Job Summary
The post holder will be an experienced healthcare practitioner with experience in acute and urgent care. Ideally they will have completed an MSc in Advanced Practice, and must be independent prescribing. The post holder must be able to evidence a clinical portfolio and relevant competencies in line with the HEE national framework for advanced clinical practice. Advanced clinical practitioners are expected to work across the four pillars of advanced practice; clinical, leadership, research and education.

The post holder will practice as an Advanced Nurse Practitioner across various services, including but not limited to ABC Remote Services (uCATS, Enhanced Access, Additional Primary Care, Smoking Cessation and ADHD Primary Care Connect)

Main duties of the job
The post holder will autonomously undertake assessment and treatment of both acute and chronic, differentiated and undifferentiated, patient presentations.

The post holder will determine a clinical diagnosis, treatment plan and appropriate discharge, or refer, as indicated whilst maintaining accurate patient records and ensuring patient safety. They will be a source of clinical expertise to less experienced staff, enhancing skills and knowledge, and work in partnership with a multidisciplinary team.

The post holder will ensure a high-quality patient centred service is delivered in remote settings across all clinics.

About us
Alliance for Better Care CIC is a GP Federation that unites NHS GP practices across Primary Care Networks in Sussex and Surrey. We support our Primary Care colleagues as well as their patients, to transform how healthcare is managed within the community.

As a membership organisation, our focus is to work in partnership with our members and help them to improve the provision of General Practices in the local area.

We work with and listen to our GP Practices, PCNs, Hospitals, Community Organisations and the Third Sector. These vital partnerships ensure that, together, we deliver a truly integrated approach that offers the support and expertise needed to effectively serve our communities.

More about our organisation: www.allianceforbettercare.org

Services that ABC Provide

• ADHD Primary Care Connect
• Anti-Viral COVID medication (nMABs)
• Anticipatory Care
• Enhanced Access
• Outbreak Response
• Refugee and Asylum Seeker Support
• Smoking Cessation
• Urgent Care (secondary care settings)
• Urgent Care at Scale (primary care) (uCATS)
• Vaccination Programme
• Virtual Wards

Supervision
Regular supervisions on a one-to-one basis including an annual formal appraisal. If you are in a patient-facing role, you will also receive regular Clinical Supervisions with a Clinical Supervisor. There are regular clinical service training days and opportunities for CPD

Job responsibilities
Clinical responsibilities

• To independently undertake specialised clinical assessments, diagnose, treat and discharge, or appropriately refer, patients with a wide range of acute and chronic illnesses.
• To ensure patients are fully involved in the design and implementation of their treatment plans.
• To ensure effective coordination and liaison with multidisciplinary teams across primary and secondary care, statutory and voluntary disciplines/groups to provide a seamless service to patients and their carers and prevent hospital admission where urgent care is required.
• To undertake assessments as part of the ADHD Primary Care Connect service, diagnostic and prescribing medication as appropriate and with the support of the consultant Psychiatrist
• To prescribe smoking cessation medication in line with service protocols
• To refer appropriately to clinical leads/supervising GP/Consultant Psychiatrist where a second opinion, or supervision is required.
• To adapt styles of communication appropriately to promote empowerment, self-management, and health education for patients.
• To attend clinical case conferences, review and clinical meetings as required.
• To be a source of clinical expertise to less experienced staff within the team.
• To delegate duties/tasks to other members of staff where appropriate.
• Provide specialist advice relating to minor illness and/or injury to local healthcare teams, patients, relative, and carers.
• To identify actual or potential clinical risks and take appropriate action using, when required, the appropriate reporting structure.

