Job description

Job responsibilities

The Advanced Clinical Practitioner will provide autonomous clinical care across NEMS urgent care services. The role is designed to provide a true mix of telephone and face-to-face consultations, supporting patients across Integrated Urgent Care Services, urgent treatment centres and other agreed service models.

The post holder will be an experienced registered clinician, able to assess, diagnose, treat, refer and discharge patients with undifferentiated urgent care presentations. They will work within their professional registration, agreed scope of practice, NEMS policies and local clinical pathways.

Telephone consultations will usually be undertaken within Integrated Urgent Care Services. Following induction, and where agreed by the service, some telephone consultation work may be undertaken remotely from home, provided that the post holder is meeting agreed KPIs, quality standards, governance requirements and information governance expectations.

Face-to-face work will include assessment and management of patients presenting to NEMS urgent treatment services. The post holder will be expected to recognise serious illness, clinical deterioration, safeguarding concerns, mental health risk and presentations requiring escalation or transfer to another service.

The post holder will work flexibly across NEMS sites and services in line with service need. They will also support clinical supervision, learning, audit, incident review and service improvement, ensuring that care remains safe, effective, patient centred and financially sustainable.

The post holder will have responsibility for the following areas:

o Autonomous telephone and face-to-face assessment of patients with urgent care needs

o Safe clinical decision-making, including treatment, discharge, referral, transfer and safety-netting

o Recognition and escalation of serious illness, clinical risk and safeguarding concerns

o Clinical leadership, supervision and support for the wider team

o Participation in governance, audit, learning and service improvement activity

Clinical Practice and Service Delivery

Work as an autonomous Advanced Clinical Practitioner across NEMS urgent care services, providing both telephone and face-to-face consultations.

Assess, examine, diagnose, treat and safely discharge or refer patients with undifferentiated urgent care presentations.

Make safe decisions around admission, transfer, referral, follow-up and safety-netting, working within professional competence and agreed local pathways.

Recognise and act on serious illness, clinical deterioration, safeguarding concerns, mental health risk and presentations that require escalation to another service.

Request and interpret appropriate investigations, including blood tests, urine tests, ECGs and imaging, in line with local policy, competence and relevant regulations.

Prescribe, review and advise on medicines where qualified to do so, or use agreed local medicines mechanisms within scope.

Maintain clear, accurate and timely clinical records, including assessment findings, clinical reasoning, advice given, decisions made and onward plans.

Telephone Consultations

Undertake telephone consultations within Integrated Urgent Care Services, using safe clinical assessment, decision-making and documentation.

Recognise the limitations of remote assessment and arrange face-to-face review, ED attendance, ambulance response or other escalation where clinically required.

Provide clear advice and safety-netting to patients and carers, ensuring that the plan is understood and documented.

Undertake remote work from home where agreed after induction, provided that performance, KPIs, quality standards and information governance requirements are being met.

Face-to-Face Urgent Care

Undertake face-to-face consultations across NEMS urgent care services, including assessment of minor illness, minor injury and other appropriate urgent care presentations.

Carry out clinical procedures where trained, competent and required for patient care.

Provide safe clinical handover to ED, specialties, GPs, community services or other colleagues where ongoing care is required.

Support patient flow, streaming and redirection decisions where this forms part of the service model.

Clinical Leadership and Team Working

Act as a senior clinical presence on shift, supporting colleagues and contributing to the safe running of the service.

Provide advice, supervision and support to trainee ACPs, UCPs, nurses, AHPs, UCAs and non-registered staff.

Support induction, training, clinical supervision and competency development across the wider team.

Escalate clinical or operational concerns early, particularly where patient safety, staffing, flow or professional practice may be affected.

Address unsafe practice or poor behaviour in a professional and proportionate way, escalating concerns where required.

Governance, Quality and Service Improvement

Contribute to a culture where incidents, complaints, audit, feedback and day-to-day operational learning are used to improve care.

Take part in incident reviews, significant event analysis, complaint responses and shared learning activity where required.

Support audit, quality improvement and service evaluation work across NEMS urgent care services.

Contribute to the development and review of clinical guidelines, SOPs, pathways and local standards, ensuring they are practical, evidence-based and relevant to the way services are delivered.

Use available data, feedback and clinical experience to support improvements in patient flow, clinical quality, productivity and patient experience.

Education and Professional Development

Maintain professional registration, mandatory training, clinical supervision, CPD and revalidation requirements.

Maintain an up-to-date portfolio showing competence, scope of practice, reflective learning and prescribing practice where applicable.

Share learning with colleagues through teaching, case discussion, supervision, peer review and practical shift-based support.

Support students, trainees and developing practitioners in a safe and constructive way, recognising their competence and learning needs.

Professional Responsibilities

Work within relevant NMC, HCPC or equivalent code of conduct NEMS policies and agreed scope of practice.

Communicate clearly with patients, carers and colleagues, particularly where information is complex, sensitive or distressing.

Involve patients in decisions about their care and ensure that consent, capacity and best-interest issues are considered and documented appropriately.

Maintain confidentiality and information governance standards at all times.

Work flexibly across NEMS sites and services where reasonably required, in line with service need, competence and contractual arrangements.

Undertake any other reasonable duties requested by a manager, where these are appropriate to the role, grade and competence of the post holder.

Act in a manner that reflects and promotes the values of NEMS.

Person Specification

Values

Essential

• Values and respects others, treats everyone as an individual, is non-judgemental
• Motivated to be genuinely kind and caring
• Helps and co-operates with colleagues
• Pro-active and takes responsibility
• Willing to learn, open to change
• Motivated to make a difference

Experience

Essential

• Experience of working clinically in a primary, community, urgent care, emergency care or out-of-hospital setting
• Experience of autonomous assessment and management of undifferentiated patients
• Experience of telephone or remote clinical assessment
• Experience of face-to-face urgent care consultations
• Experience of supervising, supporting or teaching other clinical staff or students

Desirable

• Experience working in Urgent Treatment Centres, GP Out-of-Hours, Clinical Assessment Services or Emergency Departments
• Experience of acting as shift lead, clinical co-ordinator or senior clinician on duty

Knowledge

Essential

• NMC, HCPC or equivalent professional standards
• Medico-legal aspects of advanced practice
• Assessment and management of urgent care presentations, including recognition of red flags and clinical deterioration
• Safeguarding adults and children
• Mental capacity, consent and mental health risk
• Confidentiality and information governance
• Clinical governance, audit, incident learning and quality improvement

Desirable

• Knowledge of NEMS services, local urgent care pathways and system partners
• National standards relevant to urgent care, out-of-hours and clinical assessment services

Qualifications

Essential

• Current professional registration with NMC, HCPC or equivalent professional body
• Evidence of working at an advanced level of clinical practice
• Masters level qualification in Advanced Clinical Practice, or equivalent evidence of advanced practice capability
• Independent non-medical prescribing qualification, or willingness to complete where required for the role
• Evidence of continuing professional development

Desirable

• Minor illness or minor injury qualification
• IR(ME)R / imaging requesting training where relevant
• ILS, ALS or equivalent urgent care training

Other

Essential

• Full driving licence and the ability to travel between locations
• The ability to work flexibly when required in line with the demands of the role
• Ability to work across NEMS sites and services, including telephone and face-to-face clinical work
• Ability to work remotely for telephone consultations where agreed following induction, and where KPIs and quality standards are being met

Skills & Abilities

Essential

• Able to make safe, autonomous clinical decisions and recognise when to seek advice or escalate
• Able to undertake safe telephone and face-to-face clinical assessment
• Explains complex situations in ways that are accessible to patients, carers and colleagues
• Maintains clear, accurate and timely clinical records
• Able to work under pressure and manage competing clinical priorities
• Able to work collaboratively with teams across professional and organisational boundaries
• Flexible and adaptable to changing service needs
• Commitment to patient centred care and safe service delivery

Desirable

• Competent in the use of Adastra, SystmOne, EMIS, Nervecentre or other relevant clinical systems
• Able to contribute to audit, service improvement and pathway development

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.

