Job summary
Are you a highly motivated, experienced Advanced Clinical Practitioner, looking for a new challenge?If so Adult Mental Health Services are looking for someone who possess confidence, enthusiasm, initiative and a positive approach to teamwork but most importantly have a genuine passion for patient care.
AMH have exciting plans to modernise our workforce to meet current and future challenges and provide a new career pathway for non-medical practitioners through the introduction of Advanced Clinical Practitioners into our community services. This role will be based within the City Community Mental Health Service, based at Lavender House.
It is anticipated that this role will develop over time in response to changes in service delivery and therefore we need clinicians who are energetic, eager to develop and are forward thinking with the potential to adapt to change and meet new challenges. We will ensure we support you at every level to enable you to develop the role within AMH services.
Alternatively, we would consider appointing a Trainee Advanced Clinical Practitioner (tACP) to develop specialist knowledge and skills to provide healthcare autonomously to patients in their speciality through an established ACP training pathway.
Main duties of the job
The post holder will be an experienced Nurse/Allied Health Professional/Paramedic, qualified to ACP Masters Level who will act as a Clinical Leader. They will:
- Demonstrate safe , senior clinical decision-making by autonomously assessing patients presenting to the inpatient service including initial history taking, clinical assessment, diagnosis, treatment and evaluation of care
- Demonstrate critical thinking in the clinical decision making process and work collaboratively with the MDT to meet the needs of patients.
- Be instrumental in guiding junior medical staff and nursing staff in relation to relevant protocols, procedures and clinical pathways.
- Be fundamental in the development of this new role.
- Initiate, manage and drive innovative change in practice for the benefit of patient care in line with Trust and local procedures.
Alternatively, we would consider appointing a Trainee Advanced Clinical Practitioner (tACP) to develop specialist knowledge and skills through the MSc in Advanced Clinical Practice as an apprentice; included in the curriculum are work-based learning modules. As well as the academic pathway the tACP will follow the three-year supervisor-supported ACP training program mapped against established national and regional competencies.
The ACP may provide mentorship to trainee ACP's within the directorate. 1st on call duties on a 3 month rota basis, will form part of this role.
About us
We have a huge variety of opportunities in our expansive Trust covering geographically from South Yorkshire, Nottinghamshire to Leicester, providing mental health inpatient and community services, community health services, forensic mental health services and secure prison healthcare across the East Midlands.
We have more than 100 sites and a huge scope of unique opportunities to develop your career and gain some amazing experiences. We strive to be a great place to work and offer many staff benefits and tailored staff support and wellbeing programmes.
Do you want to make a difference?
Do you believe in Trust, Honesty, Respect, Compassion and Teamwork?
Then Nottinghamshire Healthcare is the perfect place for you to start, maintain or further your career. Join our team of nearly 9000 who are making a difference every day. We are all about our people - our staff, volunteers, carers, service users and patients. We are NottsHC.
Follow us on Facebook and Twitter @NottsHealthcare
Job description
Job responsibilities
A fully qualified ACP must be able to:
- Complete a full system and physical or psychological/psychiatric exam
- Take a systemic and/or psychosocial patient / prisoner or service user history
- Make diagnostic decisions based on consultation, history, presentation, pathology and/ or imaging results
- Initiate, prescribe and monitor the impact and outcome of treatments and medication including efficacy, side effects, contraindications and risk
- Devise an individual clinical management plan that includes all aspects of multi-disciplinary care
- Screen patients for early signs of disease and risk factors and relapse indicators
- Carry out where appropriate, invasive and non-invasive diagnostic and therapeutic procedures with due regard to mental capacity and advance decisions
- Refer to other health professionals as appropriate
- Discharge from hospital or services as required
- Run independent out-patient clinics seeing new and review individuals as required
For trainee ACP the requirements include
To undertake appropriate training in order that the following clinical skills can be achieved:
- The ACP is accountable for independent clinical assessment, formulation, diagnosis and treatment of these individuals with undiagnosed and undifferentiated conditions. They will provide expert professional and independent clinical care which enables the coordination of a multi professional seamless service.
- Practise in compliance with respective code of professional conduct and within scope of practice, being responsible and accountable for their decisions, actions and omissions
- Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.
- Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
- Work in partnership with individuals, families and carers, using a range of assessment methods (e.g. of history-taking; holistic assessment; identifying risk factors; mental health assessments; requesting, undertaking and/or interpreting diagnostic tests and conducting health needs assessments).
- Demonstrate effective communication skills supporting people in making decisions, planning care or seeking to make positive changes, through person-centred approaches in health and care
- Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.
- Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care.
- Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers.
- Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.
- Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.
- Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope.
Job description
Job responsibilities
A fully qualified ACP must be able to:
- Complete a full system and physical or psychological/psychiatric exam
- Take a systemic and/or psychosocial patient / prisoner or service user history
- Make diagnostic decisions based on consultation, history, presentation, pathology and/ or imaging results
- Initiate, prescribe and monitor the impact and outcome of treatments and medication including efficacy, side effects, contraindications and risk
- Devise an individual clinical management plan that includes all aspects of multi-disciplinary care
- Screen patients for early signs of disease and risk factors and relapse indicators
- Carry out where appropriate, invasive and non-invasive diagnostic and therapeutic procedures with due regard to mental capacity and advance decisions
- Refer to other health professionals as appropriate
- Discharge from hospital or services as required
- Run independent out-patient clinics seeing new and review individuals as required
For trainee ACP the requirements include
To undertake appropriate training in order that the following clinical skills can be achieved:
- The ACP is accountable for independent clinical assessment, formulation, diagnosis and treatment of these individuals with undiagnosed and undifferentiated conditions. They will provide expert professional and independent clinical care which enables the coordination of a multi professional seamless service.
