Trainee Advanced Clinical Practitioner in Emergency General Surgery

Job responsibilities

Key Result Areas:

Clinical Practice

Works within agreed, evolving scope of practice under named supervisors; escalates to senior decisionmakers as per local escalation policy; practice is guided by Trust policies and specialty protocols

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

Utilise appropriate levels of autonomy and advocacy, analytical reasoning skills in undertaking differential diagnosis to ensure the delivery of high-quality care, developing their own and others knowledge within the speciality.

Manage their own caseload of delegated patients including comprehensive clinical review, requesting diagnostics, reviewing results, analysing complex data, weighing risk/benefit and make timecritical decisions within supervised scope of practice.

Evidenced based independent prescribing (when registered as non-medical prescriber) including discharge medications, within evolving scope of practice, 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 to improve patient experience and safety.

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 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.

Empower patients to self-manage their condition, undertaking risk stratification to determine those who can self-manage following education, those who will need guided support to self-manage and those who will need ongoing face-to-face support.

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.

Leadership (and Management)

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

Prioritise an unpredictable caseload; coordinating clinical duties and planning supervised learning time.

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.

Education

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 where appropriate.

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

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

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

RESEARCH (INCLUDING QUALITY, AUDIT, INNOVATION)

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 Advanced Practice forums to network and share learning to enhance professional development 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 acute Surgical care.

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

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

Contribute to the identification of patients eligible for clinical 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.

Communication

Communicate complex and sensitive clinical information to patients, families and the multi-disciplinary team (MDT), frequently managing barriers to understanding (e.g., anxiety, language, cognition, health literacy) and using negotiation, persuasion and reassurance to support shared decisions. Deescalate conflict professionally; and documents conversations and agreed plans clearly.

Refer to other health professionals and outside agencies to ensure optimum care and ongoing support for individual patients/carers, and to ensure the seamless transition between primary and secondary care appropriate to patients individual needs and circumstances.

Develop and maintain links with local and national organisations which support the care of patients within this speciality.

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

Qualifications

Essential

• Registered professional with Nursing and Midwifery Council (NMC), General Pharmaceutical Council (GPC) or Healthcare Professions Council (HCPC).
• Evidence of continued professional development relevant clinical speciality.

Desirable

• Evidence of relevant post graduate study at level 7
• History taking and clinical examination/Health assessment course.
• Independent Prescriber
• ALS (or ILS) provider
• Recognised Teaching Qualification

Experience

Essential

• Experience of working at band 6 or above in relevant speciality.
• Experience of working as part of a multi-disciplinary Team
• Experience of supervision and teaching

Desirable

• Experience in delivering service improvement
• Experience in contributing to research, audit and evidence-based care
• Experience of triage and enhanced level patient assessment.

Skills

Essential

• Enhanced 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.
• Excellent verbal, written, interpersonal and communication skills
• Decision making abilities and critical thinking skills
• Demonstrate an understanding of the current national issues relevant to medical specialities
• Knowledge of quality standards and relevant NICE guidelines, CQUINs etc
• Knowledge and use of governance and risk assessment to improve quality and service development
• Proficient IT and presentation skills
• Ability to write reports and maintain accurate records

Desirable

• Demonstrable clinical and procedural skills relevant to the speciality and willingness to expand further to meet service needs
• Able to manage own caseload
• Ability to carry out and evaluate audit and research

Personal Qualities

Essential

• Problem solver
• Team player
• Creative thinker
• Able to perform under pressure
• Diplomatic
• Highly self-motivated to develop across 4 pillars
• Ability to study at academic level 7 (Masters level)

Other Requirements

Essential

• Willingness to work weekends and evenings
• Flexible and positive approach to work
• Able to work across the whole health economy
• Maintain trust e-portfolio to demonstrate ongoing CPD and clinical competence

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).