Advanced Clinical Practitioner - Oldham Urgent Care

Advanced Clinical Practitioner, £55,157 to £61,850 a year plus enhancements attached to KSF and dependent upon experience. Do you want to work within an innovative, forward thinking and progressive urgent care team? gtd healthcare is one of the largest, not-for-profit, NHS commissioned primary and urgent care providers in North West England. We are looking to recruit additional Advanced Clinical Practitioners to work within our Oldham Primary Care Streaming Service at Royal Oldham Hospital. The service currently runs Monday to Sunday between 08:00 and 20:00 (Subject to change to a 24 hours service).

Our team is made up of Advanced Clinical Practitioners from a variety of backgrounds including Nurses, Paramedics and Pharmacists, where shared learning, continual improvement and delivering excellence is part of our embedded culture. Oldham is a diverse and multi-cultural community. A high percentage of our patients face deprivation and multi morbidity. This makes for a varied role as well as an opportunity to make a real difference to the community. The team are passionate about providing patients in Oldham with the highest possible quality care.

This is an excellent prospect to work in a team who has a real commitment to continuous improvement, shared learning and best practice. You will work alongside established Advanced Clinical Practitioners, GP's as well as a supportive Administrative Team.

Main duties of the job

• As an Advanced Clinical Practitioner working within the Oldham locality you will holistically assess and clinically examine patients with both minor and complex needs.
• You will have access to pathways and a broad Directory of Services (DoS) along with:

• Direct access to a wide range of community-based services.
• Referral rights to SDEC and secondary care.
• Access to technology to support telephone and video consultations (full induction and training provided).
• Facilities to see patients face to face (with support if you are expanding your scope of practice).

About us

At gtd healthcare we believe we do things differently. Our not-for-profit ethos, with a drive to innovate care offers patients the best experience possible and a unique opportunity to transform services. We are keen to develop and support staff to excel their career aspirations whilst making a positive difference to patients and the community. We put our people at the heart of everything we do. We are a values driven organisation and we are passionate about providing the best possible healthcare for our patients.

Benefits package

• Working for a values-driven organisation;
• Real living wage employer;
• Access to Wagestream, which provides flexible and on-demand access to stream your pay during the month, in real-time, when picking-up extra shifts;
• 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, which offer a wide range of tools and resources;
• gtd healthcare social and fun activities;
• Cycle to work scheme.

Job responsibilities

• Clinical Practice

• 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.

• 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.

• 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.

• 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.

• 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.

• 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.

• 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.

• 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.

• Undertake mentorship where appropriate.
• 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 learning needs and undertake learning as appropriate.
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.

Person Specification

• 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.
• Clinical supervision training and experience.

Experience

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

Skills and Attributes

• 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.

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.