Advanced Clinical Practitioner

Advanced Clinical Practitioner – Home VisitingPermanent | Up to 37.5 hours per weekBring advanced urgent care to patients who need to be seen at home.Not every patient who needs urgent care can come to us.Some are housebound, frail, approaching the end of life or have been clinically assessed as needing a face-to-face review in their own home.What they need is an experienced clinician who can assess the whole picture, make confident autonomous decisions and put the right care in place.At IC24, we're looking for an Advanced Clinical Practitioner to join our Home Visiting Service across Sussex. You will have access to IC24’s fleet of vehicles and any equipment required to carry out this role, we only need you to bring your clinical expertise.You'll work autonomously in patients' homes, using advanced assessment, examination, diagnostic and prescribing skills to provide safe, effective and patient-centred urgent care.You'll care for patients across the full General Practice population, including children, older people, frail patients and those with mental health or end-of-life needs.If you enjoy clinical autonomy, variety and the challenge of making safe decisions outside a traditional clinical environment, this could be the role for you.What you'll focus on→ Assessing and treating patients in their own homesYou'll provide face-to-face assessment, diagnosis and treatment for patients who have been clinically triaged as needing a home visit.You'll take a detailed history, carry out a physical examination and use advanced clinical reasoning to establish a differential diagnosis and agree the most appropriate treatment or care plan.You'll see a wide range of urgent and primary care presentations, often without immediate access to the investigations and resources available in a hospital or clinic.→ Making confident autonomous clinical decisionsHome visiting requires strong clinical judgement.You'll often be assessing patients you've never met before, sometimes with limited information and sometimes in complex or emotionally difficult circumstances.You'll need to be comfortable managing uncertainty, prioritising clinical risk and deciding whether someone can be safely treated and supported at home or needs escalation to another service.You'll always work within your own competence and know when to seek further clinical input.→ Treating the whole patientSeeing someone in their own home gives you a different perspective on their health.You'll care for patients across the full spectrum of General Practice, including newborns and children, adults, older and frail patients, people with mental health needs and those approaching the end of their lives.You'll consider the patient's physical health alongside their environment, support network and wider social circumstances.That means looking beyond the immediate symptoms and understanding what the patient genuinely needs to remain safe.→ Prescribing and managing treatment at homeAs an independent prescriber, you'll develop and deliver evidence-based treatment plans.You'll prescribe safely within agreed clinical guidance, review existing medication where appropriate and make sure patients and carers understand what happens next.Where required, you'll undertake point-of-care testing, arrange appropriate investigations and interpret available clinical information to support your decision-making.→ Keeping patients safely in their communityOne of the most important parts of home visiting is helping patients receive the right care in the right place.Where clinically appropriate, you'll help patients remain safely at home by putting appropriate treatment, referrals, advice and safety-netting in place.You'll work with primary care, community nursing, pharmacy, social care, ambulance services and secondary care where needed to support continuity of care.And when hospital or another service is the right place for a patient, you'll recognise that and escalate appropriately.Whether you're treating someone at home, referring them to another service or escalating their care, the patient and their safety will be at the centre of your decision-making.→ Supporting palliative and end-of-life patientsSome of the most important visits you'll make will be to patients approaching the end of their lives.You'll assess symptoms, prescribe and manage treatment where appropriate and work sensitively with patients, relatives and carers during what can be a difficult and emotional time.You'll use your advanced clinical judgement alongside existing care plans and local guidance to help make sure patients receive compassionate, appropriate care.→ Working independently, but never in isolationHome visiting is autonomous by nature.You'll spend a significant part of your working day out in the community, so you'll need to be confident managing your own workload and making decisions independently.But you'll remain part of a wider IC24 clinical and operational team.You'll work with our dispatch teams and other healthcare professionals to make sure patients receive timely, joined-up care, communicating clearly and completing accurate clinical handovers.