CLINICAL ASSESSMENT
• To provide a first point of contact for patients with undifferentiated and undiagnosed health needs
• Provides and receives highly complex information; develops communication skills/present complex information.
• To provide advanced assessment skills in history taking and clinical examination to formulate a diagnosis and initiate an appropriate plan of care, including referral to other health and social care professionals, as necessary.
• Instigate and interpret diagnostic investigations as appropriate.
• Provide patient and carer information, health education, and health promotion as appropriate.
• Prescribe appropriate medication and preparations within existing legislative framework in relation to evidence-based practice, NICE guidelines and considering the financial implications of cost-effective prescribing.
• Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and within scope of practice.
• Work with patients to support with compliance and adherence to prescribed treatments.
• Demonstrate the ability to make professionally autonomous decisions when seeing and assessing patients with undifferentiated and undiagnosed problems, based on knowledge and skills, including skills such as physical examination, applied pharmacology and evidence-based prescribing.
ACUTE & CHRONIC DISEASE MANAGEMENT
• Work with all GPs and other members of the practice as directed in developing protocols for diagnosing and managing minor illnesses, and for chronic disease management etc.
• Work with the nursing, clinical pharmacy, and medical team in providing pro-active management of patients with chronic diseases in accordance with NSF and local requirements.
• Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)
• Manage a caseload of complex and frail patients
• Help support chronic disease management of a PCN defined cohort
PROMOTE HEALTH:
• Enable individuals, families, groups, and communities to address issues that affect their health and social wellbeing.
• Represent individuals and families, groups, and communities’ interests when they are not able to do so themselves.
• Have awareness of the Network Contract Directed Enhanced Service (Network DES) and work to achieve IIF targets relevant to the role.
MANAGE AND USE INFORMATION:
• Ensure quality patient records are maintained and use a database to store details of referrals and care pathways for specific patients.
• Obtain, analyse, share, and use current information for decision making.
• Assist with the delivery of training to a range of people within or outside the profession in consultation with the GPs, Nursing team and other members of the primary health care team (PHCT).
• Partake actively in evidence-based medicine.
• Involvement with research projects as applicable.
• Make recommendations to raise standards of practice and service delivery.
• Instigate, manage, and perform clinical audit as identified by the needs of the practice.
COMMUNICATION:
• Develop and maintain productive relationships with several key stakeholders to ensure optimal referrals and communications about patients. These will include GPs, consultants, district nurses, social services, GSTT, voluntary sector etc.
• Establish processes to ensure good communication with the primary care team concerning ongoing progress of referred patients.
MANAGEMENT of Self/Others:
• To be able to work autonomously yet deliver results within a very well-established team of clinical professionals.
• Develop one’s own knowledge and practice to meet objectives/changes in service/practices.
• To undertake training and education as appropriate to continuously advance scope of professional practice.
• Contribute to research, audit, teaching, and professional development of colleagues.
• Contribute to the recruitment and selection of team members when applicable.
• Manage the implementation of change in work activity and service.
DELIVERING HEALTH SERVICES
• Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.
• Manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action.
• Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice.
• Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person; and e. complete the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.
ACCESS CLINICAL SUPERVISION
Complete the relevant training to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.
Personal / Professional Development
• Participation in an annual individual appraisals review, including taking responsibility for maintaining a record of own personal and/or professional development.
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
• Willingness to undertake any training in line with this post.
• Teamwork: it is essential that having a pro-active disposition is maintained in this position.
• Time management skills: the ability to prioritise the workload is essential.
Confidentiality
To maintain confidentiality of information relating to patients, clients, staff and other users of the services working to the remits of Confidentiality and the General Data Protection Regulations
Information Governance
Appropriately manage all the Information you handle during the course of your employment with Aylesbury Central PCN, making the information available for sharing in a controlled manner, subject to statutory requirements and the organisations Information Governance Policy, and formal Information Sharing arrangements
Health and Safety
Comply with the Health and Safety at Work etc. Act 1974. You will take responsibility for your own health and safety and that of other persons who may be affected by his/her own acts or omissions
Equality and Diversity
Carry out always your responsibilities in line with the Equal Opportunities
Policy and Procedure
Risk Management and Clinical Governance work within the Clinical Governance Framework of the practice, incorporating Risk Management and all other quality initiatives
General
Undertake any other duties commensurate with the role, within the bounds of your competence
Full driving license and access to a car.
