Advanced Clinical Practitioner

Job description

Job responsibilities

• To work closely with Primary Care, LCD, community and acute medical teams to provide effective and reactive services for people presenting unwell in their own home to ensure rapid delivery of treatment, care planning and hospital admission prevention where appropriate.

• Practice as an autonomous professional in a self-directed manner, with confidence, authority and expertise, undertaking comprehensive range of clinical procedures.
• Have direct responsibility for patient caseload, ensuring all patients have an accurate plan of care, which reflects the assessment undertaken and incorporate the issues and recommendations made.
• Work clinically to optimise health and wellbeing, through comprehensive history taking and physical assessment of patients.
• Drawing on a diverse range of knowledge and skill, determine appropriate therapeutic interventions,
• Plan, prioritise and manage complete episodes of care, for patients presenting with undifferentiated and undiagnosed conditions.
• Be proactive in clinical decision making, underpinned by an advanced level of theoretical and practical knowledge and be able to demonstrate improved patient care outcomes.
• To be responsible and accountable for own decisions, actions and omissions at this level of practice. Demonstrating a critical understanding of own 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
• To prescribe and review medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the roles scope of practice and legal framework
• Initiate pharmacological intervention, using non-medical prescribing or patient group directives and administer medications as prescribed by others in accordance with the CHFT policies
• Accurately request radiological and pathology investigations and make clinical decisions based upon the results.
• Demonstrate a high level of knowledge in relation to pattern of disease or disorder, markers of condition progression and range of treatment available at each stage of disorder or condition.
• Be able to assess critically and re-evaluate the clinical situation as the patients condition changes. Anticipating likely potential physical and psychological problems caused either by the condition or by treatment for individuals living with frailty.
• To be responsible for the delivery of a detailed, accurate and potentially complex clinical handover and to produce detailed and accurate written information within the medical notes regarding all clinical assessments, investigations completed and requested, and treatments administered.
• To advise, communicate and work in conjunction with a wide range of clinical colleagues specifically, primary care and community teams and Social Care professionals, leading and facilitating a patient or client focused, coordinated case management approach across primary and secondary care for people who are most vulnerable to, and at high risk of repeat admissions to hospital.
• Take a lead in empowering and facilitating other professions to meet the care needs of service users and their carers by the promotion of principles and philosophies such as care closer to home, rehabilitation and optimal self-care.
• To proactively participate in and influence efforts across health and social services to shape multi-disciplinary pathways designed to support patient choice, improve quality of life, promote self-management and assure early intervention through the proactive provision of care in or as close to the patients own home as possible.
• Provide specialist advice and support to patients, their families and other healthcare professionals following assessment, diagnosis, treatment, and discharge/admission.
• Lead the development, implementation and audit of protocols and guidelines.
• Establish and maintain a regional and national network of contacts relevant to the service.
• Work in partnership with others, delegating and referring as appropriate to optimise health outcomes and resource use.
• Use professional judgement in managing complex and unpredictable clinical care.
• Draw upon an appropriate range of multi-agency and inter-professional resources in their practice.
• Appropriately define boundaries of practice and access support or advice where appropriate.
• Communicate effectively to develop and sustain partnership working with individuals, groups, communities and agencies.

Person Specification

QUALIFICATIONS / TRAINING

Essential

• Registered general nurse or Allied health care professional
• Teaching/Assessment, Mentoring qualification
• Masters in Advanced Practice or equivalent
• Non Medical Prescriber
• Previous experience of formal/informal teaching of patients and staff

KNOWLEDGE, EXPERIENCE & EXPERTISE

Essential

• Experience in elderly care. Long term conditions
• Experience in working as an autonomous practitioner within a specialty
• Demonstrates up to date knowledge and expertise of Advanced Practice
• Knowledge of the key professional issues and NMC/AHP guidelines related to professional practice
• Evidence of being able to work across organisational boundaries
• Experience of applying research evidence to clinical practice
• Evidence of continuing professional development.
• Commitment to maintain own fitness for practice through maintaining a personal profile of competencies (profile)

Desirable

• Working knowledge and clinical management of patients specific to role

COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)

Essential

• Demonstrate a clear vision of the role and service
• Ability to initiate sustain and evaluate change
• Demonstrates skilled written and verbal communication, presentation and decision making skills

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

Calderdale and Huddersfield NHS Foundation Trust

Address

Community in Calderdale

Halifax

HX1 5AX

Employer's website

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