Job description

Job responsibilities

An exciting opportunity has arisen for an experienced ACP to join our Home Visiting Wellbeing Team, working in and around Boston. You will be an enthusiastic and motivated ACP who wishes to influence patient care in this bespoke area of primary care.

Your main duties will be to assist daily with home visits including visit triage, seeing on the day patients for acute and minor illness, for housebound and care home patients, working on behalf of Boston Primary Care Network (PCN) practices.

You will be employed and supported by Boston PCN Ltd and will work with a diverse, multi-skilled, experienced professional team of clinical and non-clinical, friendly and committed staff.

Boston PCN covers six practices across Boston, Kirton and Swineshead areas.

Person Specification

Knowledge and skills

Essential

• Advanced history-taking, physical assessment and clinical examination skills.
• Ability to recognise and respond to red flags, clinical risk and deterioration.
• Safe prescribing and medicines management knowledge appropriate to the role.
• Knowledge of safeguarding, consent, capacity, confidentiality and information governance.
• Excellent communication, consultation and shared decision-making skills.
• Ability to prioritise workload, manage uncertainty and work effectively under pressure.
• Competent use of clinical IT systems, ideally including SystmOne.

Qualifications

Essential

• PLEASE SEE JD FOR FULL DETAILS
• Current registration as a healthcare professional with the relevant regulatory body, for example NMC, HCPC or GPhC.
• Masters degree in Advanced Clinical Practice, or evidence of working towards an approved programme where the role permits trainee status.
• Independent prescribing qualification
• Evidence of advanced clinical assessment and consultation skills.
• Evidence of continuing professional development relevant to the post
• Experience of working within a demanding primary care clinical setting, preferably GP practice.
• Full and clean UK Driving Licence and access to transport.

Desirable

• Experience of working in a community health / home visiting care setting linked to GP Practice.
• Experience of working in a multi-disciplinary health care team.

Experience

Essential

• Significant post-registration clinical experience in a relevant setting.
• Experience of autonomous assessment, clinical decision-making and management planning.
• Experience of managing acute, chronic, complex or undifferentiated presentations.
• Experience of multidisciplinary and integrated team working.
• Experience of clinical governance, audit or quality improvement.

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

Boston Primary Care Network

Address

Boston Location

Boston

Lincolnshire

PE21 8RU

United Kingdom

Job description

Job responsibilities

Duties and Responsibilities

Provide autonomous assessment, diagnosis and management of patients presenting with urgent, acute and undifferentiated health needs. Develop treatment plans, initiate appropriate interventions, manage clinical risk and ensure safe referral or escalation when required.

Home Visiting and Community-Based Care

Undertake home visits for patients unable to attend practice, delivering comprehensive clinical assessment and treatment in community settings. Support care closer to home and help prevent unnecessary hospital admissions where clinically appropriate.

Same-Day Access, Triage and Clinical Prioritisation

Provide timely same-day care through face-to-face, telephone and remote consultations. Assess urgency, prioritise patients according to clinical need and contribute to effective patient navigation across services.

Communication and Multidisciplinary Working

Work collaboratively with GPs, nurses, pharmacists, community teams and other healthcare professionals to deliver coordinated, patient-centred care. Communicate clearly with patients, carers and colleagues to support informed decision-making.

Delivering a Quality Service and Clinical Governance

Maintain high standards of clinical practice through accurate record keeping, evidence-based care, patient safety activities, audit and quality improvement initiatives. Contribute to the ongoing development of urgent care pathways and services.

Professional Practice and Development

Maintain professional registration and continuing professional development requirements. Participate in clinical supervision, reflective practice and learning activities to support the delivery of high-quality urgent care services.

Information Governance

Ensure accurate use of clinical systems and maintain confidentiality in line with information governance and data protection requirements, supporting safe and effective patient care.

Health, Safety, Infection Prevention and Equality

Work in accordance with organisational policies relating to health and safety, lone working, infection prevention and safeguarding. Promote equality, diversity and inclusion, ensuring equitable access to care for all patients.

Person Specification

Additional Criteria

Essential

• Clinical knowledge
• Strong knowledge of acute illness, clinical deterioration and urgent presentations.
• Knowledge of structured history taking, physical examination and differential diagnosis.
• Understanding of clinical risk, red flags, escalation and safety-netting.
• Understanding of professional accountability, scope of practice and the limits of competence.
• Knowledge of safeguarding adults and children, mental capacity and consent.
• Understanding of evidence-based practice and the use of current clinical guidance
• Clinical and professional skills
• Able to undertake autonomous clinical assessment and examination.
• Able to formulate differential diagnoses and appropriate management plans.
• Able to recognise deterioration and initiate appropriate emergency or urgent escalation.
• Able to work safely and confidently as a lone practitioner in patients' homes.
• Able to prioritise workload and manage competing clinical demands.
• Excellent verbal and written communication skills.
• Able to communicate risk, uncertainty and complex information clearly to patients, carers and colleagues.
• Able to work effectively within a multidisciplinary team while retaining professional autonomy.
• Accurate and timely clinical record keeping and effective use of digital clinical systems.
• Personal Attributes
• Self-directed, accountable and professionally curious.
• Calm and effective clinical decision-maker in situations of uncertainty or pressure.
• Able to recognise and communicate own limitations appropriately.
• Flexible and responsive to changing service and patient need.
• Commitment to compassionate, person-centred care.
• Positive team contributor with a commitment to shared learning and improvement.
• Other requirements
• Full UK driving licence and access to suitable transport for business use, subject to reasonable adjustments where applicable.
• Ability and willingness to work across practice sites and undertake home visits.

Desirable

• Clinical Knowledge
• Knowledge of general practice systems, pathways and the wider primary/community care environment.
• Knowledge of frailty, multimorbidity and complex community assessment.
• Knowledge of medicines optimisation and prescribing in primary care.
• Knowledge of clinical governance, patient safety and quality improvement in primary care.
• Clinical and professional skills
• Independent prescribing and medicines-management skills.
• Ability to provide clinical advice, case discussion or debrief to colleagues.
• Clinical supervision and competency-assessment skills.
• Audit, service evaluation or quality-improvement skills.
• Teaching and facilitation skills.
• Personal attributes
• Interest in developing urgent and community-based care within general practice.
• Ability to contribute to service redesign, clinical pathways or wider organisational learning.

Experience

Essential

• Substantial post-registration clinical experience.
• Demonstrable experience of autonomous assessment and clinical decision-making.
• Significant experience assessing acutely unwell, undifferentiated or deteriorating patients.
• Experience of working independently in community, ambulance, urgent, emergency or comparable clinical settings.
• Experience of making safe decisions about treatment, referral, escalation and disposition

Desirable

• Previous general practice or primary care experience.
• Urgent treatment centre, same-day emergency care, community urgent response or equivalent experience.
• Home-visiting experience within primary or community care.
• Experience working as an independent prescriber.
• Experience supporting or supervising other clinicians.
• Experience contributing to audit, quality improvement, clinical governance or pathway development.

Qualifications

Essential

• Registered Paramedic with the HCPC, Registered Nurse with the NMC, or another appropriately registered healthcare professional with directly relevant urgent-care experience.
• Evidence of continuing professional development relevant to acute and urgent clinical practice
• Clinical knowledge
• Strong knowledge of acute illness, clinical deterioration and urgent presentations.
• Knowledge of structured history taking, physical examination and differential diagnosis.
• Understanding of clinical risk, red flags, escalation and safety-netting.
• Understanding of professional accountability, scope of practice and the limits of competence.
• Knowledge of safeguarding adults and children, mental capacity and consent.
• Understanding of evidence-based practice and the use of current clinical guidance
• Clinical and professional skills
• Able to undertake autonomous clinical assessment and examination.
• Able to formulate differential diagnoses and appropriate management plans.
• Able to recognise deterioration and initiate appropriate emergency or urgent escalation.
• Able to work safely and confidently as a lone practitioner in patients' homes.
• Able to prioritise workload and manage competing clinical demands.
• Excellent verbal and written communication skills.
• Able to communicate risk, uncertainty and complex information clearly to patients, carers and colleagues.
• Able to work effectively within a multidisciplinary team while retaining professional autonomy.
• Accurate and timely clinical record keeping and effective use of digital clinical systems.
• Personal Attributes
• Self-directed, accountable and professionally curious.
• Calm and effective clinical decision-maker in situations of uncertainty or pressure.
• Able to recognise and communicate own limitations appropriately.
• Flexible and responsive to changing service and patient need.
• Commitment to compassionate, person-centred care.
• Positive team contributor with a commitment to shared learning and improvement.
• Other requirements
• Full UK driving licence and access to suitable transport for business use, subject to reasonable adjustments where applicable.
• Ability and willingness to work across practice sites and undertake home visits.

