Trainee Advanced Clinical Practitioner (tACP) Emergency Medicine

Job responsibilities

Expertise & excellence in clinical practice:

Deliver evidence-based personalised and compassionate care which places quality at the heart of specialist practice. Care will be responsive to individual patient needs and reflect current local protocols and national guidelines.

Utilise high levels of autonomy and advocacy, using analytical and judgemental skills in undertaking differential diagnosis to ensure the delivery of an expert level of care, developing their own and others knowledge within the speciality.

Manage their own caseload of patients including comprehensive review of patients, requesting diagnostics, reviewing results and creating and implementing management plans within the speciality and prioritise workload to meet patient and service need.

Independent and supplementary prescribing including discharge of patients, within current legislative and local frameworks.

Support development and implementation of personalised care pathways for the speciality through holistic needs assessment, planning and evaluation of care and all care interventions.

Implement pathways of care, adapting to patients emerging needs by ensuring a planned and co-ordinated approach to care, supporting enhanced recovery and reducing inappropriate admissions.

Refer directly to other health care professionals and specialist departments as necessary, to ensure optimal efficiency and quality of care.

Act as a patient advocate to facilitate the process of shared decision-making in respect to health, choice of treatment and care. Use interpersonal and communication skills where there may be significant barriers in order to build confidence. Ensure that patients individual needs are expressed and valued and individual management plans are understood.

Advise on diagnosis and symptom management for patients within the speciality. Evaluate response to interventions and advise on the adaptation of management and discharge plans.

Act as a resource, providing clinical expertise, specialist advice and support across service boundaries to ensure optimum liaison and co-ordination of care.

Undertake clinical competencies relevant to this specialist service to develop autonomous expertise. Actively integrate theory and practice.

Management and Leadership:

Provide clinical advice and leadership to others across the organisation, acting as a role-model and demonstrating high standards of holistic care.

Take on management role within the management team of the Emergency Department.

Support junior practitioners including responsibility for annual appraisal where applicable.

Contribute to annual improvement plans and continuously review their own performance against these plans, taking action or escalating where appropriate.

Promote an ethos of continual service improvement and lead delegated projects, monitoring progress in terms of milestones and key measures of performance.

Strive to motivate and involve others in developments in the speciality.

Contribute to the clinical governance agenda.

Attend team meetings and contribute to the agenda where required.

Communication:

Take personal responsibility for ensuring effective communication between all service providers.

Effectively and sensitively communicate highly complex and sensitive information to emotionally distressed patients and family/carers at key points along the care pathway on a frequent basis.

Refer to other health professionals to ensure optimum care and ongoing support for individual patients/carers, and to ensure the seamless transition between the Emergency Department and a ward environment appropriate to patients individual needs and circumstance.

Develop and maintain links with local and national organisations which support the care of patients within this speciality and specifically the Royal College of Emergency Medicine.

Network both locally across the sector and nationally to ensure that services within the Trust are at the leading edge of development in Emergency Medicine.

Create, manage and maintain robust links with inpatient specialities and the Emergency Department to ensure patients are identified and moved swiftly into optimal care pathways to improve patient outcomes.

Education:

Work towards attainment of a full Masters (MSc) qualification in Advanced Clinical Practice.

Support the development of multi-professional trainees involved in the care of acute medical patients.

Utilise educational strategies to deliver complex information to patients and carers.

Contribute to the development of patient training to support self-management and health promotion activities.

Contribute, where required, to Trust-wide specialist education and training.

Deliver formal and informal teaching initiatives as part of the Trusts education strategy as agreed with the appropriate senior staff to ensure practice development, staff empowerment and improved care for patients.

Act as a mentor/clinical supervisor as appropriate.

Take personal responsibility for life-long learning and personal development through clinical supervision and appraisal. Actively engage with learning and development opportunities.

Contribute to Trust-wide education agenda.

Utilise a professional portfolio to develop enhanced clinical skills to deliver advanced service within speciality.

Develop and monitor skills using best available evidence to support development.

Quality, Audit, Innovation and Research:

Work within their own professions code of professional conduct.

Contribute to the development of policies and clinical guidelines within the specialty.

Collaborate with other members of the multi-disciplinary team to develop and update multi-professional Trust operational policies and guidelines.

Maintain accurate patient records and ensure effective documentation to reflect the activity and delivery of specialist services.

Use creative reasoning, experience and vision to advance care.

Develop new skills in response to emerging knowledge and techniques.

Attend local forums to network and debate issues to inform the Advanced Practice role and service delivery.

Support the development of a research-based culture within the clinical area and act as a resource to others in relation to evidence-based Emergency care.

Ensure research findings are utilised as a basis for best practice.

Contribute to the development of clinical audit in their own specialist area.

Participate in clinical research relevant to their practice area.

Contribute to the identification of patients eligible for trial entry. Provide support to patients considering entry to clinical trials in relation to informed consent and advocacy.

Develop links and systems to seek the views of patient and carers to ensure service development is in line with user need.

Qualifications

Essential

• Registered professional, NMC or HCPC registered
• First level degree in related subject
• Advanced Health Assessment qualification at Masters level or ability to attain
• Independent Prescriber or ability to attain
• ALS Provider
• Evidence of continued professional development

Desirable

• Recognised teaching qualification/Mentoring and Assessing course
• Leadership course

Experience

Essential

• Experience of working autonomously within Emergency Care
• Experience of student supervision and teaching
• Experience in delivering patient advocacy
• Experience in contributing to research, audit and evidence-based care
• Able to work with a diverse range of internal and external stakeholders

Desirable

• Proven leadership skills
• Experience in delivering service improvement

Skills

Essential

• Demonstrable clinical and procedural skills relevant to Emergency care
• Advanced knowledge of the range of presentations, diagnoses and current management options within the speciality area
• Evidence of planning and organisational skills
• Proven listening and counselling skills with the ability to manage complex situations and appropriately deliver sensitive and difficult outcomes
• Ability to clinically lead and influence others
• Excellent verbal, written, interpersonal and communication skills
• Able to manage own caseload
• Able to use skills of history taking and physical assessment to direct patient care
• Excellent decision making abilities and critical thinking skills
• Able to conduct and evaluate own projects successfully
• Demonstrate an understanding of the current national issues relevant to Emergency care
• Knowledge of quality standards and relevant NICE guidelines, CQUINs etc
• Able to manage own caseload Able to use skills of history taking and physical assessment to direct patient care
• Excellent decision making abilities and critical thinking skills
• Able to conduct and evaluate own projects successfully
• Demonstrate an understanding of the current national issues relevant to Emergency care
• Knowledge and use of governance and risk assessment to improve quality and service development
• Ability to carry out and evaluate audit and research
• Proficient IT and presentation skills
• Ability to write reports and maintain accurate records

Personal qualities

Essential

• Problem solver
• Team player
• Creative thinker
• Able to perform under pressure
• Diplomatic

Other Job Requirements

Essential

• Willingness to work weekends and evenings
• Flexible and positive approach to work
• Able to work across the whole health economy

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.

Certificate of Sponsorship

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).