Job Description

DUTIES & RESPONSIBILITIES The post holder is responsible for the following: To deliver a high standard of patient care as an Advanced Clinical Practitioner in general practice, using advanced clinical skills, and a broad and in-depth theoretical knowledge base. As a member of GP consultants Team (with various clinical skill mix) to either care for them or if this is not appropriate triage them to an appropriate appointment with another more appropriate clinician; To appropriately assess, examine, investigate, diagnose and treat patients with acute or chronic presentations. Resulting in the safe management and/or appropriate referral, following practice guidelines and protocols Order/ interpret investigations, laboratory tests, x-rays and act on results as appropriate The practitioner will need to prioritise and triage the needs of patients accordingly making any necessary referrals for investigations in the appropriate manner. Patients with problems needing referral to secondary care could be discussed with the duty GP, where appropriate, who is supervising or if not available at an appropriate interval another regular GP in the practice before making such referral.



To manage known exacerbations of chronic illness ensuring appropriate assessments, treatment and where appropriate onward referral to appropriate specialities facilitating self-care and/or care within the community setting. The post holder will work closely with the inter-professional team to support new ways of working that emphasises a more efficient and patient focused service acting as a professional clinical role model To play an active role in the development/ improvement and audit of processes that facilitates and improves patient flow. Practice with confidence and competence within appropriate nationally agreed professional guidelines such as NMC/ RCN / HEE Guidelines, the Health and Care Professions Council (HCPC) and the College of Paramedics (COP) To ensure that accurate documentation and records of patient care are kept. To provide specialist advice on patient care to the Practice team taking into account all aspects of clinical governance, and act as a specialist resource within the Practice To enhance the clinical services offered by the practice 2.



JOB DIMENSIONS To manage own clinical workload in general practice responding effectively to patient need and ensuring patient choice and ease of access to services. To work effectively and within the boundaries of professional practice as part of a clinical team delivering services to meet patients needs. Each ACP at BMC will have a minimum of THREE areas of main clinical practice from the following options (but they may choose more than 3 to create a portfolio role): o Acute Home Visits o Urgent Care / Minor Ailments Clinics o Routine Clinics o Intermediate Care ward duties (Beccles War Memorial Hospital) o Long Term Conditions Clinic / Visit o Personal specialty (e.g. womens health, minor surgery etc.) Each ACP at BMC will have an agreed area of leadership responsibility from the following options: o A Clinical specialty aligned with QoF (e.g cardiovascular medicine) o A Clinical specialty aligned with CQC (e.g.



safeguarding) o A Management area (e.g. nurse lead) o A Quality Improvement support role (e.g. audit lead) o A Service Development support role Each ACP at BMC will have an agreed area of education and or research responsibility from the following options: o Research o Medical Student teaching o GP Registrar supervision o Independent Prescriber training supervision o Care Navigator clinical upskilling 3. PRIMARY DUTIES & AREAS OF RESPONSIBILITY A.

CLINICAL PRACTICE:

The post-holder will : Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice. Provide the choice of direct access to a prescribing Practitioner at home, in the Practice and remotely, for the general practice population Provide a first point of contact within the Practice or in the Community for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports The post holder must be an independent prescriber: to prescribe safe, effective and appropriate medication as defined by current legislative framework Provide safe, evidence-based, cost-effective, individualised patient care Offer a holistic service to patients and their families, supporting people in making decisions, planning care or seeking to make positive changes, with an emphasis on prevention and self-care Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills Refer patients directly to other services/agencies as appropriate Work with multi-disciplinary team within the Practice, and across the broader healthcare community, to promote integrated and seamless pathways of care Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery Participate in identification of community health needs and develop patient/family-centred strategies to address them Help develop and set up new patient services and participate in initiatives to improve existing patient services. B. EDUCATION, TEACHING AND MENTORING: The post-holder will : Maintain a clinical portfolio that evidences advanced health assessment skills and competencies.



In conjunction with their clinical supervisor formulate a personal development plan to evidence a commitment to continual professional development. Using agreed competency framework appropriate to the individuals scope of practice. Participate in regular performance review with the Clinical Supervisor Demonstrate and meet competencies to deliver appropriate health care such as history taking and physical assessment. Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained To undertake further specialist training as dictated by service needs and the changing requirements of service provision.



Promote a learning environment for patients, nurses and other health professionals. Support the wider team to build capacity and capability through work-based and interprofessional learning, and the application of learning to practice. Contribute to the planning and implementation of the teaching for existing staff, such as medical students, Nurse students, GP registrars, Health Care Practitioners, within the Practice. Provide supervision and mentoring to students and other members of the team C.



PROFESSIONAL (incorporating Leadership and Management and Research) The post-holder will : Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research. Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review Maintain their professional registration Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards Keep up to date with pertinent health-related policy and research. Critically appraise and synthesise the work to underpin own practice and to inform others within the practice team to consider the impact and strategies for implementation Work collaboratively with colleagues within and external to the practice. Demonstrate team leadership, resilience and determination, managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others.



Pro-actively promote the role of allied professionals within the Practice, and externally to key stakeholders and agencies Act as an advisor to other members of the Primary Healthcare team. Proactively initiate and develop effective relationships within the practice to encourage productive working. Participate in multi-disciplinary protocol and Patient Group Directions development Identify appropriate opportunities to delegate both clinical and administrative tasks to more junior staff. Help the practice operate in a cost-effective manner.



Identify and manage care risks on a continuing basis. Participate in practice meetings and practice management meetings, reporting progress as required. Evaluate own practice and participate in multi-disciplinary service and team evaluation. Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.



Work closely with others in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets. Ensure that all Practice policies are fully implemented