Desirable

• Independent / non-medical prescribing qualification.
• Postgraduate study at Level 7 in urgent care, minor illness, clinical assessment or a related field.
• MSc Advanced Clinical Practice or equivalent advanced-practice qualification.
• Clinical supervision, mentorship or teaching qualification.
• Previous general practice or primary care experience.
• Urgent treatment centre, same-day emergency care, community urgent response or equivalent experience.
• Home-visiting experience within primary or community care.
• Experience working as an independent prescriber.
• Experience supporting or supervising other clinicians.
• Experience contributing to audit, quality improvement, clinical governance or 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

Holderness Health

Address

Church View Surgery

5 Market Hill House

Hedon

HU12 8JE

United Kingdom

Employer's website

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

Job description

Job responsibilities

We are currently offering opportunities for both Salaried GPs and GP Partners, with the role tailored to the right applicant.

Up to 8GP sessions available

Flexible working patterns will be considered

Partnership opportunities available for the right candidate

For prospective Partners

We are looking for someone who wants to become anintegral part of our practice familyand help shape its future.

As a Partner, you will be expected to lead by example, combining:

High-quality clinical care

Sound clinical judgement

A collaborative approach to leadership

A business-minded perspective

A genuine commitment to the ethos and future of the practice

In return, the partnership offers strong financial rewards, together with the opportunity toinvest in our well-maintained premises and help shape the future of a thriving, forward-thinking practice.

Work-life balance that really matters

We believe time away from work should be protected.

Our generou holiday rota provides full entitlement to annual leave, study leave and bank holidays, with these commitments clearly protected within your time off.

We want our GPs to have the opportunity to enjoy their work and their lives outside it.

Person Specification

Qualifications

Essential

• Must be a fully qualified Doctor/GP

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 Red & Green Practice

Address

The Waterside Health Centre

Beaulieu Road

Hythe

Southampton

SO45 5WX

United Kingdom

Employer's website

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

Job description

Job responsibilities

We take great pride in developing our future work force in primary care. This includes GP registrars, medical students, nursing students and the continued development of all staff. We welcome applications from candidates with an interest in teaching and actively encourage those looking to explore special interests.

Each of our practices have their own unique journey, and we are committed to ongoing quality improvement, enhancing patient care and experience, and fostering staff wellbeing. We are looking for a GP who is enthusiastic about joining us on this journey and contributing to our shared vision for excellence in primary care.

The post holder will work as a member of the multidisciplinary Practice team to provide general medical services for the needs of the practice population and to help ensure the Practice provides the highest standards of care for all registered and temporary patients.

The post holder will manage a busy caseload and deal with a wide range of health needs in a primary care setting.

The post holder is expected to contribute to the operational and strategic management of the practices within Northumbria Primary care and there are opportunities for personal and professional development across a wide range of areas within primary and secondary care.

Person Specification

Qualifications

Essential

• Full GMC Registration
• Vocational Training Certificate or Equivalent (JCPTGP/nMRCGP)
• Membership of a recognised defence union (MPS/MDU)
• Currently on a performers list and never been removed from a performers list for a detrimental reason

Desirable

• DRCOG
• DFFP/FFFP
• DCH

Experience

Essential

• Clinical training and experience as a General Practitioner
• Evidence of recent self-directed learning or development
• Experience in a wide variety of clinical settings
• Experience of use of primary care IT systems
• Experience of, and commitment to teaching undergraduate and postgraduate staff from other professions
• Experience of and commitment to clinical audit.
• Experience of GP clinical IT systems

Desirable

• Experience of leadership and management
• Experience of supervising trainees
• Educational Qualification
• Experience of and commitment to Quality Improvement
• Research experience

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

Northumbria Healthcare NHS Foundation Trust

Address

NPC Nelson

Nelson Health Centre, Cecil St

North Shields

NE29 0DZ

United Kingdom

Employer's website

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

Job description

Job responsibilities

Core responsibilities

Clinical practice

The role will mainly involve working in our Same Day Access Hub seeing patients for urgent on the day issues. The role will involve working alongside PCN team of GP supervisor / Paramedic Practitioner in the PCN Same Day Access Hub seeing patients on the day with urgent issues.

The post may include cross cover with the award-winning Frailty Visiting Team visiting patients who are housebound for urgent on the day issues.

Work as part of a multi-disciplinary team to deliver safe and high-quality care.

Carry out clinical practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with acute, long term and complex health needs.

Manage undifferentiated undiagnosed condition and identify red flags

and underlying serious pathology and take appropriate action

Triage and treat patients, including same day triage, performing assessment of their needs and makes referrals as necessary to other members of the primary and secondary health care teams as appropriate.

Interpret investigation findings to determine effective treatment plans & discuss with GPs where a second opinion is required

Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition, using both non-pharmacological and pharmacological treatments.

Co-ordinate the planning and delivery of care ensuring patients and carers or relatives are involved where required. Actively take a personalised care approach and population centre care approach to enable shared decision making.

Prescribing and reviewing medication that is appropriate for patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.

Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.

Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.

Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.

Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.

Communication

Uses and adapts communication style to meet individual patient needs to ensure patients are fully informed about treatment.

Communicates effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating

Anticipates barriers to communication and take action to improve communication

Maintains effective communication with the primary care team and with external stakeholders

Ensures awareness of sources of support and guidance and provides information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Safeguarding adults and children

The postholder has a duty to safeguard and promote the welfare of vulnerable adults and children.

When adults or children and/or their carers use primary care services, it is essential that all adult and child protection concerns are both recognised and acted on appropriately.

The postholder has a responsibility to ensure they are familiar with and follow local policies in relation to safeguarding vulnerable adults and that they follow the local child protection procedures and any supplementary guidance.

The postholder has a responsibility to support appropriate investigations either internally or externally.

To ensure the postholder is equipped to carry out their duties effectively, they must also attend vulnerable adult and child protection training and updates at the competency level appropriate to the work they do and in accordance with the local vulnerable adult and child protection training guidance.

Leadership and management personal and people development

Takes responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model

Supports staff development in order to maximise potential and support practice development

Critically evaluates and reviews innovations and developments that are relevant to clinical practice

Contributes to the development of local guidelines, protocols and standards

Maintains effective communication with those responsible for the overall commissioning and procurement process

Promotes the role of the Advanced Clinical Practitioner in general practicecompleting relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care.

Team working

Understands own role and scope and identify how this may develop over time

Works as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

Creates and agrees clear referral mechanisms to meet patient need

Prioritises own workload and uses effective time-management strategies to complete work within agreed timescales

Discusses, highlights and works with the team to create opportunities to improve patient care

Manages and leads the delivery of specifically identified services or projects as agreed with the PCN Clinical Director and the PCN management team

Education

Undertakes mentorship for more junior staff, assessing competence against set standards

Use evidence-based strategies to improve and enhance the quality of patient care

Assesses own learning needs and undertakes learning as appropriate

Provides an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Research

Critically engage in research activity and use evidence-based strategies to improve and enhance the quality of patient care

Participates in clinical governance activity and contributes to the improvement in quality of health outcomes through audit, risk management and the Quality and Outcomes Framework

Participates in investigation of incidents and events as required.

Identifies, applies and disseminates research findings relating to own practice

Collects data for audit purposes and uses clinical audit to monitor quality in the service and implements change according to findings.

