Job responsibilities

Principle Duties and Responsibilities:

The post-holder will support delivery of the Practice EHCH service in accordance with:

• the current NHS England Network Contract DES;
• the current Enhanced Health in Care Homes framework;
• the Practices agreed care-home operating model;
• the Practice's clinical governance arrangements;
• relevant ICB requirements and local pathways;
• NICE guidance and other national clinical guidance;
• relevant safeguarding, Mental Capacity Act and deprivation of liberty requirements;
• information governance requirements;
• local medicines-management policies;
• relevant CQC requirements and care-home policies; and
• professional standards and regulatory requirements.

The AMP will:

• Participate in scheduled care-home ward rounds as part of the multidisciplinary team and according to the agreed Practice care-home model.
• Work collaboratively with care-home staff to identify residents requiring clinical review, prioritising according to clinical urgency, frailty, risk and agreed care-home processes.
• Contribute to proactive identification of residents at increased risk of deterioration, hospital admission, falls, medication-related harm, malnutrition/dehydration, pressure damage and other significant health risks.
• Contribute to personalised care and support planning, ensuring that the resident's wishes, preferences, capacity, communication needs, clinical needs and goals are considered.
• Support timely clinical assessment of new or returning care-home residents and contribute to the Practice's arrangements for comprehensive assessment and personalised care planning following admission/readmission.
• Review and update care plans where there is a significant change in clinical circumstances.
• Work with the wider MDT to identify appropriate interventions and services that enable residents to remain safely within the care-home environment wherever appropriate.
• Participate in MDT discussions and case conferences for residents with complex or changing needs.
• Support effective communication between the care home, Practice, community services, secondary care, pharmacy, social care and other relevant agencies.
• Contribute to service evaluation, audit, quality improvement and monitoring of EHCH activity and outcomes.

The current national framework emphasises integrated working between primary care, community health, social care and care homes, with personalised care and support at the centre of the model.

Qualifications

Essential

• Current professional registration appropriate to the AMP profession.
• Relevant advanced clinical qualification at postgraduate level or demonstrable equivalent advanced-practice capability.
• Evidence of advanced clinical assessment and decision-making competence.
• Evidence of ongoing professional development.
• Appropriate prescribing qualification where prescribing is a requirement of the post.
• Appropriate training and competence in phlebotomy.
• Evidence of competence in relevant clinical observations and investigations.
• Current mandatory training appropriate to the role.
• Appropriate professional indemnity/insurance arrangements.

Desirable

• Advanced practice MSc or equivalent.
• Independent prescribing qualification.
• Advanced assessment qualification.
• Non-medical prescribing qualification where applicable.
• Relevant care-of-the-elderly/frailty qualification.
• Palliative/end-of-life care training.
• Dementia training.
• Leadership qualification.
• Relevant safeguarding qualification/training.

Skills and Competency

Essential

• The post-holder must demonstrate the ability to:
• undertake advanced clinical assessment;
• make safe autonomous clinical decisions;
• recognise clinical deterioration;
• manage acute clinical presentations;
• manage long-term conditions;
• interpret clinical investigations;
• undertake phlebotomy;
• perform routine observations;
• formulate differential diagnoses;
• develop management plans;
• initiate appropriate treatment within scope;
• make appropriate referrals;
• safety-net patients and care staff;
• communicate complex clinical information clearly;
• work effectively within an MDT;
• manage competing clinical priorities;
• maintain accurate clinical records;
• use electronic clinical systems;
• manage clinical risk;
• escalate appropriately;
• demonstrate sound clinical judgement; and
• work effectively in a care-home environment.

Communication

Essential

• Excellent verbal and written communication skills.
• Ability to communicate effectively with older people and people with cognitive impairment.
• Ability to communicate with relatives and carers sensitively.
• Ability to communicate with care-home staff at all levels.
• Ability to manage difficult or sensitive conversations.
• Ability to explain clinical information clearly.
• Ability to negotiate and influence appropriately.
• Ability to work constructively across organisational boundaries.
• Demonstrable commitment to compassionate and person-centred care.

Clinical Knowledge

Essential

• Good working knowledge of:
• acute illness in older people;
• frailty;
• multimorbidity;
• long-term condition management;
• dementia and delirium;
• falls;
• nutrition and hydration;
• medicines safety;
• polypharmacy;
• safeguarding;
• Mental Capacity Act;
• consent;
• advance care planning;
• palliative and end-of-life care;
• appropriate referral pathways;
• infection prevention and control;
• clinical governance;
• patient safety;
• evidence-based practice; and
• relevant NICE and national guidance.

Desirable

• Knowledge of:
• Enhanced Health in Care Homes;
• Network Contract DES requirements;
• primary care contractual arrangements;
• care-home clinical governance;
• community services;
• admission avoidance pathways;
• virtual wards;
• urgent community response;
• integrated care systems;
• shared care records; and
• care-home quality and regulatory requirements.

