Job description

Job responsibilities

Care homes and community-based care

The post holder will support older people in care homes and the community, reviewing patients after a change in health, supporting falls prevention and care planning, liaising with care home staff and families, and helping to reduce avoidable emergency attendances or admissions.

Frailty assessment

The post holder will:

• Identify patients with mild, moderate, or severe frailty.
• Review relevant medical, functional, and social information.
• Assess functional ability and any change from the patient's normal baseline.
• Identify recent or recurrent falls, and mobility or balance difficulties.
• Recognise possible cognitive impairment or delirium, and escalating where needed.
• Identify nutritional concerns, weight loss, or poor appetite.
• Consider continence and toileting difficulties and making appropriate referrals
• Identify potential medication-related contributors to decline.
• Consider social isolation, carer strain, and the home environment and making appropriate referrals.
• Recognise red flags that need urgent medical review.
• Communicate findings clearly to the wider team.

Holistic clinical assessment

Within their professional scope, the post holder will:

• take a clinical history;
• review medical records, diagnoses, and recent hospital or community contacts;
• assess changes from baseline and consider functional status, multimorbidity, and safeguarding concerns.
• Identify possible infection, dehydration, malnutrition, delirium, or falls as causes of decline, and recognise when further investigation or medical assessment is required.

Managing frailty syndromes

• The post holder helps identify and manage common frailty syndromes, including falls, reduced mobility, functional decline, cognitive impairment, delirium, nutritional decline, continence problems, dizziness, polypharmacy, social isolation, and carer stress.
• They identify appropriate interventions within their scope and coordinate referrals to other services, such as GPs, community nursing, physiotherapy, occupational therapy, dietetics, pharmacy, falls services, specialist frailty or memory services, social care, and palliative care where appropriate.

Clinical decision-making

• The post holder demonstrates sound clinical reasoning appropriate to Band 6 level, making independent decisions within their scope, recognising significant deterioration, and balancing clinical evidence with the patient's circumstances and preferences.
• The post holder would identify the limits of their own knowledge or experience, seek advice from senior clinicians, GPs or specialists when needed, escalate promptly where safety may be at risk, and document their reasoning clearly.

Multidisciplinary working

The post holder works closely with GPs, practice nurses, pharmacists, advanced practitioners, community nurses, allied health professionals, social workers, care coordinators, care homes, and specialist or secondary care services, contributing relevant clinical information to MDT discussions for patients with complex needs.

Safeguarding

The post holder recognises and responds appropriately to safeguarding concerns involving older people, including neglect, abuse, carer breakdown, and unsafe living circumstances, following practice and local safeguarding procedures.

Supervision and governance

The post holder has access to a named senior clinician and GP support, takes part in regular clinical supervision, reflective practice, and audit, and maintains appropriate professional indemnity. They work within relevant professional standards and the practice's clinical governance policies.

Continuing professional development

The post holder maintains ongoing development relevant to frailty, falls, delirium, dementia, nutrition, multimorbidity, medicines awareness, safeguarding, mental capacity, and end-of-life care, identifying learning needs through supervision, appraisal, and clinical practice.

Quality improvement

The post holder contributes to safe and effective frailty services through audit, service evaluation, review of falls and hospital admissions, development of care pathways, and MDT learning, supporting a culture of continuous improvement and patient safety.

Person Specification

Experience

Essential

• Post registration experience gained by undertaking on-going personal development and training.
• Experience of working with patients with frailty, including being able to identify different levels of frailty and how that effects the patient.
• Experience in clinically assessing patients independently, arranging investigations, considering differential diagnoses and implementing management plans.
• Experience of working with long-term conditions.
• Good understanding of current health care issues.

Desirable

• Involvement in the implementation and management of change.
• Experience underpinned by knowledge of working with and understanding the complex needs of patients in a primary care/community setting.

Skills and Abilities

Essential

• Excellent communication and interpersonal skills.
• Ability to holistically and independently assess a frail patient.
• Ability to advocate patient issues.
• Ability to demonstrate leadership skills.
• Excellent organisation skills including the ability to make decisions and prioritise.
• A degree of autonomy, analytical skills and multidisciplinary knowledge in caring for patients.
• Decision making skills and problem solving skills.
• Ability to understand and interpret information/evidence based care and apply to practice.
• Ability to work within your scope and escalate safely and appropriately when required.
• Critical thinking.
• Good IT skills.
• Assertive, adaptable and flexible.
• Empathy and compassion.

Desirable

• Experience of completing Comprehensive Geriatric Assessments.

Qualifications

Essential

• Experience and fully qualified Healthcare professional.
• Registered Practitioner holding current registration with NMC or HCPC.

Desirable

• Frailty or End of Life Care modules/qualifications.
• Clinical assessment module if not included in your registration qualification.