- Practise in compliance with respective code of professional conduct and within scope of practice, being responsible and accountable for their decisions, actions and omissions
- Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.
- Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
- Work in partnership with individuals, families and carers, using a range of assessment methods (e.g. of history-taking; holistic assessment; identifying risk factors; mental health assessments; requesting, undertaking and/or interpreting diagnostic tests and conducting health needs assessments).
- Demonstrate effective communication skills supporting people in making decisions, planning care or seeking to make positive changes, through person-centred approaches in health and care
- Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.
- Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care.
- Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers.
- Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.
- Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.
- Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope.
Person Specification
Qualifications
Essential
- Current registration with the NMC or HCPC
- Clinical based Post-graduate Degree
- MSc Advanced Practice
Desirable
- Management/Leadership Qualification or attendance at equivalent Leadership Study Days (Masters qualification or equivalent)
- Recognised teaching or mentorship qualification at degree level or equivalent
- Non-Medical Prescriber (V300)
Training
Essential
- Evidence of continued professional development
Experience
Essential
- Evidence of working at a senior position within Health Care of Older People or equivalent services
- Demonstrate ability to work across all 4 pillars of 'Advanced Clinical Practice'
- Experience of working with Older People with Mental Health issues & Complex Physical Comorbidities
- Evidence of extensive expert professional/clinical knowledge managing unwell patients in the community, primary or acute setting
- Specialist clinical training and CPD in relation to patient history taking, clinical examination and developing management plans for patients
- Knowledge of national and local NHS healthcare agenda, standards, research and its implications
- Participation in research, audit and evaluation
- Knowledge and experience of chronic disease management and long-term conditions
- Evidence of managing staff and multidisciplinary teams
- Evidence of relevant involvement in meeting the Trust clinical governance objectives
Desirable
- Understanding of the Mental Health Act 1983, Mental Capacity Act 2005 and DOLS
- Can demonstrate assertiveness, tact and diplomacy appropriately
- Evidence of involvement in policy and practice change
- Evidence of proactive involvement in the mentorship and development of nurses and nursing practice
- Computer Literacy
Skills
Essential
- Is motivated and able to motivate others and manage resistance to change
- Effective communicator able to communicate complex and highly sensitive information
- Evidence of effective people management and leadership skills
- Able to work well under pressure and deliver to deadlines with a flexible approach
- Proven ability to remain calm and efficient under pressure Highly motivated and enthusiastic to learn/develop further
- Be able to demonstrate the skill to integrate teams from a variety of backgrounds to integrate the social and health agenda
- Positive and proactive, takes own initiative
- Work as part of the multidisciplinary team
- Prioritise and demonstrate effective time management and organisational skills
Values and Behaviours
Essential
- All colleagues are expected to demonstrate that they act in line with Nottinghamshire Healthcare NHS Foundation Trust Values: Trust Honesty Respect Compassion Teamwork
- All colleagues are expected to demonstrate an understanding of and commitment to Equality, Diversity and Inclusion (EDI) and how it applies to their role. The Trust's expectations are highlighted within our EDI Policy, and associated EDI and Human Rights legislation
Person Specification
Qualifications
Essential
- Current registration with the NMC or HCPC
- Clinical based Post-graduate Degree
- MSc Advanced Practice
Desirable
- Management/Leadership Qualification or attendance at equivalent Leadership Study Days (Masters qualification or equivalent)
- Recognised teaching or mentorship qualification at degree level or equivalent
- Non-Medical Prescriber (V300)
Training
Essential
- Evidence of continued professional development
Experience
Essential
- Evidence of working at a senior position within Health Care of Older People or equivalent services
- Demonstrate ability to work across all 4 pillars of 'Advanced Clinical Practice'
- Experience of working with Older People with Mental Health issues & Complex Physical Comorbidities
- Evidence of extensive expert professional/clinical knowledge managing unwell patients in the community, primary or acute setting
- Specialist clinical training and CPD in relation to patient history taking, clinical examination and developing management plans for patients
- Knowledge of national and local NHS healthcare agenda, standards, research and its implications
- Participation in research, audit and evaluation
- Knowledge and experience of chronic disease management and long-term conditions
- Evidence of managing staff and multidisciplinary teams
- Evidence of relevant involvement in meeting the Trust clinical governance objectives
Desirable
- Understanding of the Mental Health Act 1983, Mental Capacity Act 2005 and DOLS
- Can demonstrate assertiveness, tact and diplomacy appropriately
- Evidence of involvement in policy and practice change
- Evidence of proactive involvement in the mentorship and development of nurses and nursing practice
- Computer Literacy
Skills
Essential
- Is motivated and able to motivate others and manage resistance to change
- Effective communicator able to communicate complex and highly sensitive information
- Evidence of effective people management and leadership skills
- Able to work well under pressure and deliver to deadlines with a flexible approach
- Proven ability to remain calm and efficient under pressure Highly motivated and enthusiastic to learn/develop further
- Be able to demonstrate the skill to integrate teams from a variety of backgrounds to integrate the social and health agenda
- Positive and proactive, takes own initiative
- Work as part of the multidisciplinary team
- Prioritise and demonstrate effective time management and organisational skills
Values and Behaviours
Essential
- All colleagues are expected to demonstrate that they act in line with Nottinghamshire Healthcare NHS Foundation Trust Values: Trust Honesty Respect Compassion Teamwork
- All colleagues are expected to demonstrate an understanding of and commitment to Equality, Diversity and Inclusion (EDI) and how it applies to their role. The Trust's expectations are highlighted within our EDI Policy, and associated EDI and Human Rights legislation
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).
