Advanced Practitioner Integrated Urgent Care - (NMC registered)

Job description

Job responsibilities

Aligned to the national frameworks for Advanced Practice, the post holder must embody the capabilities of a multi-professional advanced clinical practitioner, delivering across the four pillars of advancing practice, alongside key responsibilities.

Patient Care

The post holder will manage patient care by:

- Conducting advanced clinical assessments of patients with complex health needs, ensuring care plans meet these needs.

- Employing structured clinical referral and handover processes.

- Using clinical judgment to assess, diagnose, treat, refer, and/or discharge patients with undifferentiated injuries and illnesses.

- Adhering to Trust, JRCALC, and national guidelines while making decisions within their professional scope of practice.

- Utilising advanced clinical skills and knowledge defined in the Advanced Practitioner Urgent Care Scope of Practice.

- Administering or prescribing medication in line with Trust policies and guidelines.

- Navigating acute and urgent care pathways effectively, including arranging direct admissions when necessary.

- Referring patients to appropriate care settings and ensuring proper handover.

- Maintaining accurate records and understanding information governance responsibilities.

- Delivering evidence-based care and maintaining professional standards (e.g., ILS, JRCALC, NICE).

- Treating patients, relatives, and the public with dignity and respect, even in difficult situations.

Research and Audit Responsibilities

- Promote the service by collecting, analysing, and reporting evidence of its impact on patient outcomes.

- Lead research, clinical audit, service evaluation, and improvement initiatives.

- Contribute to developing guidelines and care pathways based on evidence.

- Participate in serious incident reviews and embed learning into practice.

- Serve as an expert resource within the organisation.

Leadership, Training, and Supervision Responsibilities

- Engage in self-appraisal and lead others development through supervision, mentorship, and reflective practice.

- Act as an expert resource and role model, demonstrating high standards of professional and clinical practice.

- Supervise and support Specialist Paramedics/Nurses, ensuring their practice development.

- Mentor clinicians and support their CPD and revalidation training.

- Develop systems for feedback to improve clinical care and professional practice.

- Support training and development activities across the organisation.

- Drive personal CPD, including team development reviews.

- Collaborate with system partners to develop service improvements.

- Maintain a professional portfolio to evidence scope of practice and CPD.

- Undertake statutory and mandatory training as required.

Communication and Relationship Responsibilities

- Build working relationships with colleagues, peers, and managers across the Trust.

- Provide trusted supervision and feedback to paramedics, nurses, and other clinicians.

- Develop relationships with external organisations to lead system working initiatives and represent the Trust in clinically relevant forums.

Analytical and Judgmental Responsibilities

- Conduct advanced clinical assessments of patients with complex needs and plan appropriate care.

- Exercise clinical judgment to assess, diagnose, treat, refer, and/or discharge patients within Trust guidelines.

- Act as a clinical leader with expertise in remote assessment and management of various conditions.

- Analyse clinical data related to patient care and research activities.

- Make reasoned judgments based on clinical evidence and practice.

Planning and Organisational Responsibilities

- Self-manage and prioritise workload, balancing clinical supervision with governance and development activities.

- Work in the Emergency Operations Centre, providing remote clinical advice and decision support.

- Represent the organisation in public and professional settings, developing partnerships to enhance service and practice.

Policy and Service Development Responsibilities

- Promote a positive safety culture by contributing to policy and guideline development.

- Lead the development of evidence-based SOPs, clinical guidelines, and care pathways.

- Lead initiatives related to service development that improve patient care.

Financial, Physical, and Information Resource Responsibilities

- Manage medicines in line with Trust policies and ensure the security of Trust vehicles and premises.

- Use Trust equipment, facilities, and premises appropriately, ensuring safety and security.

- Comply with Health and Safety regulations to maintain a safe working environment.

Corporate Responsibilities

- Maintain confidentiality and security of information in compliance with GDPR and other relevant legislation.

- Ensure staff are aware of their responsibilities under various laws, including the Freedom of Information Act.

- Adhere to Health and Safety regulations and ensure personal and colleague safety.

- Participate in mandatory training and maintain awareness of Equal Opportunities and other Trust policies.

- The job description is subject to change as organisational needs evolve.

- Participate in the Trusts on-call rota.

Person Specification

EDUCATION, QUALIFICATIONS AND TRAINING

Essential

• Registered Health professional (eg. paramedic, nurse, allied health professional, pharmacist) with no restrictions on practice ? Holds a Master's Degree (MSc) Advanced Clinical Practice or equivalent MSc with HEE/NHS.E portfolio and digital badge ? Non-medical prescribing.

Desirable

• Has successfully completed appropriate additional academic postregistration theoretical study that relates to urgent care/long term conditions (minimum Level 6). ? Teaching or Mentoring qualification.

KEY SKILLS, KNOWLEDGE AND APTITUDE

Essential

• Ability to apply advanced clinical assessment, clinical reasoning and formulate differential diagnoses and management plan underpinned by extensive knowledge and experience. Ability to deliver advanced clinical skills and interventions in accordance with scope of practice for Advanced Practitioner Urgent Care. ? Excellent communication skills. Ability to expertly complete documentation in a concise and professional manner. Willing to lead/participate in clinical governance, review and develop policy and guidelines. ? Comply with Duty of Candour laws as outlined in the Francis Report.

EXPERIENCE

Essential

• Significant post-registration experience of advanced clinical practice, clinical leadership, clinical supervision and mentorship. ? Significantexperience in the assessment and care of undifferentiated patients in a remote care or an urgent and emergency care setting.

Desirable

• Experience of working in other clinical settings independently. ? Experience of undertaking a lead clinical supervisor role. ? Holds and maintains Resuscitation Council (UK) ILS Provider qualification.

DISPOSITION / PERSONAL ATTRIBUTES

Essential

• Reliable, conscientious, enthusiastic and selfmotivating. ? Ability to mentor and clinically supervise staff. A commitment to sharing knowledge and skills. ? Committed to personal and professional development. ? Ability to communicate complex information with other healthcare professionals and Trusts.

SPECIAL REQUIREMENTS / OTHER

Essential

• Full UK driving license or ability to attend multiple sites of 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.

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 East Ambulance Service NHS Foundation Trust

Address

Bernicia House

Goldcrest Way

NEWCASTLE UPON TYNE

NE15 8NY

Employer's website

https://www.neas.nhs.uk/ (Opens in a new tab)