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Job Summary As Physician Associate, you will work as part of the Team using a wide range of the skills you have including (but not limited to); Care planning Supporting GPs with managing results Supporting GPs with their paperwork. As the Physician Associate you will act within your professional boundaries, providing care for patients from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care under the supervision of a GP. You will show safe clinical decision-making and expert care for patients within the general practice, in consultation with the duty GP. You will work with the multi-disciplinary general practice team to support the delivery of policy and procedures and meet the needs of patients. Supervision and mentoring will be provided by the appropriate senior medical staff - the type of support will depend on the post holders skills and knowledge and determined by our clinical governance arrangements. You will have annual appraisals and continuing professional development as provided by the Practice Manager and Partners and set out by the Faculty of Physician Associates (FPA). Key Responsibilities Provide first point of contact care for patients presenting with undifferentiated, undiagnosed problems utilising history-taking, physical examinations and clinical decision-making skills to establish a working diagnosis and management plan in partnership with the patient (and their carers where applicable). CLINICAL Provide high-quality clinical care to patients using established clinical guidelines, delivered in a timely manner. Carry out consultations (whether face to face, online, video or phone), with patients of all ages as an autonomous practitioner and using own clinical judgement to diagnose, treat, refer and/or discharge patients Make referrals to secondary care and social services within locally agreed protocols, guidance and pathways. To perform specialist diagnostic physical examinations and treatment procedures. To instruct and educate patients in preventative health care. Ensure complete and accurate documentation of each and every patient contact. Assist or carry out home visits as necessary or directed by clinical supervisor(s). Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes. Carry out necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports within the scope of a PAs practice. Discuss the result and implications of laboratory investigations with patients; Utilise clinical guidelines and promote evidence-based practice; Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support with an emphasis on prevention and self-care; Identify community health needs and participate in the development of patient/family-centred strategies to address them Contribute to the practice quality targets to consistently achieve high standards of safe, evidence-based, cost-effective patient care and service delivery. Work to deliver, with other members of College Health the objectives of our GMS contracts and contribute to the clinical and management development of College Health care provision. ADMINISTRATION Contributes and participates in audits, evaluation and clinical standard setting within the Practice and/or PCN. Accurate and timely summarising of patient records and read-coding patient data Complete all required paperwork for legal and administrative purposes in accordance with relevant standards Ensure that all practice policies are fully implemented Work in accordance with all governance and internal systems relating to (but not limited to) the management of clinical data and systems TRAINING AND DEVELOPMENT Taking responsibility for own development with relevant evidence-based knowledge and competence in all aspects of the role to meet clinical governance guidelines for Continuing Professional Development (CPD) and a Personal Development Plan (PDP). Stay up to date through attendance at any courses and/or study days necessary to ensure that professional development requirements are met, demonstrating skills and activities to others who are undertaking similar work. Subject to a performance review, including taking responsibility for maintaining a record of own personal and/or professional development. Work closely with other clinical staff and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets Work to deliver the NHS contract requirements related to the practice (including the terms of the Quality and Outcomes Framework and locally enhanced services) Commit to take and pass the necessary Physician Associate re-certification exams (currently every 6 years) to maintain qualifications required to carry out duties of the role and as statutory regulatory bodies require. GOVERNANCE Produce complete and accurate records of patient consultation, in line with best practice, confidentiality, policies and procedures Deliver care according to NHS guidance, NICE guidelines and evidence-based care Take part in the maintenance of quality governance systems and processes across the Practice and its activities. Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required. Work with other clinical teams on improving the quality of healthcare in response to local and national policies and initiatives as appropriate Evaluate patients response to health care provision and the effectiveness of care Support and participate in shared learning across the practice and wider organisation Manage, review and identify learning from patient complaints, clinical incidents and near-miss events Awareness of statutory safeguarding, notification processes and local guidance for children/vulnerable patients, applying relevant policies and legislation to protect them Ensure compliance with policies, procedures and guidelines for self and others, by taking action or alerting senior management team if the practice appears to contravene policy, or if there are concerns over any aspect of patient care. HEALTH & SAFETY The post-holder will manage their own and others health & safety and infection control as defined in the Practices Health & Safety Policy, the Practice Health & Safety Manual, and the Practices Infection Control Policy and published procedures. Comply with Practice health and safety policies by following agreed safe working procedures Awareness and compliance with national standards of infection control, hygiene, regulatory / contractual / professional requirements, and good practice guidelines. Correct personal use of Personal Protective Equipment (PPE) and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff and patients. Reporting incidents using the organisations Incident Reporting System CONFIDENTIALITY Maintain confidentiality of information, acting within the terms of the Data Protection Act and Caldicott guidance on patient confidentiality at all times. Maintain an awareness of the Freedom of Information Act. EQUALITY AND DIVERSITY The post-holder will support, promote and maintain the Practices Equality & Diversity Policy. No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc. The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families. OTHER DELEGATED DUTIES This job description is not intended to be exhaustive - it may be changed after consultation with the post holder. The employee shares with the employer the responsibility for review and modification of duties.