Employer details

Employer name

NEMS Community Benefit Services Ltd

Address

Forward House

Station Street

Nottingham

NG2 3AJ

United Kingdom

Employer's website

https://nemscbs.net/ (Opens in a new tab)

Job description

Job responsibilities

Main Duties of the Role

The successful candidate will be responsible for the day-to-day supervision, co-ordination and development of the Care Navigation team, ensuring patients receive a professional, efficient and compassionate service. They will work closely with the Practice Manager and Assistant Manager to support the smooth running of reception services and contribute to wider practice operations.

The role combines leadership, operational management and patient-facing responsibilities and requires excellent communication, organisational and problem-solving skills. The successful applicant should be able to work independently, use their own initiative and work collaboratively as part of a wider team.

Care Navigation and Leadership Responsibilities

• Provide day-to-day leadership and management of the Care Navigation team.
• Support, motivate and develop team members, providing guidance and coaching where required.
• Monitor workloads and ensure key daily tasks are completed efficiently and effectively.
• Manage day-to-day operational issues and support staff in resolving challenges.
• Lead and support annual appraisals and personal development discussions.
• Manage staffing levels, rota planning and leave requests to ensure appropriate service provision.
• Participate in recruitment, induction and onboarding of new team members.
• Co-ordinate and oversee training and development for reception staff.
• Facilitate regular team meetings, encouraging communication and continuous improvement.
• Assist with the preparation of staff communications and practice updates.
• Manage complex patient enquiries and informal complaints relating to reception services.
• Act as a key point of contact between reception staff, clinicians and management.
• Review existing systems and processes, making recommendations to improve efficiency, quality and patient experience.
• Support effective utilisation of clinical appointments and appointment capacity.
• Monitor booking processes and help ensure patients are directed to the most appropriate service.
• Co-ordinate the Patient Participation Group, including meeting organisation, agendas and minutes.
• Manage communications relating to patients who have moved outside the practice boundary.
• Support health and safety responsibilities, including designated fire marshal duties.
• Ensure reception areas remain organised, well-equipped and professional at all times.
• Oversee practice deliveries and ensure compliance with cold chain requirements where applicable.
• Liaise with IT support providers regarding routine technical issues.

Reception Responsibilities

• Maintain flexibility to support reception operations during periods of annual leave, sickness or unexpected absence.
• Deal with telephone enquiries from patients and members of the public.
• Book appointments and home visits, ensuring patients are directed to the most appropriate clinician or service.
• Cancel and rearrange appointments where required.
• Process prescription requests and liaise with the pharmacy team as necessary.

Additional Responsibilities

The Care Co-ordinating Reception Manager may also be asked to:

• Participate in quality improvement work and audits.
• Support the delivery of QOF, contractual and regulatory requirements.
• Assist with seasonal vaccination campaigns and other health initiatives.
• Deputise for the Assistant Manager or Practice Manager during periods of absence.
• Undertake other duties appropriate to the role and level of responsibility.

Training and support will be provided, and the role will continue to develop as the successful candidate grows within the position.

Person Specification

Personal Qualities / Other Requirements

Essential

• Positive and professional approach
• Caring empathetic and patient-focused
• Confident and approachable
• Flexible and adaptable
• Motivated and enthusiastic
• Ability to use initiative and sound judgement
• Forward-thinking with a desire to improve services
• Honest reliable and trustworthy
• Calm and resilient under pressure
• Flexibility to work outside normal office hours when required.
• Commitment to maintaining confidentiality.
• Satisfactory DBS check.

Desirable

• Commitment to ongoing personal and professional development

Experience

Essential

• Experience working with the general public
• Experience in an administrative customer service or public-facing role
• Experience of working collaboratively within a team environment

Desirable

• Experience within General Practice, primary care or another healthcare setting
• Experience supervising leading mentoring or co-ordinating a team
• Experience in service co-ordination project work or process improvement
• Experience working with a range of healthcare professionals or multidisciplinary teams

Qualifications

Essential

• GCSE English Grade C or 4 or above and at least three other GCSEs or equivalent qualifications

Desirable

• A-Level qualification or equivalent
• AMSPAR qualification
• NVQ Level 2 in Health and Social Care
• Leadership or management qualification

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.

Employer details

Employer name

The Corner Surgery

Address

117 Fylde Road

Southport

Merseyside

PR9 9XP

United Kingdom

Employer's website

https://www.thecornersurgery-southport.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Clinical Practice and Service Delivery

Work as an autonomous Urgent Care Practitioner across NEMS urgent care services, providing both telephone and face-to-face consultations.

Assess, examine, diagnose, treat and safely discharge or refer patients with undifferentiated urgent care presentations.

Make safe decisions around admission, transfer, referral, follow-up and safety-netting, working within professional competence and agreed local pathways.

Recognise and act on serious illness, clinical deterioration, safeguarding concerns, mental health risk and presentations that require escalation to another service.

Request and interpret appropriate investigations, including blood tests, urine tests, ECGs and imaging, in line with local policy, competence and relevant regulations.

Prescribe, review and advise on medicines within the post holders independent non-medical prescribing qualification, professional competence and agreed scope of practice.

Maintain clear, accurate and timely clinical records, including assessment findings, clinical reasoning, advice given, decisions made and onward plans.

Telephone Consultations

Undertake telephone consultations within Integrated Urgent Care Services, using safe clinical assessment, decision-making and documentation.

Recognise the limitations of remote assessment and arrange face-to-face review, ED attendance, ambulance response or other escalation where clinically required.

Provide clear advice and safety-netting to patients and carers, ensuring that the plan is understood and documented.

Undertake remote work from home where agreed after induction, provided that performance, KPIs, quality standards and information governance requirements are being met.

Face-to-Face Urgent Care

Undertake face-to-face consultations across NEMS urgent care services, including assessment of minor illness, minor injury and other appropriate urgent care presentations.

Carry out clinical procedures where trained, competent and required for patient care.

Provide safe clinical handover to ED, specialties, GPs, community services or other colleagues where ongoing care is required.

Support patient flow, streaming and redirection decisions where this forms part of the service model.

Team Working and Clinical Support

Work as an experienced member of the clinical team, supporting colleagues and the safe running of the service.

Provide advice and support to trainees, nurses, AHPs, UCAs and non-registered staff within own competence.

Support induction, learning and competency development where appropriate.

Escalate clinical or operational concerns early, particularly where patient safety, staffing, flow or professional practice may be affected.

Address unsafe practice or poor behaviour in a professional and proportionate way, escalating concerns where required.

Governance, Quality and Service Improvement

Contribute to a culture where incidents, complaints, audit, feedback and day-to-day operational learning are used to improve care.

Take part in incident reviews, significant event analysis, complaint responses and shared learning activity where required.

Support audit, quality improvement and service evaluation work across NEMS urgent care services.

Contribute to the development and review of clinical guidelines, SOPs, pathways and local standards, ensuring they are practical, evidence-based and relevant to the way services are delivered.

Use available data, feedback and clinical experience to support improvements in patient flow, clinical quality, productivity and patient experience.

Education and Professional Development

Maintain professional registration, mandatory training, clinical supervision, CPD and revalidation requirements.

Maintain an up-to-date portfolio showing competence, scope of practice, reflective learning and prescribing practice where applicable.

Share learning with colleagues through teaching, case discussion, supervision, peer review and practical shift-based support.

Support students, trainees and developing practitioners in a safe and constructive way, recognising their competence and learning needs.

Professional Responsibilities

Work within relevant NMC, HCPC or equivalent code of conduct NEMS policies and agreed scope of practice.

Communicate clearly with patients, carers and colleagues, particularly where information is complex, sensitive or distressing.

Involve patients in decisions about their care and ensure that consent, capacity and best-interest issues are considered and documented appropriately.

