Portfolio ACP / ANP - Greater Manchester OOH & Urgent Care Services in Oldham

Full-time, Part-time and Bank Advanced Clinical Practitioner. £55,157 to £68,544, yearly salary increments, NHS Pension provider, rate enhancements up to 70% for evening, weekend and overnight working. gtd healthcare is one of the largest NHS commissioned Primary Care, Out of Hours & Urgent Care providers in the North West of England. We have fantastic opportunities for Advanced Clinical Practitioners (ACP) to work in Out of Hours and Urgent Care across Greater Manchester. Flexible full time, part time and bank positions are available for Advanced Clinical Practitioners predominantly evenings and weekends.

Whilst working as an ACP, you will work alongside a supportive multidisciplinary team that includes Nursing, Allied Health Professionals and GPs, who have a real commitment to continuous improvement, shared learning and best practice, while being passionate about providing patients with the highest possible quality care. The ideal candidate must be able to see 3 months + children. The successful candidate will have experience working in primary and urgent care as an ACP, you will be expected to provide care via face to face, telephone triage and home visits. The post holder will hold an MSc in Advanced Clinical Practice or Credentialing qualification (or equivalent) and a Non-Medical Prescribing qualification. You will be able to work within the four pillars of practice.

Main duties of the job

Our out of hours clinical hub is open 24 hours a day and 7 days a week. The ACP role involves providing face to face care, home visits and telephone triage, assessment and management for patients calling 111 with primary care conditions. You will support junior clinicians on site, prioritise incoming calls and support direct face to face booking across urgent care.

City Health Centre Walk-in Service

City Health Centre Walk-in Service is situated above Boots on Market Street, which offers a great selection of cafes, restaurants and shops with excellent transport links. We operate 08:00 to 20:00 and 7 days per week. The ACP role involves face to face assessment, treatment and management of primary care presentations. Patients self‑present to the walk‑in centre for treatment. Referrals are also made by NHS 111, which are booked directly into appointment slots.

Oldham Urgent Care and Primary Care Streaming Service

Our services operate between 08:00 to 00:00 and 7 days per week. The ACP role is face to face assessment and management of primary care patient presentations. Patients are either streamed to the Primary Care Streaming Service or through the NHS 111 direct booking pathway to the Oldham Urgent Care Centre. The role will be hybrid working across both sites, it also encompasses NHS 111 telephone assessment and triage which can be undertaken within the clinical hub.

About us

At gtd healthcare, we do things differently. Our not-for-profit ethos and commitment to innovation offers patients the best experience possible and a unique opportunity to transform services. We are committed to developing and supporting our people to achieve their career aspirations while making a positive impact on patients and the wider community. Our values drive everything we do, with our people at the heart of delivering the best possible healthcare.

Benefits package

• Working for a values-led organisation
• Real living wage employer
• Supporter of the Greater Manchester Good Employment Charter
• Access to Stream, which provides flexible, on-demand access to stream your pay during the month
• Salary sacrifice car benefit scheme
• 30 days annual leave, rising to 32 after five years of continuous service
• Flexible working hours and policies
• Family friendly and carer policies
• Opportunities to apply for innovation and quality awards
• Access to gtd healthcare wellbeing initiatives
• Opportunity to become part of an employee owned organisation
• gtd healthcare social and fun activities
• Cycle to work scheme
• NHS staff discounts, a free Blue Light Card and Health Service Discounts
• Access to an employee assistance programme

Job responsibilities

• Assess and holistically clinically examine patients with both minor and complex needs through history taking, physical examination and appropriate use of investigations to confirm diagnosis.
• Plan, implement and evaluate an effective management plan for the patient, ensuring safe discharge/referral and/or transfer to an appropriate health care service.
• 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.
• Refer and discharge safely ensuring that safety-netting advice is offered.
• Triage telephone referrals, calls from external clinicians, patients and others into a range of services appropriately as required.

Communication

• Utilise and demonstrate sensitive communication styles, to ensure patients 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 organisation and with external stakeholders.
• Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Non-Medical Prescribing

If you are employed in a prescribing capacity, you must only prescribe within your scope of practice and comply with the gtd healthcare NMP governance registration processes. You must maintain your knowledge and skills and prescribe within your scope of clinical competencies. The non-medical prescriber is required to comply with organisational NMP governance processes and adhere to local and national prescribing guidance.

Delivering a Quality Service

• Recognise and work within own competence and professional code of conduct as regulated by the NMC/HPC etc.
• Understand own role and scope and identify how this may develop over time.
• 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.
• Ensure professional revalidation requirements are met.
• 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.
• In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
• Support and participate in shared learning across the organisation and wider organisation.
• Understand and apply guidance that supports the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patient health procedures and local guidance.

Leadership Personal and People Development

• 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 areas of work.
• Take a lead role in planning and implementing changes within the area of care and responsibility.
• Work with senior clinical and management teams to ensure sufficient staff of appropriate ability, quality and skill‑mix is available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes.
• Contribute to the development of local guidelines, protocols and standards.
• Maintain effective communication with those responsible for the overall commissioning and procurement process.
• To attend and be proactively involved in professional meetings at base and corporately.
• Take the lead/ develop a special interest within certain areas to allow the sharing of clinical knowledge and expertise.

Corporate Responsibility

• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
• Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
• Prioritise own workload and ensure effective time‑management.
• Work effectively with others to clearly define values, direction and policies impacting upon care delivery.
• Discuss, highlight and work with the team to create opportunities to improve patient care.

Management of Risk

• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.
• Apply infection‑control measures within the organisation according to local and national guidelines.

Managing Information

• 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 in order to ensure easy and accurate information retrieval for monitoring and audit processes.

Learning and Development

• Undertake mentorship where appropriate.
• Undertake appropriate supervisor and assessor training, such as Greater Manchester Training Hub (GMTH) Standards for Supervision and Assessment (SSSA) or NHS Enabling Effective Learning Environments in order to act as a qualified assessor and supervisor for internal and external learners and trainees.
• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences).
• Assess own needs and undertake learning as appropriate.
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.

Person Specification

• Advanced clinical practice skills and competence.
• Management of patients with complex needs.
• Clinical examination skills and competence.
• Clinical leadership skills and competence.
• Communication skills, both written and verbal.
• Negotiation and conflict management skills.
• Change management experience and evidence.
• Highly motivated.
• Flexibility.
• Team Player.
• Teaching and mentorship in a clinical setting.
• Resource Management.

Qualifications

• Registered health care professional, including first level nurse, paramedic, pharmacist or other AHP with MSc Advanced Clinical Practice or credentialing qualification or equivalent.
• V300 Non-Medical Prescriber (gateway dependent) dependent on professional eligibility.
• Mentor/Teaching qualification.
• Clinical supervision training and experience.

Experience

• Experience of working as senior clinician.
• Experience of autonomous practice.
• Experience of leading/managing quality improvement.
• Experience of having worked in Primary and Urgent Care.
• Experience in leading/managing a team.
• Experience of working in an unscheduled care service/primary care.

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.