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

Whitstable Medical Practice

Address

Estuary View Medical Centre

Boorman Way

Whitstable

Kent

CT5 3SE

United Kingdom

Employer's website

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

Job description

Job responsibilities

Reception Role

• Primarily this role involves dealing with patient enquiries over the telephone and face-to-face. Booking appointments for all clinics and ensuring the smooth day-to-day running of all clinics.
• Managing the day-to-day running of the busy services by ensuring that all referrals are actioned and booked into available clinics.
• Liaising with a variety of clinicians and solving any issues they face to ensure the best possible patient experience throughout the day.
• Managing the appointment screen and filling any empty/cancellation slots wherever possible.
• Preparing the clinic rooms each morning for clinicians, ensuring they have the necessary paperwork to carry out their clinic on the day.
• To send reports to external practices following clinics to ensure the patients registered GP is informed of the appointment outcome in a timely manner.
• To assist patients with tubing and maintenance of hearing aids where possible.
• Making sure the theatre and clinic rooms are clean and tidy following the departure of the clinician.
• Retrieving information from the E-Referral booking system, booking appointments for a number of clinics and downloading referral letters.
• Taking delivery of various items of stock and storing in the fridges or appropriate secure environment.
• Managing any patient related tasks forwarded to the clinical services reception team by clinicians.
• Working with various clinical IT databases.
• Monitoring the clinical services team email inbox to ensure that any incoming referrals to in-house clinics are actioned promptly.
• Acting on ad-hoc tasks and helping with projects set by the Clinical Services Manager / Deputy Clinical Services Manager to meet the needs of the ever-changing NHS initiatives.
• Pulling and filing notes for patients seen within our cataract service over the weekend.
• Moving equipment to facilitate clinics.
• Collecting the post each morning and afternoon.
• Be familiar with Whitstable Medical Practice protocols and take part in their regular updating.
• Other duties as per doctors instructions as dictated by changes in the nature of the Whitstable Medical Practice.

Admin Role

• Responsibility for recording the activity data for services as required and ensuring they are kept up-to-date, to be submitted by the 10th day of each month to allow for invoicing.
• Assisting with the moving of equipment and setting up of rooms for clinics.
• Managing the appointment screen and filling any empty/cancellation slots wherever possible.
• Ordering equipment and stock for the differing services upon request from the relevant service lead.
• Working with various clinical databases.
• Booking both routine and urgent appointments for all services, specifically Ear, Nose and Throat, Dermatology, Cataract and Ophthalmology clinics.
• Retrieving information from the E-Referral booking system, booking appointments for a number of clinics and downloading referral letters.
• Other duties as per doctors instructions as dictated by changes in the nature of the Whitstable Medical Practice.

Person Specification

Qualifications

Essential

• Good general education including minimum Grade C GCSE or equivalent in English Language and Maths or equivalent qualification.

Desirable

• Administration qualification

Experience

Essential

• Previous experience of working in a primary care setting or NHS.
• Previous experience of reception and administration work.
• Experience of working in a customer service environment.
• Experience of working as part of a team.

Desirable

• Knowledge of EMIS or other clinical systems.

Skills and Abilities

Essential

• Accurate, thorough attention to detail.
• Ability to communicate effectively with people at all levels by telephone, email and face to face.
• Excellent organisation skills with the ability to work to tight deadlines.
• Proven IT skills including the use of Microsoft office, and other software packages.
• Ability to keep calm under pressure.
• Tact, diplomacy and sensitivity.
• Ability to deal with sensitive issues and maintain strict confidentiality.
• Ability to problem solve and use initiative.
• Reliability and flexibility.

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

Whitstable Medical Practice

Address

Estuary View Medical Centre

Boorman Way

Whitstable

Kent

CT5 3SE

United Kingdom

Employer's website

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

Job description

Job responsibilities

• Primarily this role involves dealing with patient enquiries over the telephone and face-to-face. Booking appointments for all clinics and ensuring the smooth day-to-day running of all clinics.
• Managing the day-to-day running of the busy services by ensuring that all referrals are actioned and booked into available clinics.
• Liaising with a variety of clinicians and solving any issues they face to ensure the best possible patient experience throughout the day.
• Managing the appointment screen and filling any empty/cancellation slots wherever possible.
• Preparing the clinic rooms each morning for clinicians, ensuring they have the necessary paperwork to carry out their clinic on the day.
• To send reports to external practices following clinics to ensure the patients registered GP is informed of the appointment outcome in a timely manner.
• To assist patients with tubing and maintenance of hearing aids where possible.
• Making sure the theatre and clinic rooms are clean and tidy following the departure of the clinician.
• Retrieving information from the E-Referral booking system, booking appointments for a number of clinics and downloading referral letters.
• Taking delivery of various items of stock and storing in the fridges or appropriate secure environment.
• Managing any patient related tasks forwarded to the clinical services reception team by clinicians.
• Working with various clinical IT databases.
• Monitoring the clinical services team email inbox to ensure that any incoming referrals to in-house clinics are actioned promptly.
• Acting on ad-hoc tasks and helping with projects set by the Clinical Services Manager / Deputy Clinical Services Manager to meet the needs of the ever-changing NHS initiatives.
• Pulling and filing notes for patients seen within our cataract service over the weekend.
• Moving equipment to facilitate clinics.
• Collecting the post each morning and afternoon.
• Be familiar with Whitstable Medical Practice protocols and take part in their regular updating.
• Other duties as per doctors instructions as dictated by changes in the nature of the Whitstable Medical Practice.

