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Paediatric Advanced Clinical Practitioner

4 months ago


London, United Kingdom Chelsea and Westminster Hospital NHS Foundation Trust Full time

The Paediatric Advanced Clinical Practitioner will form part of the paediatric team, providing expert care and management of patients within the Paediatric Department.

The Paediatric Advanced Clinical Practitioner will be expected to uphold the four pillars of Advanced Practice, providing expert, evidence based care for patients, clinical leadership to assist and advise junior staff with decision making, and participate and innovate in education and research during their training

Practice as a Paediatric Advanced Clinical Practitioner within own sphere of competence and agreed acceptable limits of practice

The post holder work alongside the paediatric medical team and will be on the Paediatric Medical Junior rota (with weekday, weekend and night shifts). This will include gaining experience covering the paediatric inpatient wards, the paediatric HDU, the ambulatory unit (PACC) and working alongside the paediatric surgical and gastroenterology teams.

While the post holder is, within their sphere of competence, expected to work independently there will be 24/7 onsite senior support and supervision in the form of a Paediatric Specialist Registrar and/or Consultant.

All Paediatric Advanced Clinical Practitioners will have a paediatric consultant as an educational supervisor, and together with the HON will be supported.

Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.

We have over 6,000 members of staff that arePROUD to Care for nearly one million people. Both hospitals provide full clinical services, including full maternity, emergency and children’s, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.

In 2020, The Trust was rated by the Care Quality Commission as ‘Outstanding’ in the well-led and use of resources domains and ‘Good’ in the safe, effective, caring and responsive domains. The Trust as a whole was ‘Good’, but the Chelsea site was ‘Outstanding’.

West London Children’s Healthcare (WLCH)

WLCH has been founded to provide specialist paediatric and child healthcare in West and North West London, and to improve the health and wellbeing of the children we serve by moving beyond the boundaries of our individual organisations to deliver truly integrated care. The key focus will be on outcomes that that really matter to patients.

The integration of all paediatric services at Chelsea and Westminster NHS Foundation Trust and Imperial College Healthcare NHS Trust is coming together under a single leadership structure, which is accountable to both Trust Boards for all elements of operational, quality, safety and financial performance.

Key Responsibilities
- Practice as a Paediatric Advanced Clinical Practitioner within own sphere of competence and agreed acceptable limits of practice.
- Utilise advanced clinical skills to assess patients, order and interpret investigations, diagnose, treat, and refer patients with support and supervision from a senior doctor.
- Continue to develop, practice and expand own specialist skills.
- Contribute to service improvement across the Paediatric Department
- Contribute to the Workforce Strategy and Training and Development Programme for the Multidisciplinary Team.
- Support and participate in all aspects of clinical governance, evidence based practice and quality assurance.
- Ensure the principles of evidence based practice and adherence to current best practice guidelines are adopted across the service.
- Contribute to an advanced practice workforce strategy for the emergency and acute service.

Clinical Provision & Expert Practice
- Maintain a high degree of personal and professional autonomy, making critical decisions independently to assess, examine, investigate, diagnose and manage patients presenting to the Emergency Department with appropriate supervision and support.
- Development of advanced knowledge and comprehensive assessment skills, including ordering and interpreting of appropriate diagnostic tests.
- Receive and make referrals to specialty teams and primary care.
- Undertake non-medical prescribing in line with the Trust’s non-medical prescribing policy.
- Maintain advanced skills and promote the Paediatric Advanced Clinical Practitioner role within the framework of the departmental policies.
- Work out of hours and weekend shifts as needed to ensure availability of advanced clinical skills and visible clinical leadership in the Paediatric Department.

Clinical Leadership
- Encourage and promote evidence based practice and critical decision making in the Paediatric Department through role modelling and providing advice for members of the multi-disciplinary team.
- Collaborate closely with the Service Director for Acute Paediatrics and HON to undertake delegated projects and management re