Utc - Advanced Clinical Practitioner (Band 8a)

3 weeks ago

Steeton, United Kingdom Airedale NHS Foundation Trust Full time

The Advanced Clinical Practitioner (ACP) will use specialist knowledge and skills to provide healthcare independently to patients. The ACP is accountable for the total episode of care for patients with undifferentiated and undiagnosed needs. The post holder will act as a role model, delivering advanced practice and promoting clinical effectiveness in care. He/she will be required to work autonomously in delivering independent assessment, clinical examination, diagnosis, clinical decision making and planning of care and treatment, diagnosis, prescribing, health promotion and safe discharge of patients.

The post holder will work closely with all members of the multidisciplinary team and will play an integral role in the operational/strategic development of the service. The post holder will promote and facilitate evidence based practice, clinical audit and research within the Trust. The job holder will work as an autonomous practitioner within a defined clinical area, delivering all aspects of management and care to a wide range of patients with varying needs. Clinical practice Practice as an autonomous professional in a self-directed manner, with confidence, authority, and expertise to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the clinical specialty with undiagnosed or undifferentiated presentations.

Clinical assessment and examination as indicated by the patients condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required. Perform clinical procedures appropriate to the history and clinical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision. Request pathological and radiological investigations (in accordance with IR(ME)R regulations) and make clinical decisions based upon the results. Interpret and analyse highly complex clinical and non-clinical facts to form accurate diagnoses, prognoses for a wide range of conditions, to recommend / deliver the best course of intervention.

Autonomously formulates appropriate management plans for patients, formulates clinical decisions and often complex treatment plans to manage acute illness and injury, with including referral, admission or discharge. Initiate pharmacological intervention, using non-medical prescribing or patient group directives and administer medications as prescribed by others in accordance with the Trust policies Prioritises health problems and intervenes appropriately in complex, urgent and emergency situations. Manage clinical events involving patients, often requiring unpredictable and high levels of physical / mental effort according to the patients dependency and clinical need. Have direct responsibility for a patient caseload, ensuring an accurate plan of care which reflects the assessment undertaken and incorporates the issues and recommendations made.

Have a health promotion and prevention approach and comprehensively assess patients for risk factors and early signs of illness. Provide specialist advice and support to patients, their families and other healthcare professionals following assessment, diagnosis, and treatment. Plan, manage and complete episodes of care, working in partnership with others and delegating and referring as appropriate to optimise health outcomes and resource use, as well as providing direct support to patients and clients. Organise complex activities or programmes for patients, drawing on an appropriate range of multi-disciplinary and inter-professional resources in practice.

Supervise and where necessary, work in collaboration with nursing, medical and AHP team members, demonstrating expert clinical practice to the ward team. Be included on medical rota as required by service needs and the clinical role. Maintain a high standard of patient focused care in accordance with Trust guidelines and policies. Actively involve service users in providing feedback of their experience of the current service and suggestions for improvements.

Discharge patients safely within their sphere of competence, seeking consultant supervision where appropriate. Identify and implement systems to demonstrate and promote the contribution and impact of advanced level practice to the healthcare team and the wider health and social care sector. Provide consultancy services to own area and to other professions on therapeutic interventions, practice, and service development. Be resilient and determined and demonstrate leadership in contexts that may be unfamiliar, complex, and unpredictable.

Engage stakeholders and use high-level negotiating and influencing skills to develop and improve practice. Work across professional, organisational and system boundaries and proactively develop and sustain new partnerships and networks to influence and improve health, outcomes, and healthcare

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