Advanced Clinical Practitioner

Job summary

This exciting new clinical leadership post has been developed to bring together our newly established Virtual Hospital (VH) and Urgent Community Response Services (UCR) for West Essex. These services are an integral part of the West Essex out of hospital care model designed to ensure that patients receive rapid appropriate care and treatment as close to home as possible. The post holder will have overall responsibility for the day to day clinical operational management of responsive services which are aligned to the Care Coordination Centre. They will work autonomously in assessing, diagnosing, treating and evaluating care for adults requiring complex management with the aim of preventing inappropriate hospital admission and facilitating prompt discharge from acute hospitals. Integral to this role is working closely and establishing effective professional relationships with patients, relatives and partner organisations.

The post holder will require specialist knowledge to demonstrate safe, competent clinical decision making and expert patient care including diagnostic skills. They will communicate and work collaboratively with the wider MDT to meet the needs of patients, supporting the delivery of policy and procedures and ensuring a cohesive service that is aligned to high quality care providing strong leadership within the team and local area. This will include adopting system-wide approaches required to perform as best practice.

Main duties of the job

To fulfil the expectations and core capabilities of an Advanced Clinical Practitioner (ACP) as set out in the Trust Advanced Practitioner job description. To work autonomously at an advanced level providing high quality care To utilise the four pillars of advanced practice to support the delivery of the trust objectives in keeping with the Trust Values. Provide vision and professional leadership to the virtual hospital and urgent community response teams and align services to the Care Coordination Centre Plan and support design of the services into one unique and effective service Ensure that the service delivers the best possible high quality patient-led care which is dynamic, proactive, anticipatory, innovative, safe and responsive to health needs. Be responsible for promoting excellence in clinical practice in the delivery of our virtual hospital and UCR services Be responsible for ensuring the delivery of a compassionate, dignified and respectful service to patients at all times. Ensure that the values outlined in the NHS Constitution are adhered to daily and any matters of concern are raised with the relevant Line Manager or through the necessary processes within the Trust. The post holder will be responsible for the proactive case management of patients requiring complex case management in order to prevent hospital admissions and facilitate early discharge to improve patient health outcomes

About us

EPUT are looking for motivated staff who shares our Trust values of Care, Learn and Empower. In return, EPUT can offer you a range of benefits and development including;

o Season Ticket Loans

o NHS discounts for staff

o Excellent Training facilities and opportunities

o Buying and Selling annual leave scheme

o The opportunity to work bank shifts and expand knowledge and experience in other areas

o Salary Sacrifice schemes including lease cars and Cycle to Work

o Day One Flexible Employer

Join our Staff bank

What is Staff Bank?

Our EPUT NHS staff bank is an entity managed by the trust that hires clinical and non-clinical healthcare professionals to take on shifts at our trust hospitals and community settings. Here at EPUT we maintain our own bank of specialist staff to ensure that we are able offer safe and effective care at all times.

All our permanent staff are automatically enrolled onto the staff bank however this does not mean you have to work any additional shifts, but the option is there for you if you wish.

If you are joining our Trust in a fixed term role, please indicate on your New Starter Paperwork that you wish to join our staff bank.

Job description

Job responsibilities

KEY RESPONSIBILITIES

Clinical

Uses highest level of specialist knowledge and specific training to act autonomously in assessing, planning, and implementing a comprehensive management plan within their defined scope of practice. Provide clinical expertise and leadership to the VH & UCR integrated clinical team, drawing on clinical knowledge to undertake rapid interventions to include advanced assessment, diagnosis and treatment, inclusive of independent prescribing Be responsible for the safe and effective delivery of VH & UCR services within West Essex community. Elicit a patient history appropriate to the clinical situation, which will include, presenting complaint, history of the present illness, past medical history, social history, family history, medications, allergies, review of systems, risk factors and appropriate targeted history. Perform a physical/psychological examination tailored to the needs of the patients and the demands of the clinical situation. Assess and prioritise patients undergoing treatment. Demonstrate continual evaluation of the patients and use expertise to recommend adjustments/amendments to treatment plans, in consultation with the patient and members of the multi-professional team. Make direct referrals to other members of the health care team. Requests bloods and radiological test as appropriate and within agreed scope Request and perform diagnostic tests as agreed locally and within agreed scope. Chase, view and Interpret results and report findings. Discuss and agree assessment outcomes with patients, carers, and other health care professionals to enable patients to make an informed decision regarding their treatment. Communicate highly complex information to patients, carers, and families during the consent process prior to commencement of treatment plans and invasive procedures including explaining treatment options. Authorise the decision to admit patients and/or proactively initiate discharge. Actively supports patients and their families through communicating difficult and highly complex sensitive information using a variety of methods to ensure effective understanding in a timely manner. Proactively supports patients, carers, and families in coming to terms with their illness/condition. Have a health promotion and prevention approach and comprehensively assess patients for risk factors and early signs of illness. Provides empathy and reassurance through understanding the quality-of-life issues associated with their illness/conditions and treatment related side effects. Ensure that accurate, essential, and appropriate written and verbal information is conveyed to the wider MDT to ensure effective management of patients. Ensure dignity, privacy and cultural and religious beliefs are always respected. Adheres to professional code of conduct, works within the boundaries of their scope of practice and always manage associated clinical risks effectively. Have a direct responsibility for a patient caseload, ensuring an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made. Initiate pharmacological intervention, using v300 non-medical prescribing (dependant on registration) and administer medications as prescribed by others in accordance with trust policies. To prescribe and review medication in accordance with current legislation and trust policy (dependant on registration). To work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication, medication regimes, side effects and interactions.

