Whitstable Medical Practice is seeking fully qualified or trainee advancedclinical practitioner to join our General Practice Older Persons (GPOP) Team, whohas a passion for frailty and older peoples care.
You will have completed an MSc in Advanced Clinical Practiceor if an equivalence be registered through the Advancing Practice Academye-portfolio route. Or you will be on an MSc Advanced Practice course and have completed your clinical assessment andindependent prescribing qualification.Our wider team includes GPs, practice nurses, ACPs in urgent care,paramedic practitioners, nurse practitioners, radiographers and administrativestaff.
As a team we support the care of older people within theWhitstable area, in particular leading the care for all the local care homeresidents, conducting home visits for those with severe frailty and providingurgent home visits for those acutely unwell and at risk of hospital admission. We also provide teaching and support to ourcolleagues regarding older persons care and link in closely with othercommunity services such as the community frailty team and home treatmentservice.
We will consider both Full or Part time applications, the pay is equivalent to band 7 - band 8, depending on experience.
Primary Duties and Responsibilities
Towork closely with the GPs, primary care and community staff in providing a servicefor patients ensuring the delivery of treatment, care planning and hospitaladmission prevention where appropriate.
Undertakes first line comprehensive clinicalassessment of patients, including those with complex presentations, employingan extended scope of practice beyond own profession including advanced clinicalassessment skills, referral and interpretation of investigations andindependent prescribing.
Toundertake advanced history taking and clinical assessment, clinical decisionmaking and management plans including diagnostics for older people living withfrailty.
Towork closely with the consultant geriatricians, GPs and patients in identifyingand devising effective care for each patient recognising them as anindividual. The plan of care, whichshould be developed in conjunction with the patient, carer/family and relevantothers, should be outcome based and ensure appropriate pathways of care andcommunication via liaison and referral to other agencies as required.
Towork in conjunction with a wide range of clinical colleagues facilitating apatient or client focused, co-ordinated case management approach across primaryand secondary care for people who are most vulnerable to and at high risk ofrepeat admissions to hospital.
Toparticipate in efforts to shape multi-disciplinary pathways designed to supportpatient choice, improve quality of life, promote self-management and assureearly intervention through the proactive provision of care in or as close tothe patients own home as possible.
Requests, reviews and interprets diagnosticinvestigations within the context of other available information utilising asystematic process of clinical reasoning to formulate a differential diagnosis.
Involves patients, families and carers in theidentification of patient-centered concerns and priorities about health andwell-being and negotiates approaches available to prevent deterioration or promotecomfort and well-being.
Demonstrates empathy and compassion whencommunicating sensitive information and advice to patients, carers andrelatives.
Evaluates the effectiveness of therapeuticinterventions and modifies the management plan accordingly.
Adopts an integrated care approach to meeting anindividual patients needs across services through collaboration with careteams who refer patients to the service and those who provide on-going careafter discharge
Assess capacity, gains valid informed consentand works within a legal framework with patients who lack capacity to consentto treatment.
Provides guidance to the clinical team withregard to therapeutic interventions, advance care planning and best interestdecision-making for patients who lack mental capacity.
Recognises deteriorating patients, implementsearly interventions as needed and escalates care where appropriate.
Empowers patients to manage their long-termconditions as independently as possible.
Applies expert knowledge in palliative care tosymptom control, recognition of dying and advance care planning.
Refers to other practitioners and agencies whennecessary.
Communication and Working Relationships:
Ensureclose liaison with GPs, clinicians, consultant geriatrician, and GeneralManager in communicating clinical issues.
Facilitatesthe communication of highly complex information regarding specialist issues ona range of service developments with the Practice and other health and socialcare professionals. This communicationis directed to professional colleagues, across all areas of the health economyand primary care networks in the CCG area.
Advancedcommunication skills are necessary to communicate with patients to gain consentfor treatment within a care pathway. Highlysensitive and confidential information is regularly required to be communicatedto patients after clinical and medical results are collated, formulatingspecific management plans which can be upsetting in nature.
Responsiblefor developing and maintaining effective communication channels with patient,carers and other health and social care professionals.
Promoteempathy, enable sharing of complex multi-professional viewpoints and sensitivehandling of confidential information.
Analytical and Judgement:
TheACP will work across the caseload using their clinical skills to identify theneeds of patients and the correct services to liaise with.
Adviseon the promotion of health and prevention of illness and provide information toindividual and groups to prevent ill-health.
Toprovide specialist assessment of patients, using analytical and judgementskills. To provide appropriate patientcentered treatment using evidence based practice wherever possible.
Analysesand interprets highly complex information gained during clinical examinationand history taking to diagnose an individuals problems or illness and todecide on an appropriate course of action or treatment.
Analysesand interprets results from tests and investigations to inform diagnosis andtreatment.
Ableto access and assimilate previous patient records where available.
Identifiesevidence based interventions to meet an individuals complex health needswithin the context of the overall management plan.
Supports the development of a learningorganisation by identifying, challenging and reporting poor performance andalerting managers to resource issues which may affect patient safety.
Training and Development:
Continuous Professional Education:Engage in ongoing professional development through formal courses, workshops,conferences, and e-learning to maintain and enhance clinical expertise infrailty care.
Clinical Supervision and Mentorship:Provide clinical supervision, mentorship, and guidance to junior healthcareprofessionals, including nurses, trainees, and other allied health staff,fostering a culture of learning within the team.
Knowledge Sharing: Lead andparticipate in training sessions, case discussions, and in-service educationfor the primary care team to raise awareness of frailty, advance care planning,management strategies, and best practice guidelines
Role Development:Actively contribute to the development and expansion of the ACP role within theolder persons team by identifying new learning needs and areas for serviceimprovement.
Research and Evidence-Based Practice:Stay up-to-date with the latest research, evidence, and best practices infrailty care, and incorporate these findings into both personal practice andteam training initiatives.
Collaboration with Academic Institutions:Build relationships with universities or training providers to facilitatelearning opportunities for students or apprentices in frailty care.
Audit and Quality Improvement:Participate in audits and quality improvement initiatives to assess theeffectiveness of frailty management approaches and use the findings to informtraining and development activities.
Personal Reflection and Development Plans:Regularly review personal performance and clinical outcomes, settingdevelopment goals and seeking feedback from peers and supervisors to ensureongoing professional growth.
Safeguarding:
Whitstable Medical Practice is committed to safeguarding and promotingthe welfare of children, young people and vulnerable adults; and expects allstaff and post holders to share this commitment by understanding their role ineffective safeguarding.
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.
Depending on experience- depending on experience