Advanced Care Practitioner (Nurse)

Job responsibilities

KEY RESPONSIBILITIES

Work as part of the multidisciplinary clinical team, for the provision of health care services to the patients of the organisation.

Work as an autonomous practitioner, responsible for the delivery of evidence-based practice for patients within the scope of your capabilities.

The post holder will take professional accountability for working at advanced level within the remit of qualifications and capabilities, as defined by the appropriate Framework for Advanced Practice, and working within the organisations standards and protocols, and local and national frameworks for best practice.

Develop a portfolio of evidence demonstrating competencies and capabilities in the four pillars for nurses as defined in the Core Framework for Advanced Clinical practice ACP Primary Care Nurse Framework 2020.pdf (hee.nhs.uk) of,

1. Clinical practice

2. Leadership and Management

3. Education

4. Research

The post holder will be able to:

Demonstrate highly developed interpersonal and communication skills

Develop critical thinking, complex clinical reasoning, and problem solving skills

Be caring, compassionate clinician that is committed to high quality patient care

Practice, without direct supervision, as an autonomous primary care healthcare practitioner holding a masters to be able to practice across primary care settings according to profession specific framework and agreed scope of practice.

Safely manage undifferentiated and undiagnosed presentations using data gathering, clinical examinations, diagnosis, organising investigations, safe prescribing, management, completing referrals, and follow-up within their agreed scope of practice and capabilities.

Participate in clinical audit and quality improvement projects.

Provide mentorship, supervision of other trainees, and appropriate leadership activities.

Mentorship and clinical supervision will be provided by designated Educators. The level and type of clinical supervision will be flexible depending on the post holders skills, knowledge, and capabilities, and determined by the organisations clinical governance arrangements.

CLINICAL RESPONSIBILITIES

Safely manage undifferentiated and undiagnosed presentations using data gathering, assessing for red flags, investigation, diagnosis, management, and review within their agreed scope of practice and capabilities. This will include within the organisation setting, home visits and care homes

Must demonstrate complex clinical reasoning skills, to use problem solving approaches to analyse and synthesise information, manage medical and clinical uncertainty particularly in relation to a wide range of contexts and clinical presentations, and to include physical, mental, and social problems

Have a sound understanding of referral pathways including routine, urgent, 2-week wait and emergency admissions Use resources appropriately and effectively

Manage acute/chronic presentations and medical complexity

Safely and effectively use a range of consultation modes to include telephone, video, online and face to face

Prescribe treatment and medication safely in line with local and national guidelines (where professional regulation and training permits i.e., an independent prescriber)

To offer personalised care to people and signpost to and link with other members of the organisation or wider health and social care team

Make every contact count in terms of public and patient health. Provide health promotion and patient education in supporting patients for healthier lifestyle, self-care and in managing their own conditions

Understand the needs of the organisations population and work to meet them effectively as part of the wider team

Work collaboratively as part of the multidisciplinary team understanding the capabilities of colleagues to promote the most appropriate care for people

Manage own workload and work flexibly to meet clinical demand on the day and the needs of the practice

Manage urgent situations by providing effective immediate emergency care, including initiating, and performing BLS/anaphylaxis management and use of AED

To provide accurate, contemporaneous, and complete records of patient consultations, consistent with legislation policies and procedures

Support the practices on-call triage system

Manage own and others pathology results in accordance with own level of capabilities, and following shared care pathology guidance and organisations policies and procedures

Safely and effectively manage documents (clinical letters/hospital discharges) in accordance with own level of clinical capabilities, and following organisations policies and procedures

COMMUNICATION

Have advanced and flexible interpersonal and communication skills to engage in effective and complex interactions with patients, carers, and colleagues as detailed in the profession specific framework

Communicate effectively with individuals who require additional assistance for consultation e.g., use of interpreters, BLS interpreters, easy read, people with LD etc.

Use communication skills to maintain a professional approach when working with patient and colleagues

RESEARCH, QUALITY AND LEADERSHIP

The post-holder will strive to maintain quality within the organisation and will

Demonstrate evidence-based care, working within local and national guidelines, and organisations policies and protocols

Alert other team members to issues of quality and risk following organisations policies and procedures of significant event analysis

Assess own performance and take accountability for own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Take an active role in research studies within the policy framework of the organisation

Assess effectiveness of care delivery through self and peer review, and formal evaluation including participation in regular appraisal

Participate in audit, data collection and activity monitoring to improve own performance as well as organisation quality improvement projects

Take an active leadership role across the organisation as required, leading on projects, contributing to strategic planning, leading a team or workstream within clinical, or non-clinical practice such as education, quality improvement, project management.

PROFESSIONAL DEVELOPMENT AND EDUCATION

Develop own skills and capabilities through education, training and development activities related to the current and future demands of the role, seeking opportunities to enhance skills to maintain current Registration and achieve Revalidation standards

Participate in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

Work within codes of conduct and practice set out by relevant professional body

Understand and observe professional and national guidelines on confidentiality

Participate in teaching and mentoring of other health professionals and members of the multi-disciplinary team

Understand own role and scope and identify how this may develop over time

Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

Contribute and attend organisational meetings for own learning and development, to enhance team working, and improve patient care

Qualifications

Essential

• Registered as a health care practitioner with NMC, HCPC, GPhC with a minimum of 5 years post registration experience BSc level
• Registered General Nurse with evidence of undertaking Level 6 or 7 study
• MSc/Post Grad diploma to include modules in advanced assessment and diagnostic reasoning, complex clinical reasoning

Desirable

• Independent prescribing qualification
• Advanced Care Practitioner MSc/Post Grad Diploma
• Be recognised as advanced practitioner on the HEE Centre for Advancing Practice Directory either from completion of a HEE Centre accredited MSc Programme or through the Portfolio Route to recognition
• RCN Credentialed Advanced Level Nurse Practitioner active status

Experience

Essential

• Experience of working in healthcare in an autonomous practitioner role
• Evidence of competence in the clinical assessment, diagnosis and management of all age groups presenting with undifferentiated diagnosis
• Telephone consultations
• Face to face consultations

Desirable

• Experience of working in the community, primary or urgent care
• Experience of working autonomously in a healthcare role
• Experience of mentorship, leadership, audit, and research in clinical practice.
• Home visits
• Familiar with using EMIS and AccuRx /Docman/ e consult

Training

Essential

• Evidence of continuing professional development and application to practice within the last 12 months, appraisal, and revalidation

Desirable

• Demonstration of currency with the HEE Centre for Advancing Practice

Knowledge, Skills & Behaviors

Essential

• Excellent communication skills
• Knowledge of Long-Term Conditions and managing exacerbations
• Multidisciplinary working
• Working across all four pillars of advanced practice and contributing to the organisations team

Desirable

• Able to work within agreed scope of practice which may include managing mental health patients, palliative care /EOL, Sexual health and Family Medicine and Child health

Other

Essential

• Self-Motivated individual
• Compassionate and strive for high quality patient care
• Flexibility in working hours and cross site working
• Enthusiastic team player looking to contribute
• Clean Driving Licence

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).