Participates in clinical trials and equipment testing.

Meets timescales/deadlines for audits and written returns to ensure that the Practice meets quality standards and receives the designated funding (e.g. Quarterly Enhanced Services returns, annual QOF audit

Quality

Under supervision and support of GPs in the practice, the post-holder will strive to maintain quality within the practices, and will:

Participates in clinical governance activity and contribute to the improvement in quality of health outcomes through audit, risk management and the Quality and Outcomes Framework

Alerts other team members to concerns about risk, quality and safety.

Participates in investigation of incidents and events as required.

Contributes to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Works effectively with individuals in other agencies to meet patients needs

Effectively manages own time, workload and resources.

Delivery of care in line with NSF, NICE guidelines and evidence-based care

See attached job description and person specification for further details.

Person Specification

Knowledge

Essential

• A clear understanding of the Multi-professioanl framework for advanced clinical practice in England
• Advanced clinical practice skills
• Clinical examination skills
• Accountability of own role and other roles
• Management of patients with long-term conditions
• Management of patients with complex needs
• Local plan and national health policy
• Wider health economy
• Clinical governance issues in primary care
• Patient group directions and associated policy
• Knowledge/experience in general practice/elderly care or palliative care

Desirable

• Able to identify determinants on health in the area
• Knowledge of public health issues in the area

Personal qualities

Essential

• Self-directed practitioner
• Highly motivated
• Flexibility
• Enthusiasm
• Team player

Skills

Essential

• Clinical leadership skills
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Change management
• Teaching and mentorship within a clinical setting
• Resource management

Experience

Essential

• Significant post registration experience
• Recent primary or community experience
• Management of minor illness, minor ailments and injuries
• Triage
• Compiling protocols and clinical guidelines
• Clinical Leadership
• Audit
• Research

Desirable

• Project management
• Health-needs assessment

Qualifications

Essential

• Masters degree level in the relevant area of expertise
• for Advanced Clinical Practitioner Nurses only, have either graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centres ePortfolio (supported) Route
• MSc in advanced practice or equivalent accreditation
• Independent prescribing qualification
• for advanced practice pharmacists only, qualified from an approved 18-month training pathway or equivalent and qualified as an independent prescriber

Desirable

• Mentor/teaching qualification
• Clinical supervision training and experience

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

West Kent Primary Care

Address

Hospice In The Weald

Maidstone Road

Pembury

Tunbridge Wells

Kent

TN2 4TA

United Kingdom

Employer's website

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

Job description

Job responsibilities

Duties Specific to Role

Ensure medication management systems are safe and effective, liaising with GPs and managers as required.

Ensure that proper processes are in place for medication review, and undertaking medication review.

Undertake structured medicine reviews

Implement and embed a robust repeat prescribing system

Review and implement safe prescribing systems for vulnerable patients, improving compliance

Review and implement safe prescribing systems for patients suffering from drug and alcohol dependencies

Encourage cost-effective prescribing within the practice

Review all safety alerts ensuring the required actions are taken

Reconcile medicines following patients discharge from hospital or clinic appointments, or any other contact with a third party provider,

Review medications for newly registered patients

Review clinical reporting in SystmOne relevant to medicines management, and ensure Practice is meeting its contractual requirements and CQC standards, and achieving KPIs (e.g. QOF)

Design and run clinical reports & audits to support best practice, and implement any identified changes required.

Implement medication management policies and processes of the Primary Care Network

Liaise with pharmacy team colleagues in the Primary Care Network, and support the implementation of best practice in the PCN.

Liaise with ICB pharmacy team colleagues.

Ensure (in liaison with the lead GP and practice manager) that all contractual requirements relating to medication are met.

Support and advise pharmacy team colleagues, including trainees and dispensary staff.

Act as line manager to pharmacy team colleagues, including trainees.

Support the professional development of pharmacy team colleagues, including trainees.

The multidisciplinary team will work together to

Improve hypertension detection rates by overseeing the introduction of digital tools/pods in practice waiting rooms that link patient data to the medical records. These digital tools/pods will record blood pressure, heart rate and BMI in the waiting rooms, at the convenience of registered patients. Protocols will be developed that will ensure clinical safety and governance and enable abnormal readings to be actioned appropriately; patients requiring intervention will be triaged and reviewed by the most appropriate clinician, whether this be a GP or a pharmacist.

Develop and utilise a risk-stratified approach to conducting the hypertension management reviews on the hypertension register at the practices. Population health data and evidence-based guidelines would inform the development of a red, amber, green (RAG) clinical risk-stratified approach to hypertension management.

Improve the annual attainment of blood pressure readings within the target range set by national guidelines.

Improve the annual attainment of patients receiving lipid therapy for primary prevention of cardiovascular disease.

Review the management of patients across with coronary heart disease and conduct medication reviews to ensure medical therapy and lifestyle interventions have been maximised according to need.

Identify those requiring additional support to attend their appointments and provide accessible appointments in person, via telephone or via appropriate digital platforms and utilise communication methods appropriate for the needs of the patient.

Non-medical prescribing/independent prescribing

As a qualified non-medical prescriber (NMP)/independent prescriber (IP), prescribing will be undertaken within the scope of practice of the prescriber and in accordance with their professional code of conduct as set out by their own regulatory bodies and organisational NMP policy.

Working conditions

Frequent, prolonged VDU use

Time-pressured environment

High levels of accuracy and attention to detail essential at all times

Exposure to distressing situations and written material

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.

Job Description for all G DOC workers

The job description for all G DOC workers also forms part of your job description.

Person Specification

Personal Qualities

Essential

• Clear, polite telephone manner
• Polite and confident
• Flexible and cooperative
• Motivated
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations
• Ability to work under pressure

Other

Essential

• Disclosure Barring Service (DBS) enhanced check satisfactory
• Evidence of continuing professional development

Qualifications

Essential

• Undergraduate degree in pharmacy, MPharm or equivalent
• Current registration with General Pharmaceutical Council
• Completed or prepared to undertake Primary Care Pharmacy Education Pathway, PCPEP

Desirable

• Independent prescriber or working towards it

Skills

Essential

• Excellent communication skills (written and oral)
• Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities
• Able to plan, manage, monitor and review general medicine optimisation issues in core areas for long term conditions
• Willing to become competent in use of SystmOne if not already
• Ability to follow policy and procedure
• Able to identify and resolve risk management issues according to policy or protocol
• Effective time management
• Ability to work as a team member and autonomously
• Good interpersonal skills

Desirable

• Competent in the use of Office and Outlook
• Strong IT skills
• Competent in use of SystmOne

Experience

Desirable

• Minimum of 2 years experience as a pharmacist, demonstrated within a practice portfolio
• Experience of managing a team, including direct reports
• Experience of General Practice

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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

G DOC Ltd

Address

Dean Medical Practice - Coleford

Coleford Health Centre

Railway Drive

Coleford

Gloucestershire

GL16 8RH

United Kingdom

Employer's website

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

Job description

Job responsibilities

Reception

Registering and greeting patients on arrival

Answer telephone calls in a polite and courteous manner, identifying yourself, the department and hospital.

Deal with queries face to face, on the telephone or via fax

Ordering notes for patient admission, for doctor's perusal and soft tissue clinic.

Scanning of CAS Cards and LAS PRF documentation.

Ensuring accurate data entry of patient data on all systems

Amend patient and GP details as required

Clerking Clinical Decision Unit (CDU) discharge

Book appointments for fracture clinic and soft tissue clinic

Logging all IT issues and notifying Senior Administration colleagues log number(s)

Ensuring that scanned 'red top' referrals and fracture clinic appointments are taken to the appropriate department each day

Collecting discharge paperwork from the Urgent Care Centre (UCC), and Emergency Care Departments including the GPs for scanning

Keeping workstations neat and tidy at all times.

Ensuring that the porters collect the confidential waste as well as the bags for coding and health records.

Majors

To provide administrative support to all clinical staff on duty

To register all ambulance patients attending the department, including checking their demographics and updating this information using the Trust IT system (Medway).

