Advanced Clinical Practitioner - Tonbridge Primary Care Network inTunbridge Wells inTunbridge Wells PUBLISHED 30 DEC 2023
West Kent Primary Care rV3sUPK6
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Core responsibilities
Clinical practice
The role will mainly involve working in our Same Day Access Hub seeing patients for urgent on the day issues. The role will involve working alongside PCN team of GP supervisor / Paramedic Practitioner in the PCN Same Day Access Hub seeing patients on the day with urgent issues.
The post may include cross cover with the award-winning Frailty Visiting Team visiting patients who are housebound for urgent on the day issues.
Work as part of a multi-disciplinary team to deliver safe and high-quality care.
Carry out clinical practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.
Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with acute, long term and complex health needs.
Manage undifferentiated undiagnosed condition and identify red flags
and underlying serious pathology and take appropriate action
Triage and treat patients, including same day triage, performing assessment of their needs and makes referrals as necessary to other members of the primary and secondary health care teams as appropriate.
Interpret investigation findings to determine effective treatment plans & discuss with GPs where a second opinion is required
Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition, using both non-pharmacological and pharmacological treatments.
Co-ordinate the planning and delivery of care ensuring patients and carers or relatives are involved where required. Actively take a personalised care approach and population centre care approach to enable shared decision making.
Prescribing and reviewing medication that is appropriate for patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.
Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.
Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.
Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.
Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.
Communication
Uses and adapts communication style to meet individual patient needs to ensure patients are fully informed about treatment.
Communicates 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
Anticipates barriers to communication and take action to improve communication
Maintains effective communication with the primary care team and with external stakeholders
Ensures awareness of sources of support and guidance and provides information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.
Safeguarding adults and children
The postholder has a duty to safeguard and promote the welfare of vulnerable adults and children.
When adults or children and/or their carers use primary care services, it is essential that all adult and child protection concerns are both recognised and acted on appropriately.
The postholder has a responsibility to ensure they are familiar with and follow local policies in relation to safeguarding vulnerable adults and that they follow the local child protection procedures and any supplementary guidance.
The postholder has a responsibility to support appropriate investigations either internally or externally.
To ensure the postholder is equipped to carry out their duties effectively, they must also attend vulnerable adult and child protection training and updates at the competency level appropriate to the work they do and in accordance with the local vulnerable adult and child protection training guidance.
Leadership and management personal and people development
Takes responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model
Supports staff development in order to maximise potential and support practice development
Critically evaluates and reviews innovations and developments that are relevant to clinical practice
Contributes to the development of local guidelines, protocols and standards
Maintains effective communication with those responsible for the overall commissioning and procurement process
Promotes the role of the Advanced Clinical Practitioner in general practicecompleting relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care.
Team working
Understands own role and scope and identify how this may develop over time
Works as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
Creates and agrees clear referral mechanisms to meet patient need
Prioritises own workload and uses effective time-management strategies to complete work within agreed timescales
Discusses, highlights and works with the team to create opportunities to improve patient care
Manages and leads the delivery of specifically identified services or projects as agreed with the PCN Clinical Director and the PCN management team
Education
Undertakes mentorship for more junior staff, assessing competence against set standards
Use evidence-based strategies to improve and enhance the quality of patient care
Assesses own learning needs and undertakes learning as appropriate
Provides an educational role to patients, carers, families and colleagues in an environment that facilitates learning
Research
Critically engage in research activity and use evidence-based strategies to improve and enhance the quality of patient care
Participates in clinical governance activity and contributes to the improvement in quality of health outcomes through audit, risk management and the Quality and Outcomes Framework
Participates in investigation of incidents and events as required.
Identifies, applies and disseminates research findings relating to own practice
Collects data for audit purposes and uses clinical audit to monitor quality in the service and implements change according to findings.
Participates in clinical trials and equipment testing.
