Advanced Clinical Practitioner

Job description

Job responsibilities

Clinical

• Work autonomously an advanced practitioner within the speciality, managing a caseload of patients delivering individualised direct patient care.
• Direct responsibility for assessment, examination, investigation and diagnosis of patients within the area of work.
• Appropriately treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations.
• Manage own caseload and clinical priorities according to agreed protocols and working practices.
• Undertake a variety a clinical skills and provide treatment/advice as per specialty and scope of practice. Using agreed protocols of clinical practice and professional guidelines.
• Within scope of practice and clinical competence request and/or undertake diagnostic and clinical investigations related to the plans of care.
• Utilise the scope of practice to undertake Non-Medical Prescribing role and advise on medicine management issues associated with the patient speciality group. Work within Trust policy for Medicines Management.
• Utilise advanced knowledge and skills relating to the speciality to provide specialist advice to other members of the MDT on the basis of patient assessment.
• Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review, referring to other specialists as required. Provide guidance to staff, patients and their families and carers on pathway navigation.
• Lead in the development and updating of referral guidelines and policies for the service.
• Use highly developed communication skills to effectively communicate with colleagues, patients and their relatives/carers, making reports and liaising as required with medical staff and other members of the MDT both verbally and in writing.
• Use professional judgement to act as an advocate for patients to ensure a patient focused approach to the delivery of care. Support and enable patients and carers to make informed decisions relating to their treatment and management. Escalate any concerns via the nursing/ professional structures as required.
• Work towards safe and timely discharge and/or transfer of patients from or between hospitals and services and healthcare professionals, ensuring barriers to discharge/transfer are identified and acting on appropriately.
• Report and raise concerns relating to Safeguarding, accessing advice and support as required. Be conversant with Tryst policies for safeguarding including the assessment of mental capacity and consideration of Deprivation of Liberty safeguards (DOLS) and the application of the principles of PREVENT (counter terrorism awareness).
• Ensure effective and accurate verbal or written handover of patients between healthcare professionals.
• Ensure that high standards of all documentation are maintained, with accurate complete and up to date information regarding patient care are kept in accordance with trust standards.
• Monitor the quality and standard of care provided by all members of the team and all staff in clinical areas. Identifying any skills or training gaps and escalating to the appropriate Senior Nurse/Matron/ Head of Nursing .
• Undertake training to develop further advanced clinical practice roles required by the service in order to provide a high standard of patient care.
• Practice within the scope of professional registration.

Professional Leadership & Management

• Provide visible and accessible professional leadership and demonstrate expert knowledge and standards of clinical practice.
• Lead and develop a defined area of clinical practice within the designated area of practice, promoting interdisciplinary team and collaborative working practices.
• Meet regularly with team members either individually or as a team as required to support their personal and professional development.
• Promote team working: build rapport and collaborative working practices with the MDT.
• Liaise with inter-hospital departments and personnel across organisational and professional groups. Ensuring effective communication and interpersonal skills with other disciplines and organisations.
• Act as a clinical role model demonstrating high standards of advanced clinical practice and provide support or advice to other staff when necessary.
• Lead and support the development of the role according to changing patients needs, service requirements and evidence base practice.
• Lead and actively participate in service/departmental projects, quality initiatives and statutory accreditation processes. This will include the setting and monitoring of clinical standards of care.
• Ensure that all resources are managed in an efficient and cost-effective manner to achieve maximum effect for patients and staff.
• Adhere to all relevant Trust policies and procedures and to ensure that they are correctly implemented.
• Lead in the implementation of multidisciplinary service objectives the reflect Trust strategies for patient care.
• Demonstrate effective leadership skills, supporting the senior management team in service development and lead as delegated on the implementation of any of these changes.
• Monitor standards and high quality care. Report any clinical incidents via the Trusts electronic reporting system and escalate issues promptly and appropriately.
• Utilise the highest level of interpersonal and communications skills when dealing with complex, sensitive and emergency situations.
• Maintain an awareness of professional and ethical issues to ensure care is delivered in a professional timely and courteous manner by all members of the team, respecting the different spiritual and cultural backgrounds of colleagues, patients and relatives.
• Escalate any concerns and complaints promptly.
• Participate in the recruitment and retention of staff.
• Accountable for own practice, acting at all times within the Professional Code of Conduct. Maintain a working knowledge of local and national professional policy and strategy.
• Attend and when required chair MDT meetings as a representative of the service. Ensure minutes and agreed actions are communicated to stakeholders according to agreed timescales.

Education and Training

• Act as an expert educational resource for clinical staff, patients and carers by providing formal and informal education. Promote a positive learning environment throughout the Trust.
• Act as a supervisor/assessor to staff members and students as required, providing educational advice and support. Ensure the wards/departments can access appropriate training support and guidance.
• Lead and actively participate in the delivery of educational programmes for all grades of nursing, medical and AHPs.
• Provide support and guidance to all levels of staff in their clinical role.
• Ensure that pre and post registration students receive appropriate learning experience whist allocated to the directorate.
• Participate in provision and identification of in-service training need for all team staff.
• Participate in education and practice development on a Trust wide basis liaising with Trust wide educational leads to ensure overall Trust educational objectives are delivered.
• Recognise the limits of own professional practice and competence, undertake further training and academic qualifications as required to maintain own specialist knowledge.
• Take responsibility for ensuring completion of any statutory or mandatory training as required, informing line manager if there is any deviance from training attendance.
• Adapt clinical knowledge and skills to difference clinical settings.
• Participate in the annual appraisal process, delegating duties to team members as appropriate to ensure all staff within the team have personal development plans which support revalidation.
• Maintain close links with local HEIs and participate in the development and delivery of new and established advanced practice programmes.

Research and Audit

• Participate and were required lead or assist in research projects as required, disseminating and ensuring the utilisation of research results to change practice.
• Utilise research findings in the delivery of advanced clinical patient care, developing new ways of working.
• Be aware of research/trials being undertaking within your specialist field of practice.
• Participate and were required lead audit projects as required by the speciality, involving collating, analysing and reporting on results of the audit process.
• Provide support, encouragement and advice to nursing staff undertaking audit and research.
• Assist in the testing and evaluation of new equipment within the clinical area.
• Collate, analyse and present reports on varying aspects of the speciality activity as required by directorate or divisional team.
• Ensure the results of audit and research conducted by the team are disseminated at local, regional and national level.
• To share best practice, through publications and attendance/presentation opportunities at conference level.

For a full comprehensive list of main responsibilities and duties, please kindly refer to job description and personal specification attached.

Person Specification

Qualifications

Essential

• Masters Level (MSc) degree in Advance Clinical Practice
• Professional Registration. NMC or HPCP registered
• Independent prescriber

Skills

Essential

• Demonstrate clinical and procedural skills relevant to role ward/area/speciality
• Advanced knowledge of the range of presentations, diagnosis and current management options within the speciality area

Experience

Essential

• Experience of working autonomously within ward/area/specialty of the specific role
• Evidence of on-going CPD
• Evidence of research and audit

Personal Qualities

Essential

• Ability to perform in stressful and complex situations
• Ability to inspire and lead a team
• Shift work including weekends and nights
• Flexible and positive approach to work

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

George Eliot Hospital NHS Trust

Address

George Eliot NHS Trust

College Street

Nuneaton

CV10 7DJ

Employer's website

http://www.geh.nhs.uk/ (Opens in a new tab)