Advanced Clinical Practitioner

Allscreens Nationwide Ltd; Greater London; On-site; GBP 42,000 - 65,000; Full time

Job summary

South London and Maudsley NHS Foundation Trust is seeking an Advanced Clinical Practitioner to provide autonomous clinical care across primary and urgent care settings. The ACP will independently assess, diagnose, treat, and evaluate patients with acute, chronic, and complex conditions, using advanced clinical knowledge and evidence-based practice.

The post requires an MSc in Advanced Clinical Practice or equivalent, registration as a healthcare professional, and, if relevant, an independent

Qualifications

• Registered healthcare professional with MSc in Advanced Clinical Practice.
• Independent Non-Medical Prescriber (where relevant).
• Evidence-based practice across primary care and urgent care settings.

Responsibilities

• Independently assess, diagnose, plan, implement and evaluate treatments for patients with complex presentations.
• Perform physical examinations and interpret investigations to guide management decisions.
• Prescribe and review medications as appropriate within scope of practice.
• Lead clinical governance and collaborate with the multidisciplinary team.

Skills

Clinical assessment

Independent decision making

Communication

Team collaboration

Education

MSc in Advanced Clinical Practice

Independent Non-Medical Prescriber

Job description

Job Summary:

The Advanced Clinical Practitioner works as an autonomous, highly skilled clinician, providing expert assessment, diagnosis, treatment, and evaluation for patients presenting with acute, chronic, and complex conditions. The ACP independently manages a varied caseload, makes safe clinical decisions, and delivers highquality, patientcentred care while working collaboratively with the wider multidisciplinary team. The post holder will be a registered healthcare professional and hold an MSc in Advanced Clinical Practice or equivalent at MSc level. If relevant to the post, they will be an independent Non-Medical Prescriber registered with their relevant professional body. They will practice at an advanced level demonstrating in depth knowledge and competence in all aspects of primary care, medicine, encompassing enhanced assessment, critical thinking and clinical management skills that are evidence based and deliver high quality patient centred care.

Key Responsibilities

Clinical responsibilities Use highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting, frequently with complex undifferentiated or undefined presentations. Uses highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the practice with complex undifferentiated or undefined presentations. Undertakes 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. Performs clinical procedures appropriate to the history and physical examination of patients, including further invasive testing and treatments requiring highly developed skills and precision, including (but not limited to) catheterisation, cannulation, peripheral arterial blood gas sampling. Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations and as local policy allows. Analyses 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 specialty/senior medical staff for advice when scope of practice is exceeded. Autonomously formulates appropriate management plans for patients, formulates clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission, or discharge from service. Continuously revaluates findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly. Prioritises health problems and intervenes appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation. Manages clinical events involving patients, often requiring unpredictable and high levels of mental and/or physical effort according to the patients dependency and clinical need. Prescribes and reviews medication (as an independent prescriber, if relevant) 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. Integrates both pharmacological and non-pharmacological treatment in patient care/management plans Assesses patients with mental health needs using local policy and guidelines and refers to the appropriate services. Communicates effectively with patients, carers, colleagues, and others using appropriate communication styles. Anticipates barriers to communication and ensures patients and significant others are kept fully informed and consent to treatment. Acts as a resource for staff, advising on local, national, and organisational policy, procedures and guidelines ensuring patient safety and clinical governance.

Leadership/ Management

Works in partnership with the existing senior medical, nursing and AHP teams in driving development and change. Manages conflicting views and liaises between groups where there may be conflict. Highlights and addresses areas of witnessed poor practice and manages the situation appropriately. Manages staff performance, training, and supervision of other staff including annual appraisals Supports staff development to maximise potential, encouraging everyone to learn from each other and from external good practice. Supports patients, carers and staff during difficult situations that arise e.g. breaking bad news or following an unexpected event. Produces accurate and complete documentation and patient records consistent with legislation, policies, and procedures. Possesses excellent time management and personal organisation skills. Acts as a knowledge resource in how to initiate and manage the impact of change. Develops and contributes to local guidelines, interpreting and adapting national protocols and standards to enhance patient care and safety. Maintains awareness of budgetary constraints within the organisation, manages resources appropriately and encouraging others to do likewise. Ensures appropriate representation and participation in organisational meetings as appropriate for the role. Actively contributes and provides leadership with service development plans within the PCN practices.

Education Training and Development:

Takes responsibility for their own learning and performance including the participation in clinical supervision and maintaining an awareness of relevant research evidence. Develops health promotion and education in conjunction with other health care professionals ensuring that all patient care within the multi-professional team is based on research and best practice. Acts as a constant source of clinical and theoretical knowledge for all grades and disciplines of staff as well as patients and their significant others, providing support and clinical advice in specialist areas, based on evidenced based research. Possesses proficient typing, IT and computer skills. Uses audio/visual equipment to record and impart information and research. Prepares and delivers presentations and participates in workshops on a local, regional and national level, to ensure the communication of good practice. Works with the multi-professional team to further develop appropriate clinical pathways and care approaches. Disseminates their own learning and good practice to other team members. Designs, coordinates, and undertakes collaborative audit, research, and development into the practice and related practices. Plans, delivers, and implements programmes of education and training for trainee ACPs, nurses, medical and other disciplines and continues to be involved in their ongoing support. Supports organisational and system research and development plans.

Personal & professional development

Annual reviews: Participate in own annual NHS appraisal, annual OHL appraisal, the revalidation process as required by the NMC and support others as required. Development of others: Be an effective role model and resource for other members of the multi-disciplinary team To maintain clinical excellence within the department and provide education and training both formerly and informally for colleagues.

Key Practice Issues and Responsibilities

Facilitate pro-active links and relationships between the Team & the wider community giving advice & guidance to fellow professionals, carers, voluntary organisations & the public. Foster collaborative working relationships with the whole system. Ensure appropriate and timely transfer of care between services. Ensure that all practitioners maintain accurate databases. Facilitate regular review of caseloads, providing guidance and support to ensure all care is of a high quality and is evidence based.

South London and Maudsley NHS Foundation Trust