Advanced Care Practitioner

7 months ago

London, United Kingdom King's College Hospital NHS Foundation Trust Full time

We have an exciting opportunity for you to join a progressive, patient centred acute frailty service as a Frailty Advanced Care Practitioner. We recognise that frailty and dementia are health priorities for our communities. In this role you will actively support the development of frailty pathways within an evolving integrated service to deliver evidence based frailty care and admission avoidance pathways across the local health economy. You will be responsible for delivering and supporting high quality care and act as an expert practitioner and a role model for the team demonstrating advanced clinical practice skills and decision making offering a patient centred approach to care planning and maximising independence and well-being of those living with frailty.

You will join a truly multidisciplinary frailty team are comprising of doctors, clinical nurse specialists, physiotherapists, occupational therapists, pharmacist, social workers, Age UK Care Navigators and admin staff, supported by consultant geriatricians. They see people who attend the Emergency Department with conditions associated with frailty, and through partnership working take referrals directly from our community partners.

Applicants must be fully qualified Advanced Care Practitioners including:

- MSc in Advanced Clinical Practice or equivalent qualification
- HEE Frailty Competencies for ACPs
- Independent prescribing
- Experience of autonomous working in an acute setting

The Acute Frailty Assessment Team provides a responsive, safe effective caring service that is well led. The team is commissioned to reflect the needs of the local community. Service aims include urgent case management, proactive case management, self-care management and adoption of a co-produced approach with patients and service users. The post holder will spend a minimum of 90% of their time in direct autonomous clinical practice, having clinical responsibility for a cohort of patients and providing leadership for clinicians within this clinical area.

The Acute Frailty Assessment Team, whilst operating from within the acute Trust, delivers a joined
- up approach across the local Kings Health and One Bromley and our South East London Care Integrated Care System (ICS), with the ambition to deliver high quality excellent care.

King’s College Hospital NHS Foundation Trust is one of the UK’s largest and busiest teaching Trusts with a turnover of c£1 billion, 1.5 million patient contacts a year and around 14,000 staff based across 5 main sites in South East London. The Trust provides a full range of local hospital services across its different sites, and specialist services from King’s College Hospital (KCH) sites at Denmark Hill in Camberwell and at the Princess Royal University Hospital (PRUH) site in Bromley.

King’s is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone’s contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust’s carbon emissions, waste and pollution wherever possible.

The trust-wide strategy Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we can take Team King’s to another level
- To be responsible and accountable for own decisions, actions and omissions at this level of practice. Demonstrating a critical understanding of own 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.
- To act as the Lead Clinician undertaking Comprehensive Geriatric Assessments for individuals presenting with frailty and their carers where needs are highly complex. This will involve working as part of a multi-disciplinary team, planning, implementing and evaluating the care delivery according to changing healthcare needs.
- To prescribe and review medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the role’s scope of practice and legal framework
- Demonstrate a high level of knowledge in relation to pattern of disease or disorder, markers of condition progression and range of treatment available at each stage of disorder or condition.
- Be able to assess critically and re-evaluate the clinical situation as the patient’s condition changes. Anticipating likely potential physical and psychological problems caused either by the condition or by treat

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