Professional leadership and Management

Act in such a way as to be a credible, effective leader, demonstrating effective clinical leadership daily. Act as a role model by demonstrating high standards of holistic care Take key responsibility for supporting the wider MDT. Effectively manage own dairy and workload. Effectively manage patient caseload. Ensure delivery of core contractual Key Performance Indicators (KPIs) and targets / expectations for Virtual Hospital/UCR services Ensure that documentation is of a very high standard reflective of Advanced Clinical Practice, adhering to local and national guidelines. Identify the skills set and terms of reference required of the Advanced Clinical Practitioner role, ensuring they reflect the individual, holistic needs of patients undergoing care. Works in collaboration with the MDT to investigate clinical incidents associated with patients in their care. Assess and monitor risk in own and others practice, acting on results, thereby ensuring safe delivery of care. Diffuse potential complaints and hostile situations with staff, patients and carers using highly developed negotiation and interprofessional skills Provide representation, as appropriate at various local and national meetings, providing feedback to the organisation on clinical and professional issues, which have an impact on care and standards of practice within their sphere of responsibility. Develop formal and informal links outside the organisation, sharing good practice, innovative ideas, and promote staff and service development. Establish and maintain a regional and national network of contacts relevant to the service. Promote the service through formal and informal presentations within and outside the organisation through study days, conferences, and written papers. Engage stakeholders and use high-level negotiating and influencing skills to develop and improve practice. Develop practice and roles that are appropriate to patient and service need through understanding the implications of epidemiological, demographic, social, political and professional trends and developments. Represent the team and Organisation at local system and Integrated Care System (ICS) meetings/events relevant to the delivery of virtual hospitals and urgent community response

Education and Training

Has obtained the theoretical knowledge; MSc in advanced practice or equivalent, in conjunction with practical experience; evidenced in a supporting portfolio, to a level that allows the job responsibilities to be delivered at a high standard. Has obtained Non-Medical Prescribing if appropriate to registered profession. Identify own personal developmental and educational needs to work at an advanced level and beyond. Ensure appropriate action is taken to maintain and further develop skills. Maintain a professional portfolio and participate in continuing professional development. Maintain competencies and attend mandatory lectures and training as required by the Trust. Receive clinical supervision to clinically improve knowledge and the quality of care delivered to patients. Utilises professional knowledge and skills, underpinned by theoretical and relevant practical experience to teach, motivate, and support junior staff on a range of clinical practices. Participates in the delivery of specialist training and development of other healthcare workers within the Trust. Develop and organise study days and training sessions for self and others within the clinical team. Participates in the supervision and mentorship of multi-professional students and junior staff. Undertake clinical supervision for trainee APs. Carry out training needs analysis, using the results to design, develop and deliver a teaching programme promoting practice development for those staff caring for patients within the speciality. This will include the development of links with other organisations and innovative approaches to staff development.

Research, service development and audit

Maintain up to date knowledge in the specialist field, using information to affect change in practice and ensuring effective dissemination of new knowledge. Participate in service development. Writes protocols, guidelines, and procedures for own remit, which, impacts on other members of the multi-disciplinary team. Participate in the development and evaluation of protocols and guidelines and procedures using current literature and research. Participates in the development of patient information to improve patient care. Liaise with MDT, including consultants, senior nursing colleagues and management in the development of services, contribute ideas and make recommendations for service improvements. Implement policies informing members of the multidisciplinary team of any changes. In collaboration with the MDT, ensure that clinical practice is patient centred and researched based, in accordance with professional practice, guidelines, and national and local benchmarks. Support relevant audit activity in the specialities to evaluate the effectiveness of care interventions and disseminates outcomes with any potential changes to clinical practice, which improves health outcomes. Regularly audits own practice. Where appropriate participate in research projects and/or support the wider MDT with research initiatives. Promote and disseminate research and audit findings relevant to the service Continue to develop and promote the Advanced Clinical Practitioner role through professional publications and conference papers

Multi-disciplinary liaison

Ensure effective communication is maintained between members of the multidisciplinary team to ensure appropriate individuals are informed of changes in patient conditions or treatment plan. Be a core member of the multidisciplinary team providing specialist knowledge and advice. Establish and maintain excellent communication with individuals and groups exploring complex issues relating to care options and decisions. Promote collaborative working relationships and effective communication between all members of the team. Person Specification

Education/Qualifications

Essential

Professional Registration with either NMC, GPhC or HCPC MSc in Advanced Practice or equivalent (, registered on Centre of advancing practice directory) Possession of 1st degree in a clinical field , Nursing, Physiotherapy, Paramedic science at a minimum 2:2 classification Digital badge obtained via the Centre of advancing practice Consultation and assessment qualification Non-Medical Prescribing - v300 if appropriate to registered profession. Significant post qualification experience [minimum 3 years] in a relevant clinical field.

Desirable

Post registration experience / qualification in frailty Teaching/assessment/Mentoring qualification

Knowledge

Essential

Documented evidence of completion of generic advanced practice competencies and a defined range of speciality competencies. Comprehensive understanding of NHS including role and function of Integrated Care Systems and Primary Care Networks Comprehensive understanding of Social Care Systems and processes Advanced knowledge of community service provision Significant experience gained working within speciality Experience of managing complex and competing issues, remaining calm under pressure Knowledge of clinical governance and risk assessment/management

Skills/Experience

Essential

Advanced clinical assessment and diagnostic skills Ability to formulate differential diagnoses, appropriate treatment and evaluate effectiveness Ability to work as an independent practitioner (does not include Occupational therapy) Experience of successfully managing the implementation of change. Evidence of both theoretical and practical skills and competency in patient management Strong leadership skills

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