Advanced Clinical Practitioner | Millview Medical Centre

About The Role

A new and exciting role has been created in our practice! Looking at new and innovative ways to support our patient population, we are creating a new position within our team for an advanced clinical practitioner to provide an holistic support service to our patients.

Working both in practice and within the community supporting patient care, based on full history assessment, lifestyle and situation assessment, diagnosis and interpretation of test results.

You must be able to initiate, evaluate and modify a range of interventions which may include prescribing, therapies, referrals and lifestyle and self-management.

This role will include in practice clinics and some community work visiting patients in their place of residence. Providing patients with effective clinical access without having to be referred into a GP which in turn will enable swift access and treatment to people when they need it most.

We are looking for a professional ACP who has developed and can evidence the underpinning competencies applicable to an advanced practitioner.

What We Are Looking For?

We are looking for a highly motivated and experienced ACP to support in practice clinical sessions and community visits for the more vulnerable patients.

It is vital that you can work autonomously in this role whilst including yourself in the wider practice team and being able to contribute to MDT’s and patient planning. You must be able to analyse patient history to incorporate the holistic needs of a patient in addition to the presenting acute conditions.

This role is perfect for a Nurse Practitioner or Community Paramedic working and qualified to advanced level who has the skills to support our diverse population with outstanding health care services in and out of practice. Experience of working in primary care is beneficial for this role.

It is imperative that the applicant is confident to work within the boundaries of their skill set and experience as part of a wider team of clinicians.

Main Responsibilities / Duties

The following are the core responsibilities of the Advanced Clinical Practitioner. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

a. Practice in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice.

b. Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.

c. Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.

d. Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate. Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make a positive change.

e. Use expertise and decision-making skills to inform clinical reasoning. Exercising professional judgement to manage risk.

f. Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care.

g. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice.

h. Implement and evaluate individual specialised treatment plans for chronic disease patients.

i. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patient’s health.

j. Be a professional role model for the organisation.

k. Actively engage in peer review to inform own and other’s practice, formulating and implementing strategies to act on learning and make improvements.

l. Actively seek feedback and involvement from individuals, families, carers, communities and colleagues in the co-production of service improvements.

m. Critically assess and address own learning needs, negotiating a personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice (clinical practice, leadership and management, education and research).

n. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required.

o. Maintain accurate clinical records in conjunction with extant legislation and to ensure SNOMED CT codes are used effectively, using SystmOne.

p. Develop and implement robust governance systems and contribute to practice targets (QOF, etc.), complying with local and regional guidance.

q. Support the team in dealing with clinical emergencies.

r. Support the team with all safeguarding matters in accordance with local and national policies.

s. Understand practice and local policies. For example, substance abuse, addictive behaviour, safeguarding etc (this list is not exhaustive).
t. Deliver opportunistic health promotion where appropriate.

Desired Qualifications and Experience


  • Masters level qualification in advanced clinical practice
  • Independent Prescriber
  • IRMER trained
  • Computer Literate


  • Knowledge of SystmOne
  • Experience within the same or similar role in Primary care (proving a workable skill of triage, assessment, history review and referrals)

About Us

We are a two-site practice based in Sleaford and Heckington with a population of approximately 12,000 patients.

We work together with patients and families and carers to deliver individual, quality services that cater to the health needs of every patient.

We promote a friendly service to both our colleagues and our patients ensuring that care and support is offered to all making a supportive culture.

We fully promote multi-disciplinary working and in practice this collaborative approach promotes a more comprehensive healthcare environment, ensuring that both routine and emergency medical needs are met efficiently.

Dependent on the applicant’s profession there are support networks within the organisation and wider PCN to support individuals within the role. In practice we already have a number of Nurse Practitioners and within the PCN (whom we work very closely with) there is an exceptional network of Paramedics supported by an innovative and forward-thinking training hub as well as the Paramedics in Primary Care Society.

Equality & Diversity

A good attitude and positive action towards Equality Diversity & Inclusion (ED&I) creates an environment where all individuals can achieve their full potential. Creating such an environment is important for three reasons – it improves operational effectiveness; it is morally the right thing to do and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion, or belief, sex, or sexual orientation.

Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued, and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion, or belief, sex, or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.

This role will be subject to satisfactory enhanced DBS and reference checks.


Millview Medical Centre is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality.

It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff must protect patient information and provide a confidential service.

Collaborative Working

All staff are to recognise the significance of collaborative working, understand their own role and scope, and identify how this may develop over time. Staff are to prioritise their own workload and ensure effective time-management strategies are embedded within the culture of the team.

Teamwork is essential in multidisciplinary environments, and the post holder is to work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working, while working effectively with others to clearly define values, direction and policies impacting upon care delivery.

Effective communication is essential and all staff must ensure they communicate in a way which enables the sharing of information in an appropriate manner.

All staff should delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.

Plans and outcomes by which to measure success should be agreed.

Contact Details

Applicants can discuss this role with the Practice Manager – Jennie Tomlinson on 01529 460213.