Advanced Clinical Practitioner

2 weeks ago


Harlow, United Kingdom Essex Partnership University NHS Foundation Trust Full time

Principal responsibilities Clinical Uses highest level of specialist knowledge and specific training to act autonomously in assessing, planning, and implementing a comprehensive management plan within their defined scope of practice. The post holder will require specialist advanced knowledge and skills to demonstrate safe, competent, clinical decision making and expert patient care, to provide a service to meet the needs of the patients who attend the Urgent Treatment Centre (UTC). As an autonomous practitioner the post holder will provide holistic health care for patients with undifferentiated and undiagnosed problems. Working closely with colleagues at Princess Alexandra Hospital in Triage, Minor injuries and Emergency Department.

Building strong communication links to facilitate a seamless patient journey and to ensure that the service delivers the best possible high quality patient led care which is dynamic, proactive, anticipatory, innovative, safe and responsive to health needs. Provide clinical expertise and leadership, drawing on clinical knowledge to undertake rapid interventions to include advanced assessment, diagnosis and treatment, inclusive of independent prescribing Be responsible for the safe and effective delivery of UTC service Elicit a patient history appropriate to the clinical situation, which will include, presenting complaint, history of the present illness, past medical history, social history, family history, medications, allergies, review of systems, risk factors and appropriate targeted history. Perform a physical/psychological examination tailored to the needs of the patients and the demands of the clinical situation. Assess and prioritise patients undergoing treatment.

Demonstrate continual evaluation of the patients and use expertise to recommend adjustments/amendments to treatment plans, in consultation with the patient and members of the multi-professional team. Where appropriate and required liaise with onsite STELLA Healthcare Lead GP for advice and support. Interpretation of plain film x-rays, with access to the duty radiographer for diagnostic advice. Make direct referrals to other members of the health care team.

Requests bloods and radiological test as appropriate and within agreed scope Request and perform diagnostic tests as agreed locally and within agreed scope. Chase, view and Interpret results and report findings. Discuss and agree assessment outcomes with patients, carers, and other health care professionals to enable patients to make an informed decision regarding their treatment. Communicate highly complex information to patients, carers, and families during the consent process prior to commencement of treatment plans and invasive procedures including explaining treatment options.

Authorise the decision to admit patients and/or proactively initiate discharge. Actively supports patients and their families through communicating difficult and highly complex sensitive information using a variety of methods to ensure effective understanding in a timely manner. Proactively supports patients, carers, and families in coming to terms with their illness/condition. Have a health promotion and prevention approach and comprehensively assess patients for risk factors and early signs of illness.

Provides empathy and reassurance through understanding the quality-of-life issues associated with their illness/conditions and treatment related side effects. Ensure that accurate, essential, and appropriate written and verbal information is conveyed to the wider MDT to ensure effective management of patients. Ensure dignity, privacy and cultural and religious beliefs are always respected. Adheres to professional code of conduct, works within the boundaries of their scope of practice and always manage associated clinical risks effectively.

Have a direct responsibility for a patient caseload, ensuring an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made. Initiate pharmacological intervention, using v300 non-medical prescribing (dependant on registration) and administer medications as prescribed by others in accordance with trust policies. To prescribe and review medication in accordance with current legislation and trust policy (dependant on registration). To work with patients in order to support compliance with and adherence to prescribed treatments.

Provide information and advice on prescribed or over-the-counter medication, medication regimes, side effects and interactions. Professional leadership and Management Act in such a way as to be a credible, effective leader, demonstrating effective clinical leadership daily. Act as a role model by demonstrating high standards of holistic care Take key responsibility for supporting the wider MDT. Effectively manage own dairy and workload.

Effectively manage patient caseload. Ensure delivery of core contractual Key Performance Indicators (KPIs) and targets / expectat



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