Advanced Clinical Practitioner in Aylesford

Bring advanced urgent care to patients who need to be seen at home. Not every patient who needs urgent care can come to us. Some are housebound, frail, approaching the end of life or have been clinically assessed as needing a face-to-face review in their own home. What they need is an experienced clinician who can assess the whole picture, make confident autonomous decisions and put the right care in place.

At IC24, we're looking for an Advanced Clinical Practitioner to join our Home Visiting Service. You'll work autonomously in patients' homes, using advanced assessment, examination, diagnostic and prescribing skills to provide safe, effective and patient-centred urgent care. You'll care for patients across the full General Practice population, including children, older people, frail patients and those with mental health or end-of-life needs. If you enjoy clinical autonomy, variety and the challenge of making safe decisions outside a traditional clinical environment, this could be the role for you.

What you'll focus on

• Assessing and treating patients in their own homes: You'll provide face-to-face assessment, diagnosis and treatment for patients who have been clinically triaged as needing a home visit. You'll take a detailed history, carry out a physical examination and use advanced clinical reasoning to establish a differential diagnosis and agree the most appropriate treatment or care plan.
• Making confident autonomous clinical decisions: Home visiting requires strong clinical judgement. You'll often be assessing patients you've never met before, sometimes with limited information and sometimes in complex or emotionally difficult circumstances. You'll need to be comfortable managing uncertainty, prioritising clinical risk and deciding whether someone can be safely treated and supported at home or needs escalation to another service.
• Treating the whole patient: Seeing someone in their own home gives you a different perspective on their health. You'll care for patients across the full spectrum of General Practice, including newborns and children, adults, older and frail patients, people with mental health needs and those approaching the end of their lives.
• Prescribing and managing treatment at home: As an independent prescriber, you'll develop and deliver evidence-based treatment plans. You'll prescribe safely within agreed clinical guidance, review existing medication where appropriate and make sure patients and carers understand what happens next.
• Keeping patients safely in their community: One of the most important parts of home visiting is helping patients receive the right care in the right place. Where clinically appropriate, you'll help patients remain safely at home by putting appropriate treatment, referrals, advice and safety-netting in place.
• Supporting palliative and end-of-life patients: Some of the most important visits you'll make will be to patients approaching the end of their lives. You'll assess symptoms, prescribe and manage treatment where appropriate and work sensitively with patients, relatives and carers during what can be a difficult and emotional time.
• Working independently, but never in isolation: Home visiting is autonomous by nature. You'll spend a significant part of your working day out in the community, so you'll need to be confident managing your own workload and making decisions independently.
• Maintaining excellent clinical standards: You'll work within IC24's clinical governance framework and in accordance with the requirements of your professional registration. You'll maintain accurate clinical records, contribute to audit and quality improvement and keep your clinical knowledge and skills up to date through CPD, supervision and reflective practice.

This is advanced practice beyond the consulting room. No two home visits will necessarily look the same. You'll see patients with everything from relatively straightforward acute illness to complex physical, mental health and social needs.

You’ll probably thrive here if you:

• Enjoy autonomous clinical practice
• Are confident assessing undifferentiated patients in their own homes
• Have a high level of clinical reasoning and decision-making ability
• Are comfortable managing risk and uncertainty
• Can make safe decisions without having every investigation immediately available
• Are confident caring for frail, complex and end-of-life patients
• Are comfortable working independently while knowing when to seek support
• Can prioritise your workload when demand changes

What you’ll bring:

• Hold current professional registration with the NMC, HCPC or GPhC, with at least five years' post-qualification and registration experience
• Hold a Masters Degree / Level 7 qualification Advanced Clinical Practice or will be working towards one
• Hold an Enhanced Assessment and Consultation qualification at Level 7
• Hold a Minor Illness qualification at 7
• Be a registered Independent Prescriber
• Have advanced assessment, examination, diagnosis and treatment skills
• Have significant post-registration experience including autonomous practice at an advanced level
• Be confident working independently in a patient's home
• Have strong clinical reasoning and risk-assessment skills
• Be able to work flexibly, including unsociable hours, weekends and Bank Holidays

Experience of home visiting, palliative care, urgent care, primary care, verification of expected death, chronic disease management, clinical supervision, teaching, audit or service improvement would also be valuable.

Who are we? We are Integrated Care 24 (IC24), the leading not-for-profit Social Enterprise providing innovative and patient-focused primary and urgent care services. IC24 is committed to improving access to health and social care for our patients and reducing demand on secondary care services.

Locations: Margate, Canterbury, Ashford, Maidstone, Dartford

Hours: Part time hours available up to 20 hours per week

What's in it for you?

• Annual salary of £54,140.87 pro rata
• Additional annual leave above statutory minimum based on service
• Opportunity to join the NHS Pension Scheme
• Enhanced Bank Holiday rates, where applicable
• Enhanced family leave including maternity, paternity and adoption leave and pay
• Inclusive wellbeing benefits
• Employee Assistance Programme including free 24/7 independent counselling and occupational health services
• Professional development opportunities
• Free membership to our reward and discount platform
• Access to Blue Light Card and other NHS Discount Schemes

We celebrate brave ideas and brave people. Due to the nature of this position, employment is subject to proof of eligibility to work in the UK, completion of a satisfactory enhanced DBS disclosure with barred list checks and three years of references. We have a duty to safeguard, protect and promote the welfare of those who use our services and our employees. This means we take every step we can to protect from harm, abuse and damage. We are committed to providing equal opportunities for all and encourage applications from ethnic minorities, those with disabilities, LGBTQ+ communities, neurodiverse individuals, and other under-represented groups. We’re dedicated to creating an inclusive environment where everyone feels they belong. If you need any workplace adjustments during the application or interview process, or have accessibility requirements, please contact the recruitment team.