Advance Clinical Practitioner

1 month ago

Edmonton, United Kingdom North Middlesex University Hospital Full time

Job overview

The post holder will be employed by North Middlesex University Hospital (Enfield Community) with primary responsibility at Chase Farm Hospital on Cape Town and Canterbury wards. Occasionally the post holder may be expected to work across the wider team at Magnolia Unit and Virtual ward.

Patients will be identified as being medically optimised but requires community support while waiting for either placement or package of care or requiring rehabilitation.

Working autonomously, the post holder will have continuing responsibility for proactively monitoring and managing, patients on the wardand act as a clinical leader and role model to staff within the service, offering clinical advice on the care of patients with complex needs as required. You will work with the GP, colleagues and managers to support the integration of care pathways and patient care across community settings.

Main duties of the job

You will be expected to have skills in advanced physical assessment, diagnostic reasoning, nurse independent prescribing and managing patient with complex needs. Using these skills will assist in the recognition of early symptoms of disease exacerbation, acute illness and injuries. 

The post holder will co-ordinate care and navigate the patient through pathways across the primary, secondary care interface, including the prevention of unnecessary readmissions, facilitating appropriate ones through in-reach case finding from medical /surgical wards at NMUH and key partners North London (Barnet, Whittington, Royal Free hospital, UCLH for rehab patients for rehabilitation.

Care, compassion, competence, communication, courage and commitment will underpin all care delivered as well as Standards for Better Health Care, National Service Frameworks, the long-term conditions agenda, hospital avoidance and care closer to home.

Working for our organisation

North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Take a tour of our hospital

Detailed job description and main responsibilities

Carry out ward rounds at the beginning of each shift with the General Practitioner (GP), Matron and Ward Manager

Be able to carry out a ward round in the absence of a GP

Assessing and managing high acuity complex patients autonomously

Prescribing medication and ability to link pharmacology to patients' treatment and presentation

Respond appropriately to medical emergencies and support the nursing team.

 Make advanced, evidence-based decisions, in partnership with patients and other professionals, using agreed protocols, but also where there are no appropriate precedents.

Work closely with the GP leading daily MDT meeting.

Update and complete discharge summaries.

Champion the role of ACPs and supporting nurses, Trainee ACPs find their feet in order to craft for the next generation to benefit the complex needs of the local population.

Help drive improvements across pathways, showing evidence-based practice.

 Help drive transformation of the workforce within the organization.

Person specification

Essential & Desirable

Essential criteria

Experience of working autonomously and independently as an ACP Understanding of the role of Primary care in supporting acute wards to step down patients and supporting a timely discharge Ability to assess and identify deteriorating patients and recognize early symptoms of disease

Desirable criteria

2 years experience within NHS organization Experience in A&E, Acute assessment units, similar setting would be advantageous Experience of managing staff recruitment and retention. Experience of managing a team

We reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications have been received.

You will only be contacted by the Recruitment Team via email if you are shortlisted for this post. Please ensure therefore that you check your e-mail account regularly.

Please note in order to progress your application, your data will be processed by our 3rd party recruitment providers – North London Partners Shared Service, (NLPSS) who conduct recruitment activities on behalf of NMUH.

If you are offered a role with one of the NLPSS partner trusts, as part of pre-employment checks your  identity and right to work documentation will be verified remotely (in most circumstances), using a certified identity verification service provider TrustID. You will be asked to capture an image of the relevant documents as well as a “selfie” using your smartphone/tablet (if available) for facial matching. TrustID will also perform a digital address check using Trunarrative and Equifax, which is a soft check and does not leave a footprint on your credit rating. For more information, visit

NMUH uses identification scanning technology to confirm the authenticity of documents; all prospective employees of NMUH will have their original documents verified using this technology.

By applying for this post you are agreeing to NMUH transferring the information contained in this application to its preferred applicant management system. All subsequent information regarding your application will be generated from apps.trac.jobs. You will not be able to track the progress of your application or receive messages through the NHS Jobs website, and as an employer, we will not be able to respond to any e-mails sent to us via the NHS Jobs website. If you are offered a job, information will also be transferred into the national NHS Electronic Staff Record (ESR) system and other secure, internal NHS workforce systems.

By applying for this role, you accept in the event you are successful that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which is aimed at saving you time and improving efficiencies within the NHS when your employment transfers. Therefore we want you to complete your e-learning modules prior to joining our organisation.

If you are an  EU/EEA citizen who does not have EU Settlement or Pre-Settled status, you will require a visa to work in the UK.

If you require sponsorship  for a visa to work in the UK, to avoid disappointment, please check to ensure you are eligible under the 

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