Job summary
An exciting opportunity has arisen for Advanced Clinical Practitioners (ACP) to join a friendly and vibrant team at University Hospitals of Leicester NHS Trust's bespoke Urgent Treatment Centre known as Minor illness and Minor Injuries service (MIaMI). We are looking to recruit positive, forward thinking individuals who are highly motivated, dynamic and can manage complex care in urgent and primary care settings.
Our current service, which started in June 2022, is working well and we are looking to develop and expand the department in the future. Our service is focused on providing high quality care to patients presenting with acute illness and injuries. We provide a holistic approach to patient care, and we are proud to have already achieved significant successes in improving patient outcomes.
As part of our strategy to further develop our service, we are seeking qualified ACPs to join our team. This is a great opportunity for you to work with an innovative and energetic team that is dedicated to providing the best possible care. You will have opportunities to rotate within the emergency and acute care services, alongside appropriate supervision and support for your learning and development. As an ACP you will play a key role in the delivery of high quality, patient centered care and this is a great environment for you to develop and improve your knowledge and skills in patients presenting with various acute illnesses and Injuries of all ages.
Main duties of the job
The successful candidate will be an experienced health care practitioner who has completed a Masters in Advanced Clinical Practice and holds an independent and supplementary prescribing qualification. They will work as autonomous practitioners who are able see both adult and children with illnesses and injuries.
The post holder will be an integral member of the MIaMI team working collaboratively with GPs and allied healthcare professionals undertaking advanced roles and responsibilities traditionally the remit of GPs under the direction of Lead ACP and Clinical GP lead .
The Advanced Clinical Practitioner (ACP) will work within the agreed protocols and guidelines exercising independent judgement in history taking, examination, assessment, diagnosis and treatment of a diverse and undetermined caseload of acutely unwell patients who have minor to complex acute presentation.
The post holder will have a primary location (MIaMI) but may extend and influence across UHL, including the Emergency Department, Acute & Emergency floor and Same Day Emergency care (SDEC).
About us
We are one of the biggest and busiest NHS trusts in the country, incorporating Leicester General Hospital, Glenfield Hospital, and Leicester Royal Infirmary.
Our team is made up of more than 17,000 staff providing a range of services primarily for the one million residents of Leicester, Leicestershire and Rutland.
We work with partners at the University of Leicester and De Montfort University providing world-class teaching to nurture and develop the next generation of doctors, nurses and other healthcare professionals, many of whom go on to spend their working lives with us.
Our purpose is to provide 'Caring at its best' and our staff have helped us create a set of values that embody who we are and what we're here to do.
Our patients and communities are at the heart of all we do and we believe that 'Caring at its best' is not just about the treatments and services we provide, but about giving our patients the best possible experience.
About the University Hospitals of Leicester NHS Trust: (leicestershospitals.nhs.uk)
Job description
Job responsibilities
KEY RESPONSIBILITIES
- CLINICAL
- To accept clinical responsibility for undertaking the comprehensive assessment of a caseload of patients, including those with a complex presentation, in line with evidence based practice, legislation, policies and procedures. Using investigative and analytical skills; review and interpret all information available, utilizing a systematic process of reasoning to make a differential diagnosis.
- Provide treatment plans for patients that are consistent with the outcome of assessment and the most probable diagnosis using current clinical pathways where required in order to facilitate timely, quality patient care and / or appropriate onward
- Where appropriate, initiate diagnostic tests, interpret and act upon results and provide advice to members of the multidisciplinary team on patient treatment. Evaluates the effectiveness of interventions/treatments and makes any necessary
- Practice autonomously; performing advanced practice skills that have been agreed with the senior nursing and medical teams within the specialty.
- To use an extended scope of practice beyond own profession recognising any limitations in knowledge, referring to senior medical staff when scope of practice is exceeded
- Maintain a safe environment for patients, relatives and staff, and adhering to infection prevention policies.
- As a registered non-medical prescriber, independently prescribe medication and fluids within current legislation and Trust policies.
- To accept referrals from and make referrals to consultants, GPs, and other healthcare professionals. Review the patient and act accordingly, thereby reducing length of time patients wait for intervention.
- Improve the quality of the patient experience by identifying and meeting the individual clinical needs of Act at all times in the patients best interests and as a patient advocate.
- Provide specialist advice on patient care to the healthcare team and act as a specialist resource within the service and other areas within the Trust.
- To maintain comprehensive and accurate assessment and treatment records (written and electronic) in line with legal, professional and Trust requirements, and communicate assessment and treatment results to the appropriate disciplines in the form of letters and / or reports.
2.0 MANAGEMENT AND LEADERSHIP
- Understands professional accountability and legal frameworks for advanced practice
- To be professionally accountable and legally responsible for all aspects of own work, including the management of patients in your care.
- Demonstrate safe practice in line with the Trust Quality, Safety and Risk Management Policies, Child Protection and Safeguarding Vulnerable Adults Policies, Consent and assent regulations and the UHL Do Not Attempt Resuscitation Policy.