To ensure that patient observations are recorded accurately on the system within 15 minutes of all ambulance patients arriving in the department.

Answer telephone calls in a polite and courteous manner, identifying yourself, the department and hospital.

Deal with queries face to face, on the telephone or via fax.

Update the majors whiteboard with details of clinical staffing.

Monitor decision to admit (DTA) data on the EPR system and request notes for patients being admitted to the wards.

Order notes for patient admission.

Book transportation as instructed by clinical colleague.

Work the Nurse-In-Charge to monitor the LAS screen and ensure that LAS handovers are entered onto the system appropriately

Record doctors arrival and departure times.

Issue locum doctors with passwords.

Logging all IT issues for the clinical staff.

Training and Development

To attend training relevant to the post and the Trust's mandatory training.

To keep abreast of all new developments within job-role - participating in training and development as identified at appraisal; to improve existing skills and develop new skills, in accordance with the needs of the Service.

To guide, and support new starters.

Special Conditions

Emergency Department Receptionists will work on a rota which supports the department 24 hours per day, 365 days per year. It is an expectation for all staff to work a range of shift patterns to support the needs of the service.

Shifts will include days, evenings, nights and weekends.

Emergency Department Receptionists are expected to undertake any additional clerical duties as advised by the Administration or Service Manager

Staff will be expected to be available to work bank holidays

Person Specification

Skills

Essential

• Excellent computer literacy
• Excellent interpersonal written and verbal communication skills
• Ability to multitask with attention to details

Experience/Qualifications

Essential

• Minimum 2 years NHS experience or equivalent receptionist experience role
• GCSE (5 grades A-C) or equivalent experience

Desirable

• Knowledge of medical terminology

Knowledge

Essential

• Excellent working knowledge of data protection

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

Whittington Hospital NHS Trust

Address

Emergency Department

Magdala Avenue

London

N19 5NF

United Kingdom

Employer's website

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

Job description

Job responsibilities

Scope of the Clinical Role

1. First point of contact for expert clinical assessment and diagnosis of patients presenting with MSK conditions in primary care. This will include patients who present with a range of complex musculoskeletal conditions and/or multiple pathologies and/or mental health and/or pain management needs and underlying pathologies/other primary conditions.

2. Use advanced clinical practice skills and clinical reasoning to provide comprehensive treatment and management support to patients who present with complex musculoskeletal conditions.

3. Work independently, without in-person day to day supervision, to assess, diagnose, triage, and manage patients, taking responsibility for prioritising and managing a caseload of the PCNs Registered Patients whilst liaising with the Professional Lead where appropriate.

a. effective shared decision-making with a range of first line management options (appropriate for a patients level of activation).

b. assessing levels of Patient Activation to support a patients own level of knowledge, skills and confidence to self-manage their conditions, ensuring they are able to evaluate and improve the effectiveness of self-management interventions, particularly for those at low levels of activation.

c. agreeing with patients appropriate support for self-management through referral to rehabilitation focussed services and wider social prescribing as appropriate.

d. designing and implementing plans that facilitate behavioural change, optimise patients physical activity and mobility, support fulfilment of personal goals and independence, and reduce the need for pharmacological interventions.

e. utilisation of an exercise program platform for patients treatment programs with supportive SMS/emails.

5. Independently recognise where diagnostic tests including routine and specialist x-rays, MRI imaging, ultrasound scans and blood and other pathology tests are required. Interpret the results alongside traditional physiotherapeutic assessment techniques and non-clinical information to aid clinical diagnosis and decisions on potential treatment options/clinical interventions.

6. Be able to clinically justify referral into appropriate MSK pathways or community care spinal treatment service, rehabilitation services or secondary care services such as rheumatology, orthopaedics and neurology.

7. Use professional judgement and advanced clinical reasoning skills to make decisions about safe and effective patient care in unpredictable situations, including when there is incomplete/contradictory information.

8. Demonstrate understanding of the impact of physiotherapeutic interventions on existing conditions and treatment programmes e.g. podiatric treatment, drug therapies, etc. ensuring that physiotherapy interventions are integrated and supportive of the whole treatment aims promoting a holistic approach to condition management

9. Recognise potential underlying non-MSK related disease and conditions that present as MSK symptoms and to refer appropriately.

10. Work in partnership with the patient at all times to attain maximum participation in treatment programmes. This will include working with patients from diverse social background and cultures and understanding how this will affect treatment proposals and models.

11. Be accountable for decisions and actions via Health and Care Professions Council (HCPC) registration, supported by a professional culture of peer networking/review and engagement in evidence-based practice.

Service/Professional Leadership/Consultancy

12. Integrate the FCP role into the wider primary care team, proactively working with the primary care team to build robust relationships and practices where practicable by providing expert advice and source of expertise in the management of musculoskeletal conditions to specialist healthcare professionals and members of the primary care team, including advising GPs on management of MSK conditions.

13. Contribute to the development of referral guidelines for MSK and MSK related conditions from primary care to other NHS services that will direct referrals to other primary care services, community, secondary and tertiary [specialist] services through feedback to the MSK Professional Lead.

14. Work with the PCN team to support preventative strategies for local populations, patient groups and individuals.

15. Active engagement in annual development review processes and peer review, embracing evidence-based practice.

16. Contribute to monitoring and review of service standards for MSK primary care services through feedback back on the service of peers to MSK professional Lead if best practice has not been followed.

17. Participate in/support investigations into complaints and clinical errors/incidents when appropriate.

Education/Workforce & Self Development

18. Participate in developing education and training of specialist physiotherapists up-to post-graduate level to support the development of advanced clinical practice skills and knowledge within the wider physiotherapy workforce if mutually agreeable.

19. Provide ad hoc training and supervision, some of which maybe to postgraduate level, for specialist primary care professionals, including GPs in order for them to develop specialist MSK patient referral and management skills.

21. Provide and receive clinical supervision through supportive WhatsApp groups for the FCP service.

22. Maintain a professional portfolio of advanced clinical practice knowledge and skills through participation in internal and external development opportunities.

Research and Evaluation

23. Promote and lead the integration of evidence-based practice and national guidelines into own and local FCP MSK service practice.

24. Use expert knowledge of evidence-based guidelines and national frameworks to influence the development of FCP services within the primary care team.

25. Lead or participate in research and MDT research projects as appropriate. This may include participation in cross organisational research and audit programmes.

26. Present and disseminate research and clinical audit findings to the primary care team as required.

27. Use audit and research to develop and improve service guidelines, care protocols, delivery of triage services and referral pathways.

Communication/Building Networks

28. When opportunities present, take the lead in communicating and influencing across the PCN the benefits of the FCP role in primary care.

29. Promote and explain the FCP role and what it can deliver to a range of audiences including patient groups, individual patients and other primary care team members, including GPs and care navigation teams.

30. Communicate effectively and appropriately with patients and their carers. This will include explaining the diagnosis, prognosis and treatment choices available to manage multi-pathology and complex conditions. It will also involve communicating limitations on treatment outcomes and managing expectations.

This job description is not exhaustive. It describes the main duties and responsibilities of the post. It may be subject to change in the light of developing organisational and service needs and wherever possible change will follow consultation with the post holder.

Person Specification

Qualifications

Essential

• BSc/MSc degree in Physiotherapy
• Health & Care Professions Council (HCPC) registration
• Can demonstrate working at Level 7 [within the ACP framework] capability in MSK related areas of practice or equivalent (such as advanced assessment diagnosis and treatment)
• Completion of recognised FCP qualification either signed off portfolio or HEI course.

