Same Day Team Practitioner

Job summary

The Advanced Clinical Practitioner (ACP) will work autonomously within the Same Day Team, providing expert clinical assessment, diagnosis, treatment and care management for patients presenting with acute, urgent and undifferentiated conditions.

The post holder will be an experienced Advanced Clinical Practitioner from a Nursing, Paramedic or Pharmacy background, educated to Master’s Level in Advanced Clinical Practice (or working towards), with demonstrated competence in assessment, diagnosis and management of acute presentations within Primary Care.

The ACP will support the delivery and ongoing development of a high-quality same day access service, helping to ensure patients receive the right care, at the right time, in the most appropriate setting whilst reducing avoidable hospital admissions and unnecessary GP appointments.

Responsibilities

Advanced clinical practice

The post-holder will

• Provide autonomous assessment, diagnosis, treatment, prescribing (where qualified) and management of patients presenting with acute, urgent, minor illness and undifferentiated conditions

• Deliver safe and effective same day care through face-to-face, telephone and digital consultations

• Undertake comprehensive clinical assessment, including history taking, physical examination and clinical decision making

• Formulate differential diagnoses and evidence-based management plans

• Request, perform and interpret relevant investigations and diagnostic tests

• Initiate appropriate treatment plans, including medicines optimisation and prescribing within scope of practice

• Safely refer patients into secondary care, community services or other healthcare pathways where clinically indicated

• Recognise deteriorating patients and manage medical emergencies appropriately

• Undertake home visits where required for acute assessment and management

• Manage clinical risk and uncertainty within an autonomous advanced practice role

• Ensure accurate, contemporaneous and legally compliant clinical records are maintained

• Provide health promotion, self-care advice and preventative interventions

• Act as a clinical resource for the wider multidisciplinary team

• Support achievement of same day access targets and effective demand management across the practice

Clinical leadership

The ACP will

• Demonstrate leadership across the Same Day Team and wider multidisciplinary workforce

• Provide clinical supervision, support and mentorship to colleagues where appropriate

• Act as a role model for advanced clinical practice and evidence-based care

• Contribute to service redesign, quality improvement initiatives and development of clinical pathways

• Support implementation of local and national clinical guidance

• Participate in significant event reviews, clinical governance and risk management processes

• Work collaboratively with GPs, Nurses, Pharmacists, Paramedics and external partners to improve patient outcomes

Education and professional development

The post-holder will

• Maintain advanced clinical competence through ongoing CPD and professional revalidation requirements

• Demonstrate practice aligned to the four pillars of Advanced Clinical Practice:

• Clinical practice

• Leadership and management

• Education

• Research

• Support the education and development of students, trainee ACPs and other healthcare professionals

• Participate in teaching, mentoring and supervision activities

• Contribute to the development of local guidelines, pathways and protocols

 Communication

The post-holder will

• Communicate effectively with patients, carers and multidisciplinary colleagues

• Explain complex clinical information clearly to support shared decision making

• Produce high-quality clinical records, referrals, reports and documentation

• Participate actively in practice and neighbourhood team meetings

• Build effective relationships with primary, community and secondary care services

Requirements

Essential

• Registered Healthcare Professional
  • NMC Registered Nurse; or
  • HCPC Registered Paramedic; or
  • GPhC Registered Pharmacist
• Master’s Degree in Advanced Clinical Practice (or working towards with substantial progress demonstrated)
• Evidence of advanced clinical assessment and diagnostic skills
• Independent Prescriber qualification (or willingness to obtain within agreed timeframe)
• Experience managing acute and undifferentiated presentations autonomously
• Experience working within Primary Care, Urgent Care, Emergency Care or Community Services
• Excellent clinical decision-making and risk-management skills
• Demonstrable commitment to continuous professional development

Desirable

• Experience working within General Practice
• Non-Medical Prescribing qualification already in place
• Minor illness and/or minor injury qualification
• Experience supervising or mentoring staff
• Experience leading service improvement projects
• Completion of a recognised Advanced Clinical Practice programme aligned to NHS England ACP Framework

About us

Lime Tree Surgery is a large, multi site GP Practice in Worthing. We are seeking an experienced Advanced Clinical Practitioner from a Nursing, Paramedic or Pharmacy background to join our dynamic Same Day Team. This is a 36-hour per week position worked across 4 or 4.5 days, providing an excellent work-life balance while delivering high-quality acute and urgent care services within General Practice. The successful candidate will work autonomously to assess, diagnose, treat and manage patients presenting with acute and undifferentiated conditions, supporting same-day access and helping patients receive the right care at the right time.