Meets timescales/deadlines for audits and written returns to ensure that the Practice meets quality standards and receives the designated funding (e.g. Quarterly Enhanced Services returns, annual QOF audit
Quality
Under supervision and support of GPs in the practice, the post-holder will strive to maintain quality within the practices, and will:
Participates in clinical governance activity and contribute to the improvement in quality of health outcomes through audit, risk management and the Quality and Outcomes Framework
Alerts other team members to concerns about risk, quality and safety.
Participates in investigation of incidents and events as required.
Contributes to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Works effectively with individuals in other agencies to meet patients needs
Effectively manages own time, workload and resources.
Delivery of care in line with NSF, NICE guidelines and evidence-based care
See attached job description and person specification for further details.
West Kent Primary Care is looking to recruit an Advanced Clinical Practitioner (ACP) on behalf of Tonbridge Primary Care Network (PCN). Serving approximately 70,000 patients; Tonbridge PCN strives to develop collaborative working across Tonbridge GP practices and local health and care services.
This is a 12 month fixed contract, with a view to extend.
Job summary
Tonbridge PCN are seeking to recruit an Advanced Clinical Practitioner to complement our growing PCN team of paramedics, pharmacists, and care coordinators to support our practices in the delivery of urgent care. We are looking particularly for anACPwho is confident in triage, management of 'on the day' primary care and communication with GP and MDT colleagues in the ongoing follow up and treatment of patients as required.
About Tonbridge PCN
Serving approximately 70,000 patients; Tonbridge PCN strives to develop collaborative working across Tonbridge GP practices and local health and care services. Tonbridge recently won a Kent and Medway award for its Integrated Home Visiting Service, jointly staffed by PCN GPs, paramedics and local community nursing teams.
The PCN aims to support and strengthen delivery of primary care, offering high standards of patient care centred on the needs of our population, whilst working to support a happy and resilient workforce through the development of robust multi-disciplinary teams. A Same Day Access PCN Hub service with GP supervision using ACP clinical skills is currently in development, and we hope this will not only support patient access but provide a greater range of clinical experience for ACPs working at PCN level.
Core responsibilities
Clinical practice
The role will mainly involve working in our Same Day Access Hub seeing patients for urgent on the day issues. The role will involve working alongside PCN team of GP supervisor / Paramedic Practitioner in the PCN Same Day Access Hub seeing patients on the day with urgent issues.
The post may include cross cover with the award-winning Frailty Visiting Team visiting patients who are housebound for urgent on the day issues.
Work as part of a multi-disciplinary team to deliver safe and high-quality care.
Carry out clinical practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.
Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with acute, long term and complex health needs.
Manage undifferentiated undiagnosed condition and identify red flags
and underlying serious pathology and take appropriate action
Triage and treat patients, including same day triage, performing assessment of their needs and makes referrals as necessary to other members of the primary and secondary health care teams as appropriate.
Interpret investigation findings to determine effective treatment plans & discuss with GPs where a second opinion is required
Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition, using both non-pharmacological and pharmacological treatments.
Co-ordinate the planning and delivery of care ensuring patients and carers or relatives are involved where required. Actively take a personalised care approach and population centre care approach to enable shared decision making.
Prescribing and reviewing medication that is appropriate for patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.
Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.
Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.
Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.
Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.
Communication
Uses and adapts communication style to meet individual patient needs to ensure patients are fully informed about treatment.
Communicates 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
Anticipates barriers to communication and take action to improve communication
Maintains effective communication with the primary care team and with external stakeholders
Ensures awareness of sources of support and guidance and provides information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.
Safeguarding adults and children
The postholder has a duty to safeguard and promote the welfare of vulnerable adults and children.
When adults or children and/or their carers use primary care services, it is essential that all adult and child protection concerns are both recognised and acted on appropriately.
The postholder has a responsibility to ensure they are familiar with and follow local policies in relation to safeguarding vulnerable adults and that they follow the local child protection procedures and any supplementary guidance.
