OOHs Advanced Care Practitioner (Independent Prescriber)
Flexible working (Monday Friday nights and weekends)
Contracted hours also available.
To act as an autonomouspractitioner working independently in Taurus Healthcare Clinical serviceareas to assess, diagnose and treat the conditions of patients attendingwithin primary care services and their own homes, initiating direct referralsas appropriate. Provide expert professional advice to patients, carers andcolleagues and ensure the maintenance of clinical excellence.
The post holder mustpossess competencies and capabilities across all four pillars of advancedpractice.
General Practiceexperience is beneficial but we would consider applications from otherhealthcare sectors.
Main duties of the job
* Undertakesafe clinical decision-making and expert care, including assessment anddiagnostic skills and safety netting for patients using face to face (clinicand home visits) consultations, telephony and online consultation platforms
* Demonstrate critical thinking in the clinical decision-makingprocess, with the ability to prioritise and triage the needs of patients,accordingly, instigating appropriate investigations or referrals to colleaguesand other care providers
* Demonstratehighly developed clinical reasoning and decision-making
* Follow local and national guidelines and pathways, using evidencedbased practice and reflection, complete significant event analyses and auditsto evaluate the effectiveness of the care they provide.
* Useadvanced clinical skills to provide education to service users, promotingself-care and empowering them to make informed choices about their treatment
* Prevent inappropriate hospitaladmissions or attendances by providing/co-coordinating the provision ofspecialist care by other agencies for the patient in the most appropriate andagreed environment
* Workcollaboratively with hospital and community colleagues ensuring patientsreceive the right care in the right place at the right time
* Referpatients as appropriate to other members of the multidisciplinary team,secondary care and to other statutory and voluntary organisations includingreferral for x-ray
* Undertakesand interprets a range of diagnostic tests and routine clinical procedures
About us
Taurus Healthcare was established in 2012, as the provider arm of the GP Federation serving 185,000 patients in Herefordshire. Founded and owned by the partners of the entire Herefordshire Primary Care community, Taurus is focused on providing excellent out of hospital services for patients. Our ethos is to provide high quality and cost-effective health outcomes that are delivered as close as possible to the patients home, whilst ensuring that patients who do require in hospital services are seen as quickly and effectively as possible.
At Taurus Healthcare we strive to create a diverse, inclusive workplace, and welcome applications from candidates from all backgrounds including those from Military Veterans and family members of serving personnel.
Taurus Healthcare offer many employee benefits, such as:
* Access to a generous NHS pension scheme with 20.68% employer contribution.
* 25 or 30 days annual leave entitlement (plus bank holidays), including bank holidays, depending on service (pro rata for part-time staff)
* Access to the Blue Light extensive discount scheme.
* Access to Vivup benefit platform
We reserve the right to close this vacancy early if we receive sufficient applications for the role. Therefore, if you are interested, please submit your application as early as possible.
Job responsibilities
Clinical Practice Responsibilities
Undertake safe clinical decision-making and expert care, including assessment and diagnostic skills and safety netting for patients using face to face (clinic and home visits) consultations, telephony and online consultation platforms
Demonstrate critical thinking in the clinical decision-making process, with the ability to prioritise and triage the needs of patients, accordingly, instigating appropriate investigations or referrals to colleagues and other care providers
Demonstrate highly developed clinical reasoning and decision-making
Follow local and national guidelines and pathways, using evidenced based practice and reflection, complete significant event analyses and audits to evaluate the effectiveness of the care they provide.
Use advanced clinical skills to provide education to service users, promoting self-care and empowering them to make informed choices about their treatment.
Prevent inappropriate hospital admissions or attendances by providing/co-coordinating the provision of specialist care by other agencies for the patient in the most appropriate and agreed environment
Work collaboratively with hospital and community colleagues ensuring patients receive the right care in the right place at the right time.
Refer patients to other medical specialities for assessment if deemed appropriate.
Refer patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for x-ray.
Undertakes and interprets a range of diagnostic tests and routine clinical procedures
Work independently and without direct supervision in the home environment as required
To act as an autonomous practitioner who directs, provides and evaluates the highest standard of evidence based clinical care to patients within the clinic environment or their own home, founded on agreed management care plans and protocols
Prioritise own clinical workload
Work with wider clinical team to manage on the day demand and priorities
Appropriately intervene to manage the patient in complex, urgent or emergency situations, including initiation of effective emergency care
Review, prescribe and administer medication in line with national guidance and local formularies utilising EMIS local guidance and cost saving software prompts
When working in GP OOH service, receive medication bags for urgent care dispensing use, complying with Good Distribution Practice Standard Operating Procedures.
Recognise professional responsibility in promoting welfare and safeguarding of children, young people and adults and statutory reporting of safeguarding concerns.
Ensuring patients are protected from abuse, or the risk of abuse and that their human rights are respected
Work within own competence and scope of practice
Report and manage clinical incidents
Induction and supervision will be in alignment with the Taurus Traffic Light system.
*A full Job Description & Person Specification is attached to this advert*
Person Specification
Experience
* Minimum 5 years experience post professional qualification.
* Experience in managing the care of patients with undifferentiated undiagnosed conditions.
* Works autonomously and collaboratively, recognising when referrals are required.
* Practical experience of completing examination and assessments, care planning, implementing interventions, including secondary care referrals, and evaluation of outcomes.
* Proven ability to recognise and manage risk.
* Excellent communication skills both written and verbal.
* IT skills computer and keyboard literate.
* Good time management and the ability to work under pressure prioritising workload.
* Relay clinical information and maintain accurate, comprehensive consultation records in line with NMC/HCPC requirements.
* Minimum 2 years experience in general practice.
* Managerial experience.
Qualifications
* Current professional registration with NMC or Paramedic Health and Care Professions Council (HCPC)
* A demonstrable commitment to professional
* development.
* Advanced Clinical Practice (ACP) qualification MSc level or equivalent (demonstrated by professional credentialling or professional equivalent)
* Registered Non-Medical Independent Prescriber.
* Safeguarding adult and children Level 3.
* In date CPR training (within 12 months)
Personal Qualities & Attributes
* Works a flexible pattern of evenings weekends and bank holidays and covers team annual leave and sickness when applicable.
* Organised, friendly, approachable, polite, compassionate, and empathetic.
* Adaptable and comfortable dealing with changing priorities and a team player.
* Driver with clean licence.
Skills
* Experience of working in a multi-professional environment.
* Experience as an Independent Prescriber.
* Experience of working under pressure.
* Experience of telephone (remote) triage.
* Awareness of own accountability and other aspects of NMC/HCPC code of conduct required for this role.
* An understanding, acceptance, and adherence to the need for strict confidentiality and working knowledge of Information governance and GDPR.
* Experience of working in Primary Care in autonomous ACP role.
* Experience of EMIS clinical system and using templates.
* Understanding of Quality Outcomes Framework.
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.
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