Gloucestershire Hospitals NHS Foundation Trust

Frailty Advanced Clinical Practitioner Band 8a/Trainee Band 7

This job is now closed

Job summary

An exciting opportunity has arisen for an enthusiastic individual to join our Frailty/Homeward Assessment team as either a fully qualified Band 8a Advanced Clinical Practitioner or a Trainee Band 7 Advanced Clinical Practitioner who would be willing to undertake an apprenticeship pathway in Advanced Clinical Practice. The role involves demonstration of core capabilities and area specific competence relating to the four pillars of advanced clinical practice including clinical, education, research and leadership skills.

The post holder will be completing a Comprehensive Geriatric Assessment to those individuals presenting with Frailty who are attending the Emergency Department at both Gloucester and Cheltenham hospitals, Frailty Assessment Unit and Frailty Direct Attend/Same Day Emergency Care working as part of the HAT multidisciplinary team to achieve a positive outcome for the patients. The successful candidate would need to work within this fast paced environment, making autonomous decisions with the focus on admission avoidance, taking a positive risk taking approach.

Main duties of the job

To undertake autonomous complex clinical assessments and to evaluate and make clinical decisions regarding patient care and discharge pathway. The candidate would have excellent communication skills and be able to work autonomously and also liaise with the multidisciplinary team including the consultants, patient relatives and primary care partners. The post holder would be required to demonstrate and work under the four pillars of advanced clinical practice and would need to demonstrate a flexible approach as the demands of the role may change depending on the demands of the service.

About us

Gloucestershire Hospitals NHS Foundation Trust is the largest employer in the county and with over 8,000 staff, we are one of the largest NHS trusts in the UK. We offer a generous annual leave allowance, excellent bank rates, access to the excellent NHS Pension Scheme, discounts for local shops, restaurants and services, access to our health and well-being hub, access to our two on-site nurseries, flexible working options, discounted public transport, reward and recognition schemes, exercise and activity classes and membership to our popular hospital choir.

The Frailty/HAT team are always motivated, resilient, strong and strive to deliver best care for everyone every time. We are encouraging of staff development and foster a positive culture.

Date posted

03 August 2023

Pay scheme

Agenda for change

Band

Band 8a

Salary

£43,742 to £57,349 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

318-23-R11288-A

Job locations

Gloucestershire Royal

Gloucester

GL1 3NN

Job description

Job responsibilities

- To act as an autonomous Advanced Clinical Practitioner (ACP) providing high quality, individualised clinical management for patients using advanced clinical assessment and diagnostic reasoning skills. Complete a comprehensive geriatric assessment (CGA) to determine and initiate changes to treatment as necessary within the Frailty Assessment Unit (FAU), Frailty SDEC, ED GRH and ED CGH.

- To order and interpret radiological imaging (x-rays) using findings to initiate treatment.

- Provide advice, support and education to medical, nursing and AHP staff.- Prescribe and deprescribe medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need for specific groups of patients. Working in accordance with best/evidence-based practice and national and local protocols and within the roles scope of practice and legal framework.

- Work as part of the multidisciplinary team.

- Develop and deliver educational programmes for staff locally and work with advanced practitioners nationally to develop practice.

- Act as a clinical role model/educator for developing and delivering care that is responsive to changing requirements.

- To constructively challenge others and demonstrate receptiveness to challenge.

- Take an active role in clinical governance, research and development initiatives.

- Facilitate research-based practice and assist in disseminating research findings and influencing change.

- To assist with audit and research projects and participate in up-dating and implementing departmental policies, protocols and guidelines, in line with national guidance and contemporary evidence. Assist with service improvement and pathway development.

- It is anticipated that 80% of the role will be spent working clinically in the clinical area and 20% will be allocated to non-clinical duties.

- To provide leadership and support to other team members and act as a direct line manager to trainee ACPs.

- To be involved in the development of the Frailty virtual ward (FVW).

- Able to manage differentiated and undifferentiated presentations and complex situations to make evidence-based judgements.

- Demonstrate 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, using a positive risk-taking approach.

- Admit, signpost and discharge patients from the FAU/Frailty SDEC/ED/FVW and other areas of the hospital as appropriate. To independently manage own caseload in areas of clinical practice.

- Ensure that clinical practice reflects all current guidelines form their professional regulatory body (NMC/HCPC). Adhere to GHNHSFT and national policies.

- Demonstrate sound knowledge and understanding of clinical governance and risk management issues surrounding this role. Able to manage risk appropriately and to support teams to ensure patient safety.

- Facilitate expert inter-professional care for the ill patient and their dependents by direction, supervision and example.

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

- Develop scope of advanced clinical skills and practice to meet the changing needs of the service.

- Communicate effectively with patients, carers, colleagues and others using appropriate communication styles. Anticipate barriers to communication and ensure patients and significant others are kept fully informed and consent given for treatment.

- Take a lead role in the development, implementation, monitoring and evaluation of standards in effective patient care, in response to feedback, evaluation and need.

- Evaluate own practice, and participate in multidisciplinary service and team evaluations. Engage in peer review.

- Act as a constant source of clinical and theoretical knowledge for all grades and disciplines of staff as well as patients and their significant others, providing support and clinical advice in specialist areas based on evidence-based research.

- Promote a learning environment within the clinical area of responsibility in which individuals take ownership for their professional development. Take an active role in undertaking staff training needs analysis as appropriate.

- Critically assess and address own learning needs, negotiating a personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice.

- Disseminate best practice research findings whilst developing and contributing to local guidelines, interpreting and adapting national policies and standards to enhance patient care and safety.