PCN Advanced Clinical Practitioner Nurse

PCN Advanced Clinical Practitioner Nurse As an advanced practitioner this post holder will workcollaboratively across the PCN to play a crucial role in clinical governance,building capacity and capability and providing resolution and critical thinkingto some challenging patient diagnosis or issues.

Whilst operating at an advanced practitionerlevel you will drive forward service improvements and clinical governancealongside seeing patients face to face and doing care homes ward rounds andhome visits. The PCN will benefit from your level of knowledge, skills,experience, and leadership to build capacity and capability across the network.

Main duties of the job To assess and triage patients,including same day triage, and as appropriate provide definitive treatment(including prescribing medications following policy, patient group directives,NICE (national) and local clinical guidelines and local care pathways) or makenecessary referrals to other members of the primary care team.

To manage undifferentiatedundiagnosed condition and identify red flags and underlying serious pathologyand take appropriate action.

To use complex decision makingto inform the diagnosis, investigation, complete management of episodes of carewithin a broad scope of practice.

To actively take a personalisedcare approach and population centered care approach to enable shared decisionmaking with the presenting person.

To complete the relevanttraining in order to provide multi-professional clinical practice and CPDsupervision to other roles within primary care, for example first contactpractitioners and the personalised care roles.

To provide specialised clinicalknowledge to assess patients, order and interpret diagnostics and initiatetreatment.

To provide skilled teamleadership to clinicians within the wider Multidisciplinary team.

To provide a high level ofclinical expertise.

The post holder is anautonomous practitioner who will manage a caseload of patients, using evidence-basedpractice/patient focused principles to assess, plan, implement and evaluate interventions.

About us GP practices have been working together in our area for years and formed BridgedalePrimary Care Network (PCN).Bridegale Primary Care Network is made up of GP registered patient lists for Roslea Surgery, Riverside Medical Centre and the Ryan Medical Centre. We serve a community of around 30,000 people. We are small enough to provide the personal care valued by our people and large enough to have impact and economies of scale through better collaboration.

As a Primary Care Network we are working hard to deliver on the national NHS England network contract that commenced in July 2019 and continues to March 2024.

This includes the following areas of focus:

anticipatory care

cardiovascular disease prevention and diagnosis

enhancing health in care homes

early diagnosis of cancer

tackling neighbourhood inequalities

structured medication reviews

social prescribing reviews

So as a primary care network ,with its member practices working ever closer together, it is important to establish shared core values which not only enables us to adapt, but to do so in the way that we all feel is right for our patients and staff. The outstanding contributions from Ryan, Roslea and Riverside surgeries in developing Bridgedales SHINE values is a key milestone and prepares the ground for the future.

Our Vision:

To deliver excellent patient care and support our patients and staff health and wellbeing.

Job responsibilities Key duties and responsibilities

To assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.

To manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action.

To use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice.

To actively take a personalised care approach and population centered care approach to enable shared decision making with the presenting person.

To complete the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.

To provide specialised clinical knowledge to assess patients, order and interpret diagnostics and initiate treatment.

To provide skilled team leadership to clinicians within the wider Multidisciplinary team.

To provide a high level of clinical expertise.

To support and undertake audit, research projects, and recommend changes in practice within specialist clinical area.

The post holder is an autonomous practitioner who will manage a caseload of patients, using evidence-based practice/patient focused principles to assess, plan, implement and evaluate interventions.

To ensure Shared Decision Making (SDM) is embedded within the service and evidenced.

To communicate appropriate complex information effectively to patients and/or carers where there may be barriers to understanding.

To inform them of the benefits and risks of suggested treatment options and to undertake this with groups or individuals.

To demonstrate a sound reasoning of clinical governance, clinical risk and to demonstrate the use of treatment plans with an evidence-based link.

To use advanced clinical reasoning skills enabling formal supervision, specialist support and advice for the AARS roles on a regular basis and be available to advise other staff on the management of complex patients as appropriate, in area of specialist expertise.

Building capacity through effective leadership

To provide clinical leadership to the AARS team, provide 1:1 and carry out appraisal and training plans when needed.

Management of workload and personal development

Act on own initiative in prioritising and managing workload, delegating tasks appropriately and referring to MDT Members in respect of clinical, managerial, and administrative areas, as necessary.

Enrolled into review and appraisal systems within the PCN.

Maintain your own personal and professional development as agreed at your annual review.

Manage own time, workload, and resources effectively.

Collaborative Working Relationships

Recognises the roles of other colleagues within the organisation and their role to patient care.

Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations)

Demonstrates the ability to work as a member of a team.

Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary.

Actively work toward developing and maintaining effective working relationships both within and outside the PCN and locality

Foster and maintain strong links with all services across the locality.

Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships.

Education, Training and Development:

Attending training and events organised by the Practices/PCN or other agencies, where appropriate.

Participate positively and actively in clinical and Practice/PCN meetings.

Understands and demonstrates the characteristics of a role model to members in the team and/or service.

Demonstrates understanding of the mentorship process.

Participate in the delivery of formal education programmes when needed.

Ensures appropriate clinical supervision is in place to support development.

published procedures. This will include (but will not be limited to):

Contribution to the implementation of services:

The post-holder will:

• Apply practices/PCN policies, standards, and guidance.
• Discuss with other team members how policies, standards and guidelines will affect own work.
• Undertaken any additional duties appropriate to the post as requested by the Partners/Practice Manager/PCN Manager and Clinical Director.

Respect for Patient Confidentiality

In the course of 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 appropriately.

The post-holder should always respect patient confidentiality and not divulge patient information unless sanctioned by the requirements of the role.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the Practice/PCN policies and procedures relating to confidentiality and the protection of personal and sensitive data.

The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).

Communication:

The post-holder should recognize the importance of effective communication within the team and will strive to:

Communicate effectively with other team members.
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