Job Description
Advanced Clinical Practitioner (Nurse)
Hindley Primary Care Network
The closing date is 4th April 2023
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Job summary
We are recruiting an Advanced Clinical Practitioner from a nursing background to join our multi-disciplinary PCN team on a part or full time basis.
In this role, you will assess diagnosis, plan, and implement programmes of evidenced-based care for primary care patients, undertaking re-evaluation and implementation of treatment plans as appropriate. In addition, you will ensure interventions are undertaken in line with best practice guidance and use advanced skills appropriate to the role, ensuring clinical competencies are maintained in accordance with framework for advanced clinical practice.
You will need to hold a Postgraduate qualification within your clinical discipline, together with the certification to prescribe.
Main duties of the job
The ideal candidate will act as an autonomous practitioner working independently and in conjunction with other health care professionals to assess, diagnose and treat the conditions of patients attending clinics and initiating direct referrals as appropriate. You will be required to work from Hub locations seeing and treating as appropriate patients from across our 6 member practices.
You will preferably have prior experience in a Primary Care setting with the ability to make professionally autonomous decisions. You will hold clinics for patients with undifferentiated and undiagnosed problems and make an assessment of their health care needs, based on highly-developed knowledge and skills, including skills such as physical examination, applied pharmacology and evidence-based prescribing.
About us
Hindley Primary Care Network is a PCN consisting of 6 practices with a total patient population of 53,000 patients
We are an innovative group of practices putting excellent patient care at the forefront of everything we do.
We work closely with our member practices, Primary Care Networks, and other healthcare providers to make sure that care is responsive to the needs of our populations and that Primary Care can adapt to the rapidly changing healthcare landscape in the NHS.
Health First ALW CIC is Social Enterprise Community Interest Company limited by guarantee. We are working in collaboration with Hindley PCN to employ and host PCN staff. We provide high quality local services within communities. We pride ourselves on innovation and flexibility of locations and methods to deliver high-quality, accessible healthcare.
The successful applicant will be employed by Health First CIC and will work within Hindley Primary Care Network. A primary care network (PCN) consists of groups of general practices working together with a range of local providers, including primary care, community services, social care and the voluntary sector, to offer more personalised, coordinated health and social care to their local populations.
Job description
Job responsibilities
Clinical Practice
Health and care professionals working at the level of advanced clinical practice should be able to:
Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions, and omissions at this level of practice.
Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty, and incomplete information.
Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
Work in partnership with individuals, families, and carers, using a range of assessment methods as appropriate (e.g., of history-taking; holistic assessment; identifying risk factors; mental health
Demonstrate effective communication skills, supporting people in making decisions, planning care, or seeking to make positive changes, using Health Education England’s framework to promote person-centred approaches in health and care.
Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.
Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care.
Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families, and carers.
Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining, and evaluating links to manage risk and issues across organisations and settings.
Function as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies, and networks.
Evidence the underpinning subject-specific competencies i.e., knowledge, skills, and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope.
Leadership and Management
Health and care professionals working at the level of advanced clinical practice should be able to:
Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working.
Role model the values of their organisation/place of work, demonstrating a person-centred approach to service delivery and development.
Evaluate own practice, and participate in multi-disciplinary service and team evaluation, demonstrating the impact of advanced clinical practice on service function and effectiveness, and quality (i.e., outcomes of care, experience, and safety).
Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.
Lead new practice and service redesign solutions in response to feedback, evaluation, and need, working across boundaries and broadening sphere of influence.
Actively seek feedback and involvement from individuals, families, carers, communities, and colleagues in the co-production of service improvements.
Critically apply advanced clinical expertise in appropriate faciliatory ways to provide consultancy across professional and service boundaries, influencing clinical practice to enhance quality, reduce unwarranted variation and promote the sharing and adoption of best practice.
Demonstrate team leadership, resilience, and determination, managing situations that are unfamiliar, complex, or unpredictable and seeking to build confidence in others.
