Job description

Job responsibilities

Key Responsibilities

• Undertake comprehensive, person-centred assessment including relevant history, physical examination and assessment of psychological, functional and social factors.
• Exercise autonomous clinical judgement to develop and evaluate differential diagnoses, including where presentations are atypical, uncertain or complex.
• Initiate and interpret investigations, using results to inform diagnosis, treatment, monitoring, referral or escalation.
• Provide evidence informed management of acute presentations, long-term conditions and multimorbidity.
• Recognise significant illness, safeguarding concerns and clinical deterioration; initiate immediate management and escalate appropriately.
• Use shared decision making to explain options, benefits, risks and uncertainties, respecting a patient's values, preferences and capacity.
• Provide clear safety netting and follow up arrangements, including advice on when and how to seek urgent help.
• Make appropriate referrals and provide high quality clinical information to support continuity of care.
• Promote prevention, self-management, vaccination, screening and healthy lifestyle interventions where appropriate.
• Maintain accurate, contemporaneous clinical records that clearly demonstrate assessment, reasoning, decisions, advice, follow up and escalation.

• Where an independent prescriber, prescribe only within individual competence.
• Undertake medicines reconciliation and medication review where appropriate, considering interactions, contraindications, monitoring, adherence and patient preference.
• Use national and local guidance, antimicrobial stewardship principles and formulary arrangements to support safe and cost-effective prescribing.
• Recognise and report adverse drug reactions, medication incidents and prescribing concerns through appropriate systems.
• Where not independently qualified to prescribe, work within the appropriate legal and local medicines framework and do not act beyond authorised mechanisms.

• Maintain current professional registration and comply with the relevant professional code, standards and requirements for revalidation or equivalent.
• Work within competence and recognise when a presentation requires support, a second opinion, GP review, specialist advice or transfer of care.
• Participate in clinical supervision and professional support arrangements appropriate to the role and level of practice.
• Report and contribute to learning from incidents, near misses, complaints, significant events and patient safety concerns.
• Comply with practice policies for safeguarding, infection prevention and control, information governance, consent, chaperoning, medicines management and health and safety.
• Use professional curiosity and appropriate escalation where abuse, neglect, coercion, exploitation or risks to children or adults are suspected.
• Support audit, clinical assurance, inspection readiness and implementation of learning from governance activity.

• Provide visible clinical leadership and act as a positive role model for safe, compassionate and evidence informed care.
• Promote effective multidisciplinary working, respectful challenge and clarity of professional roles and responsibilities.
• Support improvements to clinical pathways, access, continuity, population health and use of practice resources.
• Identify unwarranted variation, clinical risk or system problems and work with colleagues to develop proportionate solutions.
• Contribute to practice meetings, service planning, policy development and implementation where relevant to the role.
• Support a culture in which staff can raise concerns, learn from errors and contribute to improvement.
• Manage workload responsibly, prioritising clinical need while recognising the impact of capacity and operational pressures on safety.

• Maintain an advanced practice portfolio demonstrating ongoing capability across the four pillars.
• Participate in appraisal, supervision, continuing professional development and learning relevant to the role.
• Share knowledge with colleagues through case discussion, teaching, coaching, clinical supervision or structured learning where competent to do so.
• Support learners and developing clinicians within agreed supervision arrangements and escalate concerns about competence or patient safety.
• Reflect on feedback, outcomes, incidents and evidence to identify individual learning needs and changes to practice.

• Critically appraise and apply current evidence, national guidance and local pathways to clinical decision making.
• Participate in clinical audit, service evaluation and quality improvement activity relevant to the practice population.
• Use data and feedback to identify opportunities to improve safety, experience, effectiveness, equity and outcomes.
• Contribute to implementation and evaluation of evidence informed change, sharing learning with the wider team.
• Participate in research activity where appropriate, ensuring relevant governance, consent and ethical requirements are met.

• Communicate complex or sensitive information clearly, adapting communication to health literacy, disability, language, culture and individual need.
• Work collaboratively with patients, carers and professionals while maintaining confidentiality and appropriate information sharing.
• Provide clear clinical handovers and referrals, ensuring responsibility for follow-up is understood.
• Promote continuity and coordinated care for people with complex needs, including effective liaison across organisational boundaries.
• Address disagreement or uncertainty professionally and escalate concerns where patient safety may be compromised.

• Treat patients, carers and colleagues with dignity, fairness and respect.
• Recognise and seek to reduce health inequalities and barriers to access, experience and outcomes.
• Support reasonable adjustments and inclusive communication.
• Challenge discriminatory behaviour and practice through appropriate routes.
• Consider the wider determinants of health when assessing need and planning care.

Person Specification

Experience

Essential

• Substantial post-registration experience, including experience of autonomous assessment and management of undifferentiated or complex presentations.
• Experience of working in general practice, urgent care, community care or a closely comparable autonomous clinical setting.

Qualifications

Essential

• Current registration with the appropriate UK healthcare professional regulator, with no restriction incompatible with the role.
• Master's level award in Advanced Clinical Practice/Advanced Practice or documented equivalent recognition/capability consistent with the relevant national framework and employer governance.
• Independent prescribing qualification and current prescribing competence where prescribing forms part of the role.

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 Bay Medical Practice

Address

The Bay Medical Practice

Broadway

Sandown

Isle Of Wight

PO36 9GA

United Kingdom

Employer's website

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

Job description

Job responsibilities

Further information about the job roles can be found on the Job Description and Person Specification documents attached.

Person Specification

Knowledge and skills

Essential

• Infection control awareness
• Standard IT/ keyboard skills
• Excellent customer care skills
• Communication skills, both written and verbal
• Organisation/ prioritisation skills
• Time management
• Verbal reasoning skills
• Confidentiality
• Demonstrates an understanding of the role of the phlebotomist/ health care assistant
• Clinical skills and competency relevant to the role e.g. Phlebotomy experience
• Understand issues regarding accountability and delegation

Experience

Essential

• Experience of working with the public or in a customer care environment.
• Experience of working in a busy environment.
• Phlebotomy experience
• Experience working under indirect supervision

Desirable

• NHS experience
• Experience of a changing work environment
• Experience working in a general practice or other healthcare environment

Personal qualities

Essential

• Demonstrates motivation, reliability and commitment to team working and the development of others
• Flexible, reliable and responsive to change
• Demonstrates an ability to value the opinions of others
• Demonstrates high level of self awareness, i.e. strengths and weaknesses, personal qualities and skills
• Willingness to undergo education/ training for both practice and service needs
• Willingness to work towards professional and performance objectives (appraisal)
• Highly motivated
• Flexibility
• Enthusiasm
• Team player
• Calm approach
• Positive attitude

Qualifications

Essential

• Good general secondary education including Maths and English

Desirable

• Further clinical qualifications
• IT experience
• HCA course specific to general practice
• NVQ level 3 or working towards this or equivalent 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

Weymouth Bay Medical Practice

Address

25 Crescent Street

Weymouth

Dorset

DT4 7BY

United Kingdom

Employer's website

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