Maintain confidentiality and information governance standards at all times.

Work flexibly across NEMS sites and services where reasonably required, in line with service need, competence and contractual arrangements.

Undertake any other reasonable duties requested by a manager, where these are appropriate to the role, grade and competence of the post holder.

Act in a manner that reflects and promotes the values of NEMS.

Person Specification

Qualifications

Essential

• NMC, HCPC or equivalent professional standards
• Medico-legal aspects of autonomous urgent care practice and independent non-medical prescribing
• Assessment and management of urgent care presentations, including recognition of red flags and clinical deterioration
• Safeguarding adults and children
• Mental capacity, consent and mental health risk
• Confidentiality and information governance
• Clinical governance, audit, incident learning and quality improvement

Desirable

• Knowledge of NEMS services, local urgent care pathways and system partners
• National standards relevant to urgent care, out-of-hours and clinical assessment services

Skills and Abilities

Essential

• Able to make safe, autonomous clinical decisions and recognise when to seek advice or escalate
• Able to undertake safe telephone and face-to-face clinical assessment
• Explains complex situations in ways that are accessible to patients, carers and colleagues
• Maintains clear, accurate and timely clinical records
• Able to work under pressure and manage competing clinical priorities
• Able to work collaboratively with teams across professional and organisational boundaries
• Flexible and adaptable to changing service needs
• Commitment to patient centred care and safe service delivery

Desirable

• Competent in the use of Adastra, SystmOne, EMIS, Nervecentre or other relevant clinical systems
• Able to contribute to audit, service improvement and pathway development

Experience

Essential

• Experience of working clinically in a primary, community, urgent care, emergency care or out-of-hospital setting
• Experience of autonomous assessment and management of patients with undifferentiated urgent care presentations
• Experience of telephone or remote clinical assessment
• Experience of face-to-face urgent care consultations
• Experience of independent non-medical prescribing within professional competence and scope of practice

Desirable

• Experience working in Urgent Treatment Centres, GP Out-of-Hours, Clinical Assessment Services or Emergency Departments
• Experience of supervising, supporting or teaching other clinical staff or students

Knowledge

Essential

• NMC, HCPC or equivalent professional standards
• Medico-legal aspects of autonomous urgent care practice and independent non-medical prescribing
• Assessment and management of urgent care presentations, including recognition of red flags and clinical deterioration
• Safeguarding adults and children
• Mental capacity, consent and mental health risk
• Confidentiality and information governance
• Clinical governance, audit, incident learning and quality improvement

Desirable

• Knowledge of NEMS services, local urgent care pathways and system partners
• National standards relevant to urgent care, out-of-hours and clinical assessment services

Other

Essential

• The ability to work flexibly when required in line with the demands of the role
• Ability to undertake both telephone and face-to-face clinical work across NEMS services
• Willingness and ability to work across more than one NEMS site where this forms part of the agreed working pattern
• Ability to work remotely for telephone consultations where agreed following induction, and where KPIs and quality standards are being met

Desirable

• Full driving licence and the ability to travel between locations where multisite working is agreed

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.

Employer details

Employer name

NEMS Community Benefit Services Ltd

Address

Forward House

Station Street

Nottingham

NG2 3AJ

United Kingdom

Employer's website

https://nemscbs.net/ (Opens in a new tab)

Job description

Job responsibilities

The following are the core responsibilities of the Administrator. From time to time, additional duties may be required to support the needs of the practice, depending on workload and staffing requirements.

• Accurately code clinical information using SystmOne.
• Extract, interpret, and enter information from clinical correspondence and secondary care communications into patients' electronic health records.
• Process and code clinical results, ensuring all relevant information is recorded appropriately.
• Summarise patient records and manage the receipt and electronic integration of new patient notes.
• Maintain high standards of data quality and contribute to data quality improvement initiatives.

• Process patient referrals to external healthcare providers, including secondary care services, using the Electronic Referral Service (e-RS).
• Manage urgent referrals, Two Week Wait referrals, and Advice and Guidance requests, ensuring clinicians are kept informed and patient records are updated accordingly.
• Review, scan, code, and action incoming clinical and administrative correspondence in line with practice protocols.
• Liaise with patients and external organisations where required to support the efficient completion of referrals.

• Provide comprehensive administrative and secretarial support to the multidisciplinary team.
• Process incoming and outgoing mail, prepare correspondence, and undertake photocopying and document management tasks as required.
• Respond to administrative queries, perform system searches, and support clinical staff with a range of administrative duties.
• Manage the practice's general email inbox, prioritising, responding to, and distributing correspondence appropriately.
• Provide reception support during periods of staff absence or increased operational demand, as directed by management.
• Process requests for private services and medical reports in accordance with practice procedures.

• Handle incoming and outgoing telephone calls professionally, courteously, and compassionately, resolving queries or directing them to the appropriate person where necessary.
• Act as a key point of contact between the practice and external organisations, supporting issue resolution and service coordination.

• Support the effective use of the clinical system by undertaking searches, audits, recalls, and data collection activities.
• Configure, run, and interpret searches to support clinical audits, performance monitoring, and reporting requirements.
• Process patient online service applications, ensuring compliance with information governance and data security standards.
• Collate, validate, and submit data for internal and external reporting purposes as required.

• Participate in training, team meetings, and development activities to maintain and enhance skills and knowledge.
• Support colleagues with troubleshooting clinical system issues and contribute to the implementation of new technologies and system improvements.
• Assist in the development and refinement of administrative processes to improve efficiency and service delivery.
• Manage the practice's death notification protocol with sensitivity and professionalism, ensuring timely communication with the Medical Examiner's Office.

• Work in accordance with practice policies, procedures, and confidentiality requirements.
• Maintain a professional and patient-centred approach at all times.
• Undertake any other duties appropriate to the role as requested by the Management Team.

Person Specification

Qualifications

Essential

• Educated to GCSE level or equivalent

Experience

Essential

• Experience of working with the general public
• Experience of administrative duties

Desirable

• Experience of working in a healthcare setting

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.

Employer details

Employer name

Island City Practice

Address

Sunnyside Medical Centre

Unit 8F The Pompey Centre

Fratton Way

Portsmouth

Hampshire

PO4 8TA

United Kingdom

Employer's website

http://www.islandcitypractice.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

To view the main responsibility, please see the attached the Job Description and Person Specification.

Person Specification

Education / Qualifications

Essential

• NVQ Level 3 or equivalent experience
• English at GCSE level

Knowledge abd Experience

Essential

• Experience of delivering excellent customer service
• Experience of administrative work
• Experience of working in a constantly changing environment without direct supervision

Desirable

• Cerner / NHS Experience
• Understanding of confidentiality, data protection and safeguarding

Skills Abilities and Attributes

Essential

• Confident Use of Excel and Outlook with Advanced keyboard Skills with accuracy
• Take initiative and works as a team and also self motivated and and organised
• excellent time management and and ability to remain calm under pressure
• flexible and adaptable to meet priorities and changing work processes. Willing to work flexible hours as and when needed
• Friendly approach to patients, colleagues and staff. Empathises and seeks welfare of others

Desirable

• Verbally fluent in 2nd language
• Experience of using Cerner and other hospital software

HEART values

Essential

• Demonstrate commitment to Trust HEART values

Desirable

• Verbally fluent in 2nd language

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.

