About this role
Job summary
As an Advanced Clinical Practitioner you will be an experienced nurse/paramedic who, acting within your professional boundaries, will provide care for patients registered at any of the care homes, patients homes and GP practices in the Durham Dales area from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.
You will be expected to work across all of the services provided by DDHF.
Main duties of the job
As an Advanced Clinical Practitioner you will be working across the following services:
home and care home visits
long term conditions reviews
palliative care
telephone triage
Extended primary care access services (evenings, weekends, bank holidays
Enhanced health in care homes
About us
12 GP practices across Durham Dales got together, looking for a solution to help them provide the care patients needed, share resources and ideas, & be prepared for the challenges the NHS would face in the future.
The answer they came up with was a formal collaboration between the dozen practices: the Durham Dales Health Federation
DDHFs founding principal is to work together to provide high-quality, cost effective primary healthcare services. DDHF provide a range of services that all GP practices in the area can use to help look after patients.
Our range of staff, include Advanced Nurse Practitioners, Pharmacists, Health care coordinators & social prescribing link workers as well as non-clinical, administration support staff.
DDHF are able to offer a range of benefits to their employees; these are as follows;
Enhanced rates during weekends
Mileage claim (55p per mile)
Overtime is available
We currently do not do night shift
Flexible Working
NHS pension is carried over
Car lease scheme which is transferable.
We fully support training & development
Clinical supervision bi weekly
Clinical team meeting bi weekly.
Regular 1-2-1 support & appraisals
Complimentary refreshments
Free Car Park
Health service discounts
Immunisations offered
Eye tests reimbursed
Job description Job responsibilities
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 nondrug-based treatment methods into a management plan
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
Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health
Undertake minor surgery as appropriate to competence
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
Maintain effective communication within DDHF and with external stakeholders
Attend and contribute to team meetings
Undertake mentorship for more junior staff, assessing competence against set standards
Person Specification
Qualifications Essential
Registered first level nurse/Paramedic Relevant nursing/health degree Mentor/teaching qualification Non-medical independent nurse prescriber Msc in Advanced Clinical Practitioner or equivalent OR must be willing to work towards
Knowledge & Skills Essential
Advanced clinical skills Management of patients with long-term conditions Management of patients with complex needs Clinical examination protocols and procedures Boundaries of own role and other roles in a nurse-led service NSF, NICE guidelines Local and national health policy and wider health economy Clinical governance issues in primary care Patient group directions (PGDs) and associated policy usage Clinical leadership skills Communication skills, both written and verbal Communication of difficult messages to patients and families Negotiation and conflict management skills Change management Teaching and mentorship clinical setting Resource management
Desirable
Knowledge of public health issues Able to identify determinants on health in the area Knowledge of public health issues in the area
Experience Essential
Minimum 2 years post registration experience At least 2 years recent primary and community nursing experience Nurse-led management of minor illness, minor ailments and injuries Nurse-led triage including telephone triage Partake in clinical audit
Desirable
Project management Working with community development initiatives Health-needs assessment Home visit assessment of patients Community nursing specialist qualification Leadership in quality initiatives such as clinical benchmarking Clinical supervision training and experience
Other Essential
Full UK driving Licence Willingness to travel throughout the Durham Dales area Prepared to work out of hours on a staff rota Self-directed practitioner Highly motivated Enthusiastic
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.
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 Durham Dales Health Federation
Address Unit 51 Innovation Hse, Longfield Rd
South Church Enterprise Park
Bishop Auckland
Durham
DL14 6XB
United Kingdom
Employer's website https://ddhf.co.uk/ (Opens in a new tab)