practice and provide support or advice to other staff when necessary

4. Lead and support the development of the role according to changing patients needs, service requirements and evidence base practice.

5. Lead and actively participate in service/departmental projects, quality initiatives and statutory accreditation processes. This will include the setting and monitoring of clinical standards of care.

6. Ensure that all resources are managed in an efficient and cost-effective manner to achieve maximum effect for patients and staff.

7. Adhere to all relevant Organisational policies and procedures and to ensure that they are correctly implemented.

8. Lead in the implementation of multidisciplinary service objectives that reflect Organisational or PCN strategies for patient care.

9. Demonstrate effective leadership skills, supporting the Clinical management team in service development and lead as delegated on the implementation of any of these changes.

10. Monitor standards and maintain high quality care. Report any clinical incidents promptly via the Organisational pathways.

11. Utilise the highest level of interpersonal and communication skills when dealing with complex, sensitive or emergency situations.

12. Maintain an awareness of professional and ethical issues to ensure care is delivered in a professional timely and courteous manner by all members of the team, respecting the different spiritual and cultural backgrounds of colleagues, patients and relatives.

13. Escalate any concerns or complaints promptly to Clinical Lead and take part in any necessary Clinical Governance.

14. Participate in the recruitment process as required, providing feedback and support in recruitment decisions.

15. Accountable for own practice, acting at all times within the Professional Code of Professional Conduct (NMC,HCPC, CSP)

16. Maintain a working knowledge of local and national professional policy and strategy.

Education & Training

1. Act as an expert educational resource for clinical staff, patients, and carers by providing formal and informal education. Promote and develop a positive learning environment throughout the Organisation.

2. Act as mentor/assessor to staff members and students as required, providing educational advice and support. Ensure other clinicians can access appropriate training support and guidance.

3. Lead and actively participate in the delivery of educational programmes for multi-disciplinary clinicians.

4. Provide support and guidance as required to clinicians from all disciplines.

5. Ensure that pre and post registration students receive appropriate learning experience whilst allocated to the Organisation/PCN.

6. Participate in provision and identification of in-service training need for all team staff.

7. Participate in education and practice development on a PCN wide basis liaising with PCN, PCS or External educational leads to ensure educational objectives are delivered.

8. Recognise the limits of own professional practice and competence, undertake further training and academic qualifications as required to maintain own specialist knowledge.

9. Take responsibility for ensuring personal and completion of any statutory or mandatory training as required for. Informing line manager if there is any deviance from training attendance.

10. Adapt clinical knowledge and skills to different clinical settings.

11. Participate in the annual appraisal process, delegating duties to team members as appropriate to ensure all staff within the team have personal development plans which support revalidation.

12. Maintain close links with local HEIs and participate in in the development and delivery of new and established advanced practice programmes as required.

Research & Audit

1 Utilise research findings and audit in the delivery of advanced clinical patient care, developing new ways of working.

2. Participate and where required lead audit projects as required by the specialty, involving collating, analysing and reporting on results of the audit process.

3. Collate, analyse and present reports on varying aspects of the speciality activity as required by Organisation.

4. Ensure the results of audit and research conducted by the team are disseminated at local, regional and national level.

5. To share best practice; through publications and attendance/presentation opportunities at conference level.

Quality & Safety

1. Support the maintenance of CQC compliance and local and national clinical governance initiatives in close collaboration with the Organisation.

2. Maintain improvements in patient safety by supporting implementation of patient safety initiatives, prompt and appropriate response to complaints resolution and escalation where appropriate

3. Ensure patient safety by escalating any risks with staffing or service provision to appropriate Clinical Lead.

4. Report any issues with quality and safety immediately to appropriate Clinical Lead.

5. May be deployed to work in any part of the Trust should the need arise to ensure patient safety is maintained.

This job description is not exhaustive and is seen as a guideline for the post. The post holder may be required to undertake other duties to achieve the Trust objectives which are commensurate with the grading of the post

Person Specification

Qualifications

Essential

• Professional Registration - NMC , HCPC
• Masters degree level or the portfolio route in advance practice
• Non-Medical Prescribing Course

Desirable

• Post Graduate Qualification in specific speciality or equivalent experience

Experience

Essential

• Evidence of on-going CPD

Desirable

• Teaching & Mentoring qualification/experience
• Able to undertake digital rectoscopy with confidence
• Minimum of 5 years post registration experience in specialty area

Knowledge and Skills

Essential

• Advanced Clinical Assessment skills

Desirable

• Evidence of dissemination of knowledge in wider healthcare organisations

Personal Attributes

Essential

• Excellent communication skills
• Ability to perform in stressful and complex situation
• Sound clinical reasoning & decision making

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

Primary Care Sheffield

Address

Darnall Health Centre

York Road

SHEFFIELD

S9 5DH

United Kingdom

Employer's website

http://www.primarycaresheffield.org.uk/ (Opens in a new tab)