Person Specification

Qualifications

Essential

• Good general education including minimum Grade C GCSE or equivalent in English Language and Maths or equivalent qualification.

Desirable

• Administration qualification

Experience

Essential

• Previous experience of working in a primary care setting or NHS.
• Previous experience of reception and administration work.
• Experience of working in a customer service environment.
• Experience of working as part of a team.

Desirable

• Knowledge of EMIS or other clinical systems.

Skills and Abilities

Essential

• Accurate, thorough attention to detail.
• Ability to communicate effectively with people at all levels by telephone, email and face to face.
• Excellent organisation skills with the ability to work to tight deadlines.
• Proven IT skills including the use of Microsoft office, and other software packages.
• Ability to keep calm under pressure.
• Tact, diplomacy and sensitivity.
• Ability to deal with sensitive issues and maintain strict confidentiality.
• Ability to problem solve and use initiative.
• Reliability and flexibility.

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

Whitstable Medical Practice

Address

Estuary View Medical Centre

Boorman Way

Whitstable

Kent

CT5 3SE

United Kingdom

Employer's website

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

Job description

Job responsibilities

Main Duties and Responsibilities

Clinical:

· Undertaking patient facing and patient supporting roles to ensure effective medicines use, through shared decision-making conversations with patients.

· Carrying out medicines optimisation tasks including effective medicine administration (e.g. checking inhaler technique), supporting medication reviews and medicines reconciliation. Where required, utilise consultation skills to work in partnership with patients to ensure they use their medicines effectively.

· Supporting medication reviews and medicines reconciliation for new care home patients and synchronising medicines for patient transfers between care settings, linking with local community pharmacists, and referring to the pharmacist for structured medication reviews.

· Providing specialist expertise, where competent, to address both the public health and social care needs of patients, including lifestyle advice, service information, and help in tackling local health inequalities.

· Taking a central role in the clinical aspects of shared care protocols and liaising with specialist pharmacists for more complex patients.

· Supporting initiatives for antimicrobial stewardship to reduce inappropriate antibiotic prescribing.

Audits:

· Provide assistance and support with audits undertaken by the Practice Managers, Partners, Salaried GPs, GP Registrars, Medical Students and the wider Practice Team.

Technical and Administrative:

· Working with the PCN multi-disciplinary team to ensure efficient medicines optimisation, including implementing efficient ordering and return processes and reducing wastage.

· Providing training and support on the legal, safe and secure handling of medicines, including the implementation of the Electronic Prescription Service (EPS).

· Developing relationships with other pharmacy technicians, pharmacists and members of the multi-disciplinary team to support integration of the pharmacy team across health and social care including primary care, community pharmacy, secondary care and mental health.

· Supervising and line managing practice prescribing team in sorting and streaming general prescription requests, so as to allow GPs and clinical pharmacists to review the more clinically complex requests.

· Support implementation of national prescribing policies and guidance within GP Practice, care homes and other primary care settings.

· Supporting Quality Improvement measures and participation in Prescribing Quality Scheme, supporting Quality and Outcomes Framework and enhanced services.

Additional tasks

· Other duties as per Partners instructions as dictated by changes in the nature of the Whitstable Medical Practice.

Person Specification

Experience

Essential

• Previous experience of working in an administrative role
• Experience of working in a busy environment and working to tight deadlines
• Advance knowledge of Microsoft Office applications, including Excel and PowerPoint

Desirable

• Experience of working in a GP Practice or other health care setting
• Working knowledge of Emis, experience in running searches and report; creating and updating templates

Skills and Abilities

Essential

• Accurate, thorough attention to detail with the ability to work quickly with numbers
• Excellent communication, organisation, and problem solving skills, with the ability to work to tight deadlines
• Ability to communicate effectively with people at all levels by telephone, email and face to face
• Proven IT skills including the use of Microsoft office and other software packages
• Able to maintain confidentiality
• Ability to use own initiative, discretion and sensitivity

Desirable

• A team player who is able to promote good practices and motivate others

Qualifications

Essential

• Good general education including minimum Grade C GCSE or equivalent in English Language and Maths or equivalent qualification
• BTEC National Diploma in Pharmaceutical science or NVQ/SVQ Level 3 in Pharmacy Services or National Certificate in Pharmaceutical Science
• Valid registration with General Pharmaceutical Council (GPhC).

