Job summary
Band 8a Advanced Clinical Practitioner Community Frailty Virtual Ward
Full and part-time hours considered.
Are you passionate about improving care for people living with frailty across Plymouth, the South Hams and West Devon? We are offering an exciting opportunity to join our innovative Community Frailty Virtual Ward, delivering high-quality, patient-centred care in patients own homes. Our virtual ward supports people to remain safely at home, reducing hospital admissions, shortening length of stay and improving wellbeing through enhanced multidisciplinary working.
As an Advanced Clinical Practitioner, you will use your expert skills in assessment, diagnostics and clinical decision-making to provide autonomous care for patients at risk of deterioration. You will work closely with geriatricians, GPs, Nurses, AHPs and partners to ensure proactive, coordinated support. You will also contribute to service development, leadership, education and continuous improvement within this evolving model of care.
We welcome applications from experienced clinicians with an MSc in Advanced Clinical Practice (or equivalent) who are motivated, compassionate and confident working in a dynamic community environment.
All Livewell Southwest staff are expected to work flexibly across a 7day service.
This advert may close early if a high number of applications are received.
This role may not be eligible for Skilled Worker sponsorship please refer to GOV.UK for guidance.
Main duties of the job
Main Duties of the Role
As an Advanced Clinical Practitioner, you will be a key member of our new multidisciplinary Community Frailty Virtual Ward, working across one or more of the six virtual wards across Plymouth South Hams and West Devon. You will provide specialist assessment, intervention and coordinated care for people living with frailty, working closely with Consultants, GPs, ACPs, Pharmacists, Frailty Practitioners, Clinical Nurse Specialists, Occupational Therapists, Physiotherapists, Frailty Nurses, Assistant Practitioners, Nursing Associates and HCAs to deliver safe, integrated support for all patients admitted to the service.
We welcome applications from those seeking fulltime, parttime or flexible working.
Key Responsibilities
- Deliver advanced, autonomous clinical assessments and interventions for patients on the Frailty Virtual Ward.
- Provide leadership within the virtual ward and support inreach to the acute hospital when required.
- Manage complete episodes of care alongside medical colleagues.
- Undertake comprehensive history taking, clinical examination and frailtyfocused assessment.
- Diagnose, plan and implement evidencebased treatment.
- Prescribe safely in accordance with professional frameworks.
- Request, interpret and act upon diagnostic investigations.
- Make appropriate onward referrals and ensure effective planning, review and evaluation of care.
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 post
holder will and in accordance with Multi-professional framework for advanced
clinical practice in England their professional code of practice and legal
frameworks such as non-medical prescribing. Advanced Clinical Practice a level
of practice characterised by a high degree of autonomy and complex decision
making. This is underpinned by a masters level award (L7) that encompasses the
four pillars of clinical practice, leadership and management, education and
research, with demonstration of core capabilities and area specific clinical
competence.
Working
autonomously as an Advanced Clinical Practitioner within the clinical team and
provide a high level of expertise to ensure patient-centred clinical care in
the most appropriate clinical setting Exercise
advanced clinical expertise, levels of judgement, discretion and decision
making whilst undertaking the skills of assessment, examination to provide a
diagnosis and formulate timely treatment plans within an agreed scope of
practice
Evaluate
investigations and revise treatment plans according to patient need and assess
impact and outcome.
Assist
in the safe referral and discharge of patients with undifferentiated and
undiagnosed presentations in any areas of working
Provide
expert professional advice to patients, carers and colleagues
Monitor
and lead improvements to standards of care through; supervision of practice,
clinical audit, implementation of evidence based practice, teaching and support
of colleagues and the provision of professional leadership.
Lead
the implementation of new evidence based practice and contribute to the
development of the evidence through research, audit and collaboration with
clinical or academic staff.
Contribute
to clinical governance by leading quality improvement, audit and research
projects as part of the multidisciplinary service-wide performance and quality
agenda.
Role
model the Organisations values and behaviours, demonstrating a person centred
approach to service delivery and development whilst maintaining a professional
portfolio that supports their scope of practice.
4. SCOPE AND RANGE
The
post holder will be an autonomous registered clinician who is confident to work
as the only clinician when required and with a consultant/specialty doctor/GP
on other occasions.
The Advanced Clinical Practitioner will work within a defined
scope of practice and to agreed clinical standards In line with HEE ACP
framework (2017)
The post holder will provide a high level of expert clinical care,
promoting clinical leadership and set a good standard of professional practice
with the organisation
The
post holder provides a visible, accessible and authoritative presence within
Livewell services and community settings.
The
post holder will be working across organisations and communicating with a range
of professionals, patients/clients and their families.
Responsibilities
will include managing whole episodes of care by supporting medical colleagues,
history taking, clinical assessment, diagnosis, treatment including
prescribing.
The ACP
will be responsible for ordering and acting on investigations, creating
management plans, onward referral and evaluation of care
The post holder will lead the development of non-medical led
models of care across community services, in collaboration with
multi-professional and systems colleagues.