Desirable

• Non-medical prescribing qualification
• Joint and Soft Tissue Injections
• Further MSc modules in MSK Conditions

Experience

Essential

• Experience of unsupervised independent diagnosis and management of varied MSK conditions
• Experience in applying the physiotherapy process to include MSK assessment, interpretation, individual care planning, motivation, monitoring and evaluation of highly specialized MSK treatment
• Working knowledge of Microsoft and GP IT systems, Systm1 and EMIS, alongside prescribing data monitoring systems
• Experience of contributing to and service delivery/evolving evidence led practice and delivery in a changing environment

Desirable

• Experience of working within the primary care environment of MSK
• Working towards advanced clinical practitioner status
• Previous supervisory experience
• Experience of working with a diverse range of stakeholders
• Cognitive behavioural and motivational interviewing approaches / skills

Analytical/Personal and Communication Skills

Essential

• Able to understand and analyse complex issues and balance competing priorities in order to make difficult clinical decisions.
• Support individual patient care by an ability to analyse and interpret complex clinical/ often incomplete information, pre-empt and evaluate issues, and recommend and appropriate course of action to address the issues
• Excellent interpersonal and organisational skills
• Ability to evidence a sound understanding of the NHS principles and values
• Excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information
• Ability to communicate over the telephone and face to face as a physiotherapy professional
• Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated
• Demonstrates a flexible approach in order to ensure patient care is delivered

Desirable

• Experience of working within a primary care setting
• Evidence of working across organisational boundaries within health and social care
• Independent thinker with demonstrated good judgement, problem-solving and analytical skills
• Evidence of inspiring and motivating teams with the ability to communicate passionately, effectively.
• Ability to negotiate effectively within the MDT or across a range of services/providers.
• High degree of personal credibility, emotional intelligence, patience and flexibility
• Ability to cope with unpredictable situations
• Confident in facilitating and challenging others

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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 Street Lane Practice

Address

12 Devonshire Avenue

Leeds

LS8 1AY

United Kingdom

Employer's website

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

Job description

Job responsibilities

Job Description

Bank Minor Injuries Clinical Practitioner

Base:

PELC Urgent Treatment Centres (All sites)

Reports To:

Head of Nursing, Governance & AHPs

Bank Rate: Day time £27.56 Evening £30.32 Night £31.69

Summary

The post holder will work autonomously as an experienced Minor Injuries Clinical Practitioner, delivering highquality assessment, diagnosis, treatment and discharge for patients of all ages presenting with minor injuries. The practitioner will function as an independent clinician within agreed protocols, demonstrating advanced decisionmaking and clinical expertise.

The role supports safe, effective, patientcentred care within the UTC and contributes to service improvement, clinical governance and the development of junior staff.

Key Responsibilities

Clinical Practice

Practise autonomously as an independent clinical practitioner within the Urgent Treatment Centre, managing patients presenting with undifferentiated minor injuries and minor illness.

Undertake comprehensive clinical assessment, diagnosis, treatment, referral, and discharge without direct medical supervision, in line with agreed protocols and competencies.

Request, perform, and interpret diagnostic investigations, including radiological imaging (X-ray), in accordance with IRMER and local protocols.

Perform clinical procedures including (but not limited to):

o suturing and wound closure

o plastering and splint application

o minor joint or fracture management

o venepuncture and cannulation

Prescribe medicines independently (where qualified) or administer medicines under Patient Group Directions (PGDs).

Provide Immediate Life Support (ILS) to adults and children, including defibrillation where required.

Work within UTC streaming and escalation pathways, including referral to Emergency Department, GP services, community services, and specialist teams as appropriate.

Maintain accurate, timely, and comprehensive clinical records in line with professional, organisational, and information governance standards.

Urgent Treatment Centre & Patient Flow Responsibilities

• Support effective patient flow within the UTC by timely assessment, treatment, escalation, and discharge decisions.
• Identify and escalate clinical risk appropriately in line with UTC escalation policies.
• Work collaboratively with multidisciplinary colleagues including nurses, paramedics, GPs, operational staff, and senior clinicians to ensure safe and effective service delivery.
• Contribute to maintaining service standards during periods of increased demand.

Education and Professional Development

• Act as a mentor and educator to support the learning and development of junior staff and students where applicable.
• Engage in continuous professional development (CPD) and maintain up-to-date clinical skills and competencies.
• Promote evidence-based practice and contribute to service improvement initiatives.

Governance, Safety, and Compliance

• Adhere to the Nursing and Midwifery Council (NMC) or Health and Care Professions Council (HCPC) Code of Conduct.
• Take personal responsibility for promoting a safe environment and safe patient care by identifying and reporting risks, incidents, and near misses.
• Ensure compliance with PELC policies, including infection prevention and control, safeguarding, equal opportunities, and confidentiality (GDPR).
• Use resources efficiently, in accordance with PELCs Standing Financial Instructions.
• Undertake alternative duties as reasonably directed during significant incidents or emergencies, in line with the Civil Contingencies Act 2004.

Person Specification

Qualities, Skills & Abilities

Essential

• Qualities, Skills & Abilities Comprehensive range of clinical skills relevant to role
• Competent in physical examination of ENT, Eye, GI, Respiratory, Cardiovascular, Neurological, Skin, and Musculoskeletal systems
• Skilled in suturing and wound management
• Ability to work autonomously and prioritise effectively
• Capable of safe and effective delegation
• Awareness of professional boundaries and adherence to NMC/HCPC standards
• Effective communication skills (verbal, written, electronic)
• Empathetic approach to patient care
• Strong teamwork and MDT collaboration skills
• Understanding of high standards in Customer Care

Experience

Essential

• Minimum 2 year post-qualification as an Emergency Practitioner (EP)
• Experience at Band 6/7 in Urgent and Emergency Care
• Proven autonomous practice in assessment and management of undifferentiated conditions

Desirable

• Experience in audit and service development
• Proven ability to prioritise workload with minimal supervision
• Experience mentoring staff and students

Qualifications

Essential

• Registered Level 1 Nurse (NMC) OR HCPC Registered Paramedic / Physiotherapist
• Minor Injuries qualification (Level 6 or above)
• Advanced Physical Assessment qualification (Level 6 or above)
• X-ray interpretation (IRMER certified)
• Image interpretation (Red Dot Course)
• Independent Non-Medical Prescriber

Desirable

• Management / Leadership qualification
• Evidence of CPD or training at Masters level
• MSc in Advanced Practice
• Mentorship 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

Partnership of East London Co-operatives (PELC) Ltd

Address

Queens Hospital

Rom Valley Way

Romford

RM7 0AG

United Kingdom

Employer's website

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

Job description

Job responsibilities

Integrated Discharge Team

Work collaboratively with a range of multidisciplinary and organisational teams across both hospital and community settings.

Facilitate safe and timely discharge for patients receiving End-of-Life care and those requiring Department of Health Fast Track or 100% Continuing Healthcare funding.

Promote clear and effective communication between patients, relatives, carers and professional colleagues to ensure seamless care delivery, including the exchange of sensitive clinical information.

Support effective information sharing across organisations to maintain continuity of care throughout the patient journey.

Represent community services at multidisciplinary meetings and case conferences.

Enable and empower patients and their families/carers to participate in discharge planning, promoting independence, choice and informed decision-making.

Assess and prescribe equipment required for discharge to promote patient safety and support effective care delivery within the community.

Provide clinical supervision and participate in regular one-to-one sessions with delegated members of the team.

Recognise and manage challenges associated with cross-boundary working, particularly in relation to patients with complex needs and multiple care pathways.

Contribute to the GP Liaison Service by receiving referrals for same-day assessment within the Acute Trust and managing these effectively, with a focus on avoiding unnecessary admission where appropriate.

Ensure that all patients are treated with dignity, compassion and respect at all times.

Rapid Response

Prevent avoidable hospital admissions through comprehensive assessment, care planning, implementation, treatment and evaluation of care packages tailored to individual patient needs, in accordance with Trust policies and guidelines.

Support admission avoidance by assessing, coordinating and delivering specialised care packages for patients.

Undertake a range of core nursing interventions, including intravenous antibiotic administration, wound care, clinical observations, pressure area care and risk assessments such as PURPOSE-T and MUST.

Undertake advanced clinical procedures including intravenous therapy, cannulation, syringe driver management and catheterisation.