Employer details

Employer name

London North West University Healthcare NHS Trust

Address

NWP

Watford Road

Harrow

HA1 3UJ

United Kingdom

Employer's website

https://www.lnwh.nhs.uk (Opens in a new tab)

Job description

Job responsibilities

• To act as an expert source of knowledge, maintaining a visible profile offering specialist clinical advice and support to other healthcare professionals within the organisation and agencies across organisational boundaries.
• To work autonomously to manage a defined highly complex patient caseload whilst working as part of a multidisciplinary team.
• To contribute to the delivery of the service/pathways in a variety of defined clinical settings, which may include in-patient wards, outpatient and community clinics and the patients home.
• To respect the individuality, values, cultural and religious diversity of patients, contributing to the provision of a service sensitive to these needs.
• To utilise highly advanced communication skills to ensure clinical advice and treatment programmes are delivered sensitively, taking into consideration the needs of carers.
• To gain consent for treatment and motivate patients to comply with treatment programmes, overcoming barriers such as dementia, cognitive impairment, hearing, visual or speech impairment.
• To comply with the Mental Capacity Act to gain valid and informed consent to specific treatment and intervention for patients who lack capacity to consent themselves.
• To undertake highly specialist clinical assessment, taking into account all relevant information and clinical reasoning to formulate evidence based individualised treatment plans in agreement with the patient.
• To implement highly specialist individual and/or group interventions for patients with diverse presentations and highly complex needs.
• To support MDT to implement and progress treatment plans and interventions to facilitate the achievement of goals.
• To provide appropriate oral and written information for patients and carers where relevant.
• To develop and maintain good working relationships with other healthcare professions, social care and other appropriate agencies, to ensure integrated and high quality patient outcomes.
• To work as a member of the multidisciplinary team, contributing to decisions with regard to patient care programmes through attendance at appropriate / relevant community MDT meetings, case conferences and other multidisciplinary meetings.
• To maintain accurate documentation in line with professional standards and local policies and procedures.
• To provide accurate and timely written information and reports to referring agents and other agencies where appropriate.
• To record and submit clinical activity data as required by the Trust in an accurate and timely manner.
• To ensure the safe and timely discharge of patients from the caseload liaising with other agencies as required.
• To be responsible for safe and competent use of equipment including the provision of support, education and training to other staff, patients and carers as required.
• To identify appropriate equipment and adaptation needs, liaising with equipment providers, completing paperwork and complying with any tracking, stock control and maintenance systems as required.
• To give and request second opinions where appropriate.
• Torefer for / signpost for diagnostics, as appropriate to the role.
• EDUCATION/LEARNING
• To initiate, plan, deliver and evaluate formal and informal training to other health care professional staff groups within the MDT, as well as patients and carers, across a range of settings.
• To supervise junior staff and assistants, including the implementation of induction and competency training programmes to develop clinical skills.
• To lead the development and implementation of specific / bespoke training/ education requirements for assessment and management of patients on Pathway 2, alongside the learning and development team, ensuring it is identified on the training needs analysis.
• To lead on, coordination and delivery of Pathway 2/ management training as directed by system need.
• GOVERNANCE
• To take the lead for clinical audit and research utilising highly specialist knowledge developing clinical pathways alongside community and hospital colleagues.
• To demonstrate the ability to critically evaluate current research, applying it to practice and disseminating the relevant findings.
• To support and advise MDT who undertake audit and research within the service.
• To maintain professional practice within the context of the Health & Care Professions Council. This includes standards of proficiency, conduct and performance, ethics and continuing professional development.
• To comply with all relevant professional, Trust and development standards, policies, procedures and guidelines.
• To support the implementation of Trust, National & Professional guidelines e.g. NICE.
• To maintain competency to practice through CPD activities, producing a personal portfolio which reflects professional development within the specialist area.
• To evaluate and reflect on professional performance, identify implications for practice.
• To participate in the Trusts appraisal system, undertaking any identified training and development relating to the post.
• To gain appropriate support from senior colleagues and participate in supervision/peer review to enhance clinical practice.
• To fulfil all mandatory training requirements of the Trust, assisting others within the department to fulfil theirs.
• To develop expert knowledge in a relevant clinical specialism, utilising up to date research and evidence-based practice.
• To develop and implement clinical pathways, guidelines and patient resources within the area of clinical speciality.
• To be a member of a relevant professional association, attending regional and national meetings/conferences as required.
• To ensure the promotion of safety, wellbeing and interests of patients, staff and visitors to department.

Person Specification

Experience

Essential

• Proven post registration experience, in the relevant specialism.
• Experience of planning and completing audit & research.
• Experience of teaching and mentoring of staff
• Experience of undertaking projects
• Prior experience working in the NHS - with a broad range of NHS physical rotations
• Commitment to specialism as evidenced by CPD and attendance at special interest groups.
• Proven ability to manage complex rehabilitation issues including dementia and ensure safe and timely discharge of patients

Knowledge and Skills

Essential

• In-depth knowledge of recent NHS legislation, recommendations for specialist area.
• Post registration knowledge which is relevant to the specialist area
• Highly advanced communication and listening skills
• Ability to prioritise workload, achieving a balance between clinical and other aspects of role
• Ability to work autonomously and as part of team

Desirable

• Critical appraisal
• Presentation skills
• Discharge Planning in Short Term Services
• Interest and Experience in Continuous Improvement

Qualifications

Essential

• Relevant Professional Degree Occupational Therapy
• HCPC Registration
• Clinical Educator Training
• Masters Degree Level or equivalent experience

Desirable

• Level 7 post graduate courses relevant to specialist area
• Communication skills training
• Professional/clinical knowledge acquired through degree supplemented by specialist training experience in specialist fields and practical experience to postgraduate diploma level or equivalent
• Membership of a relevant professional body & related specialist sub groups

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.

Certificate of Sponsorship

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).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Mid Cheshire Hospitals NHS Foundation Trust

Address

Infinity House

Mallard Way

Crewe

CW1 6ZQ

United Kingdom

Employer's website

https://www.mcht.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

The nurse will have experience in supporting clinical interventions and treatments within the hospital setting and liaising with primary care settings to ensure a smooth transition of care from hospital to community.

You will be expected to play an active role in research activity and deliver education to the wider healthcare team. The successful candidate will have excellent communication skills and be able to demonstrate knowledge of working with this patient group. The post holder will be expected to take a lead on Alcohol within the Trust partaking in clinical audit and developing evidence-based protocols and pathways.

Person Specification

Qualifications

Essential

• Qualified Nurse to Diploma Level
• Post registration qualification/evidence Hold a current mentorship qualification

Desirable

• Qualified nurse to Degree Level

Experience

Essential

• Experience of managing patients with alcohol use disorders
• Effective multidisciplinary team working Familiar with computer systems and IT skills
• Awareness of own leadership skills / style

skills and knowledge

Essential

• Gastroenterology Experience
• A commitment to work together to create the best outcomes
• Commitment to quality and safety A recognition of the importance of showing respect, dignity and compassion

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.

Certificate of Sponsorship

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).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Mid Cheshire Hospitals NHS Foundation Trust

Address

Leighton Hospital

Middlewich Road

Crewe

CW1 4QJ

United Kingdom

Employer's website

https://www.mcht.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

JOB DESCRIPTION:

Please see attached job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants.

CERTIFICATE OF SPONSORSHIP

Please note, due to changes implemented by the Government to the UK immigration policy, individuals who require a Health and Care Visa or a Skilled Worker Visa may no longer be eligible for sponsorship where the UKVI salary threshold is not met or if the occupation is not included in the updated Immigration Salary List (ISL). Applicants must check their eligibility to be employed in any role they are interested in applying for, prior to completing an application for employment.Any applicants who do not meet the eligibility criteria will not be progressed. For further information visit theUK Visas and Immigration website (Opens in a new tab).

If you are applying under the Disability Confident Scheme or Armed Forces Covenant and you meet all the essential criteria for a post, you will be guaranteed an interview.

Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies.

Disclosure and Barring Service:

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.

The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post:

Standard Check: £21.50 + Administration cost of £6.50 = £28. Deducted from salary over a 4 month period or a one-off payment.

Enhanced Check: £49.50 + administration cost of £6.50 = £56. Deducted from salary over a 4 month period or a one-off payment.

NCIC can offer successful future employees the following benefits:

27-day holiday scheme rising to 33 after 10 years

Flexible working Scheme

NHS Discounts*

Salary Sacrifice schemes including lease cars and Cycle to Work*

Excellent opportunities for development*

Competitive NHS Pension scheme

Vivup is a free, confidential counselling and information service to assist with personal or work-related problem

*Subject to eligibilit

Important Information

Please ensure that you document evidence of meeting all the essential criteria in the supporting information.

