Trainee Advanced Clinical Practitioner

Job description

Job responsibilities

Clinical Responsibilities:

To deliver, participate and lead clinical care of patients

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

To be responsible and accountable for own decisions, actions and omissions at this level of practice. Demonstrating a critical understanding of own 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.

Order and interpret investigations, such as but not exclusively: laboratory tests and x-rays; and act on results as appropriate.

Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with present legislation supply and prescribing of medicines.

Demonstrate a high level of knowledge in relation to pattern of disease or disorder, markers of condition progression and range of treatment available at each stage of disorder or condition.

Be able to assess critically and re-evaluate the clinical situation as the patients condition changes. Anticipating likely potential physical and psychological problems caused either by the condition or by treatment for individuals living with frailty.

To be responsible for the delivery of a detailed, accurate and potentially complex clinical handover and to produce detailed and accurate written information within the medical notes regarding all clinical assessments, investigations completed and requested, and treatments administered.

To advise, communicate and work in conjunction with the wider MDT, leading and facilitating a patient or client focused, co-ordinated case management approach across primary and secondary care for people who are most vulnerable to, and at high risk of repeat admissions to hospital.

To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients whilst empowering the MDT to do the same by the promotion of principles and philosophies such as care closer to home, rehabilitation and optimal self-care.

Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence efforts across health and social services to shape multi-disciplinary pathways designed to support patient choice, improve quality of life, promote self-management and assure early intervention through the proactive provision of care in or as close to the patients own home as possible.

To always act as an advocate for individuals presenting with frailty, their carers and relatives.

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment. Anticipating barriers to effective communication and take action to improve this.

Collect, collate, evaluate and report information, maintaining accurate confidential patient records to a high standard reflective of Advanced Clinical Practice.

Support the development, implementation and audit of protocols, guidelines and policies for the Acute Frailty Service.

Establish and maintain a regional and national network of contacts relevant to the service.

Leadership/Managerial Responsibilities:

Act always with Compassion and in lines with Kings Values, and be committed to delivering high quality care, using effective communication, clinical competence and courage when needed.

Participate in the recruitment, selection and retention of staff. Choose an area of special interest within advanced clinical practice with the intention to develop and take forward in your ACP role, also taking into consideration the needs of the service.

To develop own leadership skills within the Advanced Clinical Practitioner Team.

Review the effectiveness of clinical care provided ensuring that patient safety is maintained, and care delivery meets the standards required by the Trust and the Care Quality Commission.

Manage change through strategic thinking, use of negotiating skills, self-awareness and effective communication. Working proactively in managing change in own speciality to improve practice and health outcomes whilst encouraging others to be innovative and adaptable in the approach to change.

Undertake clinical supervision and systematic peer caseload review of colleagues on an individual or group basis.

Assess and monitor risk in own and others practice, acting on results, thereby ensuring safe delivery of care.

Work collaboratively with representatives of other clinical areas, disciplines and services to provide a seamless pathway of care.

Participate in maintaining systems for risk assessment and minimisation including promoting a fair blame culture in order that near misses and incidents are reported and investigated.

Lead and contribute to investigation of incidents and complaints when required; participate in identifying lessons learnt and the sharing of learning across the organisation.

Continually monitor standards of care through quality markers, achievement of Trust targets, and benchmarking.

To be conversant with all Trust policies and procedures and ensure they are correctly implemented.

Always adhere to confidentiality with sensitive personal data

Prioritise, organise and manage own workload in a manner that maintains and promotes quality.

Person Specification

Qualifications and registration

Essential

• Registered Nurse / Allied Healthcare Professional (AHP) / Pharmacist
• Holds a BSc or a minimum of 90 credits at Level 6 education
• ILS or ALS

Desirable

• Master's / DiP in advanced Practice or Master's level award that covers all 4 pillars of the Advanced Clinical Practice (ACP) capabilities (essential to include advanced clinical assessment skills and diagnostic reasoning qualifications)

Experience

Essential

• Significant post registration experience (minimum of 5 years, per RCEM for Band 7, or 7 years for Band 8a))
• Evidence of involvement in the development of programmes of care, protocols and audits
• Demonstrate knowledge of legislation relevant to area of clinical practice

Desirable

• Experience of developing specialist programmes of care for an individual or groups of patients / clients and of providing highly specialist advice
• Evidence of involvement in successful change management
• Experience of policy and protocol development and production

Skills

Essential

• Advanced clinical assessment and documentation skills
• Autonomous clinical assessment skills
• Evidence of proactive involvement in the supervision and development of members of the multi-disciplinary team and able to demonstrate changes of practice through these

Desirable

• Evidence of research involvement

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).

Employer details

Employer name

King's College Hospital NHS Foundation Trust

Address

Princess Royal University Hospital

Bromley

BR6 8ND

Employer's website

https://www.kch.nhs.uk/ (Opens in a new tab)