Advanced Clinical Practitioner - Urgent Care

Advanced Clinical Practitioner £49,000 to £65,250 a year plus rate enhancements for evening & weekend working

Do you want to work within an innovative, forward thinking and progressive integrated urgent care team? Here at Preston and Chorley Integrated Urgent Care Centre in the heart of Lancashire we provide varied service lines, which include, DVT clinics, minor injuries, face to face walk in patients, NHS 111 appointments, Remote clinical assessment calls and have a team of Clinical practitioners providing the triage functions between the emergency departments and urgent care centres.

Our team is made up of Advanced Clinical Practitioners with a blend of Illness and / or injury training and from a variety of backgrounds;

such as Nurses, and Paramedics, where shared learning, continual improvement and delivering excellence is part of our embedded culture.

Awarded 'Team of the Year 2022' we are looking to recruit additional Advanced Clinical Practitioners.

You will work alongside established Advanced Clinical Practitioners, GP's or Middle grade Doctors as well as having a supportive administrative team who help coordinate care and flow of patients.

This is an excellent prospect to work within team who have a real commitment to continuous improvement, shared learning and best practice.

We are passionate about providing patients in Preston & Chorley with the highest possible quality care., We have an excellent opportunity for an Advanced Clinical Practitioner to join our Urgent care teams at Royal Preston Hospital and Chorley Hospital.

Assess and holistically clinically examine patients with both minor and complex needs through history taking, physical examination and appropriate use of investigations to confirm diagnosis.

Plan, implement and evaluate an effective management plan for the patient, ensuring safe discharge / referral and / or transfer to an appropriate health care service.

Provide information and advice on prescribed or over-the-counter medication and medication regimes, 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.

Refer and discharge safely ensuring that safety-netting advice is offered.

Triage telephone referrals, calls from external clinicians, patients and others into a range of services appropriately as required., ClinicalPractice

• Assessand holistically clinically examine patients with both minor and complex needsthrough history taking, physical examination and appropriate use ofinvestigations to confirm diagnosis.


• Plan,implement and evaluate an effective management plan for the patient, ensuringsafe discharge / referral and / or transfer to an appropriate health care service.


• Provideinformation and advice on prescribed or over-the-counter medication onmedication regimens, side-effects and interactions.


• Prioritisehealth problems and intervene appropriately to assist the patient in complex,urgent or emergency situations, including initiation of effective emergencycare.


• Referand discharge safely ensuring that safety-netting advice is offered.


• Triagetelephone referrals, calls from external clinicians, patients and others into arange of services appropriately as required.


Communication

• Utiliseand demonstrate sensitive communication styles, to ensure patients are fullyinformed and consent to treatment.


• Communicateeffectively with patients and carers, recognising the need for alternativemethods of communication to overcome different levels of understanding,cultural background and preferred ways of communicating.


• Anticipatebarriers to communication and take action to improve communication.


• Maintaineffective communication within the organisation and with external stakeholders.


• Ensureawareness of sources of support and guidance and provide information in anacceptable format to all patients, recognising any difficulties and referringwhere appropriate


Non-Medical Prescribing

• If you are employed in a prescribingcapacity, you must only prescribe within your scope of practice and comply withthe gtd healthcare NMP governanceregistration processes.


• You must maintain your knowledge and skillsand prescribe within your clinical competencies.


• The non-medicalprescriber is required to comply with organisational NMP governance processesand adhere to local and national prescribing guidance.


Delivering a Quality Service

• Recogniseand work within own competence and professional code of conduct as regulated bythe NMC / HPC etc. Understand own role and scope and identify how this maydevelop over time.


• Produceaccurate, contemporaneous and complete records of patient consultation,consistent with legislation, policies and procedures.


• Prioritise,organise and manage own workload in a manner that maintains and promotesquality.


• Ensureprofessional revalidation requirements are met.


• Delivercare according to NSF, NICEguidelines and evidence-based care.