- Act as a role model in the clinical area, promoting and demonstrating the standards of care and behaviours Provide appropriate challenge to individuals when required raising quality issues and related risks with relevant people and addressing poor performance as per Trust policy (i.e. complaints and incidents, poor communication with patients, relatives or staff).
- Demonstrate and plan efficient and effective use of resources against the agreed speciality or team budgets.
- Contribute towards Ward / Department / Service or Trust meetings at which broad professional and service issues are discussed.
- Encourage and influence the multidisciplinary team to identify and discuss opportunities to develop clinical practice, protocols, policies and guidance for the speciality utilising current evidence and ensuring meaningful consultation, effective evaluation and sharing of results.
- Be proactive in developing own professional practice, demonstrating evidence of increasing autonomy, clinical judgment and decision making skills whilst contributing to the development of others.
3.0 EDUCATION AND TRAINING
- Provide an authoritative and credible source of knowledge and specialist clinical advice/information to the team by keeping abreast of new treatments and technologies for the speciality.
- Actively maintains self-development, objectively reviewing own performance in terms of management, clinical practice and decision making, identifying own needs and taking steps to meet those needs.
- Demonstrate responsibility for personal professional development using feedback and reflection aligned to the NMC Code and maintain a Professional Portfolio to improve personal clinical practice whilst meting the future requirements of Revalidation of Nursing and Midwifery.
- Participate in planning and delivery of multidisciplinary education programmes for staff within speciality and wider arena to promote learning opportunities and the development of clinical skills.
- Provide supervision, support and training for student and foundation advanced nurse practitioners enabling them to develop and apply their knowledge and skills in practice. Provide timely feedback to individual practitioners and their line managers to support this process, identifying, reporting and proactively dealing with poor
- Participate in the development and delivery of specialist training programmes for nursing and medical undergraduate students, student and foundation advanced practitioners, post-registration nurses and other groups of learners, making effective use of all learning opportunities developing the workplace as a learning
- Be an active member of the continuing education, in-house programmes by the attendance and presentation at staff meetings, tutorials, training sessions, journal clubs, external courses, clinical supervision and reflective practice.
- Undertakes annual mandatory training and essential to job role updates and other relevant courses in line with professional and Trust policies.
4.0 RESEARCH AND AUDIT
- Participate in data collection for audit including research
- Participate in audit, mortality and morbidity and other clinical meetings where the outcomes and recommendations have the potential to improve the quality of care, give case presentations as required.
- Identify areas of own clinical practice that require research/audit. Devise audit/research tools, analyse data, write report and present findings to the multidisciplinary team. Complete audit cycle by implementing change in practice as required and re-auditing.
- Research that has been undertaken should be disseminated both locally and nationally at seminars, conferences and through publication in national journals.
- Develop evidence based policies and procedures specifically required by the
5.0 COMMUNICATION
- Communicates effectively with a wide range of people in a manner consistent with their level of understanding, culture and background and preferred ways of understanding that meet mental or physical health needs e.g. altered conscious level, sensory loss, altered perception, pain, fear, and severe psychosocial problems; identifying and managing challenging behaviour .
- To assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment.
- Demonstrates an empathetic and reassuring approach to communicating highly sensitive condition related information and advice to patients, carers and relatives.
- Competently receives highly sensitive information concerning patients medical condition and acts appropriately
Job description
Job responsibilities
KEY RESPONSIBILITIES
- CLINICAL
- To accept clinical responsibility for undertaking the comprehensive assessment of a caseload of patients, including those with a complex presentation, in line with evidence based practice, legislation, policies and procedures. Using investigative and analytical skills; review and interpret all information available, utilizing a systematic process of reasoning to make a differential diagnosis.
- Provide treatment plans for patients that are consistent with the outcome of assessment and the most probable diagnosis using current clinical pathways where required in order to facilitate timely, quality patient care and / or appropriate onward
- Where appropriate, initiate diagnostic tests, interpret and act upon results and provide advice to members of the multidisciplinary team on patient treatment. Evaluates the effectiveness of interventions/treatments and makes any necessary
- Practice autonomously; performing advanced practice skills that have been agreed with the senior nursing and medical teams within the specialty.
- To use an extended scope of practice beyond own profession recognising any limitations in knowledge, referring to senior medical staff when scope of practice is exceeded
- Maintain a safe environment for patients, relatives and staff, and adhering to infection prevention policies.
- As a registered non-medical prescriber, independently prescribe medication and fluids within current legislation and Trust policies.
- To accept referrals from and make referrals to consultants, GPs, and other healthcare professionals. Review the patient and act accordingly, thereby reducing length of time patients wait for intervention.
- Improve the quality of the patient experience by identifying and meeting the individual clinical needs of Act at all times in the patients best interests and as a patient advocate.