Leadership / Service Delivery Responsibilities

• To ensure that patient records and documentation are maintained in line with recognised standards and ABC policies and use of the electronic patient records system. This includes: Documenting full and accurate record of assessments, investigation, procedures, treatment, and aftercare; Supporting colleagues to maintain good and complete records; Working closely with the administration and/or operations team, ensuring all records pertinent to patients are filed as appropriate; Contributing to the read-coding of patient data.
• Work within local and national guidelines and protocols
• To participate in audits and use the results, current research and government guidelines, to make recommendations for changes to service delivery and clinical practice, and to share knowledge with other healthcare professionals.
• To contribute to the maintenance and improvement of communication networks with all disciplines to ensure continuity of care.
• To collect data and provide service information to the Service Manager as required.
• To contribute to the development and establishment of systems to gather feedback from patients.
• To ensure that service relevant Managers and Clinical Leads are kept informed on service issues and potential risks.
• To work with the team in delivering and promoting the needs of the service.
• To work with the Service Manager and Clinical Lead to meet the clinical governance needs of the service; including investigation of incidents (including serious incidents) and complaints, where required, sharing learning that arises from investigations.
• To provide clinical supervision / mentorship (where appropriately trained) to junior practitioners.
• To remain updated on the use of all equipment used and to report any technical problems or issues with that equipment.
• To participate in clinical team meetings to discuss day-to-day operation issues.

Education / Personal & Professional Development

• To be skilled in routine and specialist skills: Recognise and work within own competence, scope of practice, and professional code of conduct as regulated by The Nursing and Midwifery Council (NMC); To keep abreast of developments in clinical practice and topical issues ensuring that skills are maintained and enhanced through continued professional development; To collaborate in the continued development of the advanced practice role; Show self-motivation toward expanding practice and developing advanced skills and knowledge; To identify own education and training needs in line with competency framework within speciality, and statutory and mandatory training. Ensuring these are addressed though the appraisal process with the clinical supervisor/line manager.
• Development of others: Be a mentor and clinical supervisor, where appropriate, to junior members of the multi-disciplinary team; Provide a supportive environment for all staff (including students/trainees when applicable) which encourages learning and professional development; To actively participate in the development of future education and training provision which recognises the needs of patients and is in line with national and local priorities; Deliver presentations and teaching sessions as required

Research / Audit

• Evaluate the care of patients through a process of audit to examine, benchmark and develop evidence-based practice and clinical effectiveness
• Collaborate with other health care professionals in initiating and promoting research. Support colleagues in the conduct of research and promote dissemination and implementation of findings
• To support an ongoing programme of audit to evaluate practice ensuring that the data is used to develop and improve the service.
• Support multi-disciplinary clinical audit and research across the service implementing innovations in clinical practice and supporting the utilisation of research and evidence-based practice.
• Support quality improvement and the use of methodologies to promote good clinical practice.
• Using computer software to input, extract and analyse data as required and to develop and create divisional/specialty reports and other reports as required.

Person Specification
Qualifications
Essential

• NMC / HCPC / GPhC Registered healthcare professional
• Independent prescriber qualification
• BLS
• Evidence of CPD relevant to clinical area

Desirable

• MSc in Advanced Clinical Practice
• Clinical supervision course
• Leadership Qualification
• Teaching qualification and/or up to date mentorship qualification
• Completed, and continually updated, HEE Multi-professional framework for Advanced Clinical Practice

Behaviours and Values
Essential

• Flexibility in shift/working patterns to meet the needs of the service
• Strong Team Player
• Displays ABC Values
• Highly motivated, self-directed practitioner with excellent organisation skills
• Excellent communication skills both verbally and written

Leadership
Essential

• Evidence of leading effectively, managing change and improving patient experience
• Ability to influence a positive organisational culture to drive innovation, collaborative working and sustainable healthcare.
• Ability to prioritise workload within the wider MDT
• Team building skills and ability to manage emerging practitioners
• Work within and promote ABC values and behaviours
• Ability to identify and manage risk and patient safety

Desirable

• Advanced Leadership Qualification
• Management and leadership experience

Research
Essential

• Clinical audit experience
• Skills in Research
• Evaluate the care of patients through audit and research
• Implement new policies and guidelines based on research and latest evidence-based practice
• Communicate and dissemination of audit and research through a variety of mediums.

Desirable

• Previous Publications
• Ability to produce and formulate guidelines, policies and reports

Experience
Essential

• Significant and evidenced post registration experience (normally 8-years (5 years + 3 years for MSc)
• Clinical experience of working autonomously within an appropriate setting including physiology, assessment, clinical reason and decision making.
• Delivery of evidenced-based practice demonstrating a patient focused approach
• Willingness to develop skills as needed by the service
• Ensure clinical governance is embedded within practice
• Awareness of own limitations and work within own scope of practice

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).

For questions about the job, contact:
Jo Head
joanna.head3@nhs.net