Advanced Care Practitioner

Oxleas NHS Foundation Trust

This job is now closed

Job summary

Advanced Clinical Practitioner Band 8A

The Source - Nurse Led Unit

We are looking for an enthusiastic and driven individual who will support the development of the Source to meet the needs of the local population ensuring the highest possible standards of clinical practice. The post holder will act as an expert clinical resource facilitating high qualify evidence base practise.

The post holder will be practising as a qualified ACP and this will encompass the skills of assessment, examination, diagnosis and treatment within an agreed scope of practice for both adults and children

Main duties of the job

The post holder will have undertaken post-graduate training in Advanced Clinical Practice, while having consolidated your advanced-level knowledge and skills within your scope of practice.

You will have gained a high-level of training and practice-based experience through the four pillars of advanced practice (Clinical Practice, Leadership, Education and Research).

The Advanced Clinical Practitioner practices independently as an expert Advanced Practitioner who is responsible and accountable for the management of patients attending the Source.

Leads in providing comprehensive clinical assessment and diagnosis for the delivery of effective treatment for patients presenting with undifferentiated and undiagnosed primary/urgent health care problems.
The post holder will deliver, and lead on the delivery of, high quality safe and contemporary care, ensuring consistently high standards of practice and clinical excellence, including promoting population health, improving personal outcomes, contributing towards service evaluation, while leading and developing research and quality improvement initiatives.
The post holder is expected to place the well-being and safety of service-users/patients above all other considerations, with responsibility to recognise and work within the limits of your professional competence.

About us

Oxleas offers a wide range of NHS healthcare services to people living in South East London and Kent and to people in prison. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,000 members of staff work in many different settings including hospitals, clinics, prisons, children's centres, schools and people's homes. We have over 125 sites in a variety of locations across the London Boroughs of Bexley, Bromley Greenwich and into Kent and manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital in Woolwich as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are one of the largest providers of prison health services providing healthcare to prisoners across Kent and South London. We are proud of the care we provide and our people Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

We're Kind
We're Fair
We Listen
We Care

Date posted

05 September 2023

Pay scheme

Agenda for change

Band

Band 8a

Salary

£56,388 to £62,785 a year pro rata

Contract

Fixed term

Duration

6 months

Working pattern

Part-time

Reference number

277-5609291-CPH

Job locations

The Source

65 Sibthorpe Road

London

SE12 9DN

Job description

Job responsibilities

Management responsibilities

To undertake delegated operational management tasks and deputise on behalf of the Manager and Service lead.

Focus on advanced clinical practice in frailty with the intention to develop and take forward in your ACP role, also taking into consideration the needs of the service.

To continually assess the needs of the service and work in collaboration with team and service managers to monitor service needs and ways to improve the service. Assist in the development and monitoring the quality of the Joint Emergency Team/ Urgent Community service and contribute to the development of quality improvement measures, including the full audit process.

To maintain accurate computerised and paper records in line with NMC/HCPC and Trust guidelines.

Undertake investigation of complaints and near misses, taking follow-up action as appropriate

To participate in the debriefing of staff following any incidents to co-operate with any investigation undertaken.

To work within the policies and procedures outlined by the Oxleas NHS Foundation Trust and the NMC/ HCPC Codes of Professional Conduct.

To ensure patient confidentiality.
To ensure own professional development through PDR process
To participate in the promotion and development of patient information leaflets/booklets

To undertake formal and informal supervision of junior staff and actively participate in own clinical supervision.
Monitor and manage sickness and absence.

To promote the local and national priorities of health care delivery e.g., Long Term Conditions and National Services Frameworks, Frailty.

To support and manage social care colleagues in the service.

To have an overview of the commissioned rapid social care hours

To utilise team resources effectively both health and social care.

To monitor patient flows and needs of the service on each shift to identify increase in service demand and take appropriate action.

To maintain Healthroster and ensure safe staffing levels, including the booking of bank and agency staff where necessary, monitor social care rota as above.

Contribute in the development of a specialist service and act as a change agent and facilitate the change process whilst encouraging others to be innovative and adaptable in the approach to change.