If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered.

Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date.

Person Specification

Qualifications

Essential

• Fully registration with the General Medical Council
• MRCP or equivalent.
• Clinical training and experience equivalent to that required for gaining CCT in Clinical Neurophysiology

Desirable

• MD or PhD degree
• Special interest in any area of Neurophysiology
• Entry on the Specialist Register in Clinical Neurophysiology (or entry expected within 6 months from the date of interview)

Clinical Skills & Experience

Essential

• Excellent communication skills with patients, colleagues, managers and other staff
• Ability to take full and independent responsibility for clinical care of patients
• Ability to work well with colleagues and within a team

Desirable

• Experience of working with primary care / community colleagues
• Evidence of personal contribution to service development in Neurophysiology

Knowledge

Essential

• Able to complete basic history taking and examination -physical and mental.
• Evidence based practice

Desirable

• Specialist training courses relevant to post
• Knowledge and experience of the application of information technology to Clinical Neurophysiology.

Personal Skills

Essential

• Enthusiasm to develop the Neurophysiology services
• Decisiveness/accountability
• Interpersonal skills
• Flexibility

Organisation and Planning

Essential

• Able to organise oneself and prioritise clinical need
• Evidence of participation in audit
• Experience & ability to work in multiprofessional teams

Desirable

• Understanding of NHS, clinical governance & resource constraints
• Information technology skills

CPD

Essential

• Evidence of continuing professional development

Desirable

• Appropriate progression of career to date

Research and Teaching

Essential

• Ability to teach clinical skills to medical and nursing staff and other disciplines.

Desirable

• A commitment to and experience of teaching
• Peer-reviewed journals in the last five years.

Other

Essential

• Must be able to travel independently of public transport to multiple sites.
• Meets professional health requirements
• Develop a culture that promotes equality and values diversity (Level 4)

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.

Certificate of Sponsorship

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).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

North Cumbria Integrated Care NHS Foundation Trust

Address

Penrith Hospital

Penrith

CA11 8HX

United Kingdom

Employer's website

https://www.ncic.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Key duties and responsibilities

(Please note this is a list of options, it is not exhaustive, which options are deployed will be decided by the individual PCN, in conjunction with the clinical pharmacist and SEL GP Group). It is however mandated by NHS England that this role is patient-facing in nature.

1. Patient facing Clinical Medication Review

Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring. These reviews could be cohort based, in care homes, polypharmacy or any other area required by the PCN, within the pharmacists competence. Home visits may be required.

2. Medicines quality improvement

Undertake clinical audits of prescribing in areas directed by the PCN, feedback the results and implement changes in conjunction with the relevant practice team.

Identify cohorts of patients at high risk of harm from medicines through computer searches. This might include risks that are patient related, medicine related, or both. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups

3. Medicines safety

Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.

4. Management of common/minor/self-limiting ailments

Managing caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring

to GPs or other healthcare professionals where appropriate.

5. Patient facing medicines support

Provide patient facing clinics for those with questions, queries and concerns about their

medicines in the practice.

6. Telephone medicines support

Provide a telephone help line for patients with questions, queries and concerns about their

medicines.

7. Management of medicines at change of care setting

Reconcile medicines following discharge from hospital or admission to intermediate care or care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge. Set up and manage systems to ensure continuity of medicines supply to high-risk groups of patients (e.g. those with medicine compliance aids or those in Care Homes).

8. Medicine information to practice staff and patients

Answer relevant medicine-related enquiries from GPs, other network staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggest and recommend solutions. Providing follow up for patients to monitor the effect of any changes.

9. Drug monitoring

Ensure robust systems are in place for drug monitoring at each practice across the PCN, streamlining these where possible. Understand and apply the traffic light classifications for prescribing in the Leeds Health Economy.

10. Signposting

Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time e.g. pathology results, common/minor ailments, acute conditions, long term condition reviews etc.

11. Repeat prescribing

Ensure each practice in the PCN has a robust repeat prescribing policy, and streamline these across the PCN where possible. You may be asked to contribute to the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates. Ensure patients have appropriate monitoring in place when required.

12. Service development

Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets).

13. Information management

Analyse, interpret and present medicines data to highlight issues and risks to support decision making.

14. Education and Training

Provide education and training to primary healthcare team on therapeutics and medicines

optimisation.

15. Care Quality Commission

Work with the general practice teams to ensure the practices are compliant with CQC standards where medicines are involved.

16. Public health

Support public health campaigns. Provide specialist knowledge on all public health

programmes available to the general public.

17. Collaborative working arrangements

Work collaboratively with their PCN Clinical Director.

Participate in the PCN MDT.

Liaise with the Leeds GP Confederation Clinical Pharmacy team to benefit from peer support.

Liaise with CCG Medicines Commissioning colleagues on prescribing related matters to ensure consistency of patient care and benefit

Engage with the Leeds Practice Pharmacist and Technician Network and with the other SEL GP-employed pharmacists for peer support.

Foster and maintain strong links with all services across the PCN and neighbouring networks.

Explores the potential for collaborative working and takes opportunities to initiate and

sustain such relationships.

Liaises with other stakeholders as needed for the collective benefit of patients,including but not limited to :

Patients and their representatives

GP, nurses and other practice staff

Social prescribers, first contact physiotherapists, physicians associates and paramedics.

Community pharmacists and support staff

Locality / GP prescribing lead

Locality managers

Community nurses and other allied health professionals

Hospital staff with responsibilities for prescribing and medicines optimisation

18. Professional development

Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities.

Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.

Work with your line manager to access regular clinical supervision, to enable you to deal effectively with the difficult issues that people present.

Review yearly progress and develop clear plans to achieve results within priorities set by others. Participate in the delivery of formal education programmes.

Demonstrate an understanding of current educational policies relevant to working areas of practice and keep up to date with relevant clinical practice.

19. Research and Evaluation

Critically evaluate and review literature.

Identify where there is a gap in the evidence base to support practice.

Generate evidence suitable for presentations at practice and local level.

Apply research evidence base into the workplace.

20. Health and Safety/Risk Management

Must comply at all times with the Health and Safety policies, in particular following safe working procedures and reporting incidents using the organisations Incident Reporting Systems

Comply with the Data Protection Act (2018) and the Access to Health Records Act (1990).

21. Special working conditions

The post holder is required to travel independently between work sites and to attend meetings etc hosted by other agencies.

The post-holder will have contact with body fluids, i.e. wound exudates, urine etc while in clinical practice.

The post-holder is likely to need to visit patients in their own home.

22. Miscellaneous

Work as part of the team to seek feedback, continually improve the service and contribute to business planning.

Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.

Duties may vary from time to time, without changing the general character of the post or the level of responsibility.

