Job summary
The post holder will be based at Lincoln County Hospital, but will be expected to practice across all sites within the ULHT.The Advanced Clinical Practitioner (ACP) will use specialist knowledge and skills to provide healthcare autonomously to patients within their sphere of practice. The ACP is accountable for independent clinical assessment, diagnosis and treatment of patients with undiagnosed, undifferentiated conditions and patients with urological diagnosis. In addition to this the ACP is also responsible for appropriately referring patients to relevant specialities for any necessary inpatient or outpatient investigations.The post holder will be a Registered Healthcare Professional and hold an MSc in Advanced Clinical Practice, equivalent at MSc level or willing to work towards an MSc to be agreed as part of the application process. They will be an independent Non-Medical Prescriber. They will practice at an advanced level demonstrating in depth knowledge and competence in all aspects of acute medicine, encompassing enhanced assessment, critical thinking and clinical management skills that are evidence based and deliver high quality patient centred care.ACPs will contribute to the either the tier 1 (SHO-F2, ST1-3) or tier 2 (middle grade/SPR/ST4-7) rotas, the work pattern of each individual being determined by both their level of experience and competence. There will be opportunity as experience is gained to progress from tier 1 to tier 2.
Main duties of the job
The post holder will have a Trust-wide responsibility to promote clinical excellence in the care of patients presenting to Urology Care by providing clinical advice and support to nursing staff and other health care professionals. They will provide expert professional and independent clinical care which enables the coordination of a multi professional seamless service for acute medical patients.The role will include developing audit and research projects within their sphere/ area of practice, and participating in up-dating and implementing departmental policies, protocols and guidelines, in line with national guidance and contemporary evidence.The ACP will have protected time to maintain and further develop their professional competence. They will have annual appraisal from medical and non-medical supervisors. The ACP will also provide ongoing supervision and support, participating in the induction and training of nursing and medical staff. As a senior member of the Multi-disciplinary team, the ACP will also play a pivotal role in the operational development of the service. They will initiate, manage and drive change, innovating changes in practice for the benefit of patient care in line with current trust and local programmes. Approximately 20% of the post holder's time will be used for these purposes.
About us
We are United Lincolnshire Hospitals NHS Trust (ULHT),a rural acute NHS trust withover 8000 colleagues, serving Lincolnshire's 757,000 residents from three ULHT run acute hospital sites, four community run hospitals, and numerous GP run facilities around the county.
Lincolnshire is the second largest county in the UK and is characterised by dispersed centres of population in large towns and the city of Lincoln, and otherwise largely rural communities. Transport networks are underdeveloped resulting in transport times of around one hour between the three acute hospital sites.
In an average year, we treat more than 150,000 accident and emergency patients, over 600,000 outpatients and over 140,000 inpatients.
We have adopted a vision and five key values to show what we stand for, how we want to be known and how we behave.
Patient-centred |Putting patients at the heart of our care.
Safety |Ensuring patients and staff are free from harm.
Excellence |Supporting innovation, improvement and learning.
Compassion |Caring for patients and loved ones.
Respect | Treating our patients and each other positively.
Job description
Job responsibilities
- Use highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients
- Undertake physical examination as indicated by the patients condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required.
- Triage referrals appropriately reviewing patients in a timely manner according to their presentation.
- Perform clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, including (but not limited to) catheterisation, cannulation, peripheral arterial blood gas sampling.
- Analyse multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgements and evaluating care provided; presenting this information, to speciality /senior medical staff for advice when scope of practice is exceeded.
- Autonomously formulate appropriate management plans for patients, formulate clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission or discharge.
- Continuously revaluates findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly.
- Prioritise health problems and intervene appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation.
Job description
Job responsibilities
- Use highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients
- Undertake physical examination as indicated by the patients condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required.
- Triage referrals appropriately reviewing patients in a timely manner according to their presentation.
- Perform clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, including (but not limited to) catheterisation, cannulation, peripheral arterial blood gas sampling.