Participate in the recruitment, selection, and retention of staff.

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

To represent the Trust on National Forums related to Advanced Clinical Practice.
Adhere to confidentiality at all times with sensitive personal data.

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

Monitor the time management of junior staff and offer guidance and support.

Maintain accurate records in relation to equipment used and maintained.

Leadership

To demonstrate and utilise a variety of leadership and influencing skills and be able to work with health and social care colleagues within integrated team and services.

To provide leadership and line management to delegated members of the team as required.

To develop own leadership skills within the Team.

Provide clinical supervision to junior team members.

To implement change as identified.

To be a sign of mentor for student nurses/ AHPs

To participate in clinical supervision and to use appropriate mentorship and support to other practitioners.

To maintain own Clinical Professional Development

To be able to delegate appropriately, ensuring that staff are competent to undertake and perform delegated duties and tasks

To act as a mentor/preceptor to new staff, junior staff, students both health and social care and other non-qualified team members and support them to achieve their learning objectives. To participate in the Personal Development Review (PDR) process and in so doing identify training needs for self and delegated members of the team and encourage access to professional development opportunities.

Develop evidence-based policies and procedures specifically required by the team.

Development of clinical competencies for junior staff working within the team.

Develop and maintain effective communication with the multidisciplinary team to ensure high standards of care.

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

To apply sound financial evaluation to proposed service developments.

Clinical

To deliver and participate in clinical care of patients.

Provide a level of advanced and comprehensive assessment, based on a specialist body of knowledge.

Demonstrates the advanced skills and knowledge to undertake comprehensive person-centred history taking, assessment and formulation, considering biological, psychological, social, and spiritual perspectives.

Direct responsibility for the management of patients within own case load and for the supervision of junior members of the multidisciplinary team

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.

Order and interpret investigations, laboratory tests 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.

To contribute to the development and improvement of systems and processes that facilitates patient flow.

Maintain own clinical development by keeping abreast of new treatments and technologies.

To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients.

To rigorously review all aspects of the patients plan of care and identify and address issues that may result in a sub-standard service.

Contribute to the review and development of integrated care pathways and clinical guidelines to ensure a standardised approach.

Under supervision practice with confidence and competence within your professional guidelines and code of conduct (NMC/HCPC/GPhC)

To ensure that accurate documentation and records of patient care are kept.

To assist in the development of assessment systems, processes and tools within the clinical setting and adjacent clinical/assessment areas.

Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care.

Actively implement effective systems and processes for infection control management and relevant audit within their clinical area.
Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

Communicate patients conditions verbally and in writing to other members of the health care team and contribute to the decision-making processes in patient management. Acting as an advocate for patients and colleagues.

Ensure awareness of sources of support and guidance e.g., patient liaison service, and provide information in an accurate format to all patients.

Be able to anticipate barriers to effective communication and take action to improve communication.
To manage clinical situations and effectively in a variety of settings making sound judgements from own observations to enable safe, timely transfer of care to community services.

To prevent unnecessary hospital admissions by responding to LAS, GPs, community colleagues and actively identifying patients in conjunction with medical teams from Emergency Department, Acute Medical Unit, Clinical Decision Unit, Short Stay Unit, Same Day Emergency Care, who would benefit from Team intervention and out of hospital services.

To manage complex clinical situations in Residential Care Homes, Emergency departments and Community setting making sound clinical judgements based on own advanced assessments and observations to enable safe implementation of nursing care plan.

To prevent unnecessary Emergency Department presentation by directly responding to LAS,111, GP, Residential Care, community referrals for patients who require assessment for urgent, but non-life-threatening conditions, e.g., infections, chest infections, UTIs, dehydration and falls/risk of falls.

Undertake medication management reviews and prescribe medication as appropriate.

Undertake IVI Therapy and other clinical requirements as required by the service in line with service provisions.

Undertake breast drain care and management of post operative patients under the community care plus pathway.

Ensure timely referral, communication, and transfer of care to primary care and community services as required to facilitate on going case management.