23. Equality and Diversity

The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc

24. Respect for Patient Confidentiality

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

Person Specification

Personal Qualities & Attributes

Essential

• Commitment to reducing health inequalities and proactively working to reach people from all communities
• 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, e.g. CCGs)
• Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary
• Ability to identify risk and assess/manage risk when working with individuals
• Able to work under pressure and meet deadlines
• Demonstrates accountability for delivering professional expertise and direct service provision

Desirable

• Demonstrates accountability for delivering professional expertise and direct service provision

Professional registration

Essential

• Mandatory registration with the General Pharmaceutical Council

Desirable

• Membership Primary Care Pharmacy Association (PCPA)
• Membership of the Royal Pharmaceutical Society

Other

Essential

• Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions
• Adaptable
• Evidence of being a great team-player
• Self Motivation
• Safeguarding and other mandatory training
• Immunisation status
• Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes

Experience

Essential

• Demonstrable experience as an established foundation-level pharmacist, demonstrated within a practice portfolio
• Experience and an awareness of the breadth of common acute and long-terms conditions that are likely to be seen in general practice
• Demonstrates ability to integrate general practice with community and hospital pharmacy teams and community groups
• Experience of partnership/collaborative working and of building relationships across a variety of organisations

Qualifications

Essential

• Qualifications & TrainingCompletion of an undergraduate degree in pharmacy and registration with the General Pharmaceutical Council
• Demonstrates and understanding of, and conforms to, relevant standards of practice.
• Follows professional and organisational policies/procedures relating to performance management

Desirable

• Holds or working towards an independent prescribing qualification
• Postgraduate Diploma in Clinical Pharmacy
• Successful completion of the CPPE General Practice Pharmacist Training Pathway

Skills and knowledge

Essential

• Demonstrable experience as an established foundation-level pharmacist, demonstrated within a practice portfolio
• Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities
• An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
• Knowledge of IT systems, including ability to use word processing skills, emails and the internet to create simple plans and reports
• Able to obtain and analyse complex technical information.
• Able to gain acceptance for recommendations and influence/motivate/persuade the audience to comply with the recommendations/agreed course of action where there may be significant barriers
• Able to identify and resolve risk management issues according to policy/protocol.
• Understand the principles of research governance

Desirable

• Demonstrable experience as an established foundation-level pharmacist, demonstrated within a practice portfolio
• Able to plan, manage, monitor and review general medicine optimisation issues in core areas for long term conditions

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).

Employer details

Employer name

South and East Leeds GP Group

Address

Hosted Employers address

1st Floor Park Edge Practice

Asket Drive

Leeds

West Yorkshire

LS14 1HX

United Kingdom

Employer's website

https://www.seleedsgpgroup.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Primary Responsibilities

The following are the core responsibilities of the post holder There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

• Support the Lead Nurse in the leadership of the Nursing and HCA team.
• Participate in the administrative and professional responsibilities of the practice including : Representing the Nurse team at Practice, Business and or external meetings, contribute to Nurse staff training and development, ensure Nurse team comply with CQC, NICE, NHSE, national and local guidelines, contribute to cost effective achievement of QOF and enhanced services, promote innovative ideas, be a resource of information, mentorship and support to others, act as a mentor for new staff and students assisting with induction and training.
• Assess, plan, develop, implement, and evaluate treatment plans that promote health and well-being across the practice population and for specific patient groups
• Proactively identify, diagnose, and manage treatment plans for patients at risk developing and or having a long-term condition, including prescribing/deprescribing for that condition (medical and or social) in line with national and local guidance.
• For all areas of clinical practice understand the implications, needs of the patient and signpost appropriately.
• Contribute to practice targets both local and national, e.g. QOF.
• Provide adult and childhood immunisation service. Follow PSD/PGD guidelines, UK immunisation schedule.
• Plan and support leadership team with annual Flu campaign and mass population vaccination programmes.
• Administer prescribed therapies such as contraception injections/vitamin B12/GNHR/Aranesp/Denosumab and other patient specific injections, recognising side effects and contraindications.
• Perform wound management using appropriate (aseptic/clean) technique.
• Have good understanding of the process of wound healing, knowledge of wound management, potential complications, local and national guidance.
• Be proficient at Doppler assessment, knowledge and understanding of the pathophysiology of venous, arterial, and diabetic foot ulcers.
• Recognise signs of wound infection, manage appropriately and interprets results from microbiology sampling.
• To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
• To maintain accurate clinical records in conjunction with extant legislation
• To ensure clinical codes are used effectively by all members of the nursing team
• To ensure the appropriate use of chronic disease registers
• Review medication for therapeutic effectiveness.
• Work with the Lead Nurse and Practice Management team to improve the management of disease within the practice population. Implement clear management plans with patients including appropriate prescribing and referral.
• Work to support compliance and adherence to prescribed treatments by detecting and managing side effects and or adverse reactions.
• Emphasise the importance of prevention and self care.
• Refer patients to other services or agencies as appropriate. Promoting communication between all involved in the patient care.
• To request pathology services and process pathology results as required.
• To implement vaccination programmes for adults and children.
• To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice).
• To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.).
• To conduct regular audits, e.g. smear audit, infection control audit.
• Take the lead in Infection Control, conduct audits, review policies and procedures, conduct training for all practice staff
• To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)

Secondary Responsibilities

In addition to the primary responsibilities, the Deputy Lead Practice Nurse may be requested to:

• Develop and review audit protocols and process for the practice, effectively utilising the audit cycle
• Develop, review and implement nursing protocols in conjunction with the nurse lead partner and practice management.
• Support all members of the nursing team, providing guidance when necessary, conducting appraisals and training needs analyses as required
• Participate in local initiatives to enhance service delivery and patient care
• Support and participate in shared learning within the practice in order to improve patient care
• Continually review clinical practices, responding to national policies and initiatives where appropriate
• Participate in the review of significant and near-miss events applying a structured approach, i.e., root cause analysis (RCA)
• Lead the planning and implementation of changes within the nursing team, enhancing the provision of services to patients
• Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation

Person Specification

Experience

Essential

• Wound Care/removal or sutures and staples
• Smear taker
• ECGs
• Venepuncture
• New Patient Medicals
• Requesting pathology tests and processing the results, advising patients accordingly
• Understanding the requirement for PGDs and associated policy
• Understanding the importance of evidence based practice
• Ability to record accurate clinical notes
• Chaperone procedure
• Women's health
• Immunisations (routine, childhood and travel)
• Excellent communication skills
• Effective time management
• Team Working
• Good Interpersonal Skills
• Problem Solving and Analytical Skills
• Ability to Follow clinical policy and procedure
• Desirable
• Travel Medicine
• Spirometry
• Board Knowledge of Clinical Governance
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena
• Knowledge of health promotion strategies
• Experience of Audit and able to lead audit programmes
• Experience with clinical risk management

Qualifications

Essential

• Registered Nurse
• Post Graduate Diploma or Degree (Chronic Disease Management)

Desirable

• Nurse prescriber
• Mentor or Teaching Qualification
• Family Planning Qualification

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).

Employer details

Employer name

The Barkantine Practice

Address

Barkantine Clinic

121 Westferry Road

London

E14 8JH

United Kingdom

Employer's website

https://www.barkantine.nhs.uk (Opens in a new tab)

Job description

Job responsibilities

Key Duties and Responsibilities

The Consultant Gynaecologist will provide consultant-led assessment, diagnosis, treatment and follow-up for patients with moderate to high-complexity benign gynaecological conditions suitable for management within a Tier 3 Community Gynaecology Service.

The post holder will:

• Assess and manage patients escalated from Tier 2 services due to persistent symptoms, treatment failure, abnormal investigation results or diagnostic uncertainty that remain suitable for ambulatory management.
• Provide specialist assessment and treatment for complex heavy menstrual bleeding and abnormal uterine bleeding, including the investigation and management of suspected fibroids, adenomyosis, endometrial polyps and other intrauterine pathology not meeting urgent cancer criteria.
• Deliver consultant-led outpatient hysteroscopy services, including endometrial biopsy and approved see-and-treat procedures such as selected polypectomy, resection or ablation of suitable intrauterine lesions where commissioned.
• Provide specialist menopause and hormone management services, including the assessment and treatment of premature ovarian insufficiency, early menopause, treatment-resistant menopausal symptoms and complex HRT management.
• Manage patients with persistent dysmenorrhoea, pelvic pain, dyspareunia and suspected endometriosis requiring consultant review and targeted investigation, where management remains appropriate within a community setting.
• Undertake specialist assessment and management of complex PCOS, amenorrhoea and endocrine-related gynaecological conditions, working collaboratively with endocrinology and fertility services where appropriate.
• Assess and manage severe or treatment-resistant PMS and PMDD, ensuring appropriate liaison with mental health and other specialist services where required.
• Provide specialist assessment of persistent benign vulval conditions and undertake vulval biopsy where clinically indicated and commissioned.
• Assess and manage patients with urinary incontinence and pelvic organ prolapse who have not responded to conservative management, including determining the need for further specialist intervention or surgery.
• Review and manage Trust waiting-list patients who have been pre-assessed as suitable for consultant-led ambulatory diagnostic and treatment pathways.
• Interpret diagnostic investigations, pathology and imaging results and formulate evidence-based management plans.
• Participate in multidisciplinary working, clinical governance, audit, service development and quality improvement activities.

