Advanced Clinical Practitioner (ACP)

East Coast Community Healthcare CIC; Great Yarmouth; On-site; GBP 37,000 - 45,000; Full time

Job summary

Join a leading community healthcare provider as an Advanced Clinical Practitioner in Great Yarmouth. The role involves autonomous patient management and playing a crucial part in the integrated care team, focusing on complex patient needs. This position offers a pathway for professional development within a multidisciplinary team and supports the delivery of high-quality care to the community.

Benefits

Employee benefits aligned with NHS

Opportunity for career development

Work with a multidisciplinary team

Qualifications

• Registered healthcare professional with clinical experience at a senior level.
• Masters in Advanced Clinical Practice or working towards it.
• Experience in managing complex patient needs.

Responsibilities

• Work autonomously managing a patient caseload in community settings.
• Conduct comprehensive assessments and make clinical decisions.
• Lead and support the development of clinical guidelines and protocols.

Skills

Clinical examination skills

Evidence of advanced clinical practice

Management of patients with complex needs

Negotiation and conflict management

Excellent communication skills

Education

Degree in Healthcare

Masters in Advanced Clinical Practice

Registered First Level Nurse/Therapist/Pharmacist/Paramedic

Job description

Job summary

Come and join our team in this exciting new role. The Advanced Clinical Practitioner role is an autonomous practitioner supporting the extension of the Urgent Community Response in Great Yarmouth and Waveney. This is a role requiring an innovative and tenacious clinician, with a proven track record or recognised potential for embracing and leading change. If you are that person and relish the opportunity for career development, we want to hear from you!

The role will be a part of our Primary Care Home teams (integrated nursing and therapy). You will join the clinical leadership team alongside the Lead Nurse, Integrated Care Lead, Therapy Lead and Matron who work in partnership with primary, social and acute care with the aim to build a healthier community in Great Yarmouth and Waveney by supporting people to be cared for at home for as long as possible.

Applications welcomed from clinicians new to Community working; support to transition to community care will be provided.

Please note this post could be considered for a Band 7 development post.

Followingthe announcement of a 3.6% Agenda for Change pay award, this role will beeligible for a salary increase effective in August 2025 pay. Details of the newpay structure can be found on the NHS Employers website.

Main duties of the job

You may be required to consult, assess, and treat patients who are referred with undifferentiated, unpredictable, varied and complex needs, ensuring holistic assessment, prompt treatment and crisis care planning is undertaken to directly prevent unnecessary acute hospital admission. The advanced clinical level of this role will require you to be able to undertake advanced level comprehensive assessment including history taking, physical examination of the patient and a robust systems review.

You should be able to assess and manage frailty and complex chronic disease, identify deterioration and implement immediate strategies to reduce the risk of acute admission. You will need to be able to recognise the early symptoms of disease exacerbation, acute illness and injuries, based on an understanding of chronic diseases, the disease process, current evidence and practice standards.

The ACP will act as an autonomous, accountable practitioner working on their own initiative and in collaboration with nursing, medical and allied health professionals to assess individual patient needs, initiate investigations, determine a differential diagnosis and initiate appropriate holistic evidence based treatment and care. The ACP will be capable of making initial and follow up assessments of patients both in stable and unstable phases of their disease. They will use diagnostic skills including full history, appropriate clinical examination and required.

About us

ECCH is well established health care provider and has been successfully delivering NHS care within the community since 2011. We provide a range of NHS, community health and social care services predominantly across the easterly region of the Norfolk/Suffolk borders.

We are aligned to NHS terms and conditions, and offer many employee benefits, to find out more about us visit our website - www.ecch.org. We are a social enterprise and staff owned organisation which means staff can opt to be shareholders and have a real say in how ECCH is run and evolves to deliver healthcare for the future.

At the heart of our ambition, we work in partnership with and for the community to become the provider and employer of choice for community healthcare.

The Primary Care Home (PCH) is a multidisciplinary team working closely with GP's and other community partners to provide an excellent standard of person centered care to adults in their own homes, or residential care settings, supporting patients to self manage whenever possible. The service uses SystmOne as a clinical IT system to support mobile working.

We encourage you to apply as early as possible as this job may close earlier than the advertised closing date once enough applications have been received.

