Urgent Care Practitioner

This role provides post holders the opportunity to workacross our hospital at home services including our virtual ward, urgent carewrap around service as well as assessing undifferentiated patients. The rolewill provide post holders with opportunities to develop their experience ofurgent and primary care as part of a multidisciplinary team whilst supported byour clinical leads. GPN is an innovative patient focused organisation seekingto support patients to be cared for at home whenever possible.

Main duties of the job

The post holder will be practising as a skilled practitioner within urgent care to provide patient-centred quality care. This will encompass the skills of history taking, assessment, examination, differential diagnosis and treatment within an agreed scope of practice.

Work as practitioner to

- Accept undifferentiated patients of referred to the service via a number of pathways including ambulance stack,ambulance crews, hospital teams and other community services whose condition can be managed in the community as an alternative to ED or inpatient admission.
- See and independently assess the patient, developing treatment / care plans and review milestones, this will include requesting of diagnostics including blood tests.
- Where advice is required or patient is outside of scope of practice link with service GP/ACP/

Provide support, advice and supervision of more junior registered and unregistered staff within the service.

About us

Our vision:To provide the patients of Greater Peterborough with high quality, sustainable healthcare that supports them to stay well and at home for as long as possible.

We are an ambitious at scale primary care organisation with a passion for integration and innovation.

We provide:

- Enhanced evening and weekend access to General Practice.
- Deliver at scale services to improve the health and wellbeing of the populations we serve.
- Home visiting and community services
- Virtual ward services.
- Advice to ambulance crews to help patients remain at home or to see the most appropriate secondary care team.
- Recruitment, induction and support of workforce through a team dedicated to supporting Primary Care Networks and hosting of the Cambridgeshire & Peterborough Training Hub.
- To attract innovation and investment into primary care.
- To be dynamic always seeking out new opportunities.
- To be the primary care provider at scale -supporting delivery of services at place level that benefits our patients and members.
- To engage our clinical community identifying local clinical leaders to drive service redesign and delivery across our place.
- To face challenges head on, working collaboratively to deliver solutions.

Job responsibilities

Job Description

1. Clinical

- To deliver and participate in the clinical care of patients, referred to the urgent care wrap around service or virtual ward.
- Provide a level of extended and comprehensive assessment based on a specialist body of knowledge, with a focus on assessing and managing risk.
- Direct responsibility for the management of patients within own case load.
- To appropriately assess, examine, investigate, provide differential diagnosis and treat patients, resulting in the safe management and appropriate referral or discharge of patients.
- To contribute to the development and improvement of systems and processes that facilitate excellent patient care.
- Maintain own clinical development by keeping abreast of new treatments and technologies within primary, acute and emergency care.
- To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients.
- Where appropriate to their presenting circumstances, to rigorously review all aspects of the patients plan of care.
- Contribute to the review and development of integrated care pathways and clinical guidelines to ensure a standardised approach to service delivery.
- Practice with confidence and competence within professional bodies guidelines (e.g. NMC, HCPC).
- To ensure that accurate documentation and records of patient care are kept.
- Ability to adapt extended clinical knowledge and skills to different clinical settings and influence service delivery and patient care.
- Actively support the implementation of effective systems and processes for infection control management and relevant audit within their clinical area.

2. Management and Leadership

- Support the delivery of the service performance KPIs and play an active part in clinical governance.
- As requested, lead and develop an area of responsibility related to clinical practice.
- In support of the clinical lead participate in the development of a specialist service and act as a change agent, where necessary supporting the leading of staff and facilitating the change process whilst encouraging others to be innovative and adaptable in the approach to change.
- To act as a champion for the service.
- To act as a role model for infection control practice, nutritional standards, medicines management and falls prevention, ensuring best practice in these areas is intrinsic to care delivery.
- To support the development of evidence based policies and procedures specifically required by the team.
- To develop and maintain effective communication with the multidisciplinary team to ensure high standards of care.
- To work collaboratively and strategically with representatives of other clinical areas, disciplines and services to provide a seamless pathway of care.
- To be conversant with all organisational policies and procedures and ensure they are correctly implemented.

