Advanced Practitioner - Urgent Care

Job summary

Guiseley and Yeadon Medical Practice is a training practice with two sites in at Yeadon and Guiseley.

We are looking for a highly motivated Advanced Practitioner to work as part of our urgent care team.

Working with Physicians Associates and several GPs, this role will help the practice to manage same day patients that need assessment and treatment.

Our big practice with a small friendly team approach is increasing capacity due to lots of development and restructuring. This position will be working only at Guiseley and Yeadon Medical Practice and will be a permanent addition to our clinical team.

Main duties of the job

Advanced Clinical Practice

a. assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team;

b. manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action;

c. use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice;

d. actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person; and

e. complete the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.

About us

Guiseley and Yeadon Medical Practice participates in a range of projects and enhanced services and works with Yeadon Primary Care Network.

List size of approximately 11,000

Clinical Lead - Dr Helen Lawton

System One and operating a triage software system through AccuRx

There is no requirement for any extended hours work

Job description

Job responsibilities

a. assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team;

b. manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action;

c. use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice;

d. actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person; and

e. complete the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.

Clinical Practice

Assess patients presenting with acute illness or for review of chronic disease conditions. Undertake home visits for acute illness or chronic disease management.

Diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis

Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.

Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs.

Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).

Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan.

Fully participate in the clinical administration within the practice, signing prescriptions, reviewing medication, EPS, reviewing patient letters/discharges, respond to queries via vision daybook.

Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols and formularies.

Work with patients and their carers 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.

Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care.

Support and manage health needs of women presenting for family planning or sexual health consultation.

Assess, identify and refer patients presenting with mental health needs

Implement and participate in vaccination and immunisation programmes for both adults and children.

Undertake minor surgery as appropriate to competence.

Communication

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

Communicate with and support patients who are receiving bad news.

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.

Attend and contribute to practice and primary care team meetings.

Delivering a quality service

Recognise and work within own competence and professional code of conduct as regulated by the NMC.

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.

Actively participate in the practice significant event procedures. Ensure learning and actions from significant event reviews are implemented and reviewed.

Assess the impact of policy implementation on care delivery.

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.

Leadership personal and people development

Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode.

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 Support and contribute to the teaching of nursing staff/ medical students/ GP registrars and administration staff as appropriate.

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 to the area of work.

Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services.

Take a lead role in planning and implementing changes within the area of care and responsibility.

Work with practice management to ensure sufficient staff of appropriate ability, quality and skill-mix are 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.

Maintain active involvement in the planning and processes of practice-based commissioning or similar initiatives.

Team working

Understand own role and scope and identify how this may develop over time.

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.

Create clear referral mechanisms to meet patient need.

Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team.

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 lead on the delivery of specifically identified services or projects as agreed with the practice management team.

Agree plans and outcomes by which to measure success.

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 using accurate Read codes in order to ensure 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 regarding the Freedom of Information Act.

Collate, analyse and present clinical data and information to the team. Learning and development

Undertake mentorship for more junior staff, assessing competence against set standards.

Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences).

Assess own learning needs and undertake learning as appropriate.

Equality and diversity

Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity.

Enable others to promote equality and diversity in a non discriminatory culture.

Support people who need assistance in exercising their rights.

Monitor and evaluate adherence to local chaperoning policies.

Act as a role model in the observance of equality and diversity good practice.

Accept the rights of individuals to choose their care providers, participate in care and refuse care

Miscellaneous

Work as part of the team to seek feedback, continually improve the service and contribute to business planning.

Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.

Duties may vary from time to time, without changing the general character of the post or the level of responsibility.

Person Specification

Disposition

Essential

• Ability to work effectively both within the Practice and wider community
• Excellent organisational, analytical and problem-solving skills.
• Excellent interpersonal skills and diplomacy

Knowledge and skills

Essential

• Good computer skills.
• Excellent written and verbal
• communication skills.
• Autonomous working
• Complex decision making

Desirable

• A working understanding of NHS policies, processes, structures, systems
• and clinical practices.
• Mentorship or supervisory skills training
• Be aware of data protection (GDPR) and confidentiality issues particularly
• within a PCN

Qualifications

Essential

• The successful candidate must have a masters degree level in the relevant area of expertise.
• Independent prescriber
• Is working at a masters level aware or equivalent that encompasses the four pillars of clinical practice, leadership and management, education and research, with demonstration of core capabilities and area specific clinical competencies

Experience

Essential

• Experience in managing a designated caseload using theoretical and
• practical experience, completing assessments, planning, implementing
• interventions, and evaluating outcomes aligned to care plans.
• Working knowledge of Microsoft and GP practice and prescribing data
• monitoring systems.
• Ability to write comprehensive clinical notes, implement and evaluate care plans.

Desirable

• Work with care homes

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Aire Valley Surgery

Address

Yeadon Health Centre

17 South View Road

Yeadon

LS19 7PS

United Kingdom

Employer's website

https://www.airevalleysurgery.nhs.uk (Opens in a new tab)