Advanced Clinical Practitioner

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.

Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.

Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs. Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)

Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan.

Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.

Work with patients in order to support compliance with and adherence to prescribed treatments Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.

Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care.

Complete requisite daily clinical administration. (Documents/Labs/Prescriptions).

Complete on call duties as necessary.

post holder will demonstrate courageous and critical thinking and is a caring,

compassionate and committed experienced nurse 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 the general practice. The post holder will commit to

demonstrating critical thinking in the safe clinical decision-making process.

They will communicate and work collaboratively with the general practice team

to meet the needs of patients, supporting the delivery of policy and

procedures, and providing nurse leadership as required.

Practice

Assess,

diagnose, plan, implement and evaluate treatment or interventions and care for

patients presenting with an undifferentiated diagnosis.

examine and assess patient needs from a physiological and psychological

perspective, and plan clinical care accordingly.

Assess,

diagnosis, plan, implement and evaluate interventions/treatments for patients

with complex needs. Proactively identify, diagnose, and manage treatment plans

for patients at risk of developing a long-term condition (as appropriate)

Diagnose

and manage both acute and chronic conditions, integrating both drug- and

non-drug-based treatment methods into a management plan.

Prescribe

and review medication for therapeutic effectiveness, appropriate to patient

needs and in accordance with evidence-based practice and national and practice

protocols, and within scope of practice.

with patients in order to support compliance with and adherence to prescribed

treatments

Provide information and advice on prescribed or over-the-counter medication on

medication regimens, side-effects and interactions.

Prioritise

health problems and intervene appropriately to assist the patient in complex,

urgent or emergency situations, including initiation of effective emergency

care.

patients to adopt health promotion strategies that promote healthy lifestyles,

and apply principles of self-care.

and manage health needs of women presenting for family planning, cervical

cytology or sexual health consultation.

Assess,

identify, and refer patients presenting with mental health needs in accordance

with the National and Local Guidelines for Mental Health.

Implement

and participate in vaccination and immunisation programmes for both adults and

children.

Advise,

support, and administer vaccinations for patients travelling abroad, where

appropriate.

Promote

and deliver evidence-based care for patients presenting with aural conditions.

Meet

the needs of patients presenting for opportunistic wound care.

Utilise

and demonstrate sensitive communication styles, to ensure patients are fully

informed and consent to treatment.

with and support patients who are receiving bad news

effectively with patients and carers, recognising the need for alternative

methods of communication to overcome different levels of understanding,

cultural background, and preferred ways of communicating.

Anticipate

barriers to communication and take action to improve communication.

Maintain

effective communication within the practice environment and with external stakeholders.

Act

as an advocate for patients and colleagues.

Ensure

awareness of sources of support and guidance (eg PALS) and provide information

in an acceptable format to all patients, recognising any difficulties and

referring where appropriate.

Delivering

a Quality Service

Recognise

and work within own competence and professional code of conduct as regulated by

the NMC.

accurate, contemporaneous, and complete records of patient consultation,

consistent with legislation, policies and procedures.

Prioritise,

organise, and manage own workload in a manner that maintains and promotes

quality.

Deliver

care according to National and Local Guidelines, NICE guidelines, and

evidence-based care.

Assess

effectiveness of care delivery through self and peer review, benchmarking and

formal evaluation.

Initiate

and participate in the maintenance of quality governance systems and processes

across the organisation and its activities.

Utilise

the audit cycle as a means of evaluating the quality of the work of self and

the team, implementing improvements where required.

In

partnership with other clinical teams, collaborate on improving the quality of

health care responding to local and national policies and initiatives as

appropriate.

Evaluate

patients response to health care provision and the effectiveness of care.

Support

and participate in shared learning across the practice and wider organisation.

Use

a structured framework (eg root-cause analysis) to manage, review and identify

learning from patient complaints, clinical incidents and near-miss events.

Assess

the impact of policy implementation on care delivery.

with the practice management monitor and develop the performance of the GPN

team in accordance with local policies.

Contribute to the appraisal of the performance

of the team, providing feedback as appropriate.

Understand

and apply legal issues that support the identification of vulnerable and abused

children and adults, and be aware of statutory child/vulnerable patients health

procedures and local guidance.

with practice management to ensure the whole team have skills and knowledge

regarding domestic violence, vulnerable adults, substance abuse and addictive

behaviour. Provide guidance and support to ensure appropriate referral if

required .

Act

as a clinical leader in the delivery of practice nursing services ensuring that

the needs of the patient are a priority.

Take

responsibility for own learning and performance including participating in

clinical supervision and acting as a positive role model.

Support

staff development in order to maximise potential.

Actively

promote the workplace as a learning environment, encouraging everyone to learn

from each other and from external good practice.

Encourage

others to make realistic self-assessment of their application of knowledge and

skills, challenging any complacency or actions that are not in the interest of

the public and/or users of services.

Critically

evaluate and review innovations and developments that are relevant to the area

of work.

We are a practice close to historic Shrewsbury town centre

with easy access to the motorway network. We are a forward thinking practice

with 10,000 patients and are committed to providing them with high quality

care.

We are a close working team which comprises of 4 GP

partners, two salaried GPs, 2 Advanced Clinical Practitioners, 2 Practice

Nurses, 1 Nurse Associate, 1 General Practice Assistant, and a team of dedicated

administrative staff who support our clinical team on a daily basis. We also

have a range of Primary Care Network Advanced Role staff that support us.

We have an experienced and very supportive administrative

team led by our Practice Manager

We use Emis Web and Anima

We are part of Shrewsbury Primary Care Network and Darwin

Health Ltd.

Qualifications

Experience

Desirable: - Evidence of teaching, supervision and mentoring