About this role
Job summary
This exciting, variable, and autonomous role requires the post holder to work effectively within their professional boundaries, focusing on the management of routine and urgent patient needs. The post holder will be responsible for the safe application of:
o History taking.
o Clinical Assessment (remote and face to face)
o Critical thinking and decision making
o Diagnosis and Treatment
o Management (including safety netting)
o and Referral.
The Clinical Practitioner will provide exemplary care, meeting population health needs through consultations with patients referred from 111 (1-, 2-, 6-, 12-, and 24-hour timescales), 999, Emergency Department, Emergency Treatment Centres, and those presenting to practices with routine or urgent needs.
Clinicians will liaise with other community healthcare professionals such as GPs, paramedics, and nurses regarding patient management, admission avoidance, and, where necessary, admission to secondary care. While working autonomously and potentially in isolation, the post holder will collaborate with the wider clinical team, including nurses, pharmacists, paramedics, GPs, consultants, mental health practitioners, and operational colleagues, to support patients and ensure the right care first time.
Main duties of the job
- Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, complex needs, acute and chronic conditions for both
physical, mental health and psycho-social needs.
- Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
- Diagnose and manage patient presentations, integrating both drug and non-drug-based treatment methods into a management plan
- Work with patients to support compliance with and adherence to prescribed treatments
- Provide information and advice 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
- To provide face-to-face and remote clinical assessment/treatment and management plans
- To provide clinical support to the range of other Health Care Professionals and operational colleagues within the team
- To undertake visits to patient's homes as required
- Compose and ensure robust safety netting and risk management for patients presenting to the service
- Make effective referrals to system partners and other care providers to ensure a holistic provision of care for patient's needs
About us
BrisDoc is an employee-owned social enterprise that has been providing NHS healthcare for over twenty years. Serving more than one million patients across Bristol, North Somerset, and South Gloucestershire, BrisDoc offers a range of primary care services, including:
Severnside Integrated Urgent Care (IUC):A 24/7 NHS urgent care service combining NHS 111 and the GP Out of Hours Service, and more, ensuring patients receive timely medical attention when their GP practice is closed In-Hours Primary Care:Operating GP practices such as Broadmead Medical Centre and Charlotte Keel Medical Practice, providing comprehensive healthcare services during standard hours Homeless Health Service:Dedicated to addressing the healthcare needs of homeless individuals, offering support through clinics and outreach teams As a social enterprise, BrisDoc prioritises the health of its patients, environmental sustainability, and the social and economic well-being of the community. The organisation is committed to reducing health inequalities and improving overall well-being.
At BrisDoc, we are proud to be anemployee-ownedorganisation, meaning every member of our team is a 'co-owner' with a real stake in the success of the business. This unique structure empowers our staff to influence decisions, shape the future direction of the organisation, and take pride in the care and services we provide.
Job description Job responsibilities Clinical
Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, complex needs, acute and chronic conditions for both physical, mental health and psycho-social needs.
Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
Diagnose and manage patient presentations, integrating both drug and non-drug-based treatment methods into a management plan
Work with patients to support compliance with and adherence to prescribed treatments
Provide information and advice 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
To provide face-to-face and remote clinical assessment/treatment and management plans
To provide clinical support to the range of other Health Care Professionals and operational colleagues within the team
To undertake visits to patients homes as required
Compose and ensure robust safety netting and risk management for patients presenting to the service
Make effective referrals to system partners and other care providers to ensure a holistic provision of care for patients needs
Participate in team discussions to ensure and drive best practice, using the best available evidence to provide exemplary world class care to every patient
Communication 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, languages, and preferred ways of communicating
Anticipate barriers to communication and take action to improve communication
Maintain effective communication with all multi-disciplinary team members, as well as with external stakeholders
Act as an advocate for patients and carers
Ensure awareness of sources of support and guidance (e.g., PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate
To be able to maintain accurate electronic written patient records for users of services provided
To be aware of responsibilities under the Data Protection Act.
