Job Description
Manage a largely undifferentiated acute case list in the role of a first contact practitioner. Consult patients via the telephone, virtually and with new technologies to help meet the practices commitment to online consultations. Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs Demonstrate critical thinking in the clinical decision-making process. Manage patient risk effectively and safely, including high levels of complexity and uncertainty. Evaluate the safety and effectiveness of your own clinical practice. Utilise your clinical mentor and other clinical staff appropriately to ensure safe and effective patient care, demonstrating awareness of your own limitations.
Provide safe, evidence-based, cost-effective, individualised patient care within the surgery, patients own home or other environment where patient care is carried out. Refer patients directly to other services/agencies as appropriate, utilising Practice and local guidelines and in a timely manner. Recognise when an acute presentation may represent the deterioration of a LTC. Actively optimise LTC's in line with local and national guidelines.
Pro-actively identify, diagnose, monitor and manage treatment plans for patients at risk of developing a long-term condition as appropriate. Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug- based treatment methods into a management plan. Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice, and national and practice protocols, and within own scope of practice. Work with patients in order to support compliance with and adherence to prescribed treatments.
Provide information and advice on prescribed and over-the-counter medication on medication regimens, side-effects and interactions. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Support patients to adopt health promotion strategies that promote healthy living and to apply principles of self-care. Recognise, assess and refer patients with mental health needs as appropriate.
Communicate with and support patients receiving bad news. Recognise patients nearing the end of their lives. Develop care plans, complete DNAR's and liaise with other professionals involved as part of your holistic management. Other responsibilities: Recognise and work within own competence and in accordance with the professional code of conduct of the Nursing and Midwifery Council (NMC), Health and Care Professions Council (HCPC).
Monitor the safety and effectiveness of own clinical practice through quality assurance strategies such as the use of audit, mentor feedback, case review and peer review. Maintain accurate and complete documentation and records utilising I.T. as appropriate and in accordance with Practice protocol. Use own judgement, resourcefulness and common sense.
Deliver care according to evidence based practice, following agreed protocols, local and national guidelines. Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance. Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate. Contribute to achievement of the highest possible quality standards such as the QOF and other agreed Key Performance Indicator targets.
Assist with the training of other staff members and also with the education of doctors, nurses and other health professionals in training as appropriate. Pro-active engagement with the practice population and wider community to promote healthy living and encourage uptake of services. Undertake additional tasks as required within your general role as a Primary Care Practitioner and senior member of the team. Business responsibilities: Maintain ethos and culture of the practice.
Positively promote the practice. Ensure rationalisation of resources. To assist in enhanced and extended services to grow the professional offerings of the business. Attend in-house governance, educational and staff meetings as appropriate.
To help plan, develop and support the introduction of new working processes to optimise quality. To build and maintain relationships with other healthcare professionals, including GPs, GP surgery personnel, care home personnel, CCG personnel etc. Leadership responsibilities: Act as a positive role model. Provide professional leadership as required Support the development of others in order to maximise potential.
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and external good practice. Participate in planning and implementing changes within the area of care and responsibility Contribute and participate in the development of local guidelines, protocols and standards. Ensure the principles of infection control and local/national policies and guidelines are applied throughout the practice, monitoring and implementing changes as required. Safeguarding: Be responsible for and committed to safeguarding and promoting the welfare of Adults-at-risk (vulnerable adults), children and young people and for ensuring that they are protected from harm.
Ensure the Safeguarding Lead is alerted to, and kept fully informed of, any concerns you may have in relation to safeguarding adults, children and young people. Learning and development: You will participate in any training programme implemented by the Practice as part of this employment, such training to include: Participation in individual performance reviews, including maintaining a record of own personal and/or professional development. Prepare and plan for your ADR to create positive objectives for your career and Practice development. Working in conjunction with senior management, assess own learning needs and undertake learning as appropriate.
Develop and utilise a written Personal Development Plan. Keep your training portfolio up to date and available to the Practice. Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information. Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments.
Team working: Understand own role and scope in the organisation and identify how this may develop over time. Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working. Accept delegation from senior staff, prioritise own workload and ensure effective time management strategies are embedded in own practice. Participate in team activities that create opportunities to improve customer care.
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance. Participate and support local projects as agreed with the management team. Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties.
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