Job summary
To successfully complete the Advanced Clinical Practitioner (ACP) Degree MSc (Level 7) programme in line with the trust framework for advanced practice and their primary professional regulatory body, with the expectation that on successful completion the post holder will move into a qualified ACP role at band 8a. If already qualified as an ACP you would be required to complete the renal competencies prior to uplifting to a band 8a.
As part of the ACP programme the post holder will be working towards the following and onsuccessful completion will be able to:o Utilise advanced clinical reasoning skills and assessment techniques autonomously inthe context of their specialityo Identify presenting problems and provide a diagnosiso Set appropriate treatment aims and objectives with the patiento Competently plan and implement realistic programmes of investigation and treatmento Evaluate investigations and treatment plans to assess impact and outcome.
o Relate findings to presenting pathology and revise treatment planso Demonstrate advanced clinical competence in area of speciality
***Preference will be given to internal Trust staff, as well as 'Priority' and 'At Risk' status including NHS At Risk staff throughout Devon who are able to display recent relevant experience as dictated by the Person Specification.***
Subject to meeting certain criteria, a relocation package is available for this post.
Main duties of the job
'Advanced clinical practice is delivered by experienced, registered health and care practitioners. It is a level of practice characterised by a high degree of autonomy and complex decision making.This is underpinned by a master's level award or equivalent that encompasses the four pillars of clinical practice, leadership and management, education and research, with demonstration of corecapabilities and area specific clinical competence.Advanced clinical practice embodies the ability to manage clinical care in partnership with individuals, families and carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance people's experience and improveoutcomes. (HEE, 2017).As part of the ACP programme the post holder will be working towards the following and on successful completion will be able to:o Utilise advanced clinical reasoning skills and assessment techniques autonomously in the context of their specialityo Identify presenting problems and provide a diagnosiso Set appropriate treatment aims and objectives with the patiento Competently plan and implement realistic programmes of investigation and treatmento Evaluate investigations and treatment plans to assess impact and outcome.o Relate findings to presenting pathology and revise treatment planso Demonstrate advanced clinical competence in area of speciality.
About us
We are a people business - where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. We offer all of this in a vibrant, modern city with a historic reputation for adventure. PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY. If you have any issues with applying online and need additional support including reasonable adjustments with the application process please contact the recruitment team on 01752 432100. We recognise that work life balance is important for our colleagues and so we invite requests from applicants around less than full time/flexible working for our advertised roles. Please contact the recruiting manager to discuss this prior to your application submission. We commit to giving this full consideration in each case. We encourage people from diverse backgrounds to apply for our roles, as diversity strengthens our teams. It is sometimes necessary to close vacancies before the closing date. If you have not heard from us within 4 weeks of the closing date, please assume that you have not been shortlisted.
Job description
Job responsibilities
- Assess, differentially diagnose, plan, implement and evaluate individual treatment interventions for patients by virtue of expert clinical judgement and close liaison with members of the MDT.
- 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, life style advice and care and ordering appropriate investigations, i.e ultrasounds, CXR, under the Trust IRMER training and other relevant departmental training.
- 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.
- Ensure compliance with their respective code of professional conduct and work within their scope of practice.
- Works in conjunction with the MDT to clearly define values, direction and policies impacting upon care.
- Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate
- Be able to demonstrate a critical understanding of their broadened level of responsibility and autonomy. This includes being critically aware of their limits of their own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.
- Be responsible and accountable for their decisions, actions and omissions at this level of practice.
- Utilise professional judgement and maturity, understanding when to seek help.
- Demonstrate critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
- Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care
- 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.
- 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.
- 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.
- Actively implement effective systems and processes for infection control management whilst working clinically and be a role model forother members of the clinical team.
- Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with the legal framework you work under to supply and prescribe medicines (if from professional group legally entitled to prescribe).
- To complete competencies in renal specialist procedures, i.e Line insertions , line removals, Tenhckoff insertions and other nominated day case procedures
Leadership and Management
- Role model the trust values, demonstrating a person-centred approach to service delivery and development.
- Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence.
- Critically apply advanced clinical expertise to influence clinical practice to enhance quality, reduce unwarranted variation and promote the sharing and adoption of best practice.
- Evaluate their own practice, and participate in multi-disciplinary service and team evaluation, demonstrating the impact of advanced clinical practice on service function and effectiveness, and quality
- Continually develop practice in response to changing population health need, engaging in horizon scanning for future developments
- Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working.
- Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.
- Actively seek feedback and involvement from individuals, families, carers, communities and colleagues in the co-production of service improvements.
- Demonstrate team leadership, resilience and determination, managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others.
- Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals, families, carers, communities and colleagues safety and well-being when necessary.
- Negotiate an individual scope of practice within legal, ethical, professional and organisational policies, governance and procedures, with a focus on managing risk and upholding safety.
- With the support of the Leadership teams, makes representation as appropriate at various meetings, providing feedback to the organisation on clinical and professional issues which have an impact on care and standards of practice within their sphere of responsibility.
- Participate in business planning and the development of financial bids for service development.
- Discuss patient and relatives' experiences with them in order to prevent complaints from developing and to assist the management team in investigating and responding to complaints when they arise.
- Participates in the investigation of clinical incidents and serious incidents. Leads and facilitates others to share lessons learned adapt systems and processes accordingly.
