Job Description

Title:

Advanced Clinical Practitioner/ Advanced Nurse Practitioner

Reports to:

PCN Line Manager and the clinic lead / GP while on duty.

Responsible to:

Surrey Heath Primary Care Network (The 'PCN') and Surrey Heath Community Providers Ltd (SHCPL, 'The Federation')

Professional Registration:

Active professional registration with the relevant body is required; Nursing & Midwifery Council, Health & Care Professions Council, General Pharmaceutical Council.

Base:

Local GP Practices - will require working across the 7 GP Practices within the Federation / PCN geography, as per the rotating site for Saturday clinic delivery.

Hours per week:

18

Salary:

55,629 to 62,615 (pro-rata) (please note: no additional enhancement for weekday evenings).

Contract:

Permanent, subject to probationary period

Holiday Entitlement:

30 days per year (based on full time hours) plus Bank Holiday entitlement

To liaise with:

Practice team (internal); GPs and wider multi-professional general practice team operating the clinic. PCN / SHCPL team(s), line manager and clinical support teams. Surrey Heath Integrated Care Team (ICT), including ICT Managers across all the provider/service organisations, Frailty Navigator, administration teams, multi-disciplinary team colleagues, social care, health and other 3rd sector organisations. People that use the services, their relatives, carers.

ABOUT US:

We are Surrey Heath Community Providers Limited, which is a federation of 7 GP practices across 10 sites, covering a population of over 97,000 patients across Surrey Heath. We began in 2016 and now employ around 200 members of staff across our clinical and corporate support teams. Since 2019 we have hosted the Primary Care Network in Surrey Heath.

As a GP Federation and Primary Care Network, we are proud to represent our member practices and to champion primary care by working with local general practice and system partners, in the provision of community based healthcare services. We are dedicated to providing safe and compassionate care to our patients across our range of primary care services in Surrey Heath and believe in continuous commitment to quality service delivery and positive patient outcomes.

Patients are at the heart of everything we do,

and we pride ourselves in

ensuring our patients feel safe, supported, communicated with and respected

, at a time when they may be feeling vulnerable.

Our vision is to provide high quality, seamless health care that enables people to lead healthier lives, whilst feeling supported and cared for.

ROLE SUMMARY:

This role is an exciting opportunity for an experienced advanced clinical practitioner (ACP) with existing prescribing skills to join our Primary Care Network (PCN). This is a part time position offered on a permanent contract, providing support to a single GP practice

As an experienced prescriber, you will work within your professional boundaries and serve as the first point of contact for patients presenting with undifferentiated, undiagnosed problems. You will utilise your skills in history taking, physical examination, problem-solving, and clinical decision-making to establish a diagnosis and create a management plan. Collaboration with the multi-disciplinary practice team is essential to meet the needs of our patients

You will support core general practice capacity and work as part of a positive, proactive and collaborative primary care clinical team supporting residents in Surrey Heath. You will be experienced in general practice and be able to work autonomously, managing a caseload of booked appointments for on-the-day and urgent care needs, with minimal indirect supervision from the onsite GP. You will need to be skilled in providing urgent care and minor illness management and providing support to patients with long term conditions.

You will be able to expertly manage an identified caseload or cohort(s) of patients and presenting complaints; providing care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care, demonstrating safe, competent clinical decision-making and expert care evidence-based care.

KEY DUTIES & RESPONSIBILITIES

Clinical Practice:

Work as part of a multi-disciplinary team in a positive and proactive manner, within multiple practices across the Surrey Heath PCN footprint.

Provide core general practice activity, within the scope of role and competence, to manage urgent and 'on the day' care needs as a first-contact practitioner or delivering clinics for patients with long term conditions.

Clinically examine and assess patient needs (within scope of clinical practice) from a physiological and psychological perspective, and plan clinical care and treatment accordingly, including prescribing relevant treatment and making onward referral as appropriate.

Adopt a supported self-management approach and shared decision-making (SDM) approaches to your practice.

Work with patients and carers, supporting compliance and adherence to prescribed treatments and treatment plans, and working with support groups to overcome barriers.

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, implementing motivational interviewing and 'making every contact count' approaches.

Contribute to public health campaigns. Implement and participate in vaccination and immunisation programmes for both adults and children.

Undertake minor surgery as appropriate to role and competence (if required and appropriate to your skill and competence).

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.

Produce accurate, contemporaneous and complete records of patient consultations, consistent with legislation, policies and procedures.

Deliver high quality and evidence-based care in accordance to NICE guidelines.

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, particularly in regards to healthcare inequalities

Utilise the audit cycle as a means of evaluating the quality of the work of self, the team and the service, implementing improvements where required,

Support and participate in shared learning across the Practice team and PCN.

Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events.

Assess the impact of policy implementation on care delivery, and responding to policies changes and initiatives.

Develop effective relationships with care homes, the Surrey Heath PCN clinical team and practice-based teams. Work as part of the multi-disciplinary team (MDT), in a close and flexible manner to meet the complex needs of this cohort group.

Leadership:

Acting as a clinical leader in the delivery of advanced clinical practice ensuring that patient needs are taken into account, and delivery of high quality care to patients.

Act as a role model/ambassador for Surrey Heath GP Practices and the PCN, demonstrating values and vision of the organisation(s) in a positive manner.