Please see the attached supporting document which contains more and person specification information about the role

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. For both documents please view the attachment/s on this page The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. For both documents please view the attachments.

As a Long Term Conditions Nurse you will be responsible for ensuring a comprehensive handover of services when patients are transferring across wings or custodial care settings. You will identify immediate health needs including, any external services or prescribing requirements that prisoners may have received e.g. prior to remand or repatriation onto a wing A key part of this role will include the facilitation of arrangements between agencies involved in delivering a complex care package to ensure effective collaboration and stability for the patient in delivery of that care. This requires close joint working with other in-house healthcare services and departments within the prison such as Pharmacy, Education, Offender Management, Substance Misuse and Physical Education, etc. You will also; Provide proactive intervention to urgently address improvement recommendations from CQC and HMPP inspections Deliver continuity of care across health and social care agencies from courts, to custody and community whilst improving the communication between the above. Inspire the continuous improvement of MDT working across HMP and healthcare teams. Promote patient confidence about the management of their condition and fosters patient responsibility to make appropriate healthy choices Share ways to reduce demand into other health and HMP resources (e.g. escorts and transfers to primary and secondary care) whilst improving access to and utilisation of health or social care resources

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience, and knowledge required. For both documents, please view the attachment/s below.

Please see attached job description for more information about this role and working at Royal Free London NHS Foundation Trust.

Clinical duties include: Assuming Consultant responsibility for young people under the care of ACTS. Providing psychiatric assessment, including risk assessment for young people referred to, and under the care of, the service. This includes undertaking urgent gate keeping assessments. Providing treatment for young people under the care of ACTS, including providing medication management. Working in close collaboration with the inpatient and bed management teams. Working in partnership with young people, parents and carers to develop evidence-based, effective and agreed care plans. Ensuring effective communication with referring and receiving teams throughout the Trust. Providing consultation, advice and appropriate support to professionals in the wider network of the young person and/or family. Coordinating multiagency packages of care, treatment and support for young people and their families with complex mental health problems. Initiating and participating in care plan review meetings, CPAs and other multiagency meetings. Co-ordinating clinical liaison with clinicians in other community CAMHS services and other agencies. Contributing to the CNWL Out of Hours consultant psychiatric on-call rota. Providing cross-cover for the other consultant in the team for annual and study leave as part of planned reciprocal cover arrangements. Auditing of psychiatric practice and multidisciplinary work. Recording of clinical activity and prompt submission of returns in line with service requirements. Maintaining accurate, contemporaneous medical notes in line with the Trusts record keeping policy. Management duties include: Taking a leadership role within the team and providing appropriate support, supervision and psychiatric advice to other team members. Sharing with colleagues responsibility for the day to day management of the team. Attending and chairing regular meetings as described in the job plan. Active involvement in local Care Quality and Performance group. Active involvement in the Quality Improvement programme for Tier 4 within the organisation. Participating in the planning, distribution and allocation of clinical, administrative, professional and managerial tasks. In partnership with colleagues, developing common clinical policies and guidelines for the teams. Collaborating with the Service Manager in the development of the service in line with commissioning requirements and service development plans. Identifying areas of unmet needs and alerting the Service Manager and line manager/clinical director if appropriate. Clinical supervision duties include: Providing clinical supervision to junior doctors based in the team. Liaison duties include: Liaison with the inpatient teams, Urgent Care and Out of Hours teams, CAMHS community teams, learning disability services, adult services etc. regarding the transfer of care of young people in accordance with the Trust Protocols. Liaising with other services, agencies and professionals as appropriate to clinical work, management tasks or service development.