→ Maintaining excellent clinical standardsYou'll work within IC24's clinical governance framework and in accordance with the requirements of your professional registration.You'll maintain accurate clinical records, contribute to audit and quality improvement and keep your clinical knowledge and skills up to date through CPD, supervision and reflective practice.You'll also support colleagues and contribute to clinical supervision, coaching and development where appropriate.This is advanced practice beyond the consulting roomNo two home visits will necessarily look the same.You'll see patients with everything from relatively straightforward acute illness to complex physical, mental health and social needs.Sometimes the answer will be clear.Sometimes you'll need to piece together limited information, understand the patient's home circumstances and make an important clinical decision without the immediate support of a full clinical team around you.You'll probably thrive here if you:Enjoy autonomous clinical practiceAre confident assessing undifferentiated patients in their own homesHave a high level of clinical reasoning and decision-making abilityAre comfortable managing risk and uncertaintyCan make safe decisions without having every investigation immediately availableAre confident caring for frail, complex and end-of-life patientsCommunicate clearly and compassionately with patients, relatives and carersCan adapt your communication in difficult or sensitive situationsAre comfortable working independently while knowing when to seek supportIf you prefer working in a predictable clinic environment with immediate access to a wider clinical team, home visiting may not be the right fit.But if you value clinical autonomy, variety and the opportunity to bring advanced care directly to patients in their own homes, we'd like to hear from you.You'll:Hold current professional registration with the NMC, HCPC or GPhC, with at least five years' post-qualification and registration experienceHold a Masters Degree / Level 7 qualification Advanced Clinical Practice or will be working towards oneHold an Enhanced Assessment and Consultation qualification at Level 7Hold a Minor Illness qualification at 7Be a registered Independent PrescriberHave advanced assessment, examination, diagnosis and treatment skills across an agreed scope of practice, including newborns, paediatrics and end-of-life careHave significant post-registration experience including autonomous practice at an advanced levelBe confident working independently in a patient's homeHave strong clinical reasoning and risk-assessment skillsBe able to work flexibly, including unsociable hours, weekends and Bank HolidaysHold a full UK driving license and will be comfortable driving both manual and automatic vehiclesWho are we?We are Integrated Care 24 (IC24), the leading not-for-profit Social Enterprise providing innovative and patient-focused primary and urgent care services.IC24 is committed to improving access to health and social care for our patients and reducing demand on secondary care services.We provide services to over six million patients, including GP Out of Hours, NHS 111, Primary Care and Integrated Urgent Care services.Every day, our people help patients access the care they need, when they need it most.LocationsWoodingdean Base - Unit 6, Brighton Office Campus, Hunns Mere Way, Woodingdean, Brighton, East Sussex BN2 6AHEastbourne Base - Eastbourne PCC, Eastbourne District General Hospital, Kings Drive, Eastbourne, East Sussex BN21 2UDWorthing Base - Angmering Medical Center Station Road, Angmering, West Sussex, BN16 4HLBurgess Hill Base - Burgess Hill Clinic, The Brow, Burgess Hill, RH15 9BWAdditional Sussex operational bases may be used where required.Hours Up to 37.5 hours per week availableWhat's in it for you?Annual salary of £54,140.87 pro rataOpportunity to join the NHS Pension Scheme6.6 weeks annual leave plus 8 days for BH allowanceEnhanced Bank Holiday ratesEnhanced family leave including maternity, paternity and adoption leave and payInclusive wellbeing benefitsEmployee Assistance Programme including free 24/7 independent counselling and occupational health servicesProfessional development and learning opportunitiesFree membership to our reward and discount platformAccess to Blue Light Card and other NHS Discount Schemes We celebrate brave ideas and brave people.Due to the nature of this position, employment is subject to proof of eligibility to work in the UK, completion of a satisfactory enhanced DBS disclosure with barred list checks and three years of references.We have a duty to safeguard, protect and promote the welfare of those who use our services and our employees. This means we take every step we can to protect from harm, abuse and damage.We are committed to providing equal opportunities for all and encourage applications from ethnic minorities, those with disabilities, LGBTQ+ communities, neurodiverse individuals, and other under-represented groups. We’re dedicated to creating an inclusive environment where everyone feels they belong.If you need any workplace adjustments during the application or interview process, or have accessibility requirements, please contact the recruitment team.Please note: We may close this vacancy early if we receive a high number of applications, so we encourage you to apply as soon as possible.