- Support team members from a managerial perspective including direct line manger responsibilities, such as sickness management, appraisals and conduct management.
- Contribute to the management of the specialist service by providing quarterly and annual reports
Job description
Job responsibilities
- Assess, differentially diagnose, plan, implement and evaluate individual treatment interventions for patients by virtue of expert clinical judgement and close liaison with members of the MDT.
- 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, life style advice and care and ordering appropriate investigations, i.e ultrasounds, CXR, under the Trust IRMER training and other relevant departmental training.
- 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.
- Ensure compliance with their respective code of professional conduct and work within their scope of practice.
- Works in conjunction with the MDT to clearly define values, direction and policies impacting upon care.
- Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate
- Be able to demonstrate a critical understanding of their broadened level of responsibility and autonomy. This includes being critically aware of their limits of their own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.
- Be responsible and accountable for their decisions, actions and omissions at this level of practice.
- Utilise professional judgement and maturity, understanding when to seek help.
- Demonstrate critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
- Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care
- 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.
- 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.
- 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.
- Actively implement effective systems and processes for infection control management whilst working clinically and be a role model forother members of the clinical team.
- Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with the legal framework you work under to supply and prescribe medicines (if from professional group legally entitled to prescribe).
- To complete competencies in renal specialist procedures, i.e Line insertions , line removals, Tenhckoff insertions and other nominated day case procedures
Leadership and Management
- Role model the trust values, demonstrating a person-centred approach to service delivery and development.
- Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence.
- Critically apply advanced clinical expertise to influence clinical practice to enhance quality, reduce unwarranted variation and promote the sharing and adoption of best practice.
- Evaluate their own practice, and participate in multi-disciplinary service and team evaluation, demonstrating the impact of advanced clinical practice on service function and effectiveness, and quality
- Continually develop practice in response to changing population health need, engaging in horizon scanning for future developments
- Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working.
- Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.
- Actively seek feedback and involvement from individuals, families, carers, communities and colleagues in the co-production of service improvements.
- Demonstrate team leadership, resilience and determination, managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others.
- Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals, families, carers, communities and colleagues safety and well-being when necessary.
- Negotiate an individual scope of practice within legal, ethical, professional and organisational policies, governance and procedures, with a focus on managing risk and upholding safety.
- With the support of the Leadership teams, makes representation as appropriate at various meetings, providing feedback to the organisation on clinical and professional issues which have an impact on care and standards of practice within their sphere of responsibility.
- Participate in business planning and the development of financial bids for service development.
- Discuss patient and relatives' experiences with them in order to prevent complaints from developing and to assist the management team in investigating and responding to complaints when they arise.
- Participates in the investigation of clinical incidents and serious incidents. Leads and facilitates others to share lessons learned adapt systems and processes accordingly.
- Support team members from a managerial perspective including direct line manger responsibilities, such as sickness management, appraisals and conduct management.
- Contribute to the management of the specialist service by providing quarterly and annual reports
Person Specification
Knowledge and experience
Essential
- Demonstrable experience within speciality
- Proven evidence of management ability and leadership qualities
- Excellent clinical and practical skills
Qualifications
Essential
- Professional Registration
- Demonstrable evidence of ability to work at academic level 7 (prior level 6 or level 7 study of if appropriate willingness to submit academic piece of assessment
- Evidence of relevant, recent study and continuing professional development
- Willingness to undertake or completed and MSc in advanced healthcare practice
APTITUDE & ABILITIES
Essential
- Ability to undertake or have undertaken clinical audit.
- Ability to undertake or have undertaken clinical audit. ?Ability to recognise and analyse complex situations and take appropriate action. ?Appraisal of other members of the MDT. ?Ability to demonstrate enthusiasm towards teaching and sharing knowledge. ?Proven leadership. ?Willingness to complete Education/Mentorship Course ?Ability to compile protocols and clinical guidelines. ?Ability to communicate effectively both written and verbally, ?Ability to communicate with all members of the MDT at any level. ?Ability to communicate with patient in an empathetic manner regarding their treatment and procedures. ?Ability to provide high quality teaching to all members of the MDT.
Person Specification
Knowledge and experience
Essential
- Demonstrable experience within speciality
- Proven evidence of management ability and leadership qualities
- Excellent clinical and practical skills
Qualifications
Essential
- Professional Registration
- Demonstrable evidence of ability to work at academic level 7 (prior level 6 or level 7 study of if appropriate willingness to submit academic piece of assessment
- Evidence of relevant, recent study and continuing professional development
- Willingness to undertake or completed and MSc in advanced healthcare practice
APTITUDE & ABILITIES
Essential
- Ability to undertake or have undertaken clinical audit.
- Ability to undertake or have undertaken clinical audit. ?Ability to recognise and analyse complex situations and take appropriate action. ?Appraisal of other members of the MDT. ?Ability to demonstrate enthusiasm towards teaching and sharing knowledge. ?Proven leadership. ?Willingness to complete Education/Mentorship Course ?Ability to compile protocols and clinical guidelines. ?Ability to communicate effectively both written and verbally, ?Ability to communicate with all members of the MDT at any level. ?Ability to communicate with patient in an empathetic manner regarding their treatment and procedures. ?Ability to provide high quality teaching to all members of the MDT.
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).