Other responsibilities The primary focus of this role is to provide clinical services to patients, however there are a wealth of opportunities to engage with and drive initiatives, take leadership development roles and contribute to service improvement.
Ability to adhere to organisational policies
Maintain active NMC or HCPC registration
Continue to develop and expand own personal clinical expertise as autonomous/independent practitioner.
Understand own role and scope and identify how this may develop over time
In partnership with others, challenge and critically evaluate the boundaries of autonomous practice, such that patient access, choice and outcomes will improve
Help in the development and evaluation of clinical guidelines, policy, competency tools and continuous improvement opportunities to support in the expansion of Health care professional roles in the delivery of optimal care
Identify and perform audit relevant to clinical area in order understand current practice, review evidence-based research and drive improvement
Develop own areas of specific clinical expertise to link acute, primary, community and emergency care sectors in expanding nursing and AHP practice across BrisDoc
Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
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 guidelines
Supervision and Support Clinical Practitioners working within SevernSide services will have access to and participate in service leading feedback from the Clinical Guardian solution. This provides regular peer to peer feedback on a random sample of notes for all BrisDoc clinicians which are reviewed against set criteria.
All Clinical Practitioners will have access to and be expected to attend regular clinical forums and supervision both during shift and as a CPD offer which is multiple professional.
The post holder will have access to Connecting Care, EMIS, CLEO, NHS Remedy, AccuRx (Picture and Video Consultation software), MiDoS, Toxbase, PACCS and the BrisDoc Clinical Toolkit to support clinical practice.
Person Specification
Qualifications and training Essential
Current NMC or HCPC Advanced Clinical Assessment, Reasoning and Clinical Decision Making or Physical Assessment and Clinical Reasoning qualification or equivalent experience and willing to work towards this qualification BSc Qualification in a Clinical field or equivalent experience Ability to conduct remote consultation/assessment Post registration (excluding newly qualified) experience in at least one of the following areas: o General Practice o Minor illness o Walk-in-Centre o A&E o 999/111 o Minor Injury Unit o Community o Out of Hours Independent prescribing
Desirable
Experience in mental health assessment Working towards MSc in Advanced / Specialist Practice or evidence of accumulation of relevant experience / knowledge (essential for prescribing rates)
Knowledge and Experience Essential
Knowledge of equal opportunities and its significance for health care Understanding of legal and ethical issues / responsibilities relating to clinical practice and especially regarding autonomous practice and telephone assessment Experience of working autonomously diagnosing, treating, and discharging patients Experience of working in multiprofessional and multi-disciplinary settings and contributing to effective team working Knowledge in the delivery of Health Care Advice and Health Promotion
Desirable
Experience of treating patients of all ages (from neonatal to geriatric) Experience working with people with a forensic history Experience in working with people who don't have English as a first language Knowledge and understanding in meeting the needs of diverse groups Experience in working with people experiencing domestic violence. Familiarity with CLEO and/or EMIS
Skills, Abilities and Attributes Essential
Motivated by the provision of highquality patient care Good clinical judgment and decisionmaking skills Ongoing commitment to personal development Able to use own initiative and achieve measurable improvement against stated objectives Able to work under pressure and to deal with emergency situations and/or difficult clients and stressful situations professionally Organised, systematic, and flexible. Good time management being able to prioritise work and work under pressure Excellent written, verbal, and interpersonal communication skills Able to work within a team and give and take instruction as required. Able to quickly establish rapport and credibility with others in the team Can reflect on own work and performance Positive attitude towards innovations and change Ability to recognise own limitations and act upon them appropriately Able to remain impartial and nonjudgmental during times of sensitivity, stress, and potential conflict
Other Essential
Ability to work flexibly in relation to the operational times of all our services (this may include some unsocial hours) Ability to travel to other BrisDoc and external sites for meetings
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 BrisDoc Healthcare Services
Address Osprey
Bristol
BS14 0BB
United Kingdom
Employer's website https://brisdoc.co.uk/ (Opens in a new tab)