Advanced Medical Practitioner - Care Homes in Birmingham

South Doc Services (SDS) is hiring an Advanced Medical Practitioner (AMP) on behalf of West Heath Surgery. This will be a full time, permanent role with a 37.5 hours per week contract arrangement. The job location is at West Heath Surgery, 194 - 196 West Heath Road, Birmingham, B31 3HB. Pay / Salary is dependent on experience level.

The Advanced Medical Practitioner (AMP) will provide high-quality, safe, effective and person-centred clinical care to patients registered with West Heath Surgery who reside in designated care homes. The post-holder will work as an integral member of the Practice multidisciplinary team, working collaboratively with GPs, advanced practitioners, practice nurses, clinical pharmacists, community nurses, therapists, care coordinators, social care professionals, care-home staff and other relevant health and social care professionals.

Main duties of the job

The post-holder will contribute to the delivery of proactive, personalised and coordinated healthcare for care-home residents, with an emphasis on:

• prevention of avoidable deterioration;
• early identification and management of acute illness;
• proactive management of frailty and long-term conditions;
• personalised care and support planning;
• medicines optimisation in collaboration with the appropriate prescriber/pharmacy professional;
• reducing avoidable hospital admissions;
• facilitating timely access to secondary and community care;
• supporting residents to remain in their preferred place of care wherever clinically appropriate;
• effective multidisciplinary working;
• continuity and coordination of care;
• safe, evidence-based clinical decision-making.

The role will support the Practice in delivering its contractual requirements under the current NHS England Network Contract DES and Enhanced Health in Care Homes arrangements. The current EHCH model is designed around proactive, personalised and integrated care for people living in care homes rather than a predominantly reactive model.

The post-holder will work within their individual scope of professional practice, competence and authority. Where an activity requires GP, consultant, specialist or other professional input, the AMP will recognise this promptly and escalate appropriately.

Person Specification

Qualifications

• Current professional registration appropriate to the AMP profession.
• Relevant advanced clinical qualification at postgraduate level or demonstrable equivalent advanced-practice capability.
• Evidence of advanced clinical assessment and decision-making competence.
• Evidence of ongoing professional development.
• Appropriate prescribing qualification where prescribing is a requirement of the post.
• Appropriate training and competence in phlebotomy.
• Evidence of competence in relevant clinical observations and investigations.
• Current mandatory training appropriate to the role.
• Appropriate professional indemnity/insurance arrangements.

Skills and Competency

• Undertake advanced clinical assessment;
• Make safe autonomous clinical decisions;
• Recognise clinical deterioration;
• Manage acute clinical presentations;
• Manage long-term conditions;
• Interpret clinical investigations;
• Undertake phlebotomy;
• Perform routine observations;
• Formulate differential diagnoses;
• Develop management plans;
• Initiate appropriate treatment within scope;
• Make appropriate referrals;
• Safety-net patients and care staff;
• Communicate complex clinical information clearly;
• Work effectively within an MDT;
• Manage competing clinical priorities;
• Maintain accurate clinical records;
• Use electronic clinical systems;
• Manage clinical risk;
• Escalate appropriately;
• Demonstrate sound clinical judgement;
• Work effectively in a care-home environment.

Communication

• Excellent verbal and written communication skills.
• Ability to communicate effectively with older people and people with cognitive impairment.
• Ability to communicate with relatives and carers sensitively.
• Ability to communicate with care-home staff at all levels.
• Ability to manage difficult or sensitive conversations.
• Ability to explain clinical information clearly.
• Ability to negotiate and influence appropriately.
• Ability to work constructively across organisational boundaries.
• Demonstrable commitment to compassionate and person-centred care.

Clinical Knowledge

• Good working knowledge of: acute illness in older people; frailty; multimorbidity; long-term condition management; dementia and delirium; falls; nutrition and hydration; medicines safety; polypharmacy; safeguarding; Mental Capacity Act; consent; advance care planning; palliative and end-of-life care; appropriate referral pathways; infection prevention and control; clinical governance; patient safety; evidence-based practice; and relevant NICE and national guidance.

Experience

• Significant post-registration clinical experience.
• Experience of autonomous clinical assessment and decision-making.
• Experience of managing patients with acute illness.
• Experience of managing patients with multiple long-term conditions.
• Experience of working with older people and/or people with frailty and complex needs.
• Experience of multidisciplinary working.
• Experience of clinical risk assessment and escalation.
• Experience of interpreting clinical investigations.
• Experience of making or supporting appropriate referrals.
• Experience of maintaining high-quality clinical records.
• Experience of working within clinical governance arrangements.
• Experience of recognising deterioration and acting appropriately.

Leadership and Teamwork

• Demonstrable ability to work effectively as part of an MDT.
• Ability to work autonomously while recognising the need for escalation.
• Ability to provide clinical leadership within scope of practice.
• Ability to support colleagues and care-home staff.
• Ability to contribute to service improvement.
• Ability to manage clinical priorities safely.
• Ability to work collaboratively with primary, community and secondary care.
• Commitment to shared decision-making.

Personal Qualities

• Professional integrity;
• Compassion;
• Reliability;
• Resilience;
• Initiative;
• Accountability;
• Sound judgement;
• Adaptability;
• Commitment to patient safety;
• Commitment to equality and inclusion;
• Commitment to continuous learning;
• Ability to work under pressure;
• Ability to recognise personal limitations;
• Commitment to collaborative working;
• A proactive approach to improving care for care-home residents.