Desirable

• Primary Care pharmacy educational pathway (PCPEP)
• Medicines Optimisation in Care Homes (MOCH)

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

Whitstable Medical Practice

Address

Boorman Way

Whitstable

Kent

CT5 3SE

United Kingdom

Employer's website

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

Job description

Job responsibilities

Responsibilities

For Patients:

• Booking appointments face to face and over the phone, undertaking non-clinical triage, and ensuring patients are booked with the right person, in the right place, at the right time.
• Act as first point of contact for patient complaints, attempting resolution before escalating to the Surgery Manager/Deputy Manager.
• Checking patients in for appointments and directing them to the appropriate waiting area.
• Receiving and recording requests for home visits, DN visits, and telephone consultations, and taking messages.
• Giving test results to patients or following up when necessary.
• Completing RIP forms.
• Taking and processing Med3 requests.
• Completing appropriate ELight consultations for patients unable to complete an online consultation themselves, to avoid exclusion.
• Processing and allocating 111 requests.
• Accessing and processing tasks, prioritizing any urgent requests received.
• Processing any urgent laboratory requests received by phone.
• Liaising with care/residential homes to arrange tests or appointments.
• Contacting laboratories to chase, query, or request tests.
• Arranging home visits.
• Assisting patients with general enquiries.

For GPs and the Practice:

• Opening, date-stamping, and distributing post external and internal mail.
• Accessing online consultations and signposting to the right person, place, and time, taking appropriate actions.
• Contacting patients on the doctors behalf to arrange follow-ups, prescription collections, and test results.
• Ordering ambulances as required by GPs.
• Filing prescriptions and recording in the pharmacy book.
• Receiving and recording payments for medicals, insurances, overseas visitors, etc., and filing GP letters.
• Filling envelopes for mailings and printing practice leaflets, new patient questionnaires, change of address forms, etc.
• Monitoring surgeries and clinics.
• Ensuring incoming receptionists are notified of relevant information and outstanding matters.
• Clearing consulting rooms and leaving them tidy for the next surgery.
• Ensuring the post tray is cleared every evening.
• Being aware of practice protocols and taking part in their regular updating.
• Cancelling and amending appointments when clinical staff are absent due to sickness.
• Attending practice training events and completing mandatory training.

For Visiting Consultants, Health Professionals, and Visitors:

• Greeting visitors, asking them to sign the visitors book, informing relevant staff, and directing them to the appropriate location.
• Adding patient lists to visiting consultants on the practice computer system.
• Checking patients in and directing them to the relevant waiting area, staying updated on room usage during each shift.
• Assisting patients and visiting consultants with general enquiries.
• Passing on correct contact information when patients enquire about external clinics.
• Taking deliveries or directing them to the relevant department.

Person Specification

Qualifications

Essential

• GCSE or equivalent in English Language and Maths.

Desirable

• Administration qualification

Experience

Essential

• Previous experience of reception, administration and general office work.
• Experience of working in a customer service environment.
• Experience of working as part of a team.

Desirable

• Experience of dealing with the general public.
• Previous experience of working in a primary care setting or NHS.
• Knowledge of EMIS or other clinical systems.

Skills and Abilities

Essential

• Ability to communicate effectively with people at all levels by telephone, in writing and face to face.
• Accuracy and attention to detail.
• Excellent organisation skills with the ability to multi-task.
• Ability to problem solve and use initiative.
• Ability to keep calm under pressure.
• Able to work well as part of a team.
• Tact, diplomacy and sensitivity.
• Ability to deal with sensitive issues and maintain strict confidentiality.
• Reliability and flexibility.
• Strong IT skills including Microsoft packages.

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

Whitstable Medical Practice

Address

Estuary View Medical Centre

25 Estuary View Business Park

Boorman Way

WHITSTABLE

Kent

CT5 3SE

United Kingdom

Employer's website

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

Job description

Job responsibilities

Primary Duties and Responsibilities

Patient Care:

To work closely with the GPs, primary care and community staff in providing a service for patients ensuring the delivery of treatment, care planning and hospital admission prevention where appropriate.

Undertakes first line comprehensive clinicalassessment of patients, including those with complex presentations, employing an extended scope of practice beyond own profession including advanced clinical assessment skills, referral and interpretation of investigations and independent prescribing.

To undertake advanced history taking and clinical assessment, clinical decision making and management plans including diagnostics for older people living with frailty.

To work closely with the consultant geriatricians, GPs and patients in identifying and devising effective care for each patient recognising them as an individual. The plan of care, which should be developed in conjunction with the patient, carer/family and relevant others, should be outcome based and ensure appropriate pathways of care and communication via liaison and referral to other agencies as required.

To work in conjunction with a wide range of clinical colleagues facilitating a patient or client focused, co-ordinated case management approach across primary and secondary care for people who are most vulnerable to and at high risk of repeat admissions to hospital.

To participate in efforts to shape multi-disciplinary pathways designed to support patient choice, improve quality of life, promote self-management and assure early intervention through the proactive provision of care in or as close to the patients own home as possible.

Requests, reviews and interprets diagnostic investigations within the context of other available information utilising a systematic process of clinical reasoning to formulate a differential diagnosis.

Involves patients, families and carers in the identification of patient-centered concerns and priorities about health and well-being and negotiates approaches available to prevent deterioration or promote comfort and well-being.

Demonstrates empathy and compassion when communicating sensitive information and advice to patients, carers and relatives.

Evaluates the effectiveness of therapeutic interventions and modifies the management plan accordingly.