Exclusions and Onward Referral

The Consultant Gynaecologist will ensure that patients whose clinical needs fall outside the commissioned Tier 3 Community Gynaecology Service are identified promptly and referred to the appropriate secondary, tertiary, urgent or specialist pathway. This includes:

• Suspected gynaecological cancer, postmenopausal bleeding requiring an urgent pathway, concerning pelvic or adnexal masses, ascites, or other urgent malignancy concerns.
• Emergency presentations including uncontrolled bleeding, severe anaemia or haemodynamic instability, acute abdomen, sepsis, pregnancy-related emergencies, or patients requiring same-day hospital assessment.
• Patients requiring major open, laparoscopic or complex hysteroscopic surgery, hysterectomy, pelvic floor surgery, inpatient admission or general anaesthesia outside the commissioned service model.
• Complex adnexal masses, deep infiltrating endometriosis, severe pelvic adhesions, fistulae, mesh complications or conditions requiring specialist multidisciplinary or tertiary care.
• Fertility treatment, recurrent miscarriage services, abortion or miscarriage management and obstetric care, unless separately commissioned.
• Complex colposcopy services or cervical dysplasia treatment outside the commissioned service scope.
• Patients requiring MRI, CT, urodynamic studies or other advanced diagnostics where no agreed pathway exists.
• Patients with significant anaesthetic, medical or safeguarding risks that make ambulatory assessment or treatment inappropriate.
• Cases requiring MDT review, persistent diagnostic uncertainty following Tier 3 assessment, pathology requiring specialist review, or findings that exceed the clinical or procedural scope of the service.
• Any patient who develops new red-flag symptoms or clinical deterioration during their care pathway requiring immediate escalation to an urgent, cancer or Tier 4 service.

Person Specification

Experience

Essential

• GMC registration with licence to practise
• Current GMC Specialist Registration or substantive experience working at SAS Grade level
• MRCOG or equivalent specialist qualification
• Significant experience in benign gynaecology
• Experience of ambulatory and outpatient procedures
• Strong clinical leadership and decision-making skills
• Commitment to patient-centred care and clinical excellence

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).

Employer details

Employer name

HealthHarmonie

Address

Abercromby Health Centre

Grove Street

Edge Hill

Liverpool

L7 7HG

United Kingdom

Employer's website

https://www.healthharmonie.com/ (Opens in a new tab)

Job description

Job responsibilities

If you would like to find out more information about this role, please do not hesitate to get in contact with us.

Person Specification

Additional information:

Essential

• Experience using SystmOne
• Strong understanding of medicines optimisation principles
• Knowledge of medication safety and prescribing governance
• Excellent communication and interpersonal skills
• Strong organisational and prioritisation skills
• Good IT skills and attention to detail
• Ability to work independently and collaboratively

Experience

Essential

• Evidence of ongoing CPD
• Experience within General Practice or Primary Care Networks
• Experience of medicines management and medicines optimisation
• Medicines reconciliation experience
• Experience of repeat prescribing processes
• Experience working within multidisciplinary healthcare teams
• Experience handling medication-related queries

Desirable

• Experience supporting QOF, IIF or medicines optimisation programmes
• Experience undertaking prescribing audits and quality improvement projects
• Experience working independently within a primary care medicines optimisation role

Qualifications

Essential

• Registered Pharmacy Technician with the General Pharmaceutical Council (GPhC)
• BTEC/NVQ Level 3 in Pharmaceutical Science or recognised equivalent
• Completion of the CPPE Primary Care Pharmacy Education Pathway
• Evidence of ongoing CPD
• Minimum 2 years post-qualification experience as a Pharmacy Technician

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).

Employer details

Employer name

Primary Care Careers

Address

Fields Road

Wootton

Bedford

Bedfordshire

MK43 9JJ

United Kingdom

Employer's website

https://www.eoeprimarycarecareers.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

The duties of this post will be subject to regular review, at least on an annual basis. The duties will reflect the requirements from the PCN DES and the GP contract in relation to prescribing and medicines management. These will include but are not limited to:

1. Clinically assess and treat patients using expert knowledge of medicines for specific disease areas.

2. Undertake Structured Medication Reviews to ensure patients take their medications correctly and get the best from them, reducing waste and promoting self-care.

3. Be a prescriber, or commit to completing training to become a prescriber.

4. Contribute to the delivery of effective daily processes for the transfer of care between hospitals and GPs including effective signposting, querying discrepancies and recommending appropriate medication changes.

5. To take a lead on the reconciliation of medicines following hospital discharge, working with secondary care colleagues, practice colleagues, patients and community pharmacists to ensure patients receive the correct medicines post-discharge. Provide clinical expertise in medicines advice and addressing both the public and social care needs of patient

6. Support colleagues and patients with medication queries and drug monitoring especially with high risk drugs.

7. Take responsibility for the medicines management of some patients with complex chronic diseases.

8. Undertake clinical medication reviews to proactively manage people with complex polypharmacy.

9. To work with patients who need support reducing long term prescribed Opiates and Gabapentinoids.

10. To help tackle local inequalities and review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit, individual patient reviews and action planning.

11. Contribute pharmaceutical advice for the development and implementation of new services that have medicinal aspects (e.g. advice on treatment pathways and patient information leaflets).

12. Contribute to the General Practice Quality and Outcomes Framework (QOF) and enhanced services.

13. Work with general practice teams to ensure that practices are compliant with CQC standards where medicines are involved.

14. Take a lead role in supporting further integration of General Practice with other healthcare teams to help improve patient outcomes, ensure better access to healthcare and help manage general practice workload.

15. Take a central role in the clinical aspects of shared care protocols and liaison with specialist, community and anticoagulation pharmacists.

Person Specification

Qualifications

Essential

• Undergraduate degree in Pharmacy
• Registration with the GPhC

Desirable

• Independent Prescriber

Experience

Essential

• Minimum 5 years post registration experience as a Pharmacist

Desirable

• More than 5 years post registration experience as a Pharmacist
• Experience of working in a GP practice

Knowledge, skills and Qualities

Essential

• Experience of common acute and long-term conditions
• Strong problem solver
• Works efficiently independently
• Excellent interpersonal, influencing and negotiating skills
• Rigorous in following legal, ethical, professional and organisational policies and codes of conduct
• Committed to continuous professional development
• Ability to apply research evidence base into the workplace
• Excellent verbal communication skills
• Excellent organisational skills
• IT Literate
• Experience of working in a multi-disciplinary team

Desirable

• Experience of medication reviews in practice
• Track record of improving work processed
• Up-to-date knowledge of CQC regulations in General practice
• Good understanding and history of quality improvement work through audit.
• Use of EMIS Web

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).

Employer details

Employer name

Pendle East Primary Care Network

Address

Pendle East Community Hub

Colne Health Centre

Colne

Lancashire

BB8 0JZ

United Kingdom

Employer's website

https://www.pendleeastpcn.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Are you looking for the next step in your career, in an environment where you can develop and specialise your skills? Then join Bromley Road Hospital as an Assistant Psychologist where you will have the opportunity to work with a dedicated team to make a real difference in lives of some of the most vulnerable people in society.

What you will be doing

You will be working with men and women in a specialist mental health setting, alongside addressing conditions like depression, self harm, physical health concerns, and psychological distress including trauma.

As an Assistant Psychologist you will have the opportunity to assist with assessments, formulations, and treatment to our service users, under the supervision of the Senior Psychologist. You will also assist in clinically related administration including conduct of audits, collection of statistics, development of audit and/or research projects, teaching, and project work.