Experience

Essential

• Significant post-registration clinical experience.
• Experience of autonomous clinical assessment and decision-making.
• Experience of managing patients with acute illness.
• Experience of managing patients with multiple long-term conditions.
• Experience of working with older people and/or people with frailty and complex needs.
• Experience of multidisciplinary working.
• Experience of clinical risk assessment and escalation.
• Experience of interpreting clinical investigations.
• Experience of making or supporting appropriate referrals.
• Experience of maintaining high-quality clinical records.
• Experience of working within clinical governance arrangements.
• Experience of recognising deterioration and acting appropriately.

Desirable

• Experience working in general practice.
• Experience working in care homes.
• Experience undertaking care-home ward/home rounds.
• Experience of proactive care planning.
• Experience of admission avoidance.
• Experience of frailty assessment.
• Experience of palliative/end-of-life care.
• Experience of medicines optimisation/polypharmacy.
• Experience of quality improvement or clinical audit.
• Experience of teaching care-home or healthcare staff.

Leadership and Teamwork

Essential

• Demonstrable ability to work effectively as part of an MDT.
• Ability to work autonomously while recognising the need for escalation.
• Ability to provide clinical leadership within scope of practice.
• Ability to support colleagues and care-home staff.
• Ability to contribute to service improvement.
• Ability to manage clinical priorities safely.
• Ability to work collaboratively with primary, community and secondary care.
• Commitment to shared decision-making.

Personal Qualities

Essential

• The successful candidate will demonstrate:
• professional integrity;
• compassion;
• reliability;
• resilience;
• initiative;
• accountability;
• sound judgement;
• adaptability;
• commitment to patient safety;
• commitment to equality and inclusion;
• commitment to continuous learning;
• ability to work under pressure;
• ability to recognise personal limitations;
• commitment to collaborative working; and
• a proactive approach to improving care for care-home residents.

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).

Job responsibilities

[ THIS ADVERT IS FOR THE ROLE OF BANK MEDICAL ADMINISTRATOR AT WEST HEATH SURGERY AND WEST HEATH PRIMARY CARE CENTRE ] The post holder will hold a zero hours contract providing cover for annual leave and peak business periods.

The post holder is responsible for providing the first point of contact for patients and act as a focal point of communication between patients, doctors and other medical staff.

Key responsibilities

Reception

1.Receiving and directing patients

2.Handling telephone and general enquiries

3.Making appointments and taking requests for home visits

4.Taking Messages

5.Processing all forms of communication relating to patients

6.Administrative workflow tasks on the clinical system

7.Ensuring work areas are tidy

8.Cash handling

9.Making appointments for medical representatives

10.Making refreshments

11.All forms of data entry and recording relating to patients, including scanning

12.Assisting with the onward management of patients as required, e.g. booking further appointments, referrals

13.Assisting clinicians as a chaperone where required

14.Providing administrative support to clinicians and managers within the organisation

15.Follow and adhere to Health and Safety procedures

16.Any other delegated duties considered appropriate for the post

Communication

1.Communicate effectively to deliver excellent customer service to patients

2.Promote effective teamwork with all staff

3.Provide appropriate communication to identify problems and solutions promptly

Special Requirements of the post

1.An understanding, acceptance and adherence to the need for strict confidentiality

Experience

1. Previous experience of working in an office environment

2. Previous medical receptionist experience

3. Experience of using EMIS Web software

Qualifications

1. GCSE English or equivalent Grade C or above

2. RSA II typing/word processing or equivalent

Skills

1. Proficient in reading and writing English

1. Able to speak and understand fluent English to receive and issue instructions concerning patients in English and without the risk of misunderstanding

2. Strong organisational skills and ability to maintain complete and accurate record systems

3. Ability to work under own initiative and prioritise workload to meet deadlines

4. Ability to provide excellent customer service

5. Good interpersonal skills

6. Good telephone manner

Knowledge

1. Good standard of communication both orally and in writing

2. A specific understanding of the confidential nature of the work in hand

3. Conversant with Microsoft Word

4. Understanding of confidentiality and Data Protection Act

5. Knowledge of the local area

Personal Qualities

1. A willingness to work in a flexible and co-operative manner with colleagues

2. Ability to work as a team or on own initiative

3. Ability to cope with change

4. Reliable

5. Good time keeper

6. Friendly and approachable

7. Willingness to undertake a DBS check

8. Willingness to undertake training

9. Able to cope under pressure

Qualifications

Essential

• GCSE English grade C or above.

Desirable

• RSA II typing/word processing or equivalent.
• Basic understanding of Microsoft Office packages.

Experience

Essential

• Previous experience of working in an office environment

Desirable

• Previous medical receptionist experience
• Experience of using EMIS Web software

Job responsibilities

Key Responsibilities

Clinical Practice

1. Undertake comprehensive mental health assessments for patients presenting with mild, moderate and complex mental health conditions. This may include patients who are not suitable for NHS Talking Therapies.

2. Deliver autonomous mental health triage within the GP practice, including same-day triage.

3. Assess clinical risk including suicide, self-harm, safeguarding and vulnerability.

4. Develop person-centred management and safety plans.

5. Deliver brief therapeutic and biopsychological interventions and counselling where appropriate within the scope of practice.