Continually develop practice in response to changing population health need, engaging in horizon scanning for future developments (e.g., impacts of genomics, new treatments and changing social challenges).
Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals, families, carers, communities and colleagues safety and well-being when necessary.
Negotiate an individual scope of practice within legal, ethical, professional, and organisational policies, governance, and procedures, with a focus on managing risk and upholding safety.
Education
Health and care professionals working at the level of advanced practice should be able to:
Critically assess and address own learning needs, negotiating a personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice.
Engage in self-directed learning, critically reflecting to maximise clinical skills and knowledge, as well as own potential to lead and develop both care and services.
Engage with, appraise, and respond to individuals motivation, development stage and capacity, working collaboratively to support health literacy and empower individuals to participate in decisions about their care and to maximise their health and well-being.
Advocate for and contribute to a culture of organisational learning to inspire future and existing staff.
Facilitate collaboration of the wider team and support peer review processes to identify individual and team learning.
Identify further developmental needs for the individual and the wider team and supporting them address these.
Supporting the wider team to build capacity and capability through work-based and interprofessional learning, and the application of learning to practice
Act as a role model, educator, supervisor, coach and mentor, seeking to instil and develop the confidence of others.
Research
Health and care professionals working at the level of advanced clinical practice should be able to:
Critically engage in research activity, adhering to good research practice guidance, so that evidence-based strategies are developed and applied to enhance quality, safety, productivity, and value for money.
Evaluate and audit own and others clinical practice, selecting and applying valid, reliable methods, then acting on the findings.
Critically appraise and synthesise the outcome of relevant research, evaluation, and audit, using the results to underpin own practice and to inform that of others.
Take a critical approach to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and organisations to these and how they might be addressed in a safe and pragmatic way.
Actively identify potential need for further research to strengthen evidence for best practice. This may involve acting as an educator, leader, innovator, and contributor to research activity and/or seeking out and applying for research funding.
Develop and implement robust governance systems and systematic documentation processes, keeping the need for modifications under critical review.
Disseminate best practice research findings and quality improvement projects through appropriate media and fora (e.g., presentations and peer review research publications).
Person Specification
Essential:
Desirable:
Physical requirements:
Able to undertake the requirements of the post
Reliable
Flexible
Excellent attendance record
Knowledge/ Qualifications:
Registered Nurse (NMC)
Current registration
Relevant degree (MSc/postgrad diploma) or equivalent e.g. RCN Advanced Nursing Practice Accreditation
Independent non-medical prescriber, or working towards, or proven ability to use Patient Group Directions
Mentorship qualification
Experience:
Minimum 2 years in current role
Evidence of working autonomously, with some support and supervision
First contact care
Proven ability to evaluate the safety and effectiveness of own clinical practice
Experience of working in Primary Care
Essential:
Desirable:
Skills/ Competencies
Awareness of accountability of own role & that required of a Registered Practitioner
Ability to assess & manage patient risk effectively & safely
Good communication (oral & written) and inter-personal skills
Keyboard skills
Change management skills & ability to support patients to change lifestyle
Ability to form good working relationships with a multi-disciplinary team
Ability to listen and empathise
Understanding of evidence-based practice
Ability to organize & prioritise workload
Demonstrable evidence and commitment to professional development
Mentorship experience
Qualities/ Attributes
Ability to work independently
Awareness of own sphere of competence & level of support required to practice safely
Ability to work as a team player
Other:
Current UK/EU driving license
Motivated and enthusiastic
Effective time-management skills
Self-directed
Team player
Able to work at the desired times
Flexibility of hours for cover
- Please refer to the attached document
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
Job Types: Full-time, Part-time, Permanent
Part-time hours: 37.5 per week
Salary: From £48,526.00 per year
Benefits:
Schedule:
Ability to commute/relocate:
- Hindley, Greater Manchester: reliably commute or plan to relocate before starting work (required)
Licence/Certification:
Work Location: In person
Application deadline: 04/04/2023
Reference ID: ACP Hindley
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