Critically evaluate and review innovations and developments that are relevant to the area of work and service provision, demonstrating impact of advanced clinical practice on service function and effectiveness.

Developing effective relationships with stakeholders to encourage productive working.

Contribute to the development of local guidelines, protocols and standards.

Provide formal and informal education and training to healthcare professionals to ensure high quality, and safe care and support.

Contribute to the development of an integrated care frailty pathway offering proactive and systematic care to people in their own homes and in care homes.

Work as part of the MDT team and various stakeholders on identified project supporting continuous quality improvements and audits. This includes but not limited to, initiatives:

reducing emergency admissions improving the quality, safety and timeliness of transfers of care and discharge from hospital setting developing & embedding anticipatory care planning, coordination of roles and responsibilities between teams delivering complex care delivering further improvements in the experience and outcomes of people receiving care.

Clinical & Professional Responsibilities Underpinning the Role

Developing and facilitating a good working relationship with the PCN, other practices and community services.

Work as an autonomous practitioner within appropriate clinical and professional guidelines.

Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.

Participate in clinical supervision and other professional support activities, as provided by the practice(s), PCN or local system. We encourage you to undertake the relevant training to act as a 'supervisor' for the local clinical supervision programme.

Plan, organise and administer own workload, including audit and project work, and training sessions for members of the team, practice teams, community nurse team, patients, carers, etc.

Be an integral part of the Practices' and PCN clinical teams. Provide support to new members of the team as required, inputting to their induction and development, including contributing to the appraisal process and acting as a mentor.

Participate in training, supervision and development of students and other learners in the setting.

Actively seek to deliver and support continuous quality improvement. Lead and support the development of knowledge, ideas and work practice within the service and work area.

Record personally generated information and maintain a database of information relating to the work done in the practice(s).

Personally generated information includes information and records relating to audit and clinical work undertaken by the post holder, reference notes relating to clinical/technical information, etc. The database includes maintaining up-to-date, detailed records of all work done in the practices for which the post holder is accountable (done by the post holder or others).
Recognise and work within own competence and professional code of conduct as regulated by your professional body

.

Maintain appropriate professional registration for the post, comply with appropriate professional codes, and work with their scope of professional practice.

As appropriate to the post, keeping up to date with relevant professional evidence and opinion, legislation and policy developments, agreeing objectives and a personal development plan and participating in the appraisal process.

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

To attend local, regional and national meetings of relevance as required and appropriate.

To undertake any other duties commensurate with the post holder's grade as agreed with the post holder's line manager.

All employees should understand that it is their personal responsibility to comply with all organisational and statutory requirements (e.g. health and safety, equal treatment and diversity, confidentiality and clinical governance).

Carry out any other duties as reasonably required by the Clinical Director.

This is not intended to be an exhaustive list of responsibilities, and it is expected that you will participate in a wide range of activities.

PERSON SPECIFICATION

Qualifications

Maths and English GCSE (C and above) or equivalent - Essential

First level professional registration with appropriate professional body (e.g. HCPC, NMC, GPhC) - Essential

Relevant health-related degree - Essential

Advanced Clinical Practice / MSc or equivalent level of practice evidenced through a recognised credentialing process - Essential

Mentor/teaching qualification - Essential

Extended/independent prescribing qualification - Essential

Community or Primary Care specialist qualification - Desirable

Care of the elderly specialist qualification - Desirable

Additional qualification in management of a specific long term condition - Desirable

Clinical supervision training and experience - Desirable

Knowledge

Accountability of own role and other roles - Essential

Local and national health policy - Essential

Wider health economy - Essential

Clinical governance issues in primary care - Essential

Patient group directions and associated policy - Essential

Able to identify determinants of health in Surrey Heath / Frimley ICS - Desirable

Knowledge of public health issues in Surrey Heath / Frimley ICS - Desirable

Skills

Advanced clinical practice skills, management of patients with long-term conditions, urgent and on-the-day needs - Essential

Management of patients with complex needs - Essential

Ability to manage patients at the point of presentation - Essential

Clinical examination skills - Essential

Strong clinical leadership - Essential

Highly effective communication skills, both written and verbal - Essential

Negotiation, resource and conflict management - Essential

Change management / Service improvement - Essential

Teaching and mentorship in the clinical setting - Essential

Supervisor / facilitator for clinical supervision - Desirable

Competent with spirometry performance and interpretation - Desirable

Experience

Significant post registration experience - Essential

Recent primary or community experience - Essential

Healthcare-led management of minor illness, minor ailments and injuries - Essential

Healthcare-led triage - Essential

Compiling protocols and clinical guidelines - Essential

Clinical Leadership - Essential

Audit and Research - Essential

Non-Medical Prescribing (NMP) Qualification - Essential

Project management - Desirable

Working with community development initiatives - Desirable

Health-needs assessment - Desirable

Experience as a supervisor / facilitator for clinical supervision - Desirable

Other

Self-directed practitioner - Essential

Highly motivated and enthusiastic - Essential

Flexibility - Essential

Team player - Essential

Ability to respond to unpredictable work patterns on a frequent basis e.g. working to deadlines, interruptions - Essential

Excellent awareness of own strengths and weaknesses - Essential

Commitment to CPD/Revalidation - Essential

Access to suitable transport in relation to the post - Essential

Job Type: Part-time

Pay: 55,629.00-62,615.00 per year

Schedule:

Monday to Friday Weekend availability
Work Location: In person