The postholder has a responsibility to support appropriate investigations either internally or externally.
To ensure the postholder is equipped to carry out their duties effectively, they must also attend vulnerable adult and child protection training and updates at the competency level appropriate to the work they do and in accordance with the local vulnerable adult and child protection training guidance.
Leadership and management personal and people development
Takes responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model
Supports staff development in order to maximise potential and support practice development
Critically evaluates and reviews innovations and developments that are relevant to clinical practice
Contributes to the development of local guidelines, protocols and standards
Maintains effective communication with those responsible for the overall commissioning and procurement process
Promotes the role of the Advanced Clinical Practitioner in general practicecompleting relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care.
Team working
Understands own role and scope and identify how this may develop over time
Works as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
Creates and agrees clear referral mechanisms to meet patient need
Prioritises own workload and uses effective time-management strategies to complete work within agreed timescales
Discusses, highlights and works with the team to create opportunities to improve patient care
Manages and leads the delivery of specifically identified services or projects as agreed with the PCN Clinical Director and the PCN management team
Education
Undertakes mentorship for more junior staff, assessing competence against set standards
Use evidence-based strategies to improve and enhance the quality of patient care
Assesses own learning needs and undertakes learning as appropriate
Provides an educational role to patients, carers, families and colleagues in an environment that facilitates learning
Research
Critically engage in research activity and use evidence-based strategies to improve and enhance the quality of patient care
Participates in clinical governance activity and contributes to the improvement in quality of health outcomes through audit, risk management and the Quality and Outcomes Framework
Participates in investigation of incidents and events as required.
Identifies, applies and disseminates research findings relating to own practice
Collects data for audit purposes and uses clinical audit to monitor quality in the service and implements change according to findings.
Participates in clinical trials and equipment testing.
Meets timescales/deadlines for audits and written returns to ensure that the Practice meets quality standards and receives the designated funding (e.g. Quarterly Enhanced Services returns, annual QOF audit
Quality
Under supervision and support of GPs in the practice, the post-holder will strive to maintain quality within the practices, and will:
Participates in clinical governance activity and contribute to the improvement in quality of health outcomes through audit, risk management and the Quality and Outcomes Framework
Alerts other team members to concerns about risk, quality and safety.
Participates in investigation of incidents and events as required.
Contributes to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Works effectively with individuals in other agencies to meet patients needs
Effectively manages own time, workload and resources.
Delivery of care in line with NSF, NICE guidelines and evidence-based care
See attached job description and person specification for further details.
West Kent Primary Care is looking to recruit an Advanced Clinical Practitioner (ACP) on behalf of Tonbridge Primary Care Network (PCN). Serving approximately 70,000 patients; Tonbridge PCN strives to develop collaborative working across Tonbridge GP practices and local health and care services.
This is a 12 month fixed contract, with a view to extend.
Job summary
Tonbridge PCN are seeking to recruit an Advanced Clinical Practitioner to complement our growing PCN team of paramedics, pharmacists, and care coordinators to support our practices in the delivery of urgent care. We are looking particularly for anACPwho is confident in triage, management of 'on the day' primary care and communication with GP and MDT colleagues in the ongoing follow up and treatment of patients as required.
About Tonbridge PCN
Serving approximately 70,000 patients; Tonbridge PCN strives to develop collaborative working across Tonbridge GP practices and local health and care services. Tonbridge recently won a Kent and Medway award for its Integrated Home Visiting Service, jointly staffed by PCN GPs, paramedics and local community nursing teams.
The PCN aims to support and strengthen delivery of primary care, offering high standards of patient care centred on the needs of our population, whilst working to support a happy and resilient workforce through the development of robust multi-disciplinary teams. A Same Day Access PCN Hub service with GP supervision using ACP clinical skills is currently in development, and we hope this will not only support patient access but provide a greater range of clinical experience for ACPs working at PCN level.
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