- Provide specialist advice on patient care to the healthcare team and act as a specialist resource within the service and other areas within the Trust.
- To maintain comprehensive and accurate assessment and treatment records (written and electronic) in line with legal, professional and Trust requirements, and communicate assessment and treatment results to the appropriate disciplines in the form of letters and / or reports.
2.0 MANAGEMENT AND LEADERSHIP
- Understands professional accountability and legal frameworks for advanced practice
- To be professionally accountable and legally responsible for all aspects of own work, including the management of patients in your care.
- Demonstrate safe practice in line with the Trust Quality, Safety and Risk Management Policies, Child Protection and Safeguarding Vulnerable Adults Policies, Consent and assent regulations and the UHL Do Not Attempt Resuscitation Policy.
- Act as a role model in the clinical area, promoting and demonstrating the standards of care and behaviours Provide appropriate challenge to individuals when required raising quality issues and related risks with relevant people and addressing poor performance as per Trust policy (i.e. complaints and incidents, poor communication with patients, relatives or staff).
- Demonstrate and plan efficient and effective use of resources against the agreed speciality or team budgets.
- Contribute towards Ward / Department / Service or Trust meetings at which broad professional and service issues are discussed.
- Encourage and influence the multidisciplinary team to identify and discuss opportunities to develop clinical practice, protocols, policies and guidance for the speciality utilising current evidence and ensuring meaningful consultation, effective evaluation and sharing of results.
- Be proactive in developing own professional practice, demonstrating evidence of increasing autonomy, clinical judgment and decision making skills whilst contributing to the development of others.
3.0 EDUCATION AND TRAINING
- Provide an authoritative and credible source of knowledge and specialist clinical advice/information to the team by keeping abreast of new treatments and technologies for the speciality.
- Actively maintains self-development, objectively reviewing own performance in terms of management, clinical practice and decision making, identifying own needs and taking steps to meet those needs.
- Demonstrate responsibility for personal professional development using feedback and reflection aligned to the NMC Code and maintain a Professional Portfolio to improve personal clinical practice whilst meting the future requirements of Revalidation of Nursing and Midwifery.
- Participate in planning and delivery of multidisciplinary education programmes for staff within speciality and wider arena to promote learning opportunities and the development of clinical skills.
- Provide supervision, support and training for student and foundation advanced nurse practitioners enabling them to develop and apply their knowledge and skills in practice. Provide timely feedback to individual practitioners and their line managers to support this process, identifying, reporting and proactively dealing with poor
- Participate in the development and delivery of specialist training programmes for nursing and medical undergraduate students, student and foundation advanced practitioners, post-registration nurses and other groups of learners, making effective use of all learning opportunities developing the workplace as a learning
- Be an active member of the continuing education, in-house programmes by the attendance and presentation at staff meetings, tutorials, training sessions, journal clubs, external courses, clinical supervision and reflective practice.
- Undertakes annual mandatory training and essential to job role updates and other relevant courses in line with professional and Trust policies.
4.0 RESEARCH AND AUDIT
- Participate in data collection for audit including research
- Participate in audit, mortality and morbidity and other clinical meetings where the outcomes and recommendations have the potential to improve the quality of care, give case presentations as required.
- Identify areas of own clinical practice that require research/audit. Devise audit/research tools, analyse data, write report and present findings to the multidisciplinary team. Complete audit cycle by implementing change in practice as required and re-auditing.
- Research that has been undertaken should be disseminated both locally and nationally at seminars, conferences and through publication in national journals.
- Develop evidence based policies and procedures specifically required by the
5.0 COMMUNICATION
- Communicates effectively with a wide range of people in a manner consistent with their level of understanding, culture and background and preferred ways of understanding that meet mental or physical health needs e.g. altered conscious level, sensory loss, altered perception, pain, fear, and severe psychosocial problems; identifying and managing challenging behaviour .
- To assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment.
- Demonstrates an empathetic and reassuring approach to communicating highly sensitive condition related information and advice to patients, carers and relatives.
- Competently receives highly sensitive information concerning patients medical condition and acts appropriately
Person Specification
Levels of study
Essential
- MSc Advancing Practice
- Independent Prescriber
- oRegistration on relevant part of the register with the NMC or HCPC with no restrictions on practice.
- oRecognised Teaching & Assessing Qualification
Desirable
Primary care experience
Essential
- Minimum 2 years experience
- Emergency Care experience
Experience
Essential
- Able to see illnesses and Injuries
- Able to See Adults and Children
Person Specification
Levels of study
Essential
- MSc Advancing Practice
- Independent Prescriber
- oRegistration on relevant part of the register with the NMC or HCPC with no restrictions on practice.
- oRecognised Teaching & Assessing Qualification
Desirable
Primary care experience
Essential
- Minimum 2 years experience
- Emergency Care experience
Experience
Essential
- Able to see illnesses and Injuries
- Able to See Adults and Children
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).