- Analyse multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgements and evaluating care provided; presenting this information, to speciality /senior medical staff for advice when scope of practice is exceeded.
- Autonomously formulate appropriate management plans for patients, formulate clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission or discharge.
- Continuously revaluates findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly.
- Prioritise health problems and intervene appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation.
Person Specification
Qualifications
Essential
- Current Professional registration within area of practice
- Post registration qualification or training relevant to speciality
- MSc In advanced clinical practice
- Registered Independent Non-Medical Prescriber
- ALS Provider
- Evidence of teaching, supervision & assessment skills
Desirable
- Mentor/assessor qualification
- Instructor on ALS
Previous Experience
Essential
- Substantial post registration relevant experience
Desirable
- Management, supervisor and leadership experience.
- Completed portfolio of supervised practice in Urology Care
Skills
Essential
- Able to present and receive complex information to a multi-professional team
- Demonstrate negotiating and influencing skills
- Able to work independently and within a team
- Assertiveness skills and the ability to deal with interpersonal conflict
- Ability to adapt communication to a wide variety of patient abilities/needs
- Accept constructive feedback and teaching from a variety of sources.
- Ability to respond to, prioritize and analyze complex health conditions and ensure effective interventions are actioned in a timely manner.
- Deal effectively with clinical issues within defined procedures and guidelines
- Able to work with undifferentiated and undiagnosed healthcare problems.
- Participation in research or audit projects
- Active involvement in departmental operational development
- Willingness to adapt to departmental and patient need
- Self -motivated
- Efficient time and deadline management
- Ability to schedule academic workload and work commitments
- Able to identify learning opportunities
- Able to organise own learning and development
- Ability to provide education, complete research and audit
- Able to undertake required clinical duties/procedures'
- Ability to manoeuvre patients and perform clinical examinations as required
- Ability to undertake computer and other equipment skills
- Must be able to demonstrate behaviours consistent with the Trust's behavioural standards
Desirable
- Evidence of multidisciplinary teaching
- Active change initiator
Specific Requirements
Essential
- Demonstrate flexibility in working patterns and practices
- Ability to support, colleagues, patients and relatives in sometimes distressing circumstances
Person Specification
Qualifications
Essential
- Current Professional registration within area of practice
- Post registration qualification or training relevant to speciality
- MSc In advanced clinical practice
- Registered Independent Non-Medical Prescriber
- ALS Provider
- Evidence of teaching, supervision & assessment skills
Desirable
- Mentor/assessor qualification
- Instructor on ALS
Previous Experience
Essential
- Substantial post registration relevant experience
Desirable
- Management, supervisor and leadership experience.
- Completed portfolio of supervised practice in Urology Care
Skills
Essential
- Able to present and receive complex information to a multi-professional team
- Demonstrate negotiating and influencing skills
- Able to work independently and within a team
- Assertiveness skills and the ability to deal with interpersonal conflict
- Ability to adapt communication to a wide variety of patient abilities/needs
- Accept constructive feedback and teaching from a variety of sources.
- Ability to respond to, prioritize and analyze complex health conditions and ensure effective interventions are actioned in a timely manner.
- Deal effectively with clinical issues within defined procedures and guidelines
- Able to work with undifferentiated and undiagnosed healthcare problems.
- Participation in research or audit projects
- Active involvement in departmental operational development
- Willingness to adapt to departmental and patient need
- Self -motivated
- Efficient time and deadline management
- Ability to schedule academic workload and work commitments
- Able to identify learning opportunities
- Able to organise own learning and development
- Ability to provide education, complete research and audit
- Able to undertake required clinical duties/procedures'
- Ability to manoeuvre patients and perform clinical examinations as required
- Ability to undertake computer and other equipment skills
- Must be able to demonstrate behaviours consistent with the Trust's behavioural standards
Desirable
- Evidence of multidisciplinary teaching
- Active change initiator
Specific Requirements
Essential
- Demonstrate flexibility in working patterns and practices
- Ability to support, colleagues, patients and relatives in sometimes distressing circumstances
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).