Actively identify patients within residential care setting, at risk of falls and condition deterioration and develop specialist individual nursing care plans to reduce risk of Emergency Department attendance.

To be a role model to team members to ensure that they are motivated, and all their practices are clinically effective and that teams plans of care are carried out to the agreed standard.

Identify, plan, and assist in the implementation of goals for clinical development of staff working within the designated clinical setting and adjacent assessment areas.

To develop and maintain a positive learning environment for the team by providing support, ensuring developmental requirements of junior staff are addressed.

To assist in the provision of clinical supervision and provide the opportunity to reflect and discuss areas of practice.

To participate in teaching programmes in the care of patients with a range of clinical presentations as defined by the clinical area of practice.

Job description

Job responsibilities

Management responsibilities

To undertake delegated operational management tasks and deputise on behalf of the Manager and Service lead.

Focus on advanced clinical practice in frailty with the intention to develop and take forward in your ACP role, also taking into consideration the needs of the service.

To continually assess the needs of the service and work in collaboration with team and service managers to monitor service needs and ways to improve the service. Assist in the development and monitoring the quality of the Joint Emergency Team/ Urgent Community service and contribute to the development of quality improvement measures, including the full audit process.

To maintain accurate computerised and paper records in line with NMC/HCPC and Trust guidelines.

Undertake investigation of complaints and near misses, taking follow-up action as appropriate

To participate in the debriefing of staff following any incidents to co-operate with any investigation undertaken.

To work within the policies and procedures outlined by the Oxleas NHS Foundation Trust and the NMC/ HCPC Codes of Professional Conduct.

To ensure patient confidentiality.
To ensure own professional development through PDR process
To participate in the promotion and development of patient information leaflets/booklets

To undertake formal and informal supervision of junior staff and actively participate in own clinical supervision.
Monitor and manage sickness and absence.

To promote the local and national priorities of health care delivery e.g., Long Term Conditions and National Services Frameworks, Frailty.

To support and manage social care colleagues in the service.

To have an overview of the commissioned rapid social care hours

To utilise team resources effectively both health and social care.

To monitor patient flows and needs of the service on each shift to identify increase in service demand and take appropriate action.

To maintain Healthroster and ensure safe staffing levels, including the booking of bank and agency staff where necessary, monitor social care rota as above.

Contribute in the development of a specialist service and act as a change agent and facilitate the change process whilst encouraging others to be innovative and adaptable in the approach to change.

Participate in the recruitment, selection, and retention of staff.

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

To represent the Trust on National Forums related to Advanced Clinical Practice.
Adhere to confidentiality at all times with sensitive personal data.

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

Monitor the time management of junior staff and offer guidance and support.

Maintain accurate records in relation to equipment used and maintained.

Leadership

To demonstrate and utilise a variety of leadership and influencing skills and be able to work with health and social care colleagues within integrated team and services.

To provide leadership and line management to delegated members of the team as required.

To develop own leadership skills within the Team.

Provide clinical supervision to junior team members.

To implement change as identified.

To be a sign of mentor for student nurses/ AHPs

To participate in clinical supervision and to use appropriate mentorship and support to other practitioners.

To maintain own Clinical Professional Development

To be able to delegate appropriately, ensuring that staff are competent to undertake and perform delegated duties and tasks

To act as a mentor/preceptor to new staff, junior staff, students both health and social care and other non-qualified team members and support them to achieve their learning objectives. To participate in the Personal Development Review (PDR) process and in so doing identify training needs for self and delegated members of the team and encourage access to professional development opportunities.

Develop evidence-based policies and procedures specifically required by the team.

Development of clinical competencies for junior staff working within the team.

Develop and maintain effective communication with the multidisciplinary team to ensure high standards of care.

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

To apply sound financial evaluation to proposed service developments.

Clinical

To deliver and participate in clinical care of patients.

Provide a level of advanced and comprehensive assessment, based on a specialist body of knowledge.

Demonstrates the advanced skills and knowledge to undertake comprehensive person-centred history taking, assessment and formulation, considering biological, psychological, social, and spiritual perspectives.

