About this role
Job summary
We are looking for an enthusiastic and experienced Advanced Clinical Practitioner (ACP) to join our friendly and forward thinking team at Ash Grove Medical Centre.
This is an exciting opportunity to work as a autonomous clinician within a busy general practice, providing high quality care to a varied patient population.
We are looking for someone who is clinically confident, compassionate, proactive and committed to delivering excellent patient care. In return, we offer a supportive working environment, opportunities for professional development and the change to make a real difference to our patients and the wider practice team.
If you are an ACP looking for a varied and rewarding role where your skills and clinical judgement are valued, we would love to hear from you.
Main duties of the job
As an ACP, you will provide autonomous clinical care across our general practice, working closely with our GPs and wider multidisciplinary team.
Your role will include seeing patients in clinic, undertaking home and care home visits, assessing and managing a varied range of acute and chronic presentations and reviewing clinical investigations and pathology. You may also see children where appropriately qualified and experienced.
You will use your advanced clinical skills and professional judgement to assess patients, develop appropriate management plans, provide treatment and follow up and ensure patients receive safe and effective care.
The role is varied and offers the opportunity to work across different areas of primary care while contributing to the development of our clinical services and supporting the wider practice team.
About us
Ash Grove Medical Centre is a busy, friendly and forward thinking training practice committed to providing high quality care to our patients while supporting the development of our clinical team.
We work in a supportive but professional environment where clinical excellence, patient safety, learning and continous improvement are important to us. We encourage our team to share ideas, develop areas of clinical interest and plan an active role in improving the services we provide.
Job description Job responsibilities
Job Description Advanced Clinical Practitioner
Job Summary
The Advanced Clinical Practitioner (ACP) will work as an autonomous clinician within Ash Grove Medical Centre and Eggborough Surgery, providing high-quality, patient-centred care across the practice population.
The post holder will be responsible for assessing, diagnosing and managing patients presenting with a wide range of acute, minor illness, chronic and complex conditions. The role will include face-to-face consultations in the practice, home visits and care home visits where required, clinical assessment and management, requesting and interpreting investigations, including pathology, and appropriate onward referral.
The ACP will work with both adult and paediatric patients, where appropriately qualified and experienced, and will work within their professional scope of practice and level of competence.
The successful candidate will demonstrate advanced clinical assessment and diagnostic skills, sound clinical decision-making, effective risk management and the ability to work independently while recognising when GP or wider multidisciplinary input is required.
Main Duties and Responsibilities
Conduct autonomous face-to-face clinical consultations with patients presenting with acute, minor illness, chronic and complex conditions. Undertake comprehensive clinical histories and physical examinations and formulate appropriate differential diagnoses. Assess, diagnose and manage patients safely and effectively within the ACP's scope of practice. See adult patients and children where appropriately qualified and competent, recognising and responding appropriately to the different clinical needs of paediatric patients. Undertake home visits and care home visits as required, including assessment and management of patients who are unable to attend the practice. Assess acutely unwell and deteriorating patients and initiate appropriate management and escalation. Request appropriate investigations, including pathology and other diagnostic investigations, and independently review, interpret and act upon results within scope of practice. Ensure appropriate follow-up and safety-netting of investigations and abnormal results. Initiate, prescribe and review medication safely and appropriately within prescribing authority, scope of practice and current national and local guidelines. Provide appropriate education and advice regarding medication, adherence, side effects, interactions and lifestyle modification. Develop, implement and review individualised treatment and management plans. Manage patients with acute presentations, long-term conditions, complex needs and urgent health concerns, including appropriate mental health presentations. Recognise safeguarding concerns and follow appropriate safeguarding procedures and referral pathways for children and adults. Make appropriate referrals to GPs, secondary care, community services and other members of the multidisciplinary team. Initiate and coordinate emergency care where clinically indicated. Provide appropriate health promotion, preventative healthcare, screening and self-management advice. Provide evidence-based advice regarding immunisations, contraception and disease prevention where appropriate to the role and scope of practice. Maintain accurate, contemporaneous and legally compliant clinical records using the practice's clinical systems. Communicate effectively with patients, carers, practice staff, community services, secondary care and other healthcare professionals. Work collaboratively with GPs, nurses, pharmacists, healthcare assistants, administrative staff and the wider multidisciplinary team. Recognise personal limitations and seek advice or escalate appropriately where a presentation falls outside the post holder's competence or scope of practice. Contribute to clinical supervision, mentoring and support of other staff, students and colleagues where appropriate. Attend and actively contribute to clinical, multidisciplinary team and governance meetings. Participate in clinical audit, significant event reviews, quality improvement and service development. Contribute to the development and review of clinical protocols, pathways and practice procedures. Support the practice in achieving appropriate QOF and other contractual or quality targets. Contribute to the practice's clinical governance, patient safety and CQC requirements. Maintain professional registration, undertake required CPD and participate in annual appraisal and clinical supervision. Maintain up-to-date knowledge of current evidence, NICE guidance, national standards and local policies. Comply with infection prevention and control, health and safety, confidentiality, information governance and safeguarding requirements. Carry out other reasonable clinical duties requested by the GP Partners or Practice Manager, consistent with the responsibilities and level of the role. Clinical Investigations and Pathology
A key element of the role will be the appropriate use and management of clinical investigations.
