Advanced Practitioner

Communication

• Utilise and demonstrate sensitive communication styles, to ensure patients and their families are fully informed and consent to treatment.
• Communicate 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 for patients, relatives and work colleagues, providing information in an acceptable format, recognising any difficulties and referring where appropriate.
• Motivate staff to achieve personal and departmental targets and standards.
• Work as part of a wider team to ensure that the care of people living with Frailty is based on relevant best practice guidance including NSFs and NICE guidance and ICB policies.

Analytical Tasks

• Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information.
• Review and process data using accurate SNOMED codes for easy and accurate information retrieval for monitoring and audit processes.
• Manage information searches using the internet and local library databases.
• Understand responsibility of self and others to the practice and primary care trust regarding the Freedom of Information Act.
• Present clinical data and information to the MDT team to agree patient pathway.

Physical Skills

• Able to travel across sites and South Wirral footprint.
• Work is physically challenging and will include physical examination of patients, lifting and handling of patients and equipment.
• Undertake a range of diagnostics including ECG and phlebotomy and near patient testing as appropriate.
• Keyboard skills; knowledge of electronic care records and mobile working, databases, spreadsheet, email, word processing, presentation, Internet, Intranet and clinical software systems.

Responsibility for Patient Care

• Recognise and work within own competence and professional code of conduct as regulated by the HCPC.
• Produce 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 NSF, 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.
• 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.

Clinical Practice Specific

• Clinically examine and assess patient needs from a physiological and psychological perspective, and develop person-centred and holistic plans of clinical care accordingly.
• Assess, diagnose, plan, implement and evaluate interventions-treatments for patients with complex needs seeking advice as appropriate.
• Prescribe and review medication within personal ability 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 and working with multiple stakeholders to ensure best patient care.
• Support patients and their families to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care.
• Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health.