Advanced Practitioner Integrated Urgent Care

NMC Registrants The Advanced Practitioner Integrated Urgent Care plays a critical role in providing clinical leadership, supervision, and governance to Specialist Paramedics and Nurses engaged in remote urgent and emergency care assessments. This position supports clinical workforce development, ensuring the safe and effective delivery of care in alignment with the Trust’s clinical strategy. Using advanced skills and knowledge, you will practice through comprehensive patient assessments, diagnostics, and interventions, particularly for complex cases. As the lead urgent care clinician supporting clinical validation, you will ensure patient safety and care quality through clinical leadership, development, and supervision. Key responsibilities include analysing performance indicators, formulating clinical development and risk mitigation plans, and supporting continuous clinician proficiency through education and development. Aligned with national frameworks in advanced clinical practice, this role focuses on the four pillars of advanced practice: expert clinical practice, clinical leadership, research and audit, and education. To maintain competence, you will rotate through the primary and urgent care system and the Emergency Operations Centre (EOC). - Provide clinical leadership to the Trust’s workforce for integrated urgent care. - Ensure ambulance clinical quality indicators and key clinical performance metrics are achieved. - Deliver the advancing practice program within the clinical validation service and integrated urgent care. - Conduct clinical case and practice reviews within the clinical validation service and integrated urgent care. - Supervise specialist paramedics/nurses and other clinical staff. - Implement the clinical strategy within the clinical validation service and integrated urgent care, ensuring audit results, investigation findings, research outputs, and clinical education plans enhance practice. - Provide clinical advice and support to operational management, quality & safety, research, and clinical pathways teams. - Practice according to the four pillars of advanced practice through clinical work, research, education, and leadership to advance professional development. - Promote a culture of continuous development, nurturing talents and building strengths within teams. We employ 3,500 staff in 63 locations and serve a population of 2,600,000 in Northumberland, Tyne & Wear, County Durham, and Tees over 3230 square miles. Many people think the job of the ambulance service is to collect patients and take them to hospital, but we do much more Paramedic skills have developed hugely in recent years, meaning we carry out more treatment at the scene and en-route to hospital. We have a dedicated clinical assessment service that allows us to provide patients with the most appropriate care from the beginning of the patient journey. We have a specialised branch of the Trust called HART which deal with explosions or terrorist attacks. Ultimately patients are the heart of everything that we do to support our mission of "safe, effective and responsive care for all". Aligned to the national frameworks for Advanced Practice, the post holder must embody the capabilities of a multi-professional advanced clinical practitioner, delivering across the four pillars of advancing practice, alongside key responsibilities. Patient Care **The post holder will manage patient care by**: - Conducting advanced clinical assessments of patients with complex health needs, ensuring care plans meet these needs. - Employing structured clinical referral and handover processes. - Using clinical judgment to assess, diagnose, treat, refer, and/or discharge patients with undifferentiated injuries and illnesses. - Adhering to Trust, JRCALC, and national guidelines while making decisions within their professional scope of practice. - Utilising advanced clinical skills and knowledge defined in the Advanced Practitioner Urgent Care Scope of Practice. - Administering or prescribing medication in line with Trust policies and guidelines. - Navigating acute and urgent care pathways effectively, including arranging direct admissions when necessary. - Referring patients to appropriate care settings and ensuring proper handover. - Maintaining accurate records and understanding information governance responsibilities. - Delivering evidence-based care and maintaining professional standards (e.g., ILS, JRCALC, NICE). - Treating patients, relatives, and the public with dignity and respect, even in difficult situations. Research and Audit Responsibilities - Promote the service by collecting, analysing, and reporting evidence of its impact on patient outcomes. - Lead research, clinical audit, service evaluation, and improvement initiatives. - Contribute to developing guidelines and care pathways based on evidence. - Participate in serious incident reviews and embed learning into practice. - Serve as an expert resource within the organisa