Perform diagnostic procedures and tests, where competent, to gain a comprehensive understanding of a patients condition, including ECGs, phlebotomy, blood glucose monitoring, Point of Care Testing and interpretation of blood results.

Prescribe medication, where appropriately qualified and authorised, in accordance with independent nurse prescribing standards and professional guidelines.

Work autonomously, using advanced clinical skills and nursing knowledge to assess, plan and deliver episodes of care, referring to other services where appropriate to support patient outcomes.

Facilitate effective communication between patients, relatives, carers and professional colleagues to ensure coordinated and seamless care.

Respond to urgent referrals from health and social care professionals, using sound clinical judgement and triage skills to assess, plan and implement evidence-based interventions.

Gather, analyse and interpret information from referrers, making informed decisions and advising on the most appropriate care pathway for the patient.

Assess and prioritise unscheduled requests for nursing intervention, ensuring allocation to the most appropriately skilled clinician.

Ensure that all patients are treated with dignity, compassion and respect at all times.

Be accountable for the holistic assessment, planning, implementation and evaluation of patient care packages and treatment interventions.

Identify and manage complications associated with patient care, implementing interventions that support patients to remain safely at home wherever appropriate. Maintain accurate and contemporaneous records.

Refer patients to other services and agencies as appropriate, including Social Services and specialist teams.

Recognise and escalate unforeseen crisis situations relating to staffing, caseloads, support networks or supervision, escalating risks, actions and outcomes to senior colleagues/team members as required.

Manage personal workload and support team workload management to ensure effective delivery of community care and reduce inappropriate hospital admissions.

Coordinate and oversee complex packages of care involving multiple professionals and agencies, providing specialist advice to patients and families to support informed decision-making.

Take responsibility for maintaining and developing the clinical skills and knowledge required to support safe care for patients on the caseload.

Participate in maintaining standards of care within the team, supporting the teaching, coordination, deployment and supervision of staff in accordance with their skills, knowledge and development needs. Participate in workforce planning, including annual leave, sickness and study leave cover, where required.

Be accountable for the effective management, prioritisation and delegation of work for both self and team members. Develop personalised, evidence-based care plans and ensure care is delivered by the most appropriate member of the multidisciplinary team.

Provide education and health promotion to patients and carers regarding their condition, treatment, potential side effects and expected outcomes, encouraging self-management, independence and resilience.

Person Specification

Qualifications and Training

Essential

• RGN
• Educated to degree level or equivalent e.g. Community Specialist practitioner / PgDip
• Evidence of CPD
• MSPP or equivalent

Desirable

• Post Graduate study in relevant area
• Independent Nurse Prescribing or willingness to undertake

Experience

Essential

• Significant post registration experience
• Understanding of staff and resource management
• Understanding of multidisciplinary team working and collaborative care delivery
• Ability to work within a skill mixed team, working within quality standards
• Knowledge of discharge planning processes
• Demonstrate an understanding of research and its impact on clinical practice
• Knowledge of DoH Continuing Health Care process - Fast Track funding
• Evidence of involvement in project development work or health promotion group work
• Ability to demonstrate experience and knowledge of clinical governance and audit

Desirable

• Experience of working within a high ethnic population
• DN / Community experience
• Demonstrate an understanding of Mental Capacity Act (MCA) 2005
• Experience of discharge planning within an Acute Trust setting
• Able to demonstrate an understanding of DoH Continuing Health Care processes - Checklists, Decision Support Tool, review

Skills and Knowledge

Essential

• Evidence of up to date clinical competencies (Acute patient ass skills, recognition of red flags, venepuncture, cannulation, IV administration, Syringe Driver Management/Palliative symptom management control, catheter management, triage and prioritisation skills
• Time Management and prioritisation skills, ability to work under pressure in a changing work environment
• Ability to work flexibly as part of a team.
• Leadership skills with a high level of self-awareness
• Ability to manage and lead a team effectively
• Ability and experience to work autonomously as an independent practitioner
• Ability to work across organisational and professional boundaries
• Evidence of IT literacy, including standard keyboard skills and proficiency in systems such as Microsoft Word and Outlook
• Relevant clinical competencies in patient assessment and diagnosis, palliative care, intravenous therapy administration, and syringe driver management
• Evidence of managing complex discharges using a multi-agency approach
• Teaching, facilitation, and presentation skills
• Experience of managing patients with acute and chronic long-term conditions
• Evidence of effective communication skills with internal and external agencies and care partners

Desirable

• Experience of Systmone
• Experience of hospital IT systems

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

East of England Community Health and Care NHS Trust (Cambridge)

Address

Luton & Dunstable Hospital / The Poynt

The Poynt unit 2-3

Luton

LU4 0LA

United Kingdom

Employer's website

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

Job description

Job responsibilities

Scope of the Role

Act as the primary point of contact for patients presenting with musculoskeletal conditions within primary care, providing expert assessment, diagnosis and management of a wide range of presentations, including complex and undifferentiated conditions.

Deliver advanced clinical decision-making to support timely access to appropriate treatment, investigations and onward referral where required.

Facilitate effective communication and coordination across primary, community, acute, specialist and social care services to ensure seamless patient pathways.

Provide clinical leadership and management duties to support the development and delivery of high-quality MSK services across Primary Care Networks (PCNs).

Promote understanding and demonstrate the value and impact of the FCP model on patient outcomes, service delivery and referral patterns.

Develop and maintain effective working relationships with healthcare providers, partner organisations, local authorities, voluntary sector organisations and patient groups.

Contribute to service development, quality improvement, audit, research and evaluation activities to support evidence-based practice and continuous improvement.

Monitor, evaluate and communicate service outcomes and performance measures to stakeholders and senior management teams.

Clinical Responsibilities

Provide expert first-contact assessment, diagnosis and management for patients presenting with musculoskeletal symptoms and conditions.

Utilise advanced clinical reasoning and assessment skills to manage patients with complex MSK presentations, multiple comorbidities, persistent pain and associated psychosocial factors.

Independently determine appropriate investigations, including diagnostic imaging and pathology tests, and interpret results to support clinical decision-making.

Manage a clinical caseload autonomously, maintaining accountability for all clinical decisions and interventions.

Identify and appropriately manage red flags, serious pathology and non-MSK conditions, ensuring effective safety-netting and escalation where required.

Refer patients appropriately to specialist services, including orthopaedics, rheumatology, neurology, pain services, rehabilitation services and other healthcare professionals.

Support patients to self-manage their conditions through education, rehabilitation and referral to community-based support services, including social prescribing opportunities.

Undertake advanced clinical interventions within scope of practice and competency, which may include non-medical prescribing and injection therapy where appropriately qualified.

Service Leadership, Professional Practice and Consultancy

Provide clinical leadership for the development and delivery of FCP and MSK services across the PCN.

Contribute to the strategic development, implementation and review of MSK pathways, referral guidance and models of care.

Promote integrated multidisciplinary working across primary, community and secondary care services.

Lead or contribute to service improvement initiatives that enhance patient outcomes, productivity and service efficiency.

Support the development and implementation of policies, procedures and governance frameworks that promote quality, safety and effective risk management.

Monitor service performance against agreed objectives, standards and KPIs, identifying opportunities for improvement where required.

Represent the FCP service at internal and external meetings, professional forums and system-wide initiatives.

Participate in the investigation and management of incidents, complaints and clinical governance matters as required.

Education and Workforce Development

Provide education, training and specialist advice to GPs, primary care professionals and multidisciplinary colleagues to support effective MSK assessment, referral and management.

Contribute to clinical supervision, mentorship and professional development of FCPs and other healthcare professionals.

Maintain and demonstrate advanced clinical competence through continuing professional development and lifelong learning.

Support workforce development initiatives by identifying skills gaps and contributing to workforce planning across the PCN and wider MSK workforce.

Communication and Partnership Working

Act as an ambassador for the FCP service, promoting the role and its benefits across primary care and wider healthcare systems.

Communicate highly complex and sensitive clinical information effectively with patients, carers and multidisciplinary teams.

Develop and maintain productive relationships with clinicians, managers, commissioners and partner organisations to support integrated service delivery.