5. MAIN DUTIES/RESPONSIBILITIES
The ACP will be based in the specified Team and works within other
related working areas across the specified clinical pathway.
The post holder will:
Proactively support the development of the ACP role within the team
primarily focusing on the holistic management of patients within the clinical
caseload and service model. Focussing on key areas for example (not exhaustive)
admission avoidance to positive discharge, reducing length of stay, and delivering
quality patient care. This could be through community management and inreach
work.
Actively participate in professional leadership and education across
the nursing, medical and therapy teams.
Actively participate in and represent the Organisation in the Regional
networks
Actively participating in developing the service.
The post holder will manage own workload within areas of individual
competency in the service area for example various clinics, diagnoses in order
to 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 techniques
autonomously in the context of their speciality
Interpreting broad policy: Establish the way in which these should be
interpreted 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 on
extensive knowledge skills and experience, recognising and acting on potential
gaps in knowledge.
Seeking out advice and support from consultant/medical colleagues when
required.
Supporting the writing of polices and maintaining standards.
PLEASE REFER TO THE ATTACHED DOCUMENT FOR THE FULL JOB DESCRIPTION
Job description
Job responsibilities
The post
holder will and in accordance with Multi-professional framework for advanced
clinical practice in England their professional code of practice and legal
frameworks such as non-medical prescribing. Advanced Clinical Practice a level
of practice characterised by a high degree of autonomy and complex decision
making. This is underpinned by a masters level award (L7) that encompasses the
four pillars of clinical practice, leadership and management, education and
research, with demonstration of core capabilities and area specific clinical
competence.
Working
autonomously as an Advanced Clinical Practitioner within the clinical team and
provide a high level of expertise to ensure patient-centred clinical care in
the most appropriate clinical setting Exercise
advanced clinical expertise, levels of judgement, discretion and decision
making whilst undertaking the skills of assessment, examination to provide a
diagnosis and formulate timely treatment plans within an agreed scope of
practice
Evaluate
investigations and revise treatment plans according to patient need and assess
impact and outcome.
Assist
in the safe referral and discharge of patients with undifferentiated and
undiagnosed presentations in any areas of working
Provide
expert professional advice to patients, carers and colleagues
Monitor
and lead improvements to standards of care through; supervision of practice,
clinical audit, implementation of evidence based practice, teaching and support
of colleagues and the provision of professional leadership.
Lead
the implementation of new evidence based practice and contribute to the
development of the evidence through research, audit and collaboration with
clinical or academic staff.
Contribute
to clinical governance by leading quality improvement, audit and research
projects as part of the multidisciplinary service-wide performance and quality
agenda.
Role
model the Organisations values and behaviours, demonstrating a person centred
approach to service delivery and development whilst maintaining a professional
portfolio that supports their scope of practice.
4. SCOPE AND RANGE
The
post holder will be an autonomous registered clinician who is confident to work
as the only clinician when required and with a consultant/specialty doctor/GP
on other occasions.
The Advanced Clinical Practitioner will work within a defined
scope of practice and to agreed clinical standards In line with HEE ACP
framework (2017)
The post holder will provide a high level of expert clinical care,
promoting clinical leadership and set a good standard of professional practice
with the organisation
The
post holder provides a visible, accessible and authoritative presence within
Livewell services and community settings.
The
post holder will be working across organisations and communicating with a range
of professionals, patients/clients and their families.
Responsibilities
will include managing whole episodes of care by supporting medical colleagues,
history taking, clinical assessment, diagnosis, treatment including
prescribing.
The ACP
will be responsible for ordering and acting on investigations, creating
management plans, onward referral and evaluation of care
The post holder will lead the development of non-medical led
models of care across community services, in collaboration with
multi-professional and systems colleagues.
5. MAIN DUTIES/RESPONSIBILITIES
The ACP will be based in the specified Team and works within other
related working areas across the specified clinical pathway.
The post holder will:
Proactively support the development of the ACP role within the team
primarily focusing on the holistic management of patients within the clinical
caseload and service model. Focussing on key areas for example (not exhaustive)
admission avoidance to positive discharge, reducing length of stay, and delivering
quality patient care. This could be through community management and inreach
work.
Actively participate in professional leadership and education across
the nursing, medical and therapy teams.
Actively participate in and represent the Organisation in the Regional
networks
Actively participating in developing the service.
The post holder will manage own workload within areas of individual
competency in the service area for example various clinics, diagnoses in order
to 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 techniques
autonomously in the context of their speciality
Interpreting broad policy: Establish the way in which these should be
interpreted 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 on
extensive knowledge skills and experience, recognising and acting on potential
gaps in knowledge.
Seeking out advice and support from consultant/medical colleagues when
required.
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 frequently travel independently and in a timely manner between Livewell Southwest sites and community locations including areas not served by public transport.
- 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
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 frequently travel independently and in a timely manner between Livewell Southwest sites and community locations including areas not served by public transport.
- 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
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
