About this role
Job summary
South Doc Services (SDS) is hiring an Advanced Medical Practitioner (AMP) on behalf of West Heath Surgery.
This will be a full time, permanent role with a 37.5 hours per week contract arrangement. The job location is at West Heath Surgery, 194 - 196 West Heath Road, Birmingham, B31 3HB. Pay / Salary is dependent on experience level.
If you wish to have the full job description, please email [email protected]
The Advanced Medical Practitioner (AMP) will provide high-quality, safe, effective and person-centred clinical care to patients registered with West Heath Surgery who reside in designated care homes.
The post-holder will work as an integral member of the Practice multidisciplinary team, working collaboratively with GPs, advanced practitioners, practice nurses, clinical pharmacists, community nurses, therapists, care coordinators, social care professionals, care-home staff and other relevant health and social care professionals.
Main duties of the job
The post-holder will contribute to the delivery of proactive, personalised and coordinated healthcare for care-home residents, with an emphasis on:
prevention of avoidable deterioration; early identification and management of acute illness; proactive management of frailty and long-term conditions; personalised care and support planning; medicines optimisation in collaboration with the appropriate prescriber/pharmacy professional; reducing avoidable hospital admissions; facilitating timely access to secondary and community care; supporting residents to remain in their preferred place of care wherever clinically appropriate; effective multidisciplinary working; continuity and coordination of care; and safe, evidence-based clinical decision-making.The role will support the Practice in delivering its contractual requirements under the current NHS England Network Contract DES and Enhanced Health in Care Homes arrangements. The current EHCH model is designed around proactive, personalised and integrated care for people living in care homes rather than a predominantly reactive model.
The post-holder will work within their individual scope of professional practice, competence and authority. Where an activity requires GP, consultant, specialist or other professional input, the AMP will recognise this promptly and escalate appropriately.
About us
Please note, this role is for West Heath Surgery, not South Doc Services.
West Heath Surgery is located within West Heath Medical Centre. We aim to provide first class up to date healthcare to the community while maintaining a family doctor relationship with all patients enabling continuity of care throughout a patients life. The Practice will continue to provide patient focused services using the criteria of clinical excellence providing healthcare to the community with equity and equality of access.
Job description Job responsibilities
Principle Duties and Responsibilities:
The post-holder will support delivery of the Practice EHCH service in accordance with:
the current NHS England Network Contract DES; the current Enhanced Health in Care Homes framework; the Practices agreed care-home operating model; the Practice's clinical governance arrangements; relevant ICB requirements and local pathways; NICE guidance and other national clinical guidance; relevant safeguarding, Mental Capacity Act and deprivation of liberty requirements; information governance requirements; local medicines-management policies; relevant CQC requirements and care-home policies; and professional standards and regulatory requirements.The AMP will:
Participate in scheduled care-home ward rounds as part of the multidisciplinary team and according to the agreed Practice care-home model. Work collaboratively with care-home staff to identify residents requiring clinical review, prioritising according to clinical urgency, frailty, risk and agreed care-home processes. Contribute to proactive identification of residents at increased risk of deterioration, hospital admission, falls, medication-related harm, malnutrition/dehydration, pressure damage and other significant health risks. Contribute to personalised care and support planning, ensuring that the resident's wishes, preferences, capacity, communication needs, clinical needs and goals are considered. Support timely clinical assessment of new or returning care-home residents and contribute to the Practice's arrangements for comprehensive assessment and personalised care planning following admission/readmission. Review and update care plans where there is a significant change in clinical circumstances. Work with the wider MDT to identify appropriate interventions and services that enable residents to remain safely within the care-home environment wherever appropriate. Participate in MDT discussions and case conferences for residents with complex or changing needs. Support effective communication between the care home, Practice, community services, secondary care, pharmacy, social care and other relevant agencies. Contribute to service evaluation, audit, quality improvement and monitoring of EHCH activity and outcomes.The current national framework emphasises integrated working between primary care, community health, social care and care homes, with personalised care and support at the centre of the model.