Direct responsibility for the management of patients within own case load and for the supervision of junior members of the multidisciplinary team

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.

Order and interpret investigations, laboratory tests 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.

To contribute to the development and improvement of systems and processes that facilitates patient flow.

Maintain own clinical development by keeping abreast of new treatments and technologies.

To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients.

To rigorously review all aspects of the patients plan of care and identify and address issues that may result in a sub-standard service.

Contribute to the review and development of integrated care pathways and clinical guidelines to ensure a standardised approach.

Under supervision practice with confidence and competence within your professional guidelines and code of conduct (NMC/HCPC/GPhC)

To ensure that accurate documentation and records of patient care are kept.

To assist in the development of assessment systems, processes and tools within the clinical setting and adjacent clinical/assessment areas.

Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care.

Actively implement effective systems and processes for infection control management and relevant audit within their clinical area.
Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

Communicate patients conditions verbally and in writing to other members of the health care team and contribute to the decision-making processes in patient management. Acting as an advocate for patients and colleagues.

Ensure awareness of sources of support and guidance e.g., patient liaison service, and provide information in an accurate format to all patients.

Be able to anticipate barriers to effective communication and take action to improve communication.
To manage clinical situations and effectively in a variety of settings making sound judgements from own observations to enable safe, timely transfer of care to community services.

To prevent unnecessary hospital admissions by responding to LAS, GPs, community colleagues and actively identifying patients in conjunction with medical teams from Emergency Department, Acute Medical Unit, Clinical Decision Unit, Short Stay Unit, Same Day Emergency Care, who would benefit from Team intervention and out of hospital services.

To manage complex clinical situations in Residential Care Homes, Emergency departments and Community setting making sound clinical judgements based on own advanced assessments and observations to enable safe implementation of nursing care plan.

To prevent unnecessary Emergency Department presentation by directly responding to LAS,111, GP, Residential Care, community referrals for patients who require assessment for urgent, but non-life-threatening conditions, e.g., infections, chest infections, UTIs, dehydration and falls/risk of falls.

Undertake medication management reviews and prescribe medication as appropriate.

Undertake IVI Therapy and other clinical requirements as required by the service in line with service provisions.

Undertake breast drain care and management of post operative patients under the community care plus pathway.

Ensure timely referral, communication, and transfer of care to primary care and community services as required to facilitate on going case management.

Actively identify patients within residential care setting, at risk of falls and condition deterioration and develop specialist individual nursing care plans to reduce risk of Emergency Department attendance.

To be a role model to team members to ensure that they are motivated, and all their practices are clinically effective and that teams plans of care are carried out to the agreed standard.

Identify, plan, and assist in the implementation of goals for clinical development of staff working within the designated clinical setting and adjacent assessment areas.

To develop and maintain a positive learning environment for the team by providing support, ensuring developmental requirements of junior staff are addressed.

To assist in the provision of clinical supervision and provide the opportunity to reflect and discuss areas of practice.

To participate in teaching programmes in the care of patients with a range of clinical presentations as defined by the clinical area of practice.

Person Specification

Education

Essential

oTo hold current registration with the NMC as a Registered Nurse (Adult)

Education

Essential

oTo hold a MSc /PGDip in Advanced Clinical Practice or equivalent credentialed programme.

Experience

Essential

oMinimum 6 years' experience as HCP

Experience

Essential

oTo have evidence of working in a leadership role at senior level for a significant period.

Skills

Essential

oEvidence of multi-disciplinary team working

Skills

Essential

oCritical decision-making skills/ Advanced problem-solving skills

Person Specification

Education

Essential

oTo hold current registration with the NMC as a Registered Nurse (Adult)

Education

Essential

oTo hold a MSc /PGDip in Advanced Clinical Practice or equivalent credentialed programme.

Experience

Essential

oMinimum 6 years' experience as HCP

Experience

Essential

oTo have evidence of working in a leadership role at senior level for a significant period.

Skills

Essential

oEvidence of multi-disciplinary team working

Skills

Essential

oCritical decision-making skills/ Advanced problem-solving skills

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).