Advanced Clinical Practitioner

Job summary

Applications for full and parttime working will be considered. Band 8a - Subject to AFC evaluation.

Are you passionate about making a difference in the lives ofpeople with frailty in our communities across Plymouth, the South Hams, andWest Devon? Do you thrive in a dynamic and innovative healthcare environment?We have some very exciting opportunities to join our exciting Community FrailtyVirtual Ward project. This project forms part of a wider plan to improve urgent& emergency healthcare delivery.

We are committed to revolutionising healthcare delivery forfrail & elderly patients by launching a Community Frailty Virtual Ward. Ouraim is to provide high-quality, patient-centred care in the comfort of theirown homes, reducing hospital admissions & length of stay in hospital &enhancing overall well-being through enhanced care coordination.

All Livewell Southwest staff are expected to be able and willing to work across a 7 day service.

LWSW may close the job advertisement earlier than the specified deadline if a high number of applications are submitted. Therefore, we recommend you submit your application at the earliest opportunity.

Please note that this role may not be eligible for sponsorship under the Skilled Worker route, please refer to the Direct Gov website for more information with regards to eligibility

Main duties of the job

As Advanced Care Practitioner, you will play a critical rolein our new multidisciplinary team, covering one or more of the 6 new frailtyvirtual wards that we have planned for our locality. The post holder will workclosely with consultants, pharmacists, dietitians, and other healthcareprofessionals to ensure seamless, integrated care on the virtual ward, byproviding specialist ACP assessments and interventions for those admitted tothe Frailty Virtual Ward.

We will consider applications for people seeking full andpart time posts and flexible hours.

Key Responsibilities

Leadership within the Frailty Virtual wardInreach to the Acute Hospital

Managingwhole episodes of care by supporting medical colleagues

History taking and clinical assessment

Diagnosis and treatment

Prescribing

Ordering and acting upon investigations

Onward referrals and Care evaluation

INTERVIEWS ARE LIKELY TO TAKE PLACE MID DECEMBER

About us

Livewell Southwest is an independent, award-winning social enterprise providing integrated health & social care services for people across Plymouth, South Hams & West Devon, as well as some specialist services for people living in parts of Devon & Cornwall. With teams in community hospitals, GP practices, sports centres, health & wellbeing hubs.

As an organisation with a strong social conscience, we always value being kind, respectful, inclusive, ambitious, responsible and collaborative. Transforming services to make them sustainable, ensuring that we value, support & empower each other.

We are committed to involving the people we care for, families & carers in everything that we do, working towards co-production where we can. Helping us to deliver the right care for people, in the right place & at the right time. By putting people at the centre of what we do, we ensure to support people to lead, healthy independent lives & be the very best at helping people to live well.

Valuing our employees making an investment in their development a priority. We offer:

Protected CPD time for registered staff

Various development pathways and ongoing regular training packages for all staff

Leadership & mentoring programmes

Access & funding for training including Care Certificate, Assistant Practitioners Course & Scholarship Into Nurse Training

A Robust Preceptorship

A bespoke induction programme

Existing members of the NHS Pension Scheme can continue their membership when they join the organisation.

Job description

Job responsibilities

The postholder will and in accordance with Multi-professional framework for advancedclinical practice in England their professional code of practice and legalframeworks such as non-medical prescribing. Advanced Clinical Practice a levelof practice characterised by a high degree of autonomy and complex decisionmaking. This is underpinned by a masters level award (L7) that encompasses thefour pillars of clinical practice, leadership and management, education andresearch, with demonstration of core capabilities and area specific clinicalcompetence.

Workingautonomously as an Advanced Clinical Practitioner within the clinical team andprovide a high level of expertise to ensure patient-centred clinical care inthe most appropriate clinical setting Exerciseadvanced clinical expertise, levels of judgement, discretion and decisionmaking whilst undertaking the skills of assessment, examination to provide adiagnosis and formulate timely treatment plans within an agreed scope ofpractice

Evaluateinvestigations and revise treatment plans according to patient need and assessimpact and outcome.

Assistin the safe referral and discharge of patients with undifferentiated andundiagnosed presentations in any areas of working

Provideexpert professional advice to patients, carers and colleagues

Monitorand lead improvements to standards of care through; supervision of practice,clinical audit, implementation of evidence based practice, teaching and supportof colleagues and the provision of professional leadership.