To provide a highly specialist psychology service to patients and staff of ICU including specialist assessment, treatment, planning, implementation and monitoring of outcomes. To contribute to enabling staff, patients and relatives from diverse backgrounds to flourish by working to create a psychologically safe environment. To provide clinical supervision and consultation as appropriate, functioning as a specialist in ICU Psychology. To undertake service evaluation, audit and research. To work as an autonomous professional within BPS and HCPC guidelines and codes of conduct, guided by principles and policies or procedures of the service, taking responsibility for interpreting policies within defined parameters. To agree outcomes/results with clinical/professional lead and to decide how they are best achieved.

Please refer to Job Description and Person Specification for outline of skills, knowledge and experience required.

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. For both documents please view the attachment/s on this page. The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. For both documents please view the attachment/s on this page. The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed

The post holder will exercise a degree of personal and professional autonomy, make complex and critical judgments under the management of the Primary Care Clinical Lead and have decision making skills to satisfy the expectations of the role. To be responsible for primary care staff rotas, taking into account efficient use of resources, staff capacity and changing service needs. Responsible for staff supervision and annual appraisal. To support and undertake research, clinical audit and evaluate the service as directed. This will include acute care, long term conditions management and health promotion activities and be in line with the NHS Plan, public health and National Service Frameworks. To demonstrate and provide robust clinical leadership to junior staff with a sound understanding of evidence based nursing practice to provide a pro-active approach to ensure quality and outcome driven practice on a day-to-day basis. To participate in all monitoring systems to promote the development of evidence based practice in the specialist field and to promote research as appropriate. To lead in the professional clinical supervision programme, to ensure all junior staff receive appropriate supervision, training, and annual appraisal to ensure that it becomes an integral part of team practice. Lead in the identification of all aspects of specific service, training and personal development needs. To lead in the implementation of effective and appropriate patient centred care planning tools / Care Programme Approach (CPA) and consistent delivery throughout all the prisons and forensic units within the service. The post holder will participate in all service reviews as required. Act as an Authorised Signatory as well as being responsible for the booking of temporary staffing IMPORTANT INFORMATION, PLEASE READ: All applicants must be willing to undertake National Security Vetting in order to work in a Prison Setting. This will be completed as part of the pre-employment checks through Oxleas and the prison vetting team. You will need to provide: Proof of right to work documentation Proof of ID, needs to include 1 photographicID Proof of address documentation Non-UK passport holders will need to have correct documentation (right to work in the UK) and a Home office Share code. Address History: 5 years address history will be needed. Applicants that are not UK Passport holders who provide less than 5 years UK address history will need to provide a Police Certificate which must be in English from where they resided previously. Applicants who are UK Passport holders who have lived abroad for a period of more than six months during the last three years will need to provide a certificate of good conduct or an overseas police check in English from the countries resided in or visited. In order to assist you in obtaining a Police Certificate, guidance can be sought from:https://www.gov.uk/government/publications/criminal-records-checks-for-overseas-applicants If the country you have resided in is not listed here, you can obtain the necessary information by contacting the relevant Embassy or High Commission for that Country. Their contact details can be found on the Foreign & Commonwealth Office website (http://www.fco.gov.uk/en).

Key responsibilities also include: Overall responsibility for trust wide budget setting to ensure a timely and accurate plan is submitted to Trust Board and to NHSEI. Lead the completion of the annual planning regulatory reporting returns to NHS England Support with the development of medium-and long-term financial models, underlying position and key sensitivity and scenarios modelling. To manage the Trusts monthly reporting and forecasting cycle, ensuring that all financial information is meaningful and produced according to agreed reporting deadlines. Ensure financial governance of the Trust-wide efficiency programme.

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