Adopts an integrated care approach to meeting an individual patients needs across services through collaboration with care teams who refer patients to the service and those who provide on-going care after discharge

Assesses capacity, gains valid informed consent and works within a legal framework with patients who lack capacity to consent to treatment.

Provides guidance to the clinical team with regard to therapeutic interventions, advance care planning and best interest decision-making for patients who lack mental capacity

Recognises deteriorating patients, implements early interventions as needed and escalates care where appropriate.

Empowers patients to manage their long-term conditions as independently as possible.

Applies expert knowledge in palliative care to symptom control, recognition of dying and advance care planning.

Refers to other practitioners and agencies when necessary.

Communication and Working Relationships:

Ensure close liaison with GPs, clinicians, consultant geriatrician, and General Manager in communicating clinical issues.

Facilitates the communication of highly complex information regarding specialist issues on a range of service developments with the Practice and other health and social care professionals. This communication is directed to professional colleagues, across all areas of the health economy and primary care networks in the CCG area.

Advanced communication skills are necessary to communicate with patients to gain consent for treatment within a care pathway. Highly sensitive and confidential information is regularly required to be communicated to patients after clinical and medical results are collated, formulating specific management plans which can be upsetting in nature.

Responsible for developing and maintaining effective communication channels with patient, carers and other health and social care professionals.

Promote empathy, enable sharing of complex multi-professional viewpoints and sensitive handling of confidential information.

Analytical and Judgement:

The ACP will work across the caseload using their clinical skills to identify the needs of patients and the correct services to liaise with.

Advise on the promotion of health and prevention of illness and provide information to individual and groups to prevent ill-health.

To provide specialist assessment of patients, using analytical and judgement skills. To provide appropriate patient centered treatment using evidence based practice wherever possible.

Analyses and interprets highly complex information gained during clinical examination and history taking to diagnose an individuals problems or illness and to decide on an appropriate course of action or treatment.

Analyses and interprets results from tests and investigations to inform diagnosis and treatment.

Able to access and assimilate previous patient records where available.

Identifies evidence based interventions to meet an individuals complex health needs within the context of the overall management plan.

Supports the development of a learning organisation by identifying, challenging and reporting poor performance and alerting managers to resource issues which may affect patient safety.

Training and Development:

Continuous Professional Education: Engage in ongoing professional development through formal courses, workshops, conferences, and e-learning to maintain and enhance clinical expertise in frailty care.

Clinical Supervision and Mentorship: Provide clinical supervision, mentorship, and guidance to junior healthcare professionals, including nurses, trainees, and other allied health staff, fostering a culture of learning within the team.

Knowledge Sharing: Lead and participate in training sessions, case discussions, and in-service education for the primary care team to raise awareness of frailty, advance care planning, management strategies, and best practice guidelines

Role Development: Actively contribute to the development and expansion of the ACP role within the older persons team by identifying new learning needs and areas for service improvement.

Research and Evidence-Based Practice: Stay up-to-date with the latest research, evidence, and best practices in frailty care, and incorporate these findings into both personal practice and team training initiatives.

Collaboration with Academic Institutions: Build relationships with universities or training providers to facilitate learning opportunities for students or apprentices in frailty care.

Audit and Quality Improvement: Participate in audits and quality improvement initiatives to assess the effectiveness of frailty management approaches and use the findings to inform training and development activities.

Personal Reflection and Development Plans: Regularly review personal performance and clinical outcomes, setting development goals and seeking feedback from peers and supervisors to ensure ongoing professional growth.

Safeguarding:

Whitstable Medical Practice is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults; and expects all staff and post holders to share this commitment by understanding their role in effective safeguarding.

Person Specification

Experience

Essential

• Post registration experience gained by undertaking on-going personal development and training.
• Experience of working with people with frailty.
• Experience in assessing older patients, arranging investigations, considering differential diagnoses and implementing management plans.
• Experience underpinned by knowledge of working with and understanding the complex needs of patients in a primary care/community setting.
• Experience of working with long-term conditions.
• Involvement in the implementation and management of change.
• Good understanding of current health care issues.

Desirable

• Training in interpretation of blood results.
• Experience in palliative care or working with people near the end of life.

Skills and Abilities

Essential

• Excellent communication and interpersonal skills.
• Broad range of enhanced clinical skills.
• Ability to advocate patient issues.
• Ability to demonstrate leadership skills.
• Excellent organisation skills including the ability to make decisions and prioritise.
• High degree of autonomy, analytical skills and multidisciplinary knowledge in caring for patients.
• Decision making skills and problem solving skills.
• Ability to understand and interpret information/evidence based care and apply to practice.
• Critical thinking.
• Good IT skills.
• Assertive, adaptable and flexible.
• Empathy and compassion.

Qualifications

Essential

• MSc in Advanced Clinical Practice or equivalent or currently on the ACP MSc pathway.
• Registered Practitioner holding current registration with NMC or HCPC.
• Independent Prescriber.
• Experience working with frailty/older people.

Desirable

• Mentoring qualification.
• Leadership qualification.
• Experience working in the community setting.
• Experience working in care homes.

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

Whitstable Medical Practice

Address

Estuary View Medical Centre

Boorman Way

Whitstable

Kent

CT5 3SE

United Kingdom

Employer's website

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

Job description

Job responsibilities

CLINICAL RESPONSIBILITIES

The post holder will:

• In accordance with the practice timetable, undertake a variety of duties including surgery consultations, urgent appointments, telephone consultations, clinical queries, triage and clinical decision-making.
• Assess, diagnose and manage acute presentations and same day care requirements within agreed clinical pathways.
• Authorise and process repeat prescriptions and respond to associated prescription queries.
• Complete referral letters (NHS and private)
• Make professional and autonomous clinical decisions in relation to presenting problems whether self-referred or referred by other healthcare professionals.
• Maintain accurate, clear and contemporaneous computer-based consultation records in accordance with agreed standards.
• Collect and contribute clinical data for audit and quality improvement purposes.
• Prescribe in accordance with local and national prescribing guidance.
• Participate in safeguarding processes and identify safeguarding concerns appropriately.
• Undertake all duties expected of a GP working within primary care appropriate to the role.

OTHER RESPONSIBILITIES WITHIN THE PRACTICE

The post holder will:

• Contribute to the teaching, support and development of doctors, nurses and wider clinical teams where appropriate.
• Maintain awareness of and compliance with all relevant practice policies and procedures including prescribing, confidentiality, data protection, health and safety, CQC standards and Quality and Outcomes Framework requirements.
• Demonstrate commitment to lifelong learning, reflective practice and evidence-based medicine.
• Maintain a professional appraisal and development portfolio.
• Contribute to audit, evaluation and clinical standard setting within the organisation.
• Support the development and effective use of electronic patient records.
• Attend training, Practice meetings and events organised by the Practice or external agencies as appropriate.
• Meet agreed timescales and deadlines for audits and contractual returns to support achievement of practice quality standards and contractual requirements.

CONFIDENTIALITY

In the course of carrying out duties, the post holder may have access to confidential information relating to patients, carers, practice staff and other healthcare professionals.

All such information must be treated as strictly confidential and handled in accordance with Practice policies, UK GDPR, Data Protection legislation and professional obligations.

Patients entrust the Practice with sensitive information and all staff are expected to respect patient confidentiality and maintain professional standards at all times.

HEALTH AND SAFETY

The post holder will assist in promoting and maintaining their own and others health, safety and security by:

• Following Practice Health and Safety procedures.
• Using workplace security systems appropriately.
• Identifying and managing risks within daily work activities.
• Participating in mandatory training and maintaining competence.
• Applying infection prevention and control procedures.
• Maintaining a safe and tidy working environment.
• Reporting accidents, incidents and near misses in accordance with Practice procedures.

EQUALITY, DIVERSITY AND INCLUSION

The post holder will:

• Support equality, diversity and inclusion across the Practice
• Respect the privacy, dignity, needs and beliefs of patients, carers and colleagues.
• Work in accordance with Practice policies and current legislation.
• Promote equitable access and inclusive patient care.

PERSONAL AND PROFESSIONAL DEVELOPMENT

The post holder will:

• Maintain continued professional development and fulfil appraisal and revalidation requirements.
• Participate in annual performance and development reviews.
• Take responsibility for maintaining professional registration and competency.
• Support learning and development activities across the Practice where appropriate.

QUALITY AND CLINICAL GOVERNANCE

The post holder will:

• Contribute to clinical governance, quality improvement and risk management activities.
• Participate in Significant Event Analysis and learning reviews.
• Reflect on individual and team performance and identify opportunities for improvement.
• Work collaboratively with external organisations and multidisciplinary teams.
• Effectively manage workload, time and resources while contributing positively to team performance.

COMMUNICATION

The post holder will:

• Communicate effectively and professionally with colleagues and external agencies.
• Communicate sensitively and effectively with patients and carers.
• Recognise and support alternative communication needs where required.
• Contribute to effective multidisciplinary working.

CONTRIBUTION TO SERVICE DEVELOPMENT

The post holder will:

• Apply Practice policies, standards and guidance consistently.
• Participate in audit and service improvement activities.
• Work with Partners and the Management Team to achieve agreed standards, performance measures and objectives.
• Support implementation of new policies, procedures and service developments in line with NHS England, the Integrated Care Board (ICB) and relevant legislation.

SAFEGUARDING

Whitstable Medical Practice is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults.

All staff and post holders are expected to understand their safeguarding responsibilities, maintain appropriate training and act in accordance with local safeguarding procedures and Practice policies.

Person Specification

Experience

Essential

• Excellent communication and interpersonal skills.
• Ability to work as part of a team.
• Ability to work with limited supervision.
• Willingness to contribute to and participate in a peer support group.
• Good IT skills and familiarity with primary care clinical systems.

Desirable

• Understanding of the pressures faced by GPs and healthcare teams.
• Ability to offer support within a clinical team and share learning points.