At Bromley Road Hospital you will have the chance to develop specialist skills through out your time with us. Your professional growth is important, which is why there are numerous career development opportunities to keep you learning and improving.

To start your career at Bromley Road Hospital apply today.

As an Assistant Psychologist you will be:

• Contributing to psychological assessments and formulations
• Facilitating psychological interventions on a 1:1 and/or group basis to service users, monitoring and reporting upon their effectiveness
• Assisting in designing and delivering specialist training to others
• Assisting with the delivery of reflective practice for staff
• Maintaining clinical databases
• Completing outcome measures
• Writing reports for various audiences
• Service evaluation and other research tasks including collecting, analysing, and reporting upon an array of statistics
• Undertaking clinically relevant audits

To be successful in this role, you will have:

• A minimum of an upper second-class honours degree in Psychology conferring eligibility for Graduate Membership of the British Psychological Society (BPS)
• Experience of working as an Assistant Psychologist in a forensic and/or mental health setting in a similar role
• Experience of maintaining office systems and undertaking administration tasks
• Creative thinking, clinical efficacy, and a strong commitment to working with evidenced based models of therapeutic intervention
• Strong organisation skills
• Good interpersonal and communication skills
• To meet professional practice expectations including the HCPC standards of conduct, performance and ethics, and the BPS code of ethics and conduct

Where you will be working:

Location: 84-86 Bromley Road, Catford, London, SE6 2UR

You will work at Bromley Road, a rehabilitation service for men and women with enduring mental health issues, complex needs and complicated addiction problems. People in your care may include those who have a forensic history and those who are detained under the Mental Health Act.

You will work alongside the multidisciplinary team to deliver positive support and risk reduction strategies, as well as providing opportunities for social inclusion and building skills for independent living.

The team at Bromley Road work alongside service users, supporting them in their therapy programmes, building coping strategies and increasing their life skills. The aim at Bromley Road is to keep the length of stay to a minimum by planning discharge at the point of admission. Communication with families and valued support networks are encouraged by an experienced and values led staff team.

At Elysium Healthcare, we believe in taking care of the people who care for others, you’ll enjoy a comprehensive benefits package designed to support your wellbeing, growth, and future:

• Annual base salary of £25,662
• The equivalent of 33 days annual leave (including bank holidays) – plus your birthday off and the option to buy additional annual leave, in our annual selection window.
• Career development and training to help you achieve your professional goals
• Access to our Rewards & Benefits platform Ely-Vate; Your one-stop destination for everyday savings, exclusive benefits, and wellbeing hub!
• Wellbeing support and activities to help you maintain a healthy work-life balance
• Access to Blue Light Card, which provides a range of exclusive offers and discounts
• Life Assurance, for added peace of mind
• Stream – instant access to earned wages when you need it, plus access to save, directly from your wages, alongside financial wellbeing support.
• 24/7 GP service and second medical opinion, to ensure you are the best you can be
• Enhanced Maternity Package, so you can truly enjoy this special time
• Pension contribution, to help secure your future
• Free meals and parking

About your next employer:

Elysium Health care has over 8,000 employees and a unique approach to the delivery of care. With a network of over 80 services across England and Wales covering Mental Health, Neurological, Learning Disabilities & Autism, Children & Education, there is opportunity for you to grow and move.

Elysium Healthcare is part of Ramsay Health Care with a global network that extends across 10 countries and employs over 86,000 people globally.

Elysium Healthcare follows safer recruitment of staff for all appointments and is a Disability Confident employer, committed to inclusive and accessible recruitment. It is a requirement that all staff understand it is each person’s individual responsibility to promote and safeguard the welfare of service users. All candidates will be subject to a DBS disclosure

Person Specification

Qualifications

Essential

• A minimum of an upper second-class honours degree in Psychology conferring eligibility for Graduate Membership of the British Psychological Society (BPS). Experience of working as an Assistant Psychologist in a forensic and/or mental health setting in a similar role. Experience of maintaining office systems and undertaking administration tasks. Creative thinking, clinical efficacy, and a strong commitment to working with evidence-based models of therapeutic intervention. Strong organisation skills. Good interpersonal and communication skills. To meet professional practice expectations including the HCPC standards of conduct, performance and ethics, and the BPS code of ethics and conduct.

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.

Employer details

Employer name

Elysium Healthcare

Address

Elysium Healthcare

Catford

SE6 2UR

United Kingdom

Employer's website

https://www.elysiumhealthcare.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

Are you a Speech and Language Therapist with mental health experience, looking for an opportunity where you'll be supported to develop your skills and achieve your career goals? If so, join Wellesley Hospital in Wellington, Somerset, and become part of a team dedicated to helping people achieve meaningful recovery.

Wellesley Hospital is a purpose-built 101-bed hospital providing care and treatment for men and women with complex mental health needs.

As a Speech and Language Therapist, you will play a key role in supporting service users to develop and enhance their communication skills. You will lead therapeutic group sessions, build strong one-to-one relationships, encourage engagement, and empower individuals on their recovery journey.

You will manage a designated caseload, using your theoretical knowledge and clinical experience to complete assessments, develop and implement interventions, and evaluate outcomes in line with individual care plans.

Working within a multidisciplinary team, you will benefit from support from a regional network of healthcare professionals, alongside access to a wide range of training and development opportunities to help you progress in your career.

As a Speech and Language Therapist, you will:

• Deliver specialist assessments and interventions for service users with communication and/or swallowing difficulties.
• Manage a designated caseload, planning and evaluating interventions to support positive outcomes.
• Demonstrate specialist skills in managing complex cases, including those involving cultural and linguistic differences.
• Develop and implement appropriate strategies for effective caseload management.
• Lead therapeutic group sessions and provide individual interventions where required.
• Undertake audits and contribute to service development and research initiatives.
• Provide specialist knowledge in areas such as acquired communication disorders, swallowing disorders, and mental health-related communication needs.
• Work collaboratively with the wider multidisciplinary team to support recovery-focused care.

Where you will be working

Location: Westpark 26, Chelston, Wellington, Somerset, TA21 9FF

You will be based at Wellesley Hospital, a purpose-built 101 bed hospital providing specialist care for men and women with mental health conditions.

Opened in 2017, Wellesley Hospital works in partnership with Devon Partnership NHS Trust, Avon and Wiltshire Mental Health Partnership NHS Trust, Cornwall Partnership NHS Foundation Trust, Gloucestershire Health and Care NHS Foundation Trust, Cygnet Health Care, and Livewell Southwest, helping to provide outstanding care and positive outcomes for service users.

The hospital offers a modern, therapeutic environment designed to support recovery, wellbeing, and independence, with a strong focus on delivering person-centred care.

To be successful in this role, you'll need:

• HCPC registration
• Experience of managing a caseload involving assessment and treatment of dysphagia
• Experience of working with families
• Evidence of continuing Professional Development

What You’ll Get

At Elysium Healthcare, we believe in taking care of the people who care for others, you’ll enjoy a comprehensive benefits package designed to support your wellbeing, growth, and future:

• Annual base salary of £42,000
• The equivalent of 33 days annual leave (including bank holidays) – plus your birthday off and the option to buy additional annual leave, in our annual selection window.
• Career development and training to help you achieve your professional goals
• Access to our Rewards & Benefits platform Ely-Vate; Your one-stop destination for everyday savings, exclusive benefits, and wellbeing hub!
• Wellbeing support and activities to help you maintain a healthy work-life balance
• Access to Blue Light Card, which provides a range of exclusive offers and discounts
• Life Assurance, for added peace of mind
• Stream – instant access to earned wages when you need it, plus access to save, directly from your wages, alongside financial wellbeing support.
• 24/7 GP service and second medical opinion, to ensure you are the best you can be
• Enhanced Maternity Package, so you can truly enjoy this special time
• Pension contribution, to help secure your future