Advanced Clinical Practitioner

Posting date:	06 May 2025
Salary:	Not specified
Additional salary information:	Negotiable
Hours:	Full time
Closing date:	18 May 2025
Location:	Birmingham, B46 3LD
Company:	NHS Jobs
Job type:	Permanent
Job reference:	W0039-25-0006

Summary

Apollo PCNis looking to recruit an Advanced Clinical/Nurse Practitioner to join our PCNs Multi-Disciplinary Team (MDT). The current team have built excellent working relationships between themselves and colleagues across the PCN, practices and colleagues from other PCNs. This is an exciting time to join Primary Care and shape the future of patient care at the first points of contact. We welcome applications from ACPs with the following specialisms, Nursing, Paramedic Science and Clinical Pharmacy. Our goal is to build on our existing teams to further improve access to our services for our patients. We believe that a sustainable, resilient Primary Care Service working collaboratively with volunteer and community services and social enterprise organisations supports this vision. Our Mission is to add years to the lives of our patients and to add life to those years. Please note this is not an Agenda for Change Contract, however we are able to offer the NHS Pension Scheme to the successful candidate(s). This is an exciting opportunity to engage in a diverse range of activities, including online triage, face-to-face consultations and home visits. You will be expected to make autonomous professional decisions, applying your knowledge and skills in physical examination, applied pharmacology, and evidence-based prescribing. Key Responsibilities: First Point of Contact:Assess and manage a broad range of patient conditions across all ages, using triage models, including online triage, face-to-face consultations, and home visits. Direct Patient Access:Provide direct access for patients, planning investigations, treating, and referring as appropriate for undifferentiated and undiagnosed health issues. Collaboration with the Digital Team:Work with the PCNs digital team to evaluate and implement various IT and digital solutions to enhance patient care. Professional Autonomy:Make clinically autonomous decisions, including physical assessments, prescribing, and managing patient care plans based on evidence-based guidelines. Achieving IIF Targets:Contribute to achieving IIF (Improvement and Impact Fund) targets as part of the Network Contract DES, focusing on quality care and patient outcomes. Patient Record Management:Maintain accurate and up-to-date patient records, storing details of referrals and care pathways. Training and Development:Assist with the delivery of training to colleagues within and outside the profession, in consultation with GPs, the nursing team, and other primary healthcare professionals. Protocol Development:Regularly review and update PCN protocols and guidelines to ensure best practice. Collaboration:Develop and maintain effective working relationships with key stakeholders, including GPs, consultants, district nurses, social services, Trusts, and the voluntary sector. KEY RESPONSIBILITIES CLINICAL ASSESSMENT: To provide a first point of contact for patients with undifferentiated and undiagnosed health needs at the most appropriate time and place. 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 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. Partake actively in evidence-based medicine. Involvement with research projects as applicable. Responsible for local and national policy implementation and development. Implement programmes of care for specific conditions within agreed evidence-based guidelines. Regular evaluation and update of practice protocols and guidelines. 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, Trusts, voluntary sector etc Please refer to PCN DES 25/26 for further information www.england.nhs.uk/publication/network-contract-des-contract-specification-2025-26-pcn-requirements-and-entitlements/