Qualified Advanced Clinical Practitioner

To assist General Practitioners and the wider clinical team in the assessment, diagnosis, treatment and ongoing management of patients. This includes the provision of evidence-based clinical care, preventative healthcare, screening, health promotion and patient education. Care may be delivered on an NHS or private basis, as appropriate to the role. Work autonomously within a level of competence and professional scope of practice, supporting the delivery of high-quality, safe and effective patient care across all age groups. The post holder may contribute to the Primary Care Network (PCN) Frailty Team, including undertaking weekly ward rounds at allocated care homes, where required, and participating in relevant Practice research opportunities.The post holder will be expected to manage a varied workload, prioritise clinical needs effectively and remain calm and professional when working under pressure. A caring, compassionate and empathetic approach is essential, alongside a positive attitude and a willingness to support colleagues and contribute to a collaborative team environment. The role requires flexibility to work across our practice sites and where necessary, to provide cover for colleagues during sickness or annual leave.

CLINICAL WORKING PRACTICE

1. Act as an autonomous practitioner within the limits of own competence, providing evidence-based, up-to-date and high-standard care appropriate to qualifications, experience and clinical skills. This includes patients presenting with acute, non-acute and chronic medical conditions, undertaking initial history-taking, clinical assessment, diagnosis, treatment, care planning and evaluation. 2. Organise referrals, further investigations and follow-up appointments as clinically appropriate, ensuring continuity of care and timely communication with relevant healthcare professionals. 3. As an appropriately qualified and registered independent prescriber, maintain prescribing competence and practise in accordance with the relevant professional regulatory bodys standards, national and local prescribing guidance, and the Practices prescribing policies and protocols. 4. Provide general and specific health screening for Practice patients within agreed protocols, referring to other members of the healthcare team as necessary. 5. Undertake the day-to-day management and administration of chronic disease management programmes within own competence and remit, providing advice and support to patients with single or multiple long-term conditions. Interpret blood results and other investigation findings within own scope of practice. 6. Work in accordance with the relevant professional code of conduct, regulatory requirements and scope of professional practice, always maintaining appropriate professional standards. 7. Work collaboratively with GPs and the wider multidisciplinary team to ensure patients receive safe, effective and coordinated care. PRIMARY

CARE NETWORK (PCN) FRAILTY TEAM

8. Contribute to the work of the Primary Care Network Frailty Team, supporting the assessment, treatment and ongoing management of patients living with frailty, within own competence and agreed service arrangements. 9. Undertake weekly ward rounds at allocated care homes, where required, in collaboration with the relevant GP, care home staff and wider multidisciplinary team. 10. Assess the physical health and clinical needs of care home residents, including those living with frailty and multiple long-term conditions, developing and reviewing individualised management plans as appropriate. 11. Identify changes in residents' health and wellbeing, undertake appropriate clinical assessments, arrange investigations or referrals where indicated, and escalate concerns in accordance with clinical need and agreed pathways. 12. Support proactive, person-centred care planning for residents, including medication review and optimisation within own prescribing competence, prevention of avoidable hospital admissions, and appropriate coordination of care with relevant professionals. 13. Maintain accurate and contemporaneous records of all care home consultations, ward rounds, clinical decisions, interventions and agreed follow-up arrangements in the appropriate clinical record system. 14. Liaise effectively with care home staff, GPs, community services and other relevant professionals to promote continuity of care and support the delivery of the PCN frailty service.

HEALTH PROMOTION

15. Advise patients on general healthcare and minor ailments with referral to other members of the healthcare team as necessary. Advice should be evidence based, with NICE guidance and relevant local protocols informing clinical practice. 16. Promote patient education and encourage patients to access the most appropriate healthcare professional or service for their individual needs. 17. Support preventative healthcare initiatives and encourage self-management, healthy lifestyle choices and appropriate use of NHS services.

ADMINISTRATIVE AND PROFESSIONAL RESPONSIBILITIES

18. Ensure that accurate, contemporaneous records of all patient contacts, assessments, clinical decisions and treatments are maintained in the appropriate paper or electronic patient record. 19. Ensure the collection and maintenance of statistical information required for audit, research, service evaluation and regular or ad hoc reporting, in accordance with Practice and PCN requirements. 20. Attend and participate in Practice and clinical meetings, including death reviews, chronic disease management meetings, significant event reviews, critical incident reviews and near-miss discussions, as required. 21. Maintain a written professional development plan outlining continuing professional development (CPD) activities. This should address both personal and Practice needs and be available as part of the annual PDP process. 22. Maintain current registration with the relevant professional regulatory body and ensure compliance with all applicable requirements for professional registration, revalidation, continuing professional development and maintenance of professional competence. 23. Maintain appropriate and up-to-date professional indemnity arrangements. 24. Provide teaching, guidance and advice to other members of the clinical team and support the line Manager with relevant administrative duties as required. RESEARCH,

AUDIT AND SERVICE DEVELOPMENT

25. Cooperate and participate in Practice audit, research projects and service evaluation activities, as required 26. Participate in Practice research opportunities when required, supporting the identification and recruitment of suitable patients, the provision of relevant patient information and the completion of research-related clinical activities, where appropriate to the post holder's competence, training and agreed responsibilities. 27. Ensure that research activities are undertaken in accordance with applicable ethical approvals, informed consent requirements, confidentiality and data protection legislation, and relevant Practice and research governance procedures. 28. Support quality improvement initiatives and contribute to the development of clinical services within the Practice and PCN, where appropriate.

OTHER DUTIES

29. Maintain effective liaison with other agencies and professionals involved in patient care, including members of the Practice team, PCN services and external healthcare providers, ensuring patient confidentiality is maintained. 30. Maintain continuing professional development through attendance at relevant courses, training sessions and study days as necessary for the role. 31. Advise, train and support other members of the healthcare team within own competence and professional scope of practice. 32. Cooperate with the annual PDP process undertaken by the appropriate Clinical Manager. 33. Participate in peer review and clinical supervision when requested. 34. Maintain awareness of responsibilities relating to health and safety and comply with relevant legislation and organisational policies. 35. Maintain awareness of and comply with infection prevention and control policies applicable to the Practice, PCN and relevant healthcare settings. Participate in infection prevention and control audits as required by the Practice, including the annual Practice audit where applicable to the role. 36. Use Practice and other relevant clinical computer systems as required, in accordance with organisational policies, information governance requirements and confidentiality standards. 37. Undertake any other duties reasonably required that are appropriate to the grade, qualifications, competence and scope of the post. This job description is intended to provide an overview of the main duties and responsibilities of the role. It is not an exhaustive list and the post holder may be required to undertake other duties appropriate to the nature of the position.