Job responsibilities
JOB
PURPOSE/SUMMARY
The
Advanced Clinical Practitioner (ACP) will use specialist knowledge and skills
to provide healthcare independently to patients. The ACP is accountable for the
total episode of care for patients, participating in early phase or
experimental medicine research trials, with undifferentiated and undiagnosed needs.
The
post holder will act as a role model, delivering advanced practice and
promoting clinical effectiveness in care.
He / she will be required to work autonomously in delivering independent
assessment, clinical examination, diagnosis, clinical decision making and
planning of care and treatment, diagnosis, prescribing, health promotion and
safe discharge of patients.
The
post holder will work closely with all members of the multidisciplinary team
and will play an integral role in the operational/strategic development of the
service.
The
post holder will promote and facilitate evidence based practice and clinical
audit and research within the Trust.
The
job holder will work as an autonomous practitioner within the Bexley clinical
Research Facility, delivering all aspects of management and care to a wide
range of patients with varying needs.
PRINCIPAL
DUTIES & AREAS OF RESPONSIBILITY
Clinical
practice
Practice as an autonomous professional in a self-directed manner, with
confidence, authority and expertise, undertaking comprehensive range of
clinical procedures.
Have direct responsibility for patient caseload, ensuring all patients have an
accurate plan of care, which reflects the assessment undertaken and incorporate
the issues and recommendations made within clinical trial protocols.
Work within the frequently challenging clinical environments with high levels
of physical and mental effort
Assess individuals, families and populations holistically using a range of
different assessment methods.
Have a health promotion and prevention orientation and comprehensively assess
patients for risk factors and early signs of illness.
Interpret and analyse highly complex clinical and non-clinical facts to form
accurate diagnoses, prognoses for a wide range of conditions, to recommend /
deliver the best course of intervention including the development of
comprehensive packages of care.
Initiate pharmacological intervention, using non-medical prescribing or patient
group directives and administer medications as prescribed by others in
accordance with the Leeds Teaching Hospitals policies
Provide specialist advice and support to patients, their families and other
healthcare professionals following assessment, diagnosis and through treatment.
Use advanced clinical skills in the assessment and management of patients
within the CRF in collaboration with relevant clinical research teams. This
includes obtaining informed consent, history taking, systemic physical
examination, requisition and interpretation of appropriates clinical
investigations and formulation of clinical management plans, as delegated by
CI/PI and within own scope of practice
Plan, manage and complete episodes of care, working in partnership with others
and delegating and referring as appropriate to optimise health outcomes and
resource use, as well as providing direct support to patients and clients.
Assist PIs and the CRF team to deliver research effectively, safely and
escalate appropriately to critical care and outreach services.
Use professional judgement in managing complex and unpredictable care events
and capture the learning from these experiences to improve patient care and
service delivery.
Organise complex activities or programmes for patients, drawing on an appropriate
range of multi-disciplinary and inter-professional resources in practice.
Supervise and where necessary, work in collaboration with nursing, medical and
AHP team members, demonstrating expert clinical practice and leadership in
learning environments.
To be included on medical rotas as required by clinical role
Maintain a high standard of patient focused care in accordance with Leeds
Teaching Hospitals Trust guidelines and policies.
Actively involve service users in providing feedback of their experience of the
current service and suggestions for improvements.
Appropriately define the boundaries of own practice.
Leadership
and Collaborative Practice
Identify and implement systems to promote their contribution and demonstrate
the impact of advanced level practice to the healthcare team and the wider
health and social care sector.
Provide consultancy services to own area and to other professions on
therapeutic interventions, practice and service development.
Be resilient and determined and demonstrate leadership in contexts that are
unfamiliar, complex and unpredictable.
Engage stakeholders and use high-level negotiating and influencing skills to
develop and improve practice.
Work across professional, organisational and system boundaries and proactively
develop and sustain new partnerships and networks to influence and improve
health, outcomes and healthcare delivery systems.
Develop practice and roles that are appropriate to patient and service need
through understanding the implications of epidemiological, demographic, social,
political and professional trends and developments.
Contribute positively to the leadership within the CRF acting as an effective
role model.
Contribute to the UKCRF Network, representing the NIHR Leeds CRF within defined
work streams and the annual conference meeting.
Improving
Quality and Developing Practice
Work within the NMC/HPC Code of Professional Conduct and Guidelines, the Leeds
Teaching Hospitals NHS Trust policies and guidelines, COSHH, the Mental Health
Act, Good Clinical Practice (GCP) and other instruments of statutory
legislation to ensure safe and effective professional working practices for
self and others.
Be involved proactively in developing strategies and undertaking activities that
monitor and improve the quality of healthcare and the effectiveness of their
own and others practice.
Strive constantly to improve practice and health outcomes so that they are
consistent with or better than national and international standards through
initiating, facilitating and leading change at individual team, organisational
and system levels.
Continually evaluate and audit own practice and that of others at individual
and systems levels, selecting and applying valid and reliable approaches and
methods which are appropriate to needs and context, and acting on the findings.
Responsible for the generation and collation of reports on own practice and
that of team on service delivery and local and national targets, and monthly
reporting to the CRF Management Team, quarterly Divisional Clinical Governance
Forum and Research Governance Operations Group.
Continually assess and monitor risk in own and others practice and challenge
others about wider risk factors.
Contribute to and at times lead the development of multidisciplinary research
and clinical audit in the CRF and aligned disease disciplines
Critically appraise and synthesise the outcomes of relevant research,
evaluations and audits and apply the information when seeking to improve practice.
Contribute to clinical and research governance processes, including adverse
event reporting and the investigation and management of complaints and
incidents as appropriate.
Participate in and contribute to any regional and national research to evaluate
the effectiveness of care strategies related to the patient experience within
the CRF
Alert appropriate individuals to gaps in evidence and/or practice knowledge and
support and conduct research that is likely to enhance practice.
Use financial acumen in patient/client, team, organisation and system level
decision making and demonstrate appropriate strategies to enhance quality,
productivity and value.
