Job summary
BANES is a forward thinking, friendly, supportive and passionate locality. This a great opportunity to join our energetic access services in a new senior clinical role. BANES access services are transforming to support patients in accessing the right care, at the right time, in the right place. This role will support this transformation working with AWP teams and system partners including 3rd sector, local authority and acute hospitals to lead and develop treatment pathways for people with mental health and/or learning disabilities. This role will work alongside the access services manager supporting the development of appropriate clinical models and interventions within the transformed access services and supporting the access teams with complex decision-making.
You will need to work well with complexity and change demonstrating the Trust's values, PRIDE, at all times . You will be responsible for planning and managing episodes of care including completing comprehensive assessments and implementing appropriate interventions to support patient recovery and flow through our access teams. You will be a source of expert clinical advice, leadership and support demonstrating advanced decision-making skills. BANES access services include Intensive, acute hospital liaison and PCLS although we envisage some structural changes as we continue to work with 3rd sector to design and align mental health access opportunities.
Main duties of the job
- Inspire, lead, develop and evaluate high quality, safe and effective care and treatment pathways for people with mental health conditions and/or learning disabilities, building learning from your academic and clinical experience into your professional practice.
- Deliver, model and evaluate a high level of clinical intervention, to include complex decision-making, overseeing (and working to improve) treatment pathways, and promoting multi-professional working.
- Plan and manage complete episodes of care within your area of practice, undertaking independent comprehensive assessment and management of service user need to incorporate pharmacological and psychological interventions, making complex clinical decisions regarding service user management and clinical outcomes.
- Provide expert clinical advice, leadership and support to ensure the needs of service users and carers are met by exercising and demonstrating high levels of clinical judgement, critical analysis and advanced decision making skills.
About us
We are AWP (Avon and Wiltshire Mental Health Partnership NHS Trust):a diverse organisation with over 5,000 dedicated staff providing inpatient and community-based mental health care.
We provide services from a range of locations to approximately 1.8 million people living in Bath and North East Somerset (B&NES), Bristol, North Somerset, South Gloucestershire, Swindon, across the county of Wiltshire and in parts of Dorset.
Our outstanding people promote mental health and wellbeing. The expertise and resources within AWP are dedicated to a person-centred approach for those who use our services and for all employees. We recognise that happy and fulfilled employees give better care.
At AWP we actively encourage applicants from all backgrounds; we are particularly keen to encourage applications from people from Black, Asian and minority ethnic backgrounds, those with disabilities and from the LGBTQ+ community. We want people to bring their unique blend of experiences, backgrounds, perspectives and knowledge to AWP, as diversity makes us stronger.
Job description
Job responsibilities
Clinical Practice:
Qualified Advanced Clinical Practitioners will:
- Practice in accordance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions.
- Demonstrate a critical understanding of their broadened 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.
- Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
- Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate.
- Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes.
- Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations.
- Synthesize information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.
- Initiate, evaluate and modify a range of interventions, which may include prescribing medicines, therapies, life style advice and care.
- Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events, and supporting teams to do likewise to ensure safety of individuals, families and carers.
- Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.
- Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.
- Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role, setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope
- Review and work to embed the evidence-based clinical programmes, including admission, assessment, treatment, discharge and aftercare, for people using services
- Establish and embed robust clinical supervision and reflective practice processes
- Take a lead on the support, coaching and mentoring of clinicians around core areas of practice
- Work proactively, compassionately and dynamically with the clinical service to ensure practice is orientated to contemporary ethical, clinical and professional standards
- Undertake and support the specialist assessment of physiological and/or psychological functioning for service users
- Review, develop and oversee the delivery of comprehensive and complex discharge and home treatment programmes using evidence-based frameworks, including strategies to manage risk for service users
Leadership and Management:
Qualified Advanced Clinical Practitioners will:
- Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working.
- Role model the values of their organisation/place of work, demonstrating a person-centred approach to service delivery and development.
- Evaluate own practice, and participate in multi-disciplinary service and team evaluation, demonstrating the impact of advanced clinical practice on service function and effectiveness, and quality (i.e. outcomes of care, experience and safety).
- Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.
- Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence.
- Actively seek feedback and involvement from individuals, families, carers, communities and colleagues in the co-production of service improvements.
- Critically apply advanced clinical expertise in appropriate to provide consultancy across professional and service boundaries, influencing clinical practice to enhance quality, reduce unwarranted variation and promote the sharing and adoption of best practice.
- Demonstrate team leadership, resilience and determination, managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others.
- Continually develop practice in response to changing population health need, engaging in horizon scanning for future developments (e.g. impacts of genomics, new treatments and changing social challenges).
- Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals, families, carers, communities and colleagues safety and well-being when necessary.
- Negotiate an individual scope of practice within legal, ethical, professional and organisational policies, governance and procedures, with a focus on managing risk and upholding safety.
- Work in a creative and integrated way across whole systems (e.g. integrated care boards, community partnerships and the private and voluntary sector) to help ensure care and treatment pathways are safe, effective and delivered within available resources.
Education:
Qualified Advanced Clinical Practitioners will:
- 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.
- Engage in self-directed learning, critically reflecting to maximise clinical skills and knowledge, as well as own potential to lead and develop both care and services.
- Engage with, appraise and respond to individuals motivation, development stage and capacity, working collaboratively to support health literacy and empower individuals to participate in decisions about their care and to maximise their health and well-being.
- Advocate for and contribute to a culture of organisational learning to inspire future and existing staff.
- Facilitate collaboration of the wider team and support peer review processes to identify individual and team learning.
- Identify further developmental needs for the individual and the wider team and supporting them to address these.
- Supporting the wider team to build capacity and capability through work-based and interprofessional learning, and the application of learning to practice
- Act as a role model, educator, supervisor, coach and mentor, seeking to instill and develop the confidence of others
Research:
Qualified Advanced Clinical Practitioners will:
- Critically engage in research activity, adhering to good research practice guidance, so that evidence-based strategies are developed and applied to enhance quality, safety, productivity and value for money.
- Evaluate and audit own and others clinical practice, selecting and applying valid, reliable methods, then acting on the findings.
- Critically appraise and synthesise the outcome of relevant research, evaluation and audit, using the results to underpin own practice and to inform that of others.
- Take a critical approach to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and organisations to these and how they might be addressed in a safe and pragmatic way.
- Actively identify potential need for further research to strengthen evidence for best practice. This may involve acting as an educator, leader, innovator and contributor to research activity and/or seeking out and applying for research funding.
- Develop and implement robust governance systems and systematic documentation processes, keeping the need for modifications under critical review.
- Disseminate best practice research findings and quality improvement projects through appropriate media and fora (e.g. presentations and peer review research publications).
- Facilitate collaborative links between clinical practice and research through proactive engagement, networking with academic, clinical and other active researchers
Job description
Job responsibilities
Clinical Practice:
Qualified Advanced Clinical Practitioners will:
- Practice in accordance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions.
- Demonstrate a critical understanding of their broadened 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.
- Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
- Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate.
- Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes.
- Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations.
- Synthesize information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.
- Initiate, evaluate and modify a range of interventions, which may include prescribing medicines, therapies, life style advice and care.
- Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events, and supporting teams to do likewise to ensure safety of individuals, families and carers.
- Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.
- Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.
- Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role, setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope
- Review and work to embed the evidence-based clinical programmes, including admission, assessment, treatment, discharge and aftercare, for people using services
- Establish and embed robust clinical supervision and reflective practice processes
- Take a lead on the support, coaching and mentoring of clinicians around core areas of practice
- Work proactively, compassionately and dynamically with the clinical service to ensure practice is orientated to contemporary ethical, clinical and professional standards
- Undertake and support the specialist assessment of physiological and/or psychological functioning for service users
- Review, develop and oversee the delivery of comprehensive and complex discharge and home treatment programmes using evidence-based frameworks, including strategies to manage risk for service users
Leadership and Management:
Qualified Advanced Clinical Practitioners will:
- Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working.
- Role model the values of their organisation/place of work, demonstrating a person-centred approach to service delivery and development.
- Evaluate own practice, and participate in multi-disciplinary service and team evaluation, demonstrating the impact of advanced clinical practice on service function and effectiveness, and quality (i.e. outcomes of care, experience and safety).
- Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.
- Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence.
- Actively seek feedback and involvement from individuals, families, carers, communities and colleagues in the co-production of service improvements.
- Critically apply advanced clinical expertise in appropriate to provide consultancy across professional and service boundaries, influencing clinical practice to enhance quality, reduce unwarranted variation and promote the sharing and adoption of best practice.
- Demonstrate team leadership, resilience and determination, managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others.
- Continually develop practice in response to changing population health need, engaging in horizon scanning for future developments (e.g. impacts of genomics, new treatments and changing social challenges).
- Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals, families, carers, communities and colleagues safety and well-being when necessary.
- Negotiate an individual scope of practice within legal, ethical, professional and organisational policies, governance and procedures, with a focus on managing risk and upholding safety.
- Work in a creative and integrated way across whole systems (e.g. integrated care boards, community partnerships and the private and voluntary sector) to help ensure care and treatment pathways are safe, effective and delivered within available resources.
Education:
Qualified Advanced Clinical Practitioners will:
- 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.
