Clinical Practitioner - Burren

Job overview

The Clinical Practitioner will work across Severnside Integrated Urgent Care (IUC), including The Burren, Out of Hours, Clinical Assessment Service (CAS), Clinical Medication Delivery Unit (CMDU) and Frailty Assessment and Coordination for Emergency and Urgent Care (ACE).

The Burren is an innovative collaborative service bringing together secondary, community, urgent and primary care within an intermediate care setting. The post holder will be an autonomous prescribing clinician, providing high-quality primary medical care while working within their professional scope of practice. The role involves managing the day-to-day clinical needs of patients discharged from secondary care into community placements with rehabilitation needs. The successful candidate will have advanced clinical assessment and decision-making skills, be confident in managing clinical risk, and work independently while contributing to excellent patient outcomes. Experience in urgent care and chronic disease management would be advantageous.

Supported by the Nursing and AHP Leadership Team and Primary Care GPs, the Clinical Practitioner will provide patient-centred care and ensure individual health needs are met.

As a key member of the multidisciplinary team (MDT), the post holder will participate in ward rounds and work closely with Nurses, GPs, Therapists, Social Care and Operational colleagues to support patients and deliver the right care at the right time.

Main duties of the job

Clinical •Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, complex needs, acute and chronic conditions for both physical, mental health and psycho-social needs. •Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.

• To undertake visits to patient’s homes as required Compose and ensure robust safety netting and risk management for patients presenting to the service •Make effective referrals to system partners and other care providers to ensure a holistic provision of care for patient’s needs •Participate in team discussions to ensure and drive best practice, using the best available evidence to provide exemplary world class care to every patient.

Prescribers Only •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 scope of practice

CMDU Only •This is a service for North Somerset prescribing antivirals for Covid. This service is run during set hours and has one allocated clinician.

Communication •Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment

Detailed job description and main responsibilities

Clinical •Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, complex needs, acute and chronic conditions for both physical, mental health and psycho-social needs. •Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly •Diagnose and manage patient presentations, integrating both drug and non-drug-based treatment methods into a management plan •Work with patients to support compliance with and adherence to prescribed treatments •Provide information and advice 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 lifestyles, and apply principles of self-care •To provide face-to-face and remote clinical assessment/treatment and management plans •To provide clinical support to the range of other Health Care Professionals and operational colleagues within the team •To undertake visits to patient’s homes as required •Compose and ensure robust safety netting and risk management for patients presenting to the service •Make effective referrals to system partners and other care providers to ensure a holistic provision of care for patient’s needs •Participate in team discussions to ensure and drive best practice, using the best available evidence to provide exemplary world class care to every patient Prescribers Only •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 scope of practice.

CMDU Only •This is a service for North Somerset prescribing antivirals for Covid. This service is run during set hours and has one allocated clinician. Communication

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.Communicate with and support patients who are receiving ‘bad news’ •Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background, languages, and preferred ways of communicating •Anticipate barriers to communication and take action to improve communication •Maintain effective communication with all multi-disciplinary team members, as well as with external stakeholders •Act as an advocate for patients and carers •Ensure awareness of sources of support and guidance (e.g., PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate •To be able to maintain accurate electronic written patient records for users of services provided •To be aware of responsibilities under the Data Protection Act.

Other responsibilities The primary focus of this role is to provide clinical services to patients, however there are a wealth of opportunities to engage with and drive initiatives, take leadership development roles and contribute to service improvement. •Ability to adhere to organisational policies •Maintain active NMC or HCPC registration •Continue to develop and expand own personal clinical expertise as autonomous/independent practitioner. •Understand own role and scope and identify how this may develop over time •In partnership with others, challenge and critically evaluate the boundaries of autonomous practice, such that patient access, choice and outcomes will improve •Help in the development and evaluation of clinical guidelines, policy, competency tools and continuous improvement opportunities to support in the expansion of Health care professional roles in the delivery of optimal care •Identify and perform audit relevant to clinical area in order understand current practice, review evidence-based research and drive improvement •Develop own areas of specific clinical expertise to link acute, primary, community and emergency care sectors in expanding nursing and AHP practice across BrisDoc •Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients •Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures, and guidelines Supervision and Support •Clinical Practitioners working within SevernSide services will have access to and participate in service leading feedback from the Clinical Guardian solution. This provides regular peer to peer feedback on a random sample of notes for all BrisDoc clinicians which are reviewed against set criteria. •All Clinical Practitioners will have access to and be expected to attend regular clinical forums and supervision both during shift and as a CPD offer which is multiple professional. •The post holder will have access to Connecting Care, EMIS, CLEO, Nourish, NHS Remedy, AccuRx (Picture and Video Consultation software), MiDoS, Toxbase, PACCS and the BrisDoc Clinical Toolkit to support clinical practice.

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.