Influence and support service development through effective stakeholder engagement, negotiation and change management.

Contribute to the dissemination of service improvements, clinical outcomes and best practice across local, regional and national networks.

Person Specification

Skills, Knowledge & Competencies

Essential

• Excellent written communication skills.
• Excellent IT skills in Microsoft Office applications.
• Able to work with and influence other grades of staff and professions Ability to use own initiative.
• Excellent organisational skills.
• Ability to work as part of a team.
• Ability to prioritise workload, work accurately under pressure, and meet deadlines.
• Ability to problem solve and think laterally.
• Good all-round clinical knowledge and practical clinical skills.
• Knowledge of national guidance .
• Demonstrated commitment to CPD.
• Strict adherence to patient confidentiality legislation.
• Responds well to constructive feedback.
• Empathetic & sensitive to patients & members of staff.
• Deals with patients & staff with honesty & integrity.
• Ability to work flexibly and reliably.
• Ability to travel to study days/other work locations using own or public transport.

Desirable

• Ability to develop services in designated area.
• Teaching and tutoring skills.
• Ability to affect and manage change with an ability to motivate others.
• Team building skills.
• Ability to manage time, people, and resources to deliver outcomes.
• Identifies and manages risk.

Qualifications

Essential

• HCPC Registration
• Completion of an appropriate level 7 MSc in Advanced Clinical or Physiotherapy Practice or equivalent.

Desirable

• M-Level leadership module.
• Completion of M-level post-graduate non-medical prescribing course.
• Completion of M-level post-graduate Injection Therapy course.

Experience

Essential

• Evidence of working in an Advanced practice role, or in an experienced senior role, working towards an Advanced Practice role, as a First Contact Practitioner, or in other MSK or Orthopaedic services.
• Evidence of managing patients with acute, chronic and complex MSK presentations holistically, with acknowledgement of comorbidities, medical health, mental health, pharmacological management and social environment.
• Evidence of an extensive role in the clinical education and supervision of less experienced staff, students, and assistants, including conducting appraisals
• Experience of and direct involvement in redesign within a service.
• Experience in delivering training and supervising others.
• Audit and/or practice research experience
• Experience of collaborative working in multidisciplinary settings.
• Experience of working through change in the workplace and recognition of the impact of change on behaviours and processes.

Desirable

• Project management
• Experience of policy, guideline, and service development
• Risk management
• Staff management

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

Quay Primary Healthcare CIC

Address

Unit 12 Guardian Point

Guardian Street

Warrington

WA5 1AU

United Kingdom

Employer's website

http://quayhealthcare.org/ (Opens in a new tab)

Job description

Job responsibilities

To provide high-quality, patient-centred clinical assessment, diagnosis, treatment and management for patients presenting with acute and urgent medical problems within a general practice setting.

The postholder will work closely with the GP team and wider multidisciplinary team, providing safe and effective care to patients both within the practice and in their own homes. The role requires an experienced clinician who is able to work autonomously within their scope of practice, while recognising when further clinical support, escalation or referral is required.

Main Duties and Responsibilities

Clinical Responsibilities

• Assess, diagnose and manage patients presenting with acute, urgent and undifferentiated medical conditions.
• Undertake face-to-face consultations and remote consultations where clinically appropriate.
• Conduct daily home visits for housebound and less mobile patients.
• Provide appropriate treatment, clinical advice, safety-netting and follow-up arrangements.
• Recognise and respond appropriately to patients who are acutely unwell or whose condition is deteriorating.
• Identify red flags and arrange appropriate escalation, referral or admission when required.
• Request, review and interpret relevant investigations within the scope of professional competence and agreed practice protocols.
• Prescribe safely and appropriately within the scope of practice and relevant prescribing authority, where applicable.
• Assess and manage common acute presentations, minor illnesses, minor injuries and acute exacerbations of long-term conditions.
• Provide appropriate clinical review and follow-up for patients requiring ongoing assessment.
• Maintain accurate, contemporaneous and comprehensive clinical records.
• Communicate effectively with patients, relatives, carers, colleagues and other healthcare professionals.
• Work collaboratively with GPs, practice nurses, healthcare assistants, PCN staff and other members of the wider multidisciplinary team.

Clinical Governance and Patient Safety

• Practise in accordance with professional standards, relevant legislation, local policies and practice protocols.
• Maintain patient confidentiality and comply with information governance requirements.
• Recognise and respond appropriately to safeguarding concerns.
• Participate in clinical audit, significant event reviews, quality improvement and other clinical governance activities.
• Ensure appropriate documentation, referral and follow-up of clinical care.
• Maintain professional registration, indemnity arrangements and continuing professional development.
• Work within professional competence and seek advice or support where necessary.
• Contribute to the safe and effective delivery of the practices acute care service.

Teamwork and Service Development

• Contribute positively to the development and improvement of acute care services within the practice.
• Work as part of a supportive, inclusive and collaborative team.
• Participate in practice meetings, clinical discussions, training and service development activities as appropriate.
• Support the effective use of digital systems and new ways of working.
• Share knowledge and experience with colleagues where appropriate.
• Demonstrate flexibility and contribute to the smooth and efficient running of clinical services.
• Promote the practices values of being Kind, Mindful and Proactive.

Communication and Working Relationships

The postholder will work closely with:

• GP Partners and salaried GPs
• Practice nurses and healthcare assistants
• Practice management and administrative teams
• Reception and care navigation staff
• PCN staff and wider multidisciplinary services
• Community and secondary care providers
• Patients, relatives and carers

Person Specification

Experience

Essential

• Experience working as a registered Paramedic or Registered Nurse in an urgent care, emergency care, primary care or comparable clinical setting.
• Demonstrable experience assessing, diagnosing and managing patients presenting with acute and undifferentiated medical conditions.
• Experience undertaking comprehensive clinical assessments and developing appropriate management plans.
• Experience recognising the signs of clinical deterioration and escalating care appropriately.
• Experience managing clinical risk and working within professional scope of practice.
• Experience communicating effectively with patients, relatives, carers and multidisciplinary colleagues.
• Experience maintaining accurate and contemporaneous clinical records.
• Experience working autonomously while seeking advice or support when required.
• Experience prioritising and managing a varied clinical workload.
• Experience working collaboratively as part of a multidisciplinary team.
• Experience undertaking or willingness to undertake patient home visits.

Desirable

• Previous experience working in a general practice or primary care setting.
• Experience managing same-day or urgent care presentations within general practice.
• Experience undertaking home visits and assessing housebound patients.
• Experience managing acute exacerbations of long-term conditions, such as asthma, COPD, diabetes or cardiovascular disease.
• Experience assessing and managing minor illness and minor injuries.
• Experience requesting, interpreting and acting upon clinical investigations, including blood tests and ECGs.
• Experience prescribing or working within a prescribing-led clinical service.
• Experience using EMIS Web or another primary care clinical system.
• Experience working with multidisciplinary teams, community services and secondary care providers.
• Experience contributing to clinical audit, significant event reviews, service development or quality improvement.
• Experience supporting or mentoring students, trainees or other members of the clinical team.
• Experience implementing new clinical pathways, digital systems or service improvements.

Qualifications

Essential

• Health and Care Professions Council (HCPC) registration as a Paramedic; or Nursing and Midwifery Council (NMC) registration as a Registered Nurse.
• Relevant clinical experience in urgent care, emergency care, primary care or a comparable clinical environment.
• Evidence of continuing professional development relevant to acute and urgent clinical assessment.
• Appropriate professional indemnity arrangements.

Desirable

• Postgraduate qualification in Advanced Clinical Practice or equivalent advanced clinical training.
• Independent prescribing qualification.
• Relevant minor illness, minor injury or acute assessment qualifications.
• Immediate Life Support or Advanced Life Support certification.
• Additional postgraduate qualifications relevant to primary, urgent or emergency care.