6. Provide advice, education and self-management support to patients and carers.

7. Signpost and refer appropriately to secondary care, community mental health teams, crisis services, social prescribing, talking therapies and voluntary organisations.

8. Maintain accurate, contemporaneous clinical records using practice clinical systems.

9. Escalate patients appropriately where urgent psychiatric assessment is required.

Care Coordination

1. Work collaboratively with GPs, Practice Nurses, Social Prescribers, Pharmacists, First Contact Practitioners and wider practice staff.
2. Participate in multidisciplinary team meetings.
3. Coordinate care for patients with complex mental health needs.
4. Support seamless transitions between primary, community and secondary care services.
5. Advocate for patients requiring access to specialist mental health services.

Communication

1. Build therapeutic relationships with patients and families.
2. Communicate sensitive and complex information compassionately.
3. Liaise effectively with external agencies including Community Mental Health Teams, CAMHS, safeguarding teams, social care and voluntary organisations.

Safeguarding

1. Identify safeguarding concerns affecting adults and children.
2. Follow local safeguarding procedures.
3. Participate in safeguarding supervision where required.

Quality Improvement

1. Contribute to service development and transformation within Primary Care.
2. Participate in clinical audit, governance and quality improvement initiatives.
3. Support evaluation of patient outcomes and service effectiveness.

Professional Practice

1. Maintain professional registration.
2. Work within professional code of conduct and ACP framework.
3. Maintain continuing professional development.
4. Participate in clinical supervision and appraisal.
5. Maintain mandatory training requirements.

Working Relationships

The post holder will work closely with:

1. General Practitioners
2. Practice Nurses
3. Physician Associates
4. Clinical Pharmacists
5. Social Prescribers
6. First Contact Practitioners
7. Community Mental Health Teams
8. Talking Therapies
9. CAMHS
10. Crisis Resolution Teams
11. Social Care
12. Voluntary and Third Sector Organisations
13. PCN Clinical Leads

Knowledge

Essential

• 1.Knowledge of common mental health disorders
• 2.Knowledge of severe and enduring mental illness
• 3.Understanding of safeguarding legislation
• 4.Knowledge of Mental Capacity Act
• 5.Understanding of risk assessment and crisis management
• 6.Knowledge of local mental health pathways
• 7.Understanding of integrated care models

Desirable

• 1.Knowledge of BSOL mental health pathways
• 2.Awareness of community and voluntary sector services across Birmingham and Solihull

Values

Essential

• 1.Delivering safe, effective, high-quality care
• 2.Respect and dignity for all patients
• 3.Collaborative multidisciplinary working
• 4.Continuous quality improvement
• 5.Evidence-based practice
• 6.Health promotion and prevention
• 7.Equality, diversity and inclusion

Personal Qualities

Essential

• 1.Compassionate and patient centred
• 2.Professional and accountable
• 3.Flexible and adaptable
• 4.Calm under pressure
• 5.Excellent team player
• 6.Commitment to equality, diversity and inclusion
• 7.Commitment to lifelong learning

Experience

Essential

• 1.Experience undertaking autonomous mental health assessments
• 2.Experience of managing clinical risk
• 3.Experience of multidisciplinary working
• 4.Experience of referral and care navigation across health and social care services
• 5.Experience maintaining accurate electronic clinical records

Desirable

• 1.Minimum two years' post-registration experience working within mental health services
• 2.Experience working within GP practices or Primary Care Networks
• 3.Experience assessing both adult and child/adolescent mental health presentations
• 4.Experience providing brief counselling or biopsychologically informed interventions
• 5.Experience delivering virtual consultations

Other Requirements

Essential

• 1.Ability to travel across GP practices within the PCN locality if required
• 2.Flexibility to meet service needs
• 3.Enhanced DBS clearance

Qualifications

Essential

• 1.Registered healthcare professional (NMC, HCPC or equivalent professional registration
• 2.Master's level qualification or equivalent experience in Advanced Clinical Practice
• 3.Evidence of advanced mental health assessment skills
• 4.Evidence of ongoing Continuing Professional Development
• 5.Safeguarding Level 3 Adults and Children

Desirable

• 1.Independent Prescribing qualification (desirable but not essential depending on profession)
• 2.Advanced Clinical Practice qualification meeting national ACP framework
• 3.Counselling or psychological intervention qualification

Skills

Essential

• 1.Excellent communication and interpersonal skills
• 2.Advanced clinical assessment skills
• 3.Ability to work autonomously
• 4.Excellent risk assessment and decision-making abilities
• 5.Ability to prioritise competing clinical demands
• 6.Effective documentation skills
• 7.Competent IT skills including electronic patient record systems
• 8.Ability to deliver both face-to-face and virtual consultations

Desirable

• 1.Strong organisational and time management skills
• 2.Counselling skills
• 3.Motivational interviewing
• 4.Cognitive Behavioural Therapy informed practice
• 5.Training or mentoring 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).