Advanced Clinical Practitioner

• Provide advanced assessment, clinical examination, formulation of differential diagnoses and management of patients in both the practice and the patients residence.
• Manage clinical complexity, risk and uncertainty, including recognising red flags, deterioration and the need for urgent or emergency escalation.
• Support education, supervision and development of colleagues and learners within the post holder's competence.
• Use evidence, audit, data and critical appraisal to improve care and reduce unwarranted variation.
• Maintain professional development, evidence of capability and a clearly documented advanced practice.
• Request, interpret and act on appropriate investigations within competence and local pathways.
• Develop, agree and review personalised treatment and management plans using shared decision-making and safety-netting.
• Prescribe medicines independently where appropriately qualified, registered and authorised, in accordance with legislation, evidence and local formulary guidance.
• Refer to and collaborate with GPs, community, secondary care, pharmacy, mental health, social care and other services as clinically appropriate.
• Provide clinical leadership, support quality improvement and contribute to safe service development.

• Exercise autonomous clinical judgement to develop and evaluate differential diagnoses, including where presentations are atypical, uncertain or complex.
• Initiate and interpret investigations, using results to inform diagnosis, treatment, monitoring, referral or escalation.
• Provide evidence informed management of acute presentations, long-term conditions and multimorbidity.
• Recognise significant illness, safeguarding concerns and clinical deterioration; initiate immediate management and escalate appropriately.
• Use shared decision making to explain options, benefits, risks and uncertainties, respecting a patient's values, preferences and capacity.
• Provide clear safety netting and follow up arrangements, including advice on when and how to seek urgent help.
• Make appropriate referrals and provide high quality clinical information to support continuity of care.
• Promote prevention, self-management, vaccination, screening and healthy lifestyle interventions where appropriate.
• Maintain accurate, contemporaneous clinical records that clearly demonstrate assessment, reasoning, decisions, advice, follow up and escalation.

• Undertake medicines reconciliation and medication review where appropriate, considering interactions, contraindications, monitoring, adherence and patient preference.
• Use national and local guidance, antimicrobial stewardship principles and formulary arrangements to support safe and cost-effective prescribing.
• Recognise and report adverse drug reactions, medication incidents and prescribing concerns through appropriate systems.
• Where not independently qualified to prescribe, work within the appropriate legal and local medicines framework and do not act beyond authorised mechanisms.

• Work within competence and recognise when a presentation requires support, a second opinion, GP review, specialist advice or transfer of care.
• Participate in clinical supervision and professional support arrangements appropriate to the role and level of practice.
• Report and contribute to learning from incidents, near misses, complaints, significant events and patient safety concerns.
• Comply with practice policies for safeguarding, infection prevention and control, information governance, consent, chaperoning, medicines management and health and safety.
• Use professional curiosity and appropriate escalation where abuse, neglect, coercion, exploitation or risks to children or adults are suspected.
• Support audit, clinical assurance, inspection readiness and implementation of learning from governance activity.

• Promote effective multidisciplinary working, respectful challenge and clarity of professional roles and responsibilities.
• Support improvements to clinical pathways, access, continuity, population health and use of practice resources.
• Identify unwarranted variation, clinical risk or system problems and work with colleagues to develop proportionate solutions.
• Contribute to practice meetings, service planning, policy development and implementation where relevant to the role.
• Support a culture in which staff can raise concerns, learn from errors and contribute to improvement.
• Manage workload responsibly, prioritising clinical need while recognising the impact of capacity and operational pressures on safety.

• Participate in appraisal, supervision, continuing professional development and learning relevant to the role.
• Share knowledge with colleagues through case discussion, teaching, coaching, clinical supervision or structured learning where competent to do so.
• Support learners and developing clinicians within agreed supervision arrangements and escalate concerns about competence or patient safety.
• Reflect on feedback, outcomes, incidents and evidence to identify individual learning needs and changes to practice.

• Participate in clinical audit, service evaluation and quality improvement activity relevant to the practice population.
• Use data and feedback to identify opportunities to improve safety, experience, effectiveness, equity and outcomes.
• Contribute to implementation and evaluation of evidence informed change, sharing learning with the wider team.
• Participate in research activity where appropriate, ensuring relevant governance, consent and ethical requirements are met.

• Work collaboratively with patients, carers and professionals while maintaining confidentiality and appropriate information sharing.
• Provide clear clinical handovers and referrals, ensuring responsibility for follow-up is understood.
• Promote continuity and coordinated care for people with complex needs, including effective liaison across organisational boundaries.
• Address disagreement or uncertainty professionally and escalate concerns where patient safety may be compromised.

• Treat patients, carers and colleagues with dignity, fairness and respect.
• Recognise and seek to reduce health inequalities and barriers to access, experience and outcomes.
• Support reasonable adjustments and inclusive communication.
• Challenge discriminatory behaviour and practice through appropriate routes.
• Consider the wider determinants of health when assessing need and planning care.

• We communicate with kindness, professionalism and fairness.
• We celebrate diversity, build people up and look after one another.
• We lead with compassion, solve problems constructively and share success.

Essential

• Substantial post-registration experience, including experience of autonomous assessment and management of undifferentiated or complex presentations.
• Experience of working in general practice, urgent care, community care or a closely comparable autonomous clinical setting.

Essential

• Current registration with the appropriate UK healthcare professional regulator, with no restriction incompatible with the role.
• Master's level award in Advanced Clinical Practice/Advanced Practice or documented equivalent recognition/capability consistent with the relevant national framework and employer governance.
• Independent prescribing qualification and current prescribing competence where prescribing forms part of the role.