About this role
Job summary
West Farm Surgery is a small, friendly practice based in North Tyneside. Due to a restructure of our clinical team we are looking for an advanced clinical practitioner to join us. You will be responsible for managing and providing care for the presenting patient with undifferentiated, undiagnosed conditions, from initial history taking, clinical assessment, diagnosis, treatment, prescribing and evaluation of care. To include acute, minor and long term conditions in line with existing practice and national policies and guidelines.
The post is for 25 hours per week and we can have some flexibility regarding the days/hours worked.
Main duties of the job
To see patients independently, assess, diagnose and treat patients that request same day clinical access, using skills in history taking, problem solving and clinical decision making to establish a diagnosis and management/treatment plan
If appropriate, refer patients to another healthcare professional, for further assessment/treatment or management. This will be done in a timely manner dependent on the severity of the presenting complaint, i.e. immediately, same day, rapid access etc
As an independent prescriber: to prescribe safely, effectively and appropriately for the condition in line with practice, local and national guidelines and current evidence based legislative frameworks
About us
Our team is very supportive of each other and have a great team ethos. We have regular meetings and also meet over lunch, where there is opportunity to talk through cases and seek advice from colleagues.
The practice team consists of 2 GP partners, 1 non-clinical partner, 3 Salaried GP, 1 Pharmacist, 1 pharmacy technician, 1 social prescriber, practice nursing team and a knowledgeable and supportive reception and admin team.
We are also a training and teaching practice for GP Registrars, 1st, 2nd, 3rd and 5th year medical students.
We are an open and honest practice and encourage all team members to bring ideas that can make our patients experience better and improve our teams job satisfaction.
We are an active member of the NW North Tyneside PCN. We have access to a variety of health care professionals through the network and our patient's access these at our local hub a short walk from the surgery.
Locally we have a home visiting service which means our home visiting is low. We also work very closely with our frailty team at our aligned nursing home who support the practice in the long-term care of the residents.
Job description Job responsibilities
Clinical Responsibilities
Safely manage undifferentiated and undiagnosed presentations using data gathering, assessing for red flags, investigation, diagnosis, management, and review within their agreed scope of practice and capabilities.Must demonstrate complex clinical reasoning skills, to use problem solving approaches to analyse and synthesise information, manage medical and clinical uncertainty particularly in relation to a wide range of contexts and clinical presentations, and to include physical, mental, and social problemsHave a sound understanding of referral pathways including routine, urgent, 2-week wait and emergency admissionsUse resources appropriately and effectivelyManage acute/chronic presentations and medical complexitySafely and effectively use a range of consultation modes to include telephone, video, online and face to facePrescribe treatment and medication safely in line with local and national guidelines (where professional regulation and training permits i.e., an independent prescriber)To offer personalised care to people and signpost to and link with other members of the organisation or wider health and social care teamProvide health promotion and patient education in supporting patients for healthier lifestyle, self-care and in managing their own conditionsUnderstand the needs of the organisations population and work to meet them effectively as part of the wider teamWork collaboratively as part of the multidisciplinary team understanding the capabilities of colleagues to promote the most appropriate care for peopleManage own workload and work flexibly to meet clinical demand on the day and the needs of the practiceManage urgent situations by providing effective immediate emergency care, including initiating, and performing BLS/anaphylaxis management and use of AEDTo provide accurate, contemporaneous, and complete records of patient consultations, consistent with legislation policies and proceduresSupport the practices on-call triage systemManage own and others pathology results in accordance with own level of capabilities, and following shared care pathology guidance and organisations policies and proceduresSafely and effectively manage documents (clinical letters/hospital discharges) in accordance with own level of clinical capabilities, and following organisations policies and procedures
Communication
Have advanced and flexible interpersonal and communication skills to engage in effective and complex interactions with patients, carers, and colleaguesCommunicate effectively with individuals who require additional assistance for consultation e.g., use of interpreters, BLS interpreters, easy read, people with LD etc.Use communication skills to maintain a professional approach when working with patient and colleagues.
Quality and leadership
Demonstrate evidence-based care, working within local and national guidelines, and organisations policies and protocolsAlert other team members to issues of quality and risk following organisations policies and procedures of significant event analysisAssess own performance and take accountability for own actions, either directly or under supervisionContribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performanceAssess effectiveness of care delivery through self and peer review, and formal evaluation including participation in regular appraisalParticipate in audit, data collection and activity monitoring to improve own performance as well as organisation quality improvement projectsTake an active leadership role across the organisation as required, leading on projects, contributing to strategic planning, leading a team or workstream within clinical, or non-clinical practice such as education, quality improvement, project management
Professional Development and Education
Develop own skills and capabilities through education, training and development activities related to the current and future demands of the role, seeking opportunities to enhance skills to maintain current registration and achieve revalidation standardsParticipate in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional developmentWork within codes of conduct and practice set out by relevant professional body
Understand and observe professional and national guidelines on confidentialityParticipate in teaching and mentoring of other health professionals and members of the multi-disciplinary teamUnderstand own role and scope and identify how this may develop over time
Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of workingContribute and attend organisational meetings for own learning and development, to enhance team working, and improve patient care
Confidentiality
While seeking treatment, 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 appropriatelyIn the performance of the duties outlined in this Job Description, the post- holder may have access to confidential information relating to patients, carers, organisation staff and other healthcare workers. They may also have access to information relating to the organisation as a business. All such information from any source is to be regarded as strictly confidential
Information relating to patients, carers, colleagues, other healthcare workers or the business of the organisation may only be divulged to authorised persons in accordance with the organisations policies and procedures relating to confidentiality and the protection of personal and sensitive data.
Infection Prevention and Control, Health and Safety
Using personal security systems within the workplace according to organisations guidelines
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risksComplete annual training in infection control and other areas of health and safety in the workplaceMaking effective use of training to update knowledge and skills
Using appropriate infection control procedures, maintaining work areas in a tidy, safe way, and free from hazards
Reporting potential risks identified.
Equality and diversity
Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with organisations procedures and policies, and current legislationRespecting the privacy, dignity, needs and beliefs of patients, carers, and colleagues.Behaving in a manner which is welcoming to and of the individual, is non- judgemental and respects their circumstances, feelings priorities and rights.
Safeguarding
Individuals have a duty of care to children and vulnerable adults that they encounter whilst at work to safeguard and promote their welfare and to work to prevent, recognise, respond, appropriately refer, and record potential neglect or abuse, adhering to the companys Safeguarding Children and Safeguarding Vulnerable Adults and PREVENT policies and procedures.
Person Specification
Qualifications Essential
Advanced Care Practitioner MSc/Post Grad Diploma MSc/Post Grad diploma to include modules in advanced assessment and diagnostic reasoning, complex clinical reasoning Independent prescribing qualification
Experience Essential
Experience of working in healthcare in an autonomous practitioner role Evidence of competence in the clinical assessment, diagnosis and management of all age groups presenting with undifferentiated diagnosis Telephone consultations Face to face consultations
Desirable
Experience of working in the community, primary or urgent care Experience of mentorship, leadership, audit, and research in clinical practice. Familiar with using Systm1 and AccuRx/e-consultations
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 West Farm Surgery
Address 31 West Farm Avenue
Longbenton
Newcastle
Tyne and Wear
NE12 8LS
United Kingdom
Employer's website https://www.westfarmsurgery.nhs.uk/ (Opens in a new tab)