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

Knoll Medical Practice

Address

Orpington Health & Wellbeing Centre

19 Homefield Rise

Orpington

Kent

BR6 0FE

United Kingdom

Employer's website

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

Job description

Job responsibilities

The role is to provide high quality nursing services, which includes health promotion, to the practice population in collaboration with the Primary Health Care Team, meeting the needs of the patients and supporting the delivery of the practice policies and procedures. The post holder will work within their professional competence in accordance with the NMC Code of Professional Conduct and Scope of Professional Practice.

1. Professional Responsibilities

To work within NMC Guidelines and to agreed practice protocols

To maintain high standards of clinical practice by ensuring the application of available evidence based research and agreed protocols

To work in collaboration with the Primary Health Care team to address identified individual and population needs

To identify and address own learning needs by participation in the processes of personal professional and practice development planning

To access clinical supervision

To maintain accurate and contemporaneous patient records and registers in accordance with practice policy

To maintain confidentiality in accordance with NMC and agreed Practice and Information Governance policy.

2. Clinical Responsibilities to include;

To manage treatment room consultations such as minor injuries, wound dressings and treatment of leg ulcers, suture removal, ear examination and syringing.

Administer routine injections in accordance with the practice policy i.e.

• Childhood and adult immunisations in accordance with national guidelines.
• Flu vaccinations, travel vaccines and completion of patient vaccination records.
• Anti-psychotic injections, Vitamin B12 injections and contraceptive injections.

To undertake nurse chronic disease consultations such as diabetes and asthma reviews.

Provide women's health services including cervical cytology and advice on contraception and the menopause according to practice policy.

To undertake investigative procedures including venepuncture and ECG

To prepare and assist with minor surgical procedures

To prepare and assist with the fitting of IUCDs

To prepare and assist with the removal of Implants

To assist in and perform routine tasks related to patient care as directed by Lead Practice Nurse, GPs and Practice Business Manager.

To be responsible for the assessment of health needs of patients and the provision of care/treatment in conjunction with the GP, other members of the PHCT or independently, undertaken ongoing evaluation of the care/treatment outcomes, modifying practice as necessary and documenting progress.

3. Additional responsibilities

To liaise and refer to other health care professionals, attend and participate in practice meetings on a regular basis, report any areas of concern

To support and participate in the development of practice policies and protocols and the implementation of.

To attend and participate in practice meetings on a regular basis

To develop effective communication pathways with all members of the practice team.

To provide a friendly, happy and positive working environment for both staff and patients

To work with other members of the team towards the achievement of targets defined in raising standards in primary care.

To ensure your treatment room is fully stocked and clean at all times.

To ensure infection control guidelines are maintained.

To assist in and perform routine admin tasks related to patient care as directed by Lead Practice Nurse, GPs and Practice Business Manager.

The list of duties as outlined is not intended to be exhaustive, but indicates the main responsibilities.

Person Specification

Experience

Essential

• Proven clinical practice (revalidation)
• Experience of utilising reflective practice.
• Experience of medical and surgical nursing care.
• At least 2 years post-registration.

Desirable

• Experience of working in a GP practice.
• An understanding of the current nursing agenda.
• Awareness of broader issues within Primary Care and the NHS.
• Understanding of safeguarding adults and children.

Knowledge and skills

Essential

• Good knowledge of NMC Code of Conduct and guidelines of professional practice.
• Health and safety awareness.
• Quality issues and Clinical Governance awareness.
• Awareness of need to demonstrate a professional appearance and
• behaviour.
• Excellent communication and organisational skills.
• Computer literate.
• Able to manage own workload.
• Punctuality and reliability.
• Able to work under pressure.
• Willingness to adapt to change as the organisation develops.
• Intramuscular and subcutaneous injections, dressings, ECG, venepuncture.
• Able to assist GPs with sterile procedures.
• Understanding of chronic disease management.

Desirable

• Knowledge of SystmOne.
• Flexible approach to working in line with service requirements.

Qualifications

Essential

• Degree or DipHE in Nursing Studies.
• Current registration with NMC on part one or two of the register as a
• trained nurse.
• Current revalidation.
• At least 2 years post registration experience in an acute or community setting.

Desirable

• Practice Nurse qualification/experience.
• Chronic condition management qualification, such as Warwick course, for diabetes, asthma, COPD.

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

Red House Surgery

Address

96 Chesterton Road

Cambridge

CB4 1ER

United Kingdom

Employer's website

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

Job description

Job responsibilities

We are currently looking for clinical practitioners to join our friendly team at Lymington Urgent Treatment centre. This is an exciting opportunity to come and work in a busy, dynamic environment where the focus is on teamwork providing excellent and efficient care to our local community by offering an alternative health care choice and reducing pressures on local Emergency departments.

The Urgent Treatment Centre has approximately 20,000 attendances a year, both adults and children and we are proud of the service that we provide to our local community.

The successful applicant should have some experience working as an autonomous practitioner either in the Emergency Department or an urgent care setting, but other applicants may be considered on experience. Suggested previous roles could be Nurse Practitioner, Emergency Care Practitioner , Specialist Paramedic. The role will be ideal for gaining experience, knowledge and in assessing and treating patients with a wide variety of minor injuries and minor illnesses.

Partnering Health Group (PHL) are an established and expanding healthcare organisation responsible for providing a variety of urgent and primary health care services across Hampshire and are delighted to be providing the UTC in Lymington Hospital. The New Forest is a beautiful setting in which to provide high quality, safe services which improve the health, wellbeing and independence of the people we care for. We deliver these services to our community so you will feel a real sense of achievement and that your work makes a difference to local peoples lives.

Essential Criteria

• Registered with NMC or HCPC
• Experience working in primary care and/or urgent care setting
• Minimum 3 years post qualification experience
• Minor injury and illness qualification (ideally at level 7)
• At or working towards Masters qualification/or equivalent experience demonstrating advanced clinical practice
• You must be competent at taking a clinical history excluding red flags and undertake a physical examination of the patient for patients presenting with undifferentiated conditions
• You will be expected to ensure that mandatory education is kept updated as required by the policies of the organisation
• You will be expected to maintain a clinical portfolio that evidences advanced heath assessment skills and competencies.
• Excellent communication and interpersonal skills written, verbal (Particularly listening skills)
• Clear understanding of professional responsibility and accountability.
• Good organisational skills and ability to manage and prioritise own workload
• Good clinical skills in assessment, diagnosis and management of acute Primary care presentations of minor illness and injury
• Be able to clear an enhanced DBS check/ Must be authorised to work in the UK

Desirable

• A&E experience
• Interpretation of lab results training
• IRMER trained
• Teaching and/or Mentorship qualification
• Experience of working in a multi-disciplinary team
• Experience of Chronic Disease Management
• Familiar with Internet Healthcare resources

Person Specification

Qualifications

Essential

• Registered with NMC or HCPC
• Experience working in primary care and/or urgent care setting
• Minimum 3 years post qualification experience
• Minor injury and illness qualification (ideally at level 7)
• At or working towards Masters qualification/or equivalent experience demonstrating advanced clinical practice
• You must be competent at taking a clinical history excluding red flags and undertake a physical examination of the patient for patients presenting with undifferentiated conditions

Desirable

• A&E experience
• Interpretation of lab results training
• IRMER trained
• Teaching and/or Mentorship qualification

Experience

Essential

• You will be expected to ensure that mandatory education is kept updated as required by the policies of the organisation
• You will be expected to maintain a clinical portfolio that evidences advanced heath assessment skills and competencies.
• Excellent communication and interpersonal skills written, verbal (Particularly listening skills)
• Clear understanding of professional responsibility and accountability.
• Good organisational skills and ability to manage and prioritise own workload
• Good clinical skills in assessment, diagnosis and management of acute Primary care presentations of minor illness and injury
• Be able to clear an enhanced DBS check/ Must be authorised to work in the UK

Desirable

• Experience of working in a multi-disciplinary team
• Experience of Chronic Disease Management
• Familiar with Internet Healthcare resources

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

Partnering Health Ltd

Address

Lymington Urgent Treatment Centre

Wellworthy Road

Lymington

SO41 8QD

United Kingdom

Employer's website

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