Job summary
The Trust has two Same Day Emergency Care Units (SDEC) one based at Lewisham Hospital(UHL) and the other at the Queen Elizabeth Hospital (QEH). The successful candidate will be based at the QEH site.
The team on both sites is made up of a range of both senior nursing and medical roles, each supportive of the role of the ACP. There is a dedicated Trust ACP Lead working cross-site.
The post holder will be practising autonomously as an advanced clinical practitioner (ACP) within the Same Day Emergency Care Unit (SDEC) to provide patient-centred quality care. This will encompass the skills of assessment, examination, diagnosis and treatment within an agreed scope of practice. The post holder will support a new way of working that emphasises a more efficient and patient focused service, and will ensure the safe referral and discharge of patients with undifferentiated and undiagnosed presentations in any area of the ED.
The post holder will deliver an 80% clinical component to their role and 20% related to appraisal, clinical audit, teaching, self-development and research.
Main duties of the job
To deliver and participate in the clinical care of patients attending the SDEC Unit.
Provide a level of advanced and comprehensive nursing assessment based on a specialist body of knowledge.
Direct responsibility for the management of patients within own case load and supervision /development of junior members of the multidisciplinary team.
To appropriately assess, examine, investigate, diagnose and treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations.
About us
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
- Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
- Widening access (anchor institution) and employability
- Improving the experience of staff with disability
- Improving the EDI literacy and confidence of trust staff through training and development
- Making equalities mainstream
Job description
Job responsibilities
Order & interpret investigations, laboratory tests, x-rays and act on results as appropriate, with supervision as required as a trainee.
Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with present legislation supply and prescribing of medicines, in line with non-medical prescribing qualification.
To contribute to the development and improvement of systems and processes that facilitates patient flow.
Maintain own clinical development by keeping abreast of new treatments and technologies within emergency and unscheduled care.
To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients.
To rigorously review all aspects of the patients plan of care and identify and address issues that may result in a sub-standard service.
Contribute to the review and development of integrated care pathways and clinical guidelines to ensure a standardised approach to emergency care.
Practice with confidence and competence within professional Guidelines (E.g. NMC, HCPC).
To ensure that accurate documentation and records of patient care are kept.
To provide specialist advice on patient care to the healthcare team taking into account all aspects of clinical governance, and act as a specialist resource within the ED other assessment areas and the Trust.
To lead the implementation and development of assessment systems, processes and tools within the SDEC Unit and adjacent clinical/assessment areas.
Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care.
Actively implement effective systems and processes for infection control management and relevant audit within their clinical area.
Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
Communicate patients conditions verbally and in writing to other members of the health care team and contribute to the decision-making processes in patient management. Acting as an advocate for patients and colleagues.
Ensure awareness of sources of support and guidance e.g., patient liaison service, and provide information in an accurate format to all patients.
Be able to anticipate barriers to effective communication and take action to improve communication.
Job description
Job responsibilities
Order & interpret investigations, laboratory tests, x-rays and act on results as appropriate, with supervision as required as a trainee.
Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with present legislation supply and prescribing of medicines, in line with non-medical prescribing qualification.
To contribute to the development and improvement of systems and processes that facilitates patient flow.
Maintain own clinical development by keeping abreast of new treatments and technologies within emergency and unscheduled care.
To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients.
To rigorously review all aspects of the patients plan of care and identify and address issues that may result in a sub-standard service.
Contribute to the review and development of integrated care pathways and clinical guidelines to ensure a standardised approach to emergency care.
Practice with confidence and competence within professional Guidelines (E.g. NMC, HCPC).
To ensure that accurate documentation and records of patient care are kept.
To provide specialist advice on patient care to the healthcare team taking into account all aspects of clinical governance, and act as a specialist resource within the ED other assessment areas and the Trust.
To lead the implementation and development of assessment systems, processes and tools within the SDEC Unit and adjacent clinical/assessment areas.
Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care.
Actively implement effective systems and processes for infection control management and relevant audit within their clinical area.
Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
Communicate patients conditions verbally and in writing to other members of the health care team and contribute to the decision-making processes in patient management. Acting as an advocate for patients and colleagues.
Ensure awareness of sources of support and guidance e.g., patient liaison service, and provide information in an accurate format to all patients.
Be able to anticipate barriers to effective communication and take action to improve communication.
Person Specification
Education, Registration, Qualifications
Essential
- NMC registered Nurse / Other allied health care professional (HCPC)
- Degree in relevant health subject
- Post-registration qualification in autonomous / specialist / advanced assessment practice
- ILS or ALS
- Teaching / assessment / Mentorship Qualification
Desirable
- Teaching / assessment / Mentorship Qualification
- Accredited autonomous practitioner qualification
- Master's in advanced practice *
- ATNC or equivalent*
- Leadership qualification*
Skills, Knowledge and Ability
Essential
- Advanced clinical assessment and documentation skills
- Evidence of radiology requesting
- Fundamental emergency skills (such as plastering, cannulation, wound closure etc)
- Critical decision-making skills
- Medicines Management: Experience at working with Patient Group Directives (PGDs)
- Experience of appraisals
Desirable
- Autonomous clinical assessment skills
- Competence in radiology requesting and interpretation
- Clinical Audit and interest in research
- Knowledge of pathophysiology and clinical diagnostics*
- Research skills*
- Publication*
Personal Qualities
Essential
- Evidence of multi-disciplinary-team working
Desirable
- Demonstrate commitment to support national, Trust and SDEC/ED strategies and objectives for emergency care
Experience
Essential
- Significant acute care experience (5 years, as defined by the Royal College of Emergency medicine)
- Teaching and assessment experience in clinical practice
- Experience of leadership experience
Desirable
- Minimum 6 years acute care experience
- Minimum of 1 year's-experience at trainee level or in an autonomous practitioner role
- Experience of service / practice development*
- Experience in a range of acute care settings*
Person Specification
Education, Registration, Qualifications
Essential
- NMC registered Nurse / Other allied health care professional (HCPC)
- Degree in relevant health subject
- Post-registration qualification in autonomous / specialist / advanced assessment practice
- ILS or ALS
- Teaching / assessment / Mentorship Qualification
Desirable
- Teaching / assessment / Mentorship Qualification
- Accredited autonomous practitioner qualification
- Master's in advanced practice *
- ATNC or equivalent*
- Leadership qualification*
Skills, Knowledge and Ability
Essential
- Advanced clinical assessment and documentation skills
- Evidence of radiology requesting
- Fundamental emergency skills (such as plastering, cannulation, wound closure etc)
- Critical decision-making skills
- Medicines Management: Experience at working with Patient Group Directives (PGDs)
- Experience of appraisals
Desirable
- Autonomous clinical assessment skills
- Competence in radiology requesting and interpretation
- Clinical Audit and interest in research
- Knowledge of pathophysiology and clinical diagnostics*
- Research skills*
- Publication*
Personal Qualities
Essential
- Evidence of multi-disciplinary-team working
Desirable
- Demonstrate commitment to support national, Trust and SDEC/ED strategies and objectives for emergency care
Experience
Essential
- Significant acute care experience (5 years, as defined by the Royal College of Emergency medicine)
- Teaching and assessment experience in clinical practice
- Experience of leadership experience
Desirable
- Minimum 6 years acute care experience
- Minimum of 1 year's-experience at trainee level or in an autonomous practitioner role
- Experience of service / practice development*
- Experience in a range of acute care 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).
