Advanced Clinical Practitioner

Bristol NHS Foundation Trust; West of England; On-site; GBP 49,000 - 65,000; Full time

Job summary

Bristol NHS Foundation Trust is seeking an Advanced Practitioner to join the Chronic Pain Service. The post holder will provide autonomous clinical care within a multidisciplinary team and work towards ACP completion with potential progression to Band 8a.

The role emphasises clinic governance, education, and research within a national healthcare setting. Key duties include independent prescribing, MDT collaboration, complex assessments, and leading on pharmacotherapy optimisation and digital

Qualifications

• MSc Advanced Practice or equivalent with four pillars: clinical, leadership, education, research.
• Postgraduate specialty qualification or equivalent experience in Neurosciences/Chronic Pain.
• Teaching and mentoring qualification or evidence of training roles.
• Minimum 3 years in Neurosciences/Chronic Pain at band 6/7 level.
• Evidence of ongoing CPD and maintaining clinical competence.

Responsibilities

• Accept referrals and triage from other disciplines and advise colleagues.
• Coordinate MDT meetings and manage patient follow-up.
• Lead on pharmacotherapy optimisation and de-escalation strategies.
• Develop research initiatives and a digital Living Well platform.
• Learn radiology requesting/interpretation and Botox therapy interfaces.
• Act as an independent non-medical prescriber within guidelines.

Education

MSc Advanced Practice (ACP apprenticeship)

Postgraduate qualification in specialty

Teaching and mentoring qualification

Autonomous clinical reasoning experience

CPD portfolio maintenance

Job description

Training at Band 7 until completion of ACP training then move to Band 8a

An exciting opportunity has arisen in the Chronic pain service. The post holder will work as a skilled, autonomous practitioner as part of the multidisciplinary team to deliver high-quality care to patients.Advanced Practice is delivered by experienced, registered healthcare professionals. This is underpinned by learning at a master's level or equivalent award that encompasses the four pillars of clinical practice, leadership and management, education and research, with demonstration of core capabilities and area specific clinical competence.

The successful applicant may come from various healthcare backgrounds, including nursing, paramedic science and physiotherapy, with most anticipated to be existing Advanced Nurse Practitioners with significant chronic pain, neuromodulation or neurosurgical experience.

The post holder will be accountable for their own practice including clinical assessment, history taking, determining a differential diagnosis, using appropriate diagnostics, and starting treatment and/or referring to another speciality or discharging of patients. They will provide a highly developed specialist knowledge underpinned by theory and experience.

Main duties of the job

They will act as a professional role model for their speciality and the advancement of clinical practice. They will work collaboratively with colleagues to develop and sustain a clinically excellent service. Audit, evaluate and implement best practice.

The post holder will be an independent non-medical prescriber, offering advice and expertise within their clinical setting. They will monitor and promote excellence in clinical practice and care through use of evidence, supervision, teaching and collegial support.

Provide skilled assessment of patients including history taking, physical assessment and requesting, interpreting and acting on appropriate tests and investigations in a timely manner.

Using expert and specialised clinical and theoretical knowledge to safely and appropriately assess and diagnose patients in their care.

Act autonomously within evidenced based guidelines to plan and implement individualised management plans. Formulate clinical decisions and often complex treatment plans to manage illness and/or injury.

Demonstrate competence, knowledge and skills in a wide range of practical procedures.

Prescribe as an Independent Prescriber, assessing and prescribing appropriate medication within appropriate specialty guidelines using the British National formulary.

To delegate/refer to other practitioners when this will improve health outcomes or when risk and needs are beyond own competence and scope of practice.

About us

Bristol NHS Foundation Trust brings together more than 28,000 staff to deliver over 160 clinical services across thirteen hospital locations,operatingfrom three main sites at Southmead, Bristol citycentreand Weston.

With an annual turnover of £2.3 billion, we are now one of the largest NHS trusts in the United Kingdom. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that theSouth Westhas to offer.

Bristol NHS Foundation Trust values all people as individuals.

As an equal opportunities employer actively working towards a diverse workforce we aim to recruit andretaina workforce whichrepresentsthe rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them.

Anonymous information will be used from your applicationin order toensurewe'remeeting our pledge.

Job responsibilities

Accept referrals and triage from other disciplines/primary care and provide specialist advice and support to colleagues within the organisation and to the wider team outside the organisation.

Coordinate a multi-disciplinary team meeting and follow up patients beyond the MDT.

Manage patient follow up.

Support reprogramming, further discussion regarding changes in patient condition

Become an interface for optimising Pharmacotherapies for Chronic Pain alongside de-escalation of medications including opiates.

Become integral in developing and managing research, a DIGITAL Platform (Living Well) specific to the service and a first in Bristol Neurosurgery which will enable effective patient interface and follow-up, and generate automated Patient Reported Outcome Measures enhancing Research and Audit.

To learn clinical skills including radiology requesting and interpretation

Become an interface and applicator for Botox therapies for chronic migraine

Develop an understanding and competence to manage neuromodulation systems, and the reprogramming of stimulators as required.

To act appropriately in emergency situations and to be familiar with emergency procedures including fire and resuscitation. To have the ability to lead and direct other staff appropriately in such situations.

To act as an assessor for clinicians undertaking relevant clinical skills training.

To complete IRMER training, ensuring that you work within your scope of your approved non-medical referrer protocol with regard to requesting radiography (E.g. CT or X-ray)

Person Specification

education/training

• Professional registration
• MSc Advanced Practice working towards successful completion of ACP apprenticeship ( PACR, PADRAP and NMP)
• Post graduated qualification in specific speciality or equivalent experience
• Teaching and mentoring recognised qualification
• Minimum 3 years' experience within Neurosciences/Chronic pain - band 6/7
• Able to demonstrate specialist knowledge and skills in chronic pain/Neurosurgery
• Evidence of ongoing CPD / clinical portfolio
• Evidence of maintain competence of Advanced Clinical Skills
• Autonomous clinical reasoning and decision making in inpatient and outpatient setting
• Intermediate / Advanced Life Support qualification or willingness to undertake
• Evidence of acting as clinical skills assessor
• experience and evidence of working in research

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.

£49,387 to £64,750 a yearper annum. Training Band 7 if not already a Band 8a ACP.