Qualifications

Essential

• Qualified GP
• Current GMC Registration
• Appropriate representation with a recognised Medical Defence Organisation.

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

Whitstable Medical Practice

Address

Chestfield Medical Centre

Reeves Way

Whitstable

Kent

CT5 3QU

United Kingdom

Employer's website

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

Job description

Job responsibilities

Scope of Advanced Practice Four Pillars 1. Clinical Practice

The ANP will demonstrate expert clinical judgement, autonomous decision-making and advanced clinical skills.

• Undertake comprehensive history taking, clinical assessment, examination and diagnosis.
• Assess and manage patients presenting with acute, chronic, minor illness and complex conditions.
• Independently formulate treatment plans and deliver evidence-based interventions.
• Prescribe safely and effectively within scope of practice and prescribing qualification.
• Request, interpret and act on diagnostic investigations and test results.
• Identify deterioration and manage clinical risk appropriately.
• Refer patients to secondary care, community services and allied professionals where required.
• Deliver same-day urgent care and telephone triage services.

• Deliver basic and advanced nursing interventions.
• Perform wound care and management.
• Undertake venepuncture and ECG recording.
• Fit and monitor 24-hour ECG and blood pressure monitoring equipment.
• Administer vaccinations and immunisations in accordance with national guidance.
• Undertake cervical cytology where trained.
• Deliver family planning and sexual health services where competent.
• Support chronic disease management including asthma, diabetes, cardiovascular disease and respiratory conditions.
• Undertake INR monitoring and spirometry where appropriately trained.
• Deliver travel health services where required.
• Support achievement of Quality and Outcomes Framework (QOF) objectives.

• Ensure accurate and timely recording of clinical data within practice clinical systems.
• Maintain familiarity with GMS/PMS contractual requirements.
• Maintain emergency equipment and clinical stock.
• Ensure safe storage and management of medicines.
• Adhere to treatment room protocols and infection prevention standards.
• Act as a chaperone in accordance with Practice policy.
• Maintain patient dignity, confidentiality and person-centred care.

Service requirements may evolve to meet operational demands including seasonal vaccination programmes and service redesign.

The ANP will contribute to effective leadership and delivery of high-quality services.

• Act as a clinical role model and advocate for advanced nursing practice.
• Support development and implementation of practice objectives.
• Participate in service redesign and continuous improvement initiatives.
• Lead and support clinical governance, patient safety and risk management.
• Contribute to audit and quality improvement programmes.
• Support operational effectiveness and workforce planning.
• Participate in multidisciplinary meetings and collaborative working.
• Promote equality, diversity and inclusion.
• Support implementation of local and national healthcare priorities.

The ANP will support learning, professional development and knowledge sharing.

• Support and supervise student nurses and junior colleagues.
• Provide mentorship, coaching and clinical supervision where appropriate.
• Facilitate development of nursing and multidisciplinary teams.
• Deliver patient education and self-management support.
• Participate in teaching and educational activities.
• Maintain personal Continuing Professional Development (CPD).
• Participate in appraisal and professional revalidation processes.
• Maintain competence and develop specialist clinical skills.

The ANP will contribute to evidence-based practice and service improvement.

• Apply current evidence and clinical guidance to practice.
• Participate in clinical audit and service evaluation.
• Support quality improvement initiatives.
• Monitor and evaluate patient outcomes.
• Contribute to practice data collection and reporting.
• Support implementation of research findings into practice.
• Maintain awareness of developments in advanced clinical practice.

• Practise in accordance with the Nursing and Midwifery Council Code and maintain current registration.
• Work within professional competence and scope of practice.
• Remain accountable for all clinical decisions and actions.
• Seek support and escalate concerns appropriately.
• Comply with Information Governance, Health and Safety, Infection Prevention and Control and Practice policies.
• Maintain professional standards and contribute positively to team culture.

Whitstable Medical Practice is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults.

All staff are expected to:

• Understand and fulfil safeguarding responsibilities.
• Maintain safeguarding training requirements.
• Identify and escalate safeguarding concerns in accordance with Practice policy.

Person Specification

Qualifications

Essential

• Registered General Nurses with NMC registration.
• Master's level qualification in Advance Clinical Practice/Advanced Nurse Practitioner.
• Independent Prescriber qualification.
• Evidence of ongoing CPD and professional development.

Skills and Abilities

Essential

• Advanced consultation and diagnostic skills.
• Excellent communication and interpersonal skills.
• Sound clinical judgement and decision-making ability.
• Strong organisational and leadership capability.
• Competence using clinical systems and maintaining accurate records.
• Ability to manage complexity and uncertainty.
• Flexible and adaptable approach.
• Ability to remain calm under pressure.
• Commitment to continuous improvement and professional development.

Desirable

• Understanding of population health and preventative care.
• Experience supervising staff and students.

Experience

Essential

• Significant post-registration nursing experience.
• Experience working within Primary Care or General Practice.
• Experience of autonomous clinical assessment and decision-making.
• Experience managing acute and long-term conditions.

Desirable

• Knowledge of EMIS.
• Experience leading service improvement or audit.

