Job summaryOffered as a permanent contract, the role will work across the week within normal practice opening hours (0800-1830). Start and finish times are flexible. Working condensed hours (eg. full time in 4 days) will be considered where requested (subject to service need).An Advanced Clinical Practitioner is a registered Health Care Professional. You will be a Nurse, Paramedic or Pharmacist qualified with an appropriate Master's Degree in Advanced Clinical Practice relevant to Primary Care.You will be an experienced ACP within primary care who is able to deliver quality individualised care to our patients with a high level of autonomy underpinned by the four pillars of clinical practice, leadership and management, education, and research.You will be expected to utilise your skills in advanced clinical assessment and diagnostic reasoning to make complex decisions to determine and initiate changes to treatment, in collaboration with a multidisciplinary team and supported by a clinical supervisor.You will have the knowledge and experience to be able to supervise other clinical members of staff within the PCN Team.Main duties of the jobThe role will include some/all the following depending on hours worked:Home visits to acutely unwell patientsReview of long-term conditions for house bound patients where clinically appropriateSupervision/point of contact to our PCN Paramedic and Nursing/HCA home visiting serviceSupport/supervision/education to our other patient facing rolesSupporting our care homes alongside local GPs/Pharmacists and Nursing TeamSome in Practice clinical sessions dependent on service needAbout usOur PCN consists of 5 GP Practices: Alwoodley Medical Centre, Meanwood Health Centre, North Leeds Medical Practice, Street Lane Medical Practice and Diamond Medical Group, based over 7 sites, caring for a population of over 80k patients.We work together with a range of local providers, including community services, social care and the voluntary sector, to offer more personalised, co-ordinated health and social care to our local population.We currently employ a team of 45 including:Pharmacists and Pharmacy TechniciansHealth and Wellbeing CoachesParamedicsNurse Associate & Trainee NA plus Health Care Assistants/phlebotomistOccupational TherapistsSocial and Wellbeing PrescribersGPs (in Advisory and Supervisory roles)Admin & Management SupportJob descriptionJob responsibilitiesMAIN TASKS:CLINICALWork within the multi-disciplinary team to provide urgent care and a home visiting service, providing clinical triage when required.Provide safe, evidence-based, cost-effective, individualised patient care within the surgery, patients own home or other environment where patient care is carried outClinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly referring patients to other services/agencies in a timely manner, utilising Practice, PCN and local guidelines.To recognise the need for and be able to perform and interpret investigatory procedures, including laboratory and radiology.Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.Support the delivery of anticipatory care plansSupport patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care.Manage mental health needs and referring on as clinically appropriateRecognise and work within your own competence and in accordance with professional codes of conduct, maintaining accurate and contemporaneous health recordsIndependently prescribe for patients within your scope of practice. Using your knowledge, you will provide information and advice on prescribed or over-the-counter medication. This includes advice on medication regimens, side-effects, and interactions.Review medications following the appropriate policies, NICE/local clinical guidelines and local care pathways.Working in alignment with the four pillars of Advanced Practice, provide clinical leadership and supervision to PCN and surgery colleagues.To maintain an awareness of developments in clinical practiceBe aware of your duties and responsibilities regarding current legislation and adhere to our policies and procedures on Safeguarding Children and Safeguarding Adults.CONFIDENTIALITYYou will have access to confidential information relating to patients and their Carers, practice staff and other healthcare workers. Patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriatelyInformation relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive dataHEALTH AND SAFETY - The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in our Health & Safety Policy, to include:Using personal security systems within the workplace according to PCN guidelinesIdentifying the risks involved in work activities and undertaking such activities in a way that manages those risksMaking effective use of training to update knowledge and skillsUsing appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazardsReporting potential risks identifiedEQUALITY AND DIVERSITY - The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislationRespecting the privacy, dignity, needs and beliefs of patients, carers and colleaguesBehaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.TRAINING, PERSONAL/PROFESSIONAL DEVELOPMENTTraining requirements will be monitored in accordance with PCN requirements. Relevant personal development will be encouraged and supported by the PCN. You will be expected to take responsibility for maintaining a record of own personal and/or professional developmentUndertake mandatory and statutory training as required and attend courses/ study days as deemed appropriate/necessaryContinually review clinical practice, responding to National policies and initiatives where appropriate.Provide leadership and education for members of the multi-disciplinary team, providing guidance and support when necessary.QUALITY - The post-holder will strive to maintain quality within the practice, and will:Contribute to the achievement of the highest possible quality standards such as those detailed by their regulatory body and the CQC.Monitor the safety and effectiveness of own clinical practice through quality assurance strategies such as the use of audit, mentor feedback, case review and peer review. Implement improvements where necessaryUnderstanding of the audit process and of clinical risk managementAlert other team members to issues of quality and riskAssess own performance and take accountability for own actions, either directly or under supervision. Participate in the review of significant and near-miss incidentsContribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performanceEffectively manage own time, workload and resourcesWork in partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.COMMUNICATIONExcellent communication skills (written and oral), when dealing with patients and other team members. The ability to make clear decisions with confidence and communicate these effectively.Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatmentUse developed communication, negotiation and conflict management skills recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background etc.MANAGING RISKManage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients. This includes the escalation of clinical concerns or appropriate referrals where the management of a clinical situation requires it, or it falls outside of clinical competence.Monitor work areas and practices to ensure they are safe and free from hazards, and conform to health, safety and security legislation, policies, procedures and guidelinesApply infection control measures within the practice according to local and national guidelines and in accordance with the practice policyThis job description is not exhaustive and is subject to review considering changing service needs. Change will be made in consultation with the role holder and will be reviewed at annual appraisalPerson SpecificationExperienceEssentialExperience of working as an Advanced Clinical PractitionerExperience of working in urgent care and/or a primary care environmentExperience in triageExperience of dealing with a range of clinical conditionsExperience of providing home visitsExperience of providing Urgent on the day careProven competency as an Independent non-medical prescriber.Proven ability to evaluate the safety and effectiveness of own clinical practice.Understanding of evidence-based practice.Evidence of working autonomously, with some support and supervisionKnowledge of Quality and Outcomes Framework.DesirableKnowledge of public health issues in the local areaAwareness of issues within the wider health arenaKnowledge of health-promotion strategiesOther requirementsEssentialDisclosure Barring Service (DBS) checkOccupational Health ClearanceHCPC registrationFull UK driving licence with access to own vehicleClinical Knowledge and SkillsEssentialAbility to effectively triage, assess and diagnoseRequesting pathology tests and processing the results, advising patients accordinglyUnderstands the importance of evidence-based practiceBroad knowledge of clinical governanceAbility to record accurate clinical notesAbility to work within own scope of practice and understanding when to refer to GPsDesirableWound CareECG recording and interpretationAssessing and managing acute deteriorations/exacerbations of Long-Term ConditionsHypertension managementSpirometryCoronary heart disease managementImmunisations (routine, childhood and travel)Knowledge of public health issues in the local areaKnowledge of health promotion strategiesUnderstands the requirement for PGDs and associated policyQualificationsEssentialFull NMC / HCPC Registration with no restrictionsMSc in Advanced Clinical PracticeNon-Medical Independent Prescriber QualificationDesirableMentor/teaching qualificationNegotiation and conflict management skillsOther SkillsEssentialExcellent communication skills (written and oral), including a clear, polite telephone mannerStrong IT skills and competent in the use of Microsoft Office and OutlookEffective time management (Planning, Organising and Prioritising)Ability to work as a team member and autonomouslyAbility to form good working relationships with a multidisciplinary team.Ability to listen and empathise whilst being honest and caringProblem solving & analytical skillsAbility to follow clinical policy and procedureUnderstanding of the audit processAbility to assess and manage patient risk effectively and safely.DesirableKnowledge of General Practice Clinical Systems eg. SystmOne and EMISPersonal qualities, attributes & abilitiesEssentialPolite and confidentFlexible and cooperativeMotivated, forward thinkerProblem solver with the ability to process information accurately and effectively, interpreting data as requiredHigh levels of integrityAbility to use own judgement, resourcefulness and common sense.Sensitive and empathetic in distressing situationsAbility to work under pressure / in stressful situationsEffectively able to communicate and understand the needs of the patientCommitment to ongoing professional developmentEffectively utilises resourcesPunctual and committed to supporting the team effortDemonstrable evidence and commitment to professional development.Observance of strict confidentiality.Disclosure and Barring Service CheckThis 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.UK RegistrationApplicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).Employer detailsEmployer nameCentral North Leeds Primary Care Network LtdAddressShadwell Medical Centre137 Shadwell LaneLeedsWest YorkshireLS17 8AEEmployer's websitehttps://www.centralnorthleedspcn.co.uk/ (Opens in a new tab)