• Assesseffectiveness of care delivery through self and peer review, benchmarking andformal evaluation.


• Initiateand participate in the maintenance of quality governance systems and processesacross the organisation and its activities.


• Inpartnership with other clinical teams, collaborate on improving the quality ofhealth care responding to local and national policies and initiatives asappropriate.


• Supportand participate in shared learning across the organisation and widerorganisation.


• Understandand apply guidance that supports the identification of vulnerable and abusedchildren and adults, and be aware of statutory child / vulnerable patient healthprocedures and local guidance.


Leadership Personal andPeople Development

• Takeresponsibility for own learning and performance including participating inclinical supervision and acting as a positive role mode.


• Supportstaff development in order to maximise potential.


• Activelypromote the workplace as a learning environment, encouraging everyone to learnfrom each other and from external good practice.


• Encourageothers to make realistic self-assessment of their application of knowledge andskills, challenging any complacency or actions that are not in the interest ofthe public and / or users of services.


• Criticallyevaluate and review innovations and developments that are relevant areas ofwork.


• Take alead role in planning and implementing changes within the area of care andresponsibility.


• Workwith senior clinical and management teams to ensure sufficient staff ofappropriate ability, quality and skill-mix is available to meet current andfuture service delivery, that selection and recruitment processes are effectiveand that equality of treatment of the team incorporates quality HR principlesand processes.


• Contributeto the development of local guidelines, protocols and standards.


• Maintaineffective communication with those responsible for the overall commissioningand procurement process.


• Toattend and be proactively involved in professional meetings at base andcorporately.


• Takethe lead / develop a special interest within certain areas to allow the sharingof clinical knowledge and expertise.
  
  Essential


• Registered first level nurse, paramedic, pharmacist or other AHP with MSc Advanced Clinical Practice or credentialing qualification or equivalent.


• V300 Non-Medical Prescriber (gateway dependent) dependent on professional eligibility.


Desirable

• Mentor / Teaching qualification.


• Clinical supervision training and experience.


Experience

Essential

• Experience of working as senior clinician.


• Accountability of own role and other roles in a practitioner-led service.


• Experience of leading / managing quality improvement.


Desirable

• Experience in leading / managing a team of nurses.


• Experience of working in an unscheduled care service.


• Experience of having worked in Primary Care., Advanced clinical practice skills and competence.


• Management and treatment of patients with acute exacerbation of long-term conditions.


• Management of patients with complex needs.


• Clinical examination skills and competence.


• Clinical leadership skills and competence.


• Communication skills, both written and verbal.


• Negotiation and conflict management skills.


• Change management experience and evidence.


• Highly motivated.


• Flexibility.


• Enthusiasm.


• Team Player.


Desirable

• Teaching and mentorship in a clinical setting.


• Resource Management.
  
  gtd healthcare is one of the largest, not-for-profit, NHS commissioned primary and urgent care providers in North West England.


We are values-driven, embrace the ethos of social enterprise and care for people, families and communities, in order to improve their health and wider wellbeing.

We are values-driven, embrace the ethos of social enterprise and care for people, families and communities, in order to improve their health and wider wellbeing.

We are keen to develop and support staff to excel their career aspirations whilst making a positive difference to patients and the community.

We put our people at the heart of everything we do. We are a values driven organisation and we are passionate about providing the best possible healthcare for our patients.


• working for a values-driven organisation;


• Real living wage employer;


• access to Wagestream, which provides flexible and on-demand access to stream your pay during the month, in real-time, when picking-up extra shifts;


• 30 days annual leave, rising to 32 after five years of continuous service;


• flexible pension benefits including NHS pension scheme;


• flexible working hours and policies;


• family friendly and carer policies;


• opportunities to apply for innovation and quality awards;


• access to gtd healthcares wellbeing initiatives, which offer a wide range of tools and resources;


• gtd healthcare social and fun activities;


• cycle to work scheme.