Leadthe implementation of new evidence based practice and contribute to thedevelopment of the evidence through research, audit and collaboration withclinical or academic staff.

Contributeto clinical governance by leading quality improvement, audit and researchprojects as part of the multidisciplinary service-wide performance and qualityagenda.

Rolemodel the Organisations values and behaviours, demonstrating a person centredapproach to service delivery and development whilst maintaining a professionalportfolio that supports their scope of practice.

4. SCOPE AND RANGE

Thepost holder will be an autonomous registered clinician who is confident to workas the only clinician when required and with a consultant/specialty doctor/GPon other occasions.

The Advanced Clinical Practitioner will work within a definedscope of practice and to agreed clinical standards In line with HEE ACPframework (2017)

The post holder will provide a high level of expert clinical care,promoting clinical leadership and set a good standard of professional practicewith the organisation

Thepost holder provides a visible, accessible and authoritative presence withinLivewell services and community settings.

Thepost holder will be working across organisations and communicating with a rangeof professionals, patients/clients and their families.

Responsibilitieswill include managing whole episodes of care by supporting medical colleagues,history taking, clinical assessment, diagnosis, treatment includingprescribing.

The ACPwill be responsible for ordering and acting on investigations, creatingmanagement plans, onward referral and evaluation of care

The post holder will lead the development of non-medical ledmodels of care across community services, in collaboration withmulti-professional and systems colleagues.

5. MAIN DUTIES/RESPONSIBILITIES

The ACP will be based in the specified Team and works within otherrelated working areas across the specified clinical pathway.

The post holder will:

Proactively support the development of the ACP role within the teamprimarily focusing on the holistic management of patients within the clinicalcaseload and service model. Focussing on key areas for example (not exhaustive)admission avoidance to positive discharge, reducing length of stay, and deliveringquality patient care. This could be through community management and inreachwork.

Actively participate in professional leadership and education acrossthe nursing, medical and therapy teams.

Actively participate in and represent the Organisation in the Regionalnetworks

Actively participating in developing the service.

The post holder will manage own workload within areas of individualcompetency in the service area for example various clinics, diagnoses in orderto choose appropriate evidenced based treatment options; follow up frequency,and referral to other pathways ordischarge.

This will include:

Utilising advanced clinical reasoning skills and assessment techniquesautonomously in the context of their speciality

Interpreting broad policy: Establish the way in which these should beinterpreted and establishing standards.

Acting as a lead specialist within their sphere of expertise.

Working within their professional code of conduct.

Assimilating risk/ benefits and rationalise decision making based onextensive knowledge skills and experience, recognising and acting on potentialgaps in knowledge.

Seeking out advice and support from consultant/medical colleagues whenrequired.

Supporting the writing of polices and maintaining standards.

PLEASE REFER TO THE ATTACHED DOCUMENT FOR THE FULL JOB DESCRIPTION

Person Specification

Knowledge

Essential

Ability to manage own patient caseload Good communication skills Established Teaching skills Knowledge of Quality improvement and research methodology

Desirable

Previous knowledge and experience of working within speciality

Specific Skills

Essential

Effective communication and leadership skills Ability to motivate self and others to meet timelines Committed to service development Ability to work autonomously and in a Multidisciplinary team Flexible working practice Effective organisational skills

Additional Requirements

Essential

Committed to further personal and professional development Able to understand requirement to manage resources effectively Ability to travel and move frequently between sites and across Devon as required. The post holder must demonstrate a positive commitment to uphold diversity and equality policies approved by the organisation. Ability to work in shared space with often noisy and frequent interruptions.

Qualifications

Essential

Professionally Registered eg Nurse/ AHP / Pharmacist Evidence of MSc Advanced Practice or equivalent (mapped to all outcomes of the Multiprofessional Advanced Practice Framework HEE) Evidence of competence in the trusts core ACP capabilities or willingness to work towards in 6 months Evidence of achievement of appropriate credential or willingness to work towards this in post eg Royal College of Physicians as per the NHS Education England Framework Non-Medical Prescribing (supported as part of AP pathway, there will be very few exclusions to this eg OT APs are excluded due to statute)

Desirable

HEE Digital Badge Post Grad Teaching qualification or equivalent Management qualification/leadership qualification

Experience

Essential

Experience of Innovation and change management Experience in applying research findings to practice Understanding of health promotion and counselling Experience of providing clinical supervision in practice

Desirable

Extensive experience in caring for patients across a wide variety of clinical settings

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