Urgent Care Practitioner (UCP)

The post holder will be an

experienced registered clinician, able to assess, diagnose, treat, refer and

discharge patients with undifferentiated urgent care presentations. They will

work within their professional registration, agreed scope of practice, NEMS

policies and local clinical pathways.

Telephone consultations will

usually be undertaken within Integrated Urgent Care Services. Following

induction, and where agreed by the service, some telephone consultation work

may be undertaken remotely from home, provided that the post holder is meeting

agreed KPIs, quality standards, governance requirements and information

governance expectations.

Face-to-face work will include

assessment and management of patients presenting to NEMS urgent treatment

services. The post holder will be expected to recognise serious illness,

clinical deterioration, safeguarding concerns, mental health risk and presentations

requiring escalation or transfer to another service.

The role will ideally include a

mix of telephone and face-to-face work. Multisite working may be agreed,

although some NEMS locations provide both from the same base. The post holder

will also contribute to learning, audit, incident review and service improvement,

ensuring that care remains safe, effective, patient centred and financially

sustainable.

Clinical Practice and

Service Delivery

Work as an autonomous Urgent Care

Practitioner across NEMS urgent care services, providing both telephone and

face-to-face consultations.

Assess, examine, diagnose, treat and safely

discharge or refer patients with undifferentiated urgent care presentations.

Make safe decisions around admission,

transfer, referral, follow-up and safety-netting, working within professional

competence and agreed local pathways.

Recognise and act on serious illness,

clinical deterioration, safeguarding concerns, mental health risk and

presentations that require escalation to another service.

Request and interpret appropriate

investigations, including blood tests, urine tests, ECGs and imaging, in line

with local policy, competence and relevant regulations.

Prescribe, review and advise on medicines

within the post holders independent non-medical prescribing qualification,

professional competence and agreed scope of practice.

Maintain clear, accurate and timely

clinical records, including assessment findings, clinical reasoning, advice

given, decisions made and onward plans.

Telephone Consultations

Undertake telephone consultations within

Integrated Urgent Care Services, using safe clinical assessment,

decision-making and documentation.

Recognise the limitations of remote

assessment and arrange face-to-face review, ED attendance, ambulance response

or other escalation where clinically required.

Provide clear advice and safety-netting to

patients and carers, ensuring that the plan is understood and documented.

Undertake remote work from home where

agreed after induction, provided that performance, KPIs, quality standards

and information governance requirements are being met.

Face-to-Face Urgent Care

Undertake face-to-face consultations across

NEMS urgent care services, including assessment of minor illness, minor

injury and other appropriate urgent care presentations.

Carry out clinical procedures where

trained, competent and required for patient care.

Provide safe clinical handover to ED,

specialties, GPs, community services or other colleagues where ongoing care

is required.

Support patient flow, streaming and

redirection decisions where this forms part of the service model.

Team Working and Clinical

Support

Work as an experienced member of the

clinical team, supporting colleagues and the safe running of the service.

Provide advice and support to trainees,

nurses, AHPs, UCAs and non-registered staff within own competence.

Support induction, learning and competency

development where appropriate.

Escalate clinical or operational concerns

early, particularly where patient safety, staffing, flow or professional

practice may be affected.

Address unsafe practice or poor behaviour

in a professional and proportionate way, escalating concerns where required.

NEMS Community Benefit Services (NEMS) is a not-for-profit social enterprise and a Company Limited by Guarantee. It has been operating in Nottinghamshire for over 25 years, now providing a population of more than 1.2 million with urgent primary health care services. It operates out of 2 registered locations and four bases and deploys a team of more than 370 healthcare professionals, including 150+ sessional GPs, 90+ substantive staff, 30+ agency workers, and 140+ non-healthcare staff.

NEMS provides services to a population of circa 1.2 million under the following service portfolio headings;

The Board of Directors comprises non-executive Member directors and executive directors and is responsible for overall strategy and governance of the organisation. The Board of Directors is supported by two sub-committees Quality and People Committee and Finance and Performance Committee. An Operational Executive Team, comprising Executive Board Directors, together with other senior leaders, is being established to oversee the smooth running of the day-to-day activities of NEMS.

Qualifications

Skills and Abilities

Experience

Knowledge

Other