Overnight IUC Clinical Practitioner

This exciting, variable, and autonomous role requires the post holder to work effectively within their professional boundaries, focusing on the management of routine and urgent patient needs. The post holder will be responsible for the safe application of:

o History taking.

o Clinical Assessment (remote and face to face)

o Critical thinking and decision making

o Diagnosis and Treatment

o Management (including safety netting)

o and Referral.

The Clinical Practitioner will provide exemplary care, meeting population health needs through consultations with patients referred from 111 (1-, 2-, 6-, 12-, and 24-hour timescales), 999, Emergency Department, Emergency Treatment Centres, and those presenting to practices with routine or urgent needs.

Clinicians will liaise with other community healthcare professionals such as GPs, paramedics, and nurses regarding patient management, admission avoidance, and, where necessary, admission to secondary care. While working autonomously and potentially in isolation, the post holder will collaborate with the wider clinical team, including nurses, pharmacists, paramedics, GPs, consultants, mental health practitioners, and operational colleagues, to support patients and ensure the right care first time.

Main duties of the job

- 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

Person specification

Qualifications and training

Essential

• Current NMC or HCPC
• Advanced Clinical Assessment, Reasoning and Clinical Decision Making or Physical Assessment and Clinical Reasoning qualification or equivalent experience and willing to work towards this qualification
• BSc Qualification in a Clinical field or equivalent experience
• Ability to conduct remote consultation/assessment
• Post registration (excluding newly qualified) experience in at least one of the following areas: o General Practice o Minor illness o Walk-in-Centre o A&E o 999/111 o Minor Injury Unit o Community o Out of Hours
• Independent prescribing

Desirable

• Experience in mental health assessment
• Working towards MSc in Advanced / Specialist Practice or evidence of accumulation of relevant experience / knowledge (essential for prescribing rates)

Knowledge and Experience

Essential

• Knowledge of equal opportunities and its significance for health care
• Understanding of legal and ethical issues / responsibilities relating to clinical practice and especially regarding autonomous practice and telephone assessment
• Experience of working autonomously diagnosing, treating, and discharging patients
• Experience of working in multiprofessional and multi-disciplinary settings and contributing to effective team working
• Knowledge in the delivery of Health Care Advice and Health Promotion

Desirable

• Experience of treating patients of all ages (from neonatal to geriatric)
• Experience working with people with a forensic history
• Experience in working with people who don't have English as a first language
• Knowledge and understanding in meeting the needs of diverse groups

Skills, Abilities and Attributes

Essential

• Motivated by the provision of highquality patient care
• Good clinical judgment and decisionmaking skills
• Ongoing commitment to personal development
• Able to use own initiative and achieve measurable improvement against stated objectives
• Able to work under pressure and to deal with emergency situations and/or difficult clients and stressful situations professionally
• Organised, systematic, and flexible. Good time management being able to prioritise work and work under pressure
• Excellent written, verbal, and interpersonal communication skills
• Able to work within a team and give and take instruction as required. Able to quickly establish rapport and credibility with others in the team
• Can reflect on own work and performance
• Positive attitude towards innovations and change
• Ability to recognise own limitations and act upon them appropriately
• Able to remain impartial and nonjudgmental during times of sensitivity, stress, and potential conflict

Other

Essential

• Ability to work flexibly in relation to the operational times of all our services (this may include some unsocial hours)
• Ability to travel to other BrisDoc and external sites for meetings

About the employer

BrisDoc is an employee-owned social enterprise that has been providing NHS healthcare for over twenty years. Serving more than one million patients across Bristol, North Somerset, and South Gloucestershire, BrisDoc offers a range of primary care services, including: