Job summary
A rare and exciting opportunity has a risen with a vacancy within a growing team of Advanced Clinical Practitioner's within Acute Medicine at North Bristol NHS Trust.
Practitioners will join a highly motivated and skilled multi-professional team working across both the Acute Medical Unit and SDEC unit. Within the two units we admit approximately 70 patients a day direct from GPs, the Emergency Department and Ambulance service.
Successful candidates will have the opportunity to work autonomously as an ACP across all work streams, including Primary Assessment & Triage, SDEC, short stay ward care, high dependency ward care and medical take.
Our current working pattern is over 7 days working 8am until 8:30pm inclusive of bank holidays.
Further information can be gained from Rachael Dean, Advanced Clinical Practitioner lead for Acute Medicine. Please email: rachael.dean@nbt.nhs.uk
Main duties of the job
The ACP will assess and treat varied clinical cases, utilising advanced skills to assess the patient with a differentiated or undifferentiated clinical diagnosis.You will work autonomously to assess, diagnose, treat, discharge and refer patients for ongoing specialist care. Practitioners will be pivotal in developing Advanced practice within acute medicine alongside the lead ACP and Consultant lead.
The successful applicant will be expected to fulfil all four pillars of advanced practice and support projects to assist the continued transformation work within Acute Medicine, utilising individual leadership and teaching skills.
Practitioners require excellent communication and organisational skills, demonstrating assertiveness and emotional resilience in conjunction with a passion and enthusiasm for working in Acute Medicine.
About us
The Acute Medicine ACP team are an approachable, highly motivated and well-respected team within the trust. We are supported by an expert team of Acute Physicians, who provide supervision, teaching and constructive feedback. The unit's governance structure allows ACPs to practice autonomously within their capabilities and governing body regulations. ACPs are also advocated within the trust through the advanced practice lead, non-medical prescribing teaching, and various advance practice forums and networking groups.
North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. Our vision is that by enabling our teams to be the best that they can be, we will provide exceptional healthcare, personally delivered.
North Bristol NHS Trust values all people as individuals. We aim to be an anti-discriminatory organisation and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We welcome applicants from all underrepresented groups.
Job description
Job responsibilities
Clinical
- Deliver and participate in the clinical care of patients within Acute Medicine
- Provide skilled assessment of patients including history taking, physical assessment, requesting, interpreting, and acting on appropriate tests and investigations in a timely manner.
- Use expert and specialised clinical and theoretical knowledge in order to safely and appropriately assess and diagnose patients in their care.
- Act autonomously within evidenced based guidelines to plan and implement individualised management plans. Formulate clinical decisions and often complex treatment plans to manage illness and/or injury.
- Demonstrate competence, knowledge and skills in a wide range of practical procedures
- Prescribe as an Independent Prescriber, assessing and prescribing appropriate medication within appropriate specialty guidelines using the British National formulary
- To delegate/refer to other practitioners when this will improve health outcomes or when risk and needs are beyond own competence and scope of practice.
- Accept referrals from other disciplines and provide specialist advice and support to colleagues within the organisation.
Personal & Professional
- Be responsible for maintaining current registration with appropriate professional bodies and perform within any Professional Code and relevant Guidelines for Practice.
- Keep up-to-date with current research and audit findings and base all clinical assessment and management decisions on credible high quality evidence
- Promote integrated working practice between clinical areas and interdisciplinary teams in order to ensure safe patient care.
- Contribute to the development of the Advanced Practitioner role both within the Directorate and Trust wide.
- Maintain own professional portfolio in-line with both local and national competency frameworks.
Service Development
- To actively take part in planning, developing and improving services in order to be responsive to patient needs as well as Directorate, Trust and National Health Service needs.
- Participate in implementing national standards and frameworks at a local level within the speciality.
- To be responsible for identifying and addressing his/her own professional, training and development needs, ensuring these training and development needs are aligned to speciality service developments.
Education & Training
- Participate in the initial induction training programme for nursing and medical staff and continue to be involved in their on-going support and training as required. Be involved in the bedside, classroom, and directorate teaching of North Bristol NHS Trust staff, as well as utilising additional teaching opportunities such as: national teaching appropriate to the speciality, and teaching/contributing to courses run by the local university, in addition to presenting at national conferences.
- Mentor Advanced practice trainees and medical staff, and supervise other staff working within the clinical area, providing professional support and clinical supervision as required.
- Give guidance and participate in the teaching and assessment of junior, middle grade and senior medical staff.
- Establish links and networks with other nursing professionals in similar roles within the specialty at Local, Regional and National level
- Act as a constant source of clinical and theoretical knowledge for all grades of nursing and medical staff, and patients.
- Be an active member of relevant trust wide professional groups such as the Non-Medical Prescribing Group.
- The post holder will be supported to fulfil any local and national portfolio requirements, adhering to the Four Pillars of Advanced Practice.
- Undertake statutory and mandatory training as required by the Trust.
Management
- Take part in the senior nurse structure within the clinical area/department, supporting junior members of the team.
- Ensure appropriate representation and participation in clinical/departmental meetings for example: Clinical governance, operational/service development meetings.
- Be aware of the budgetary constraints within the clinical area/department, manage resources appropriately, and encourage others to do likewise.
- Following Trust policy act in an appropriate manner when dealing with incidents and complaints.
- Contribute to multidisciplinary meetings and attend local and regional meetings in order to contribute to practice and service development
Research & Audit
- Develop skills and knowledge around research and implementing evidence-based practice into the clinical area.
- Be actively involved in department and national audits and understand the audit cycle.
- Understand change and implementation strategies to integrate findings from research and audit into clinical practice.
- Be actively involved and compliant in appropriate research studies and quality improvement projects and audits being undertaken within the clinical setting.
Job description
Job responsibilities
Clinical
- Deliver and participate in the clinical care of patients within Acute Medicine
- Provide skilled assessment of patients including history taking, physical assessment, requesting, interpreting, and acting on appropriate tests and investigations in a timely manner.
- Use expert and specialised clinical and theoretical knowledge in order to safely and appropriately assess and diagnose patients in their care.
- Act autonomously within evidenced based guidelines to plan and implement individualised management plans. Formulate clinical decisions and often complex treatment plans to manage illness and/or injury.
- Demonstrate competence, knowledge and skills in a wide range of practical procedures
- Prescribe as an Independent Prescriber, assessing and prescribing appropriate medication within appropriate specialty guidelines using the British National formulary
- To delegate/refer to other practitioners when this will improve health outcomes or when risk and needs are beyond own competence and scope of practice.
- Accept referrals from other disciplines and provide specialist advice and support to colleagues within the organisation.
Personal & Professional
- Be responsible for maintaining current registration with appropriate professional bodies and perform within any Professional Code and relevant Guidelines for Practice.
- Keep up-to-date with current research and audit findings and base all clinical assessment and management decisions on credible high quality evidence
- Promote integrated working practice between clinical areas and interdisciplinary teams in order to ensure safe patient care.
- Contribute to the development of the Advanced Practitioner role both within the Directorate and Trust wide.
- Maintain own professional portfolio in-line with both local and national competency frameworks.
Service Development
- To actively take part in planning, developing and improving services in order to be responsive to patient needs as well as Directorate, Trust and National Health Service needs.
- Participate in implementing national standards and frameworks at a local level within the speciality.
- To be responsible for identifying and addressing his/her own professional, training and development needs, ensuring these training and development needs are aligned to speciality service developments.
Education & Training
- Participate in the initial induction training programme for nursing and medical staff and continue to be involved in their on-going support and training as required. Be involved in the bedside, classroom, and directorate teaching of North Bristol NHS Trust staff, as well as utilising additional teaching opportunities such as: national teaching appropriate to the speciality, and teaching/contributing to courses run by the local university, in addition to presenting at national conferences.
- Mentor Advanced practice trainees and medical staff, and supervise other staff working within the clinical area, providing professional support and clinical supervision as required.
- Give guidance and participate in the teaching and assessment of junior, middle grade and senior medical staff.
- Establish links and networks with other nursing professionals in similar roles within the specialty at Local, Regional and National level
- Act as a constant source of clinical and theoretical knowledge for all grades of nursing and medical staff, and patients.
- Be an active member of relevant trust wide professional groups such as the Non-Medical Prescribing Group.
- The post holder will be supported to fulfil any local and national portfolio requirements, adhering to the Four Pillars of Advanced Practice.
- Undertake statutory and mandatory training as required by the Trust.
Management
- Take part in the senior nurse structure within the clinical area/department, supporting junior members of the team.
- Ensure appropriate representation and participation in clinical/departmental meetings for example: Clinical governance, operational/service development meetings.
- Be aware of the budgetary constraints within the clinical area/department, manage resources appropriately, and encourage others to do likewise.
- Following Trust policy act in an appropriate manner when dealing with incidents and complaints.
- Contribute to multidisciplinary meetings and attend local and regional meetings in order to contribute to practice and service development
Research & Audit
- Develop skills and knowledge around research and implementing evidence-based practice into the clinical area.
- Be actively involved in department and national audits and understand the audit cycle.
- Understand change and implementation strategies to integrate findings from research and audit into clinical practice.
- Be actively involved and compliant in appropriate research studies and quality improvement projects and audits being undertaken within the clinical setting.
Person Specification
Experience and qualifications
Essential
- Registered Nurse/Paramedic/Allied health professional (on the relevant part of the register for the post)
- Independant Non-medical Prescriber
- Minimum of 3 advanced practice modules at level 7 study, including a clinical examination and pathophysiology module or equivalent.
- leadership and change management experience
- Excellent Communication skills
- Extensive experience of acute medicine
- Evidenced portfolio of relevant continuous professional development inline with any current and/or future national requirements
- Ability to apply excellent analytical and judgemental skills to interpret and compare a range of options of patient care
Desirable
- Completed MSc
- research experience
- facilitation and negotiation experience
- Computer literate, able to use trust databases and other relevant programmes
- Evidence of ability to use initiative, lead a team and manage change
- PR and networking skills
Person Specification
Experience and qualifications
Essential
- Registered Nurse/Paramedic/Allied health professional (on the relevant part of the register for the post)
- Independant Non-medical Prescriber
- Minimum of 3 advanced practice modules at level 7 study, including a clinical examination and pathophysiology module or equivalent.
- leadership and change management experience
- Excellent Communication skills
- Extensive experience of acute medicine
- Evidenced portfolio of relevant continuous professional development inline with any current and/or future national requirements
- Ability to apply excellent analytical and judgemental skills to interpret and compare a range of options of patient care
Desirable
- Completed MSc
- research experience
- facilitation and negotiation experience
- Computer literate, able to use trust databases and other relevant programmes
- Evidence of ability to use initiative, lead a team and manage change
- PR and networking 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.
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).
Employer details
Employer name
North Bristol NHS Trust
Address
Acute Medical Unit and SDEC Gate 31 and 36
Southmead Hospital, North Bristol NHS Trust, Westbury on Trym
Bristol
BS105NB
Employer's website
https://www.nbt.nhs.uk (Opens in a new tab)