- Engage in self-directed learning, critically reflecting to maximise clinical skills and knowledge, as well as own potential to lead and develop both care and services.
- Engage with, appraise and respond to individuals motivation, development stage and capacity, working collaboratively to support health literacy and empower individuals to participate in decisions about their care and to maximise their health and well-being.
- Advocate for and contribute to a culture of organisational learning to inspire future and existing staff.
- Facilitate collaboration of the wider team and support peer review processes to identify individual and team learning.
- Identify further developmental needs for the individual and the wider team and supporting them to address these.
- Supporting the wider team to build capacity and capability through work-based and interprofessional learning, and the application of learning to practice
- Act as a role model, educator, supervisor, coach and mentor, seeking to instill and develop the confidence of others
Research:
Qualified Advanced Clinical Practitioners will:
- Critically engage in research activity, adhering to good research practice guidance, so that evidence-based strategies are developed and applied to enhance quality, safety, productivity and value for money.
- Evaluate and audit own and others clinical practice, selecting and applying valid, reliable methods, then acting on the findings.
- Critically appraise and synthesise the outcome of relevant research, evaluation and audit, using the results to underpin own practice and to inform that of others.
- Take a critical approach to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and organisations to these and how they might be addressed in a safe and pragmatic way.
- Actively identify potential need for further research to strengthen evidence for best practice. This may involve acting as an educator, leader, innovator and contributor to research activity and/or seeking out and applying for research funding.
- Develop and implement robust governance systems and systematic documentation processes, keeping the need for modifications under critical review.
- Disseminate best practice research findings and quality improvement projects through appropriate media and fora (e.g. presentations and peer review research publications).
- Facilitate collaborative links between clinical practice and research through proactive engagement, networking with academic, clinical and other active researchers
Person Specification
Registered clinical practitoner
Essential
- Current professional registration NMC
- oMSc in Advanced Clinical Practice, or accreditation as an Advanced Clinical Practitioner through a nationally-validated portfolio route
Desirable
- oPossession of a post-registration qualification in an area of clinical practice, service / quality improvement, teaching and learning, or another professionally-relevant subject.
Experience & Knowledge
Essential
- oSubstantial post-registration knowledge and experience gained in a clinical setting.
- oSignificant experience of complex clinical assessment, delivery and care planning
- oExperience of making decisions in the context of complex care pathways
- oExperience of working as a clinical leader in health services
Desirable
- oKnowledge of service or quality improvement frameworks / methodology
- oExperience of team development and change
Skills & abilities
Essential
- oHighly developed verbal communication skills, able to engage effectively with people at all levels
- oAble to lead and support colleagues at all levels with warmth and clinical authority, providing a sense of psychological safety.
- oAble to articulate a wide range of clinical concepts and processes in the context of a joined-up care and treatment network.
- oHighly developed written communication skills, with experience of compiling and sorting notes and reports, establishing statistical data and analysing information
- oAbility to work autonomously, and as part of a complex care system
- oAbility to manage time and prioritise, particularly when working under pressure
- oAbility to identify, challenge, report and address sub-optimal practice and to lead on team-wide improvement
- Empathy for individuals who have experienced mental health problems and ability to cope with behaviour which may be challenging at times.
Person Specification
Registered clinical practitoner
Essential
- Current professional registration NMC
- oMSc in Advanced Clinical Practice, or accreditation as an Advanced Clinical Practitioner through a nationally-validated portfolio route
Desirable
- oPossession of a post-registration qualification in an area of clinical practice, service / quality improvement, teaching and learning, or another professionally-relevant subject.
Experience & Knowledge
Essential
- oSubstantial post-registration knowledge and experience gained in a clinical setting.
- oSignificant experience of complex clinical assessment, delivery and care planning
- oExperience of making decisions in the context of complex care pathways
- oExperience of working as a clinical leader in health services
Desirable
- oKnowledge of service or quality improvement frameworks / methodology
- oExperience of team development and change
Skills & abilities
Essential
- oHighly developed verbal communication skills, able to engage effectively with people at all levels
- oAble to lead and support colleagues at all levels with warmth and clinical authority, providing a sense of psychological safety.
- oAble to articulate a wide range of clinical concepts and processes in the context of a joined-up care and treatment network.
- oHighly developed written communication skills, with experience of compiling and sorting notes and reports, establishing statistical data and analysing information
- oAbility to work autonomously, and as part of a complex care system
- oAbility to manage time and prioritise, particularly when working under pressure
- oAbility to identify, challenge, report and address sub-optimal practice and to lead on team-wide improvement
- Empathy for individuals who have experienced mental health problems and ability to cope with behaviour which may be challenging at times.
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).
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