The ACP will:
Request appropriate pathology and other investigations based on clinical assessment. Review and interpret pathology results within the post holder's competence. Identify abnormal or clinically significant results requiring action. Initiate appropriate management, follow-up or referral. Ensure patients are appropriately informed of significant results and that appropriate safety-netting is provided. Maintain responsibility for ensuring investigations requested are appropriately followed up in accordance with practice procedures. Home Visits
The ACP will undertake home visits and care home visits as required by the practice.
This will include:
Assessing patients in their home or care home environment. Undertaking appropriate clinical examination and assessment. Diagnosing and managing patients within scope of practice. Reviewing medication and treatment plans where appropriate. Requesting investigations and arranging appropriate follow-up. Recognising deterioration and arranging urgent or emergency escalation where required. Liaising with GPs, community teams, district nurses, palliative care services and other relevant professionals. Maintaining accurate clinical records following each visit. Paediatric Care
Where the post holder is appropriately qualified and experienced to assess children, they may be required to undertake paediatric consultations.
This will include:
Assessing children presenting with acute and minor illness. Recognising red flags and signs of serious illness. Applying appropriate safeguarding procedures. Working within the individual's paediatric competence and escalating to a GP or appropriate service when required. Providing appropriate advice and safety-netting to parents and carers. The post holder will not be expected to undertake paediatric consultations outside their qualification, competence or agreed scope of practice.
Additional Responsibilities
Participate in rota arrangements and provide appropriate cover for colleagues during periods of annual leave or sickness, where required. Provide clinical support to the wider practice team, including responding to appropriate clinical queries. Support prescription-related queries within clinical competence and scope of practice. Maintain a professional and appropriate standard of appearance and behaviour. Maintain patient confidentiality and ensure all patient-identifiable information is handled securely. Comply with practice policies, procedures and statutory requirements. Participate in mandatory training and maintain all required professional competencies. Contribute to clinical audits, research and service improvement initiatives. Act as a clinical lead or develop a specialist area of interest where appropriate and agreed with the practice. Support the practice in maintaining high standards of patient safety, clinical governance and regulatory compliance. Undertake any other reasonable duties appropriate to the role and level of responsibility.
Person Specification
Skills and Knowledge Essential
Skills and Knowledge Excellent clinical assessment and decision-making skills. Ability to manage clinical uncertainty and risk safely. Ability to work independently while recognising professional limitations. Good understanding of evidence-based practice and clinical governance. Excellent verbal and written communication skills. Strong organisational and time-management skills. Ability to maintain accurate clinical documentation. IT literate and confident using electronic clinical systems.
Desirable
Previous experience working within general practice or primary care. Experience managing same-day/urgent presentations in primary care. Experience with chronic disease management. Experience undertaking clinical audit or quality improvement projects. Experience supporting or mentoring other clinicians. Knowledge and experience of local community and secondary care referral pathways. Experience using SystmOne or other primary care clinical systems.
Qualifications Essential
Qualifications and Registration Registered healthcare professional with an appropriate professional registration. MSc in Advanced Clinical Practice or equivalent advanced practice qualification, or working towards completion where appropriate. Evidence of advanced clinical assessment and consultation skills. Appropriate independent prescribing qualification where required for the role. Evidence of ongoing continuing professional development.
Experience Essential
Clinical Experience Significant post-registration clinical experience. Experience working autonomously as an Advanced Clinical Practitioner or equivalent advanced clinical role. Experience assessing and managing patients with undifferentiated and acute presentations. Demonstrable experience of clinical assessment, diagnosis, treatment and management planning. Experience working within a multidisciplinary team. Experience recognising clinical deterioration and appropriately escalating care. Understanding of safeguarding responsibilities and appropriate referral pathways.
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 Ash Grove Medical Centre
Address England Lane
Knottingley
West Yorkshire
WF11 0JA
United Kingdom
Employer's website https://www.ashgrovesurgery.co.uk/ (Opens in a new tab)