NHS Jobs
Location
Whitstable, Kent | United Kingdom
Job description
Job Title:Trainee/Qualified Advanced Clinical Practitioner in Frailty. Accountable to: Partners, Management Team and General Medical Services Manager. Principle Liaisons: Partners, Salaried GPs, Frailty colleagues, Consultant Geriatrician, Nurses, General Medical Services Manager and Management Team of Whitstable Medical Practice. Job Summary The post holder will apply clinical expertise, levels of judgement, discretion and decision making to the provision of clinical care of patients within the local community of Whitstable. As an ACP they will be expected to work autonomously through the application of clinical skills in relation to the assessment, diagnosis, treatment and the management of the patient. They will regularly collaborate with the GP's (and other ACP's) at the Practice, consultant geriatrician and other community teams to meet the needs of the patients, upholding National, local and practice policy and procedures The post holder will ensure that patients, their families and carers are supported and kept informed with the care and management of the patient. As a member of the Whitstable Medical Practice Older Persons team the post holder will be expected to carry out Home Visits within the local community as well as managing patients within the care home settings. Primary Duties and Responsibilities Patient Care: To work closely with the GP's and consultant geriatrician in providing a service for patients ensuring the delivery of treatment, care planning and hospital admission prevention where appropriate. Undertakes first line comprehensive clinical assessment of patients, including those with complex presentations, employing an extended scope of practice beyond own profession including advanced clinical assessment skills, referral and interpretation of investigations and independent prescribing (when qualified). To provide advanced assessment and care planning, including history taking and physical assessment of patients. To work closely with the consultant geriatrician, GP'sand patients in identifying and devising effective care for each patient recognising him/her as an individual. The plan of care, which should be developed in conjunction with the patient, carer/family and relevant others, should be outcome based and ensure appropriate pathways of care and communication via liaison and referral to other agencies as required. To work in conjunction with a wide range of clinical colleagues facilitating a patient or client focused, co-ordinated case management approach across primary and secondary care for people who are most vulnerable to and at high risk of repeat admissions to hospital To participate in efforts to shape multi-disciplinary pathways designed to support patient choice, improve quality of life, promote self-management and assure early intervention through the proactive provision of care in or as close to the patients own home as possible Requests, reviews and interprets diagnostic investigations within the context of other available information utilising a systematic process of clinical reasoning to formulate a differential diagnosis (with appropriate support as required) Involves patients, families and carers in the identification of patient-centred concerns and priorities about health and well-being and negotiates approaches available to prevent deterioration or promote comfort and well-being. Demonstrates empathy and compassion when communicating sensitive information and advice to patients, carers and relatives. Evaluates the effectiveness of therapeutic interventions and modifies the management plan accordingly. Adopts an integrated care approach to meeting an individual patients needs across services through collaboration with care teams who refer patients to the service and those who provide on-going care after discharge Assesses capacity, gains valid informed consent and works within a legal framework with patients who lack capacity to consent to treatment. Provides guidance to the clinical team with regard to therapeutic interventions, advance care planning and best interest decision-making for patients who lack mental capacity Recognises deteriorating patients, implements early interventions and escalates care where appropriate. Empowers patients to manage their long-term conditions as independently as possible. Applies expert knowledge in palliative care to symptom control, recognition of dying and advance care planning. Refers to other practitioners and agencies when necessary. Communication and Working Relationships: Ensure close liaison with GP's, clinicians, consultant geriatrician, and General Manager in communicating clinical issues Facilitates the communication of highly complex information regarding specialist issues on a range of service developments with the Practice and other health and social care professionals. This communication is directed to professional colleagues, across all areas of the health economy and primary care networks in the CCG or ICB area. Advanced communication skills are necessary to communicate with patients to gain consent for treatment within a care pathway. Highly sensitive and contentious information is regularly required to be communicated to patients after clinical and medical results are collated, formulating specific management plans which can be an upsetting nature. Responsible for developing and maintaining effective communication channels with patient, carers and other health and social care professionals. Promote empathy, enable sharing of complex multi-professional viewpoints and sensitive handling of confidential information Analytical and Judgement: The Trainee or Qualified ACP will work across the caseload using their clinical skills to identify the needs of patients and the correct services to liaise with. Advise on the promotion of health and prevention of illness and provide information to individual and groups to prevent ill-health. To provide specialist assessment of patients, using analytical and judgement skills. To provide appropriate patient centred treatment using evidence based practice wherever possible. Analyses and interprets highly complex information gained during clinical examination and history taking to diagnose an individuals problems or illness and to decide on an appropriate course of action or treatment (with appropriate support as required for the trainee candiate) Analyses and interprets results from tests and investigations to inform diagnosis and treatment (with appropriate support) Able to access and assimilate previous patient records where available Identifies evidence based interventions to meet an individuals complex health needs within the context of the overall management plan Supports the development of a learning organisation by identifying, challenging and reporting poor performance and alerting managers to resource issues which may affect patient safety. Safeguarding: Whitstable Medical Practice is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults; and expects all staff and post holders to share this commitment by understanding their role in effective safeguarding.
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