Experience

Essential

• Significant post-registration nursing experience.
• Experience working within Primary Care or General Practice.
• Experience of autonomous clinical assessment and decision-making.
• Experience managing acute and long-term conditions.
• Experience in: lNR Monitoring, I.E COPD/Respiratory care, Spirometry and chronic disease management.

Desirable

• Knowledge of EMIS.
• Experience leading service improvement or audit.
• Spirometry

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

Whitstable Medical Practice

Address

Estuary View Medical Centre

Boorman Way

Whitstable

Kent

CT5 3SE

United Kingdom

Employer's website

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

Job description

Job responsibilities

Job Summary

The post holder will demonstrate courageous and critical thinking and is a caring, compassionate and committed experienced clinician who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within general practice and Urgent Treatment Centre. They will work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing leadership as required.

1) Scope and Purpose of the Role

• To deliver a high standard of patient care as an Advanced Clinical Practitioner in a Primary Care and/or Urgent Treatment Centre, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base.
• To have the confidence to work alone without direct supervision.
• To manage a clinical caseload, dealing with presenting patients needs in a primary care/Urgent Treatment Centre setting.

2) Job Dimensions

• To manage own clinical workload in general practice responding effectively to patient need and ensuring patient choice and ease of access to services.
• The development and use of referral pathways for ACPs to the local acute NHS Trust services to Diagnostic and Treatment Centres.
• To mentor and support other clinician in developing and maintaining clinical skills.

3) Knowledge, Skills and Experience Required

See Person Specification.

4) Primary Duties and Areas of Responsibility

Clinical Role

• Provide a first point of contact within the practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.
• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients.
• Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly.
• Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long term condition.
• Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports, e.g. x-ray.
• Recognise and work within own competence and professional code of conduct seeking advice when required and referring onto relevant health professionals.
• Prescribe and review safe, effective and appropriate medication as defined by current legislative framework.
• Assess, identify and refer patients presenting with mental health needs.
• Produce accurate, contemporaneous and complete records of patient consultation consistent with legislation, policies and procedures.
• Provide safe, evidence-based, cost-effective, individualised patient care.
• Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care.
• Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills.
• Deliver care according to NICE guidelines, local guidelines and evidence based care.
• Refer patients directly to other services/agencies as appropriate.
• Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery.

Teaching and Mentoring Role

Promote a learning environment for patients, nurses and other health professionals.

Contribute to the planning and implementation of the teaching for existing staff, such as medical students, NP students, GP Registrars and Health Care Assistants within the practice.

Delegate clearly and appropriately adopting the principles of safe practice and assessment of competence.

Create clear referral mechanisms to meet patient needs.

Support staff development in order to maximise potential.

Professional Role

• Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
• Monitor the effectiveness of your own clinical practice through the quality assurance strategies such as the use of audit and peer review.
• Maintain professional registration.
• Participate in continuing professional development opportunities to ensure that up to date evidence-based knowledge and competence in all aspect of the role is maintained.
• Work within the latest Code of Professional Conduct for your professional body.
• Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards.
• Keep up-to-date with relevant health related policy and work with the practice team to consider the impact and strategies for implementation.
• Work collaboratively with colleagues within and outside the practice.

Safeguarding:

Whitstable Medical Practice is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults; and expects all staff and post holders to share this commitment by understanding their role in effective safeguarding.

Person Specification

Experience

Essential

• Experience of working either in an Accident and Emergency, Minor Injuries Unit or General Practice.
• Taking history from a patient.
• Has an understanding of local and national issues relating to urgent care.
• Up to date knowledge of DH and NICE guidance.

Desirable

• Some knowledge in the management of minor illness/injury.
• Fracture management/manipulation and simple plastering.
• Suturing and wound closure (maintaining aspetic technique).

Skills and Abilities

Essential

• Assessment skills.
• Good decision making, communication and organisation skills.
• Excellent interpersonal skills with the ability to work effectively with people at all levels.
• Good IT skills to enable accurate recording of consultations.
• Committed to self-directed development.
• Assertive, adaptable and flexible.
• A team player.
• Enthusiasm and energy.

Desirable

• Understanding of chronic disease presentations for primary care including heart disease, diabetes, hypertension, asthma, chronic lung disease.
• Understanding of vaccinations and immunisations for children and adults.
• IT skills to perform library searches enabling enhancement of theoretical knowledge.

Qualifications

Essential

• Experience working in either Accident and Emergency / Minor Injuries or GP practice.
• Registered with NMC or HCPC.
• Experience in assessment, diagnosis and management of patients.
• Independent Nurse Prescribing/Non Medical Prescribing qualification.

Desirable

• Emergency Nurse practitioner course.
• Accident and Emergency course or Enhanced Clinical Examination or Consultation Module. Minor injuries and Minor Illness course. Independent Nurse Prescribing.
• Primary Care experience.
• Mentorship/and or Leadership.

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

Whitstable Medical Practice

Address

Estuary View Medical Centre

Boorman Way

Whitstable

Kent

CT5 3SE

United Kingdom

Employer's website

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