3. Education and Training

- To develop and maintain a positive learning environment for the team by providing support, ensuring developmental requirements are addressed.
- To support the provision of clinical supervision and provide the opportunity to reflect and discuss areas of practice.
- Ensure those members of the team that you supervise have an annual appraisal and personal development plan.
- To support the clinical lead to plan, implement and participate in teaching programmes for nursing, medical and allied health professional staff of all grades in the care of patients with acute medical problems.

4. Audit and Research

- Contribute and at times lead the development of multidisciplinary research and clinical audit in the service and adjacent assessment areas, implementing effective and evidence-based practice.
- Conduct audit to evaluate service delivery and any strategies that have been implemented. Ensure the results of audit and research conducted by the team are disseminated at local levels.
- To share best practice; through publications and attendance/presentation opportunities at conference level.

5. Resource Management

- Work within the multidisciplinary team, with agreed medical, nursing and organisational protocols and guidelines.
- Manage own workload.
- Support junior and senior staff to manage their work load.
- Work as a member of the multidisciplinary team, sharing in the responsibility for the provision of 7 da care.
- Promote and adhere to the principles and practice of clinical governance.
- Responsible on a shift by shift basis for the management of all patients within the service, escalating as required.
- Demonstrate effective multidisciplinary team working and acknowledge the role of individual team members, ensuring that expertise is seen as a resource within the team.
- Utilise a developed knowledge of vulnerable adult safeguarding procedures.
- Support trainee, new and experienced practitioners to manage their workload.
- To support the clinical lead to ensure that systems are in place to manage, reduce and prevent clinical risk to self and others.
- To assist in the assessment and management of risk in line with organisational standards and alongside the operational management team by ensuring adverse incidents are reported, investigated and utilised to develop and open culture of learning from risk.
- Share lessons learned from significant events
- To monitor incidents highlighted by members of the team and communicate to appropriate areas to address risk issues.
- Promote best practice in health & safety, utilising service and organisational policies.

All employees are subject to the requirements of the data protection act and must maintain strict confidentiality in respect of patients and staff records.

All employees have a responsibility under the organisations health and safety policy, to be aware of and conform to the policy, ensuring all health and safety rules are adhered to and ensuring that all accidents, incidents, near misses, damages and irregularities are documented and reported to a manager in accordance with policy.

This job description is not intended to be an exhaustive list of duties and it may be reviewed and altered in the light of changed service needs and developments after discussion with the post holder.

Person Specification

Qualifications

- 1.Relevant registered professional qualification (eg NMC/HCPC)
- 3.Postgraduate study in relevant field which includes clinical assessment and decision making
- 1. Recognised leadership qualification
- 2. Evidence of clinical teaching
- 3. ALS
- 4. Non-medical prescribing
- 5. Recognised teaching or mentorship qualification

Experience

- 1.Significant urgent/acute/primary care experience with experience working as a competent proficient fully autonomous practitioner within a relevant environment such as emergency care setting.
- 2.Established Autonomous Nurse Practitioner/Specialist Paramedic in Primary Care/Unscheduled Care
- 3.Proven experience ofising expert diagnostic and cliinical skills to provide autonomous unscheduled medical care and management of patients presenting with undifferentiated and undiagnosed conditions.
- 4.Specialist knowledge in clinical reasoning , history taking , physical examination , diagnostic skills and treatment.
- 5.Evidence of ability and knowledge on how to undertake audit and feedback
- 6.Clear understanding of urgent and emergency care performance targets and ability to identify opportunities to improve service delivery

Skills

- 1.Extended clinical assessment skills
- 2.Excellent communication skills: interpersonal, written and verbal
- 3.Confidence to adapt to an evolving and changing service.
- 5.Proven leadership skills, with a vision to work with others

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.

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