Person Specification
Qualifications Essential
Current professional registration appropriate to the AMP profession. Relevant advanced clinical qualification at postgraduate level or demonstrable equivalent advanced-practice capability. Evidence of advanced clinical assessment and decision-making competence. Evidence of ongoing professional development. Appropriate prescribing qualification where prescribing is a requirement of the post. Appropriate training and competence in phlebotomy. Evidence of competence in relevant clinical observations and investigations. Current mandatory training appropriate to the role. Appropriate professional indemnity/insurance arrangements.
Desirable
Advanced practice MSc or equivalent. Independent prescribing qualification. Advanced assessment qualification. Non-medical prescribing qualification where applicable. Relevant care-of-the-elderly/frailty qualification. Palliative/end-of-life care training. Dementia training. Leadership qualification. Relevant safeguarding qualification/training.
Skills and Competency Essential
The post-holder must demonstrate the ability to: undertake advanced clinical assessment; make safe autonomous clinical decisions; recognise clinical deterioration; manage acute clinical presentations; manage long-term conditions; interpret clinical investigations; undertake phlebotomy; perform routine observations; formulate differential diagnoses; develop management plans; initiate appropriate treatment within scope; make appropriate referrals; safety-net patients and care staff; communicate complex clinical information clearly; work effectively within an MDT; manage competing clinical priorities; maintain accurate clinical records; use electronic clinical systems; manage clinical risk; escalate appropriately; demonstrate sound clinical judgement; and work effectively in a care-home environment.
Communication Essential
Excellent verbal and written communication skills. Ability to communicate effectively with older people and people with cognitive impairment. Ability to communicate with relatives and carers sensitively. Ability to communicate with care-home staff at all levels. Ability to manage difficult or sensitive conversations. Ability to explain clinical information clearly. Ability to negotiate and influence appropriately. Ability to work constructively across organisational boundaries. Demonstrable commitment to compassionate and person-centred care.
Clinical Knowledge Essential
Good working knowledge of: acute illness in older people; frailty; multimorbidity; long-term condition management; dementia and delirium; falls; nutrition and hydration; medicines safety; polypharmacy; safeguarding; Mental Capacity Act; consent; advance care planning; palliative and end-of-life care; appropriate referral pathways; infection prevention and control; clinical governance; patient safety; evidence-based practice; and relevant NICE and national guidance.
Desirable
Knowledge of: Enhanced Health in Care Homes; Network Contract DES requirements; primary care contractual arrangements; care-home clinical governance; community services; admission avoidance pathways; virtual wards; urgent community response; integrated care systems; shared care records; and care-home quality and regulatory requirements.
Experience Essential
Significant post-registration clinical experience. Experience of autonomous clinical assessment and decision-making. Experience of managing patients with acute illness. Experience of managing patients with multiple long-term conditions. Experience of working with older people and/or people with frailty and complex needs. Experience of multidisciplinary working. Experience of clinical risk assessment and escalation. Experience of interpreting clinical investigations. Experience of making or supporting appropriate referrals. Experience of maintaining high-quality clinical records. Experience of working within clinical governance arrangements. Experience of recognising deterioration and acting appropriately.
Desirable
Experience working in general practice. Experience working in care homes. Experience undertaking care-home ward/home rounds. Experience of proactive care planning. Experience of admission avoidance. Experience of frailty assessment. Experience of palliative/end-of-life care. Experience of medicines optimisation/polypharmacy. Experience of quality improvement or clinical audit. Experience of teaching care-home or healthcare staff.
Leadership and Teamwork Essential
Demonstrable ability to work effectively as part of an MDT. Ability to work autonomously while recognising the need for escalation. Ability to provide clinical leadership within scope of practice. Ability to support colleagues and care-home staff. Ability to contribute to service improvement. Ability to manage clinical priorities safely. Ability to work collaboratively with primary, community and secondary care. Commitment to shared decision-making.
Personal Qualities Essential
The successful candidate will demonstrate: professional integrity; compassion; reliability; resilience; initiative; accountability; sound judgement; adaptability; commitment to patient safety; commitment to equality and inclusion; commitment to continuous learning; ability to work under pressure; ability to recognise personal limitations; commitment to collaborative working; and a proactive approach to improving care for care-home residents.
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 South Doc Services
Address West Heath Medical Centre
194-196 West Heath Road
Northfield
Birmingham
West Midlands
B31 3HB
United Kingdom
Employer's website http://southdocservices.co.uk/ (Opens in a new tab)