Advanced Clinical Practitioner

Job description

Job responsibilities

Principal Responsibilities

1. To be responsible for planning, reviewing and renegotiating programmes of care to promote health gains and maximise independence within a defined caseload in conjunction with the Integrated Care Teams (ICT)
2. Develop and maintain communication with people about complex issues and/or in difficult situations
3. To use advanced skills and knowledge to assess the physical and psycho-social needs of those with complex needs, diseases and disorders, instigating evidence-based therapeutic treatments to improve health outcomes.
4. To play a lead role in ICT to improve holistic assessment and approach to health and social care needs of patients.
5. To play a lead role in improving the access to health care within care home settings.
6. To be professionally and legally responsible and accountable for all aspects of own work, including the management of patients in your care.
7. To accept clinical responsibility for a diverse and often complex caseload of patients, to organise this efficiently and effectively with regards to clinical priorities
8. Demonstrate advanced listening, communication and negotiation skills to understand what matters to individuals, to ensure the patient is at the centre of all decisions and to agree and work towards appropriate goals
9. To work closely with medical, nursing, allied health professional and volunteer services across primary care, secondary care and community settings to ensure patients receive appropriate investigation, intervention and care planning to ensure their physical and mental health is optimally and safely managed to afford them the best possible for basis for rehabilitation and recovery
10. To develop / maintain advanced specialist clinical skills and knowledge to identify changes in a patients condition through clinical examination
11. To undertake interventions consistent with evidence-based practice, transferring and applying knowledge and skills to meet client needs
12. To use skills and knowledge to make referrals for diagnostic tests
13. To evaluate the effectiveness of interventions in meeting prior agreed goals and making any necessary modifications
14. As a non-medical prescriber, take necessary assessments, medicines review and prescribe within the Prescribing Framework
15. As a supplementary prescriber, actively manage the polypharmacy and other medication issues associated with chronic disease management and care home residents in conjunction with the patients GP, using clinical management plans
16. To be responsible for ensuring the provision of planned intervention in all aspects of chronic disease management with appropriate input from the multidisciplinary team to reduce the risk of complications and deterioration of the patients condition.
17. To improve the patients self-management of their condition wherever possible considering the functional and cognitive patient assessment
18. Ensures that the care provided, and services delivered are in line with local and national guidelines and policy
19. Maintaining accurate and legible patient notes in accordance with Trust and national professional policies and guidelines
20. Use advanced clinical skills and expert knowledge to provide proactive monitoring and provide timely intervention.
21. To work as an integral part of the integrated community nursing, multidisciplinary and multi-agency teams
22. To actively participate in projects designed to improve the proactive management of patients
23. Make operational judgements
24. Develop own skills and knowledge and contribute to the development if others within the guidelines of the NMC Code of Conduct
25. Clearly identifying the wider benefits that developing knowledge, ideas and work practice will bring
26. Challenging tradition and take risks, accepting joint responsibility for any arising problems and tensions and using these to inform future practice
27. To work independently managing own caseload in conjunction with the GP, Social workers, Medicines Management, Mental Health teams, Learning disability teams, Integrated nursing teams, AHPs and secondary care teams as appropriate
28. Demonstrates professional responsibility for adherence to Trust and relevant bodies policies and procedures
29. To work directly with multi-professional teams to assist in the management of risk, facilitation of complex case reviews and the immediate crisis management
30. The post holder may be exposed to frequent distressing or emotional circumstances with patients who are terminally ill or suffering end of life events, and will be required to deal with this situation in a professional manner

Leadership

1. Inspires others and encourage them to seek advice and solutions to problems
2. Challenges others to take an active part in developing knowledge, ideas and work practice
3. Challenges tradition and takes clinical risks based on evidence, accepting responsibility for their decisions and uses this to inform future practice ensuring best practice is shared
4. Promotes the service and encourages the Integrated Nursing Teams to disseminate good practice
5. Challenges professional and organisational boundaries to ensure that Case Management role development is focused on meeting the needs of service users, thus promoting continuity of high-quality personcentred care
6. Identifies clear benefits to the developing role of the Community Matron and communicate these effectively within the organisation, primary care, secondary care, other agencies and communities
7. Take the lead role in case discussions/case conferences concerning service users on their caseload
8. Acts as an advocate and champion for patients in a variety of forums and professional groups and, where necessary, challenge against attitudes
9. Effectively communicates at all levels of the organisation to a variety of health professionals, service users and carers, to provide the best outcomes for patients
10. Provides the interface between secondary, primary and social care settings
11. Maintains a high level of performance when faced with opposition or working under conditions of pressure
12. Communicates the vision and benefits of case management and enhanced health in care homes to a variety of forums
13. Communicating highly sensitive, complex and confidential information to patients, relatives, carers and multidisciplinary and multi-agency team
14. To promote the Trusts vision and public health priorities
15. The post holder will have responsibility for any staff that they supervise to ensure they are adhering to all the required health, safety and security tasks as set out in their job descriptions and report any risks to the relevant persons
16. Undertake investigations as required
17. Contribute to policy and guideline development and review

