Job summary
The Clinical Practitioner will work across Severnside Integrated Urgent Care (IUC), including The Burren, Out of Hours, Clinical Assessment Service (CAS), Clinical Medication Delivery Unit (CMDU) and Frailty Assessment and Coordination for Emergency and Urgent Care (ACE).

The Burren is an innovative collaborative service bringing together secondary, community, urgent and primary care within an intermediate care setting. The post holder will be an autonomous prescribing clinician, providing high-quality primary medical care while working within their professional scope of practice.The role involves managing the day-to-day clinical needs of patients discharged from secondary care into community placements with rehabilitation needs. The successful candidate will have advanced clinical assessment and decision-making skills, be confident in managing clinical risk, and work independently while contributing to excellent patient outcomes. Experience in urgent care and chronic disease management would be advantageous.

Supported by the Nursing and AHP Leadership Team and Primary Care GPs, the Clinical Practitioner will provide patient-centred care and ensure individual health needs are met.

As a key member of the multidisciplinary team (MDT), the post holder will participate in ward rounds and work closely with Nurses, GPs, Therapists, Social Care and Operational colleagues to support patients and deliver the right care at the right time.

Main duties of the job
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.
• 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
• Participate in team discussions to ensure and drive best practice, using the best available evidence to provide exemplary world class care to every patient.

Prescribers Only

• Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice

CMDU Only

• This is a service for North Somerset prescribing antivirals for Covid. This service is run during set hours and has one allocated clinician.

Communication

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment

About us
BrisDoc is a proud provider of NHS Healthcare. We have been delivering 'patient care, by people who care' for over twenty years.We run an exciting range of Primary Care Services, including an Urgent Care Service, GP Practices, and the Homeless Health Service. This enables BrisDoc to offer excellent healthcare 24 hours a day, 365 days a year to over one million people across Bristol, North Somerset & South Glos.We're a Social Enterprise and an Employee-Owned Business. This means the decisions we make are for the good of our patients, workforce, and wider community. This involves prioritising the health of our patients, protecting our environment, and improving the social and economic status of our population. Our 'Community Fund' is a staff lead team who work closely with health-based charitable causes, both local and international, to invest time and money in improving the lives of people in disadvantaged communities.By joining BrisDoc, you will be part of an innovative organisation that prides ourselves on being a fantastic place to work; somewhere that you will feel valued, supported, developed and part of a family. We strive to make sure every member of the team feels proud of the work they do and the service that we offer.

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

Prescribers Only

• Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.

CMDU Only

• This is a service for North Somerset prescribing antivirals for Covid. This service is run during set hours and has one allocated clinician.

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, Nourish, 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 or GhPC registration
• 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
• 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

Desirable

• Independent prescribing (essential for prescribing rates)
• 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 multi-professional 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 Adastra and/or EMIS

Skills, Abilities and Attributes
Essential

• Motivated by the provision of high-quality patient care
• Good clinical judgment and decision-making 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 non-judgmental 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

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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).