Responsibilities for physical and financial resources / analysis & data management

1. Takes responsibility for the management of the clinical environment and is accountable for the use of resources contained therein
2. Alerts managers to resource issues, which affect learning, development and performance in prompting evidence, based care, considering, financial and budgetary considerations
3. Accurately maintaining the necessary records of resource used
4. Contributes to the collection of data to monitor outcome measures for the caseload
5. Evaluating legislation, policies and procedures and communicating their effect on work and other service provision in the Trust
6. Agreeing with others the outcomes of evaluations and the implications of this for services

Training & Education

1. Be proactive in developing own professional practice, demonstrating evidence of increasing autonomy, clinical judgement and decision-making skills and contribute to the development of others
2. Monitors own performance and identify personal development needs in relation to gaps in clinical skills and knowledge
3. Integrates theory into practice by bringing knowledge from academic courses into the practice environment
4. Contributes to the development of a learning and development culture within the workplace
5. Works with the MDT to co-ordinate the development, implementation and evaluation of teaching programmes for patients and their carers that provide them with the necessary knowledge and skills to gain independence, safely manage with their circumstances, plan for unavoidable progression in their conditions and effectively access health and social care
6. Develop personal development plans and participate in the appraisal process
7. Understanding own role and that of other MDT members
8. Keeping up to date with developments in quality in own and associated areas including portfolio building
9. Staff should attend mandatory and statutory training, report incidents, access risks, report unsafe occurrences and follow Trust policy
10. Proposes and implements case management protocols and policies that impact beyond own area and service development

Clinical Governance/Research and Audit

1. Critically evaluates and interprets evidence-based research findings from diverse sources making informed judgements about their implications for changing and/or developing services and clinical practice
2. Continually evaluates and audits the practice and self of others, selecting and applying a wide range of valid and reliable approaches and methods that are appropriate to the needs and context
3. Audit and evaluate the quality of Community Matron role, and where necessary make appropriate improvements
4. Access and manage the risks to quality
5. To take a lead in research and clinical audit as required by the Trust within own speciality

Communication

1. Work in partnership with the MDT to formulate a plan of care and initiate referrals as appropriate
2. Work in partnership with the patient and carers to plan the delivery of care, respecting patient choice and autonomy
3. Develop excellent working relationships with key contributors to the development of care pathways for patients and participate in the review of these pathways
4. Establishes a network that can be used to streamline care pathways
5. Manage conflicting views and reconcile professional differences of opinion

Person Specification

Person Specification

Essential

• Registration with relevant clinical body
• Full Masters in advanced Clinical Practice or equivalent experience or qualification, such as relevant in-depth experience and postgraduate/registration study/qualification
• V300 Non-medical prescribing
• Mentor/teaching qualification
• Working autonomously in an advanced role
• Proven leadership skills
• Non-medical prescriber
• Research
• Audits
• Continuous Improvement
• Accountability
• Respectfulness
• Enthusiasm
• Support
• High professional standards
• Responsive to service users
• Engaging leadership style
• Strong customer service belief
• Transparency and honesty
• Discreet
• Change oriented
• Excellent communication skills both written and verbal
• Change management
• Able to work across boundaries within primary and offering support to secondary care
• Negotiation and conflict management skills
• IT literate

Desirable

• Community experience
• Working within a multi- disciplinary led environment
• EMIS
• ICE
• RIO

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.

Certificate of Sponsorship

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

Mersey Care NHS Foundation Trust

Address

Bootle Health Centre

Park Street

Bootle

L20 3RF

Employer's website

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