Job description

Job responsibilities

• Work autonomously as an advanced practitionerwithin the specialty, managing a caseload of patients delivering individualiseddirect patient care.
• Direct responsibility for assessment,examination, investigation, and diagnosis of patients within their area ofwork.
• The ACP will be responsible for the provision ofeffective, efficient and appropriate high quality care and act at all times inaccordance within the relevant professions Code of Conduct within their levelof competence and agreed protocols.
• Appropriately treat patients, resulting in thesafe management and appropriate referral or discharge of patients withundifferentiated and undiagnosed presentations.
• Receive referrals via a variety of sources,including engagement with East of England Ambulance Service to identifypatients suitable for management within community setting. Manage own caseloadand clinical priorities according to agreed protocols and working practices.
• Undertake a variety of clinical skills andprovide treatment / advice as per speciality and scope of practice. Usingagreed protocols of clinical practice and professional guidelines. This servicemay be provided within primary, community or home care settings.
• Within scope of practice and clinical competencerequest and / or undertake diagnostic procedures and clinical investigationsrelated to plans of care.
• Utilise scope of practice to undertakeNon-Medical Prescribing role and provide advice on medicine management issuesassociated with the patient specialty group. Work within ECCH policy forMedicines Management.
• Utilise advanced knowledge and skills relatingto the speciality to provide specialist advice to other members of themultidisciplinary team based on patient assessment.
• Provide a seamless, high quality service fromreferral through to assessment, diagnosis, treatment and review, referring toother specialists as required. Provide guidance to staff, patients and theirfamilies and carers on pathway navigation.
• Lead in the development and updating of referralguidelines and policies for the service.
• Use highly developed communication skills toeffectively communicate with colleagues, patients and their relatives / carers,making reports and liaising as required with medical staff and other members ofthe multidisciplinary team both verbally and in writing.
• Use professional judgement to act as an advocatefor patients to ensure a patient focused approach to the delivery of care.Support and enable patients and carers to make informed decisions relating totheir treatment and management. Escalate any concerns via the nursing /professional structures as required.
• Work towards safe and timely discharge and / ortransfer of care of patients from or between hospitals and services andhealthcare professionals, ensuring barriers to discharge / transfer areidentified and acted upon appropriately.
• Report and raise concerns related toSafeguarding, accessing advice and support as required. Be conversant with ECCHpolicies for safeguarding including the assessment of mental capacity, andconsideration of Deprivation of Liberty Safeguards (DOLS) and the applicationof the principles of Prevent (counter terrorism awareness).
• Undertake training to develop further advancedclinical practice roles required by the service to provide a high standard ofpatient care.
• Provide highly visible and accessibleprofessional leadership and demonstrate expert knowledge and standards ofclinical practice.
• Promote team working, build rapport andcollaborative working practices with multidisciplinary team. Liaise withinter-hospital departments and personnel across organisational and professionalgroups. Ensuring effective communication and interpersonal skills with otherdisciplines and organisations.
• Lead and support the development of the roleaccording to changing patients needs, service requirements and evidence basepractice.
• Utilise the highest level of interpersonal andcommunication skills when dealing with complex, sensitive or emergencysituations, utilise persuasion, motivation and coaching to facilitate bestpatient outcomes, supporting patients to overcome barriers to communicationwhere necessary.
• Lead and actively participate in service/departmental projects, quality initiatives and statutory accreditationprocesses. This will include the setting and monitoring of clinical standardsof care.
• Lead in the recruitment and selection of staff.
• Act as an expert educational resource forclinical staff, patients, and carers by providing formal and informaleducation. Promote and develop a positive learning environment throughout the organisation.
• Recognise the limits of own professionalpractice and competence, undertake further training and academic qualificationsas required to maintain own specialist knowledge.
• Participate and where required lead or assist inresearch projects as required, disseminating and ensuring utilisation ofresearch results to change practice.
• Participate and where required lead auditprojects as required by the specialty, involving collating, analysing andreporting on results of the audit process.
• Collate, analyse and present reports on varyingaspects of the speciality activity as required by directorate or divisionalteam.
• Support the maintenance of KPIs 2-hour response CQCcompliance and local and national clinical governance initiatives in closecollaboration with the directorate senior nursing, medical and management andin collaboration with clinical governance teams.
• Maintain improvements in patient safety bysupporting implementation of patient safety initiatives, prompt and appropriateresponse to complaints resolution and escalation where appropriate
• Participating in creating a healthy workingenvironment complying with risk assessment / management in relation to health care.
• Contributing to the operational and financialmanagement of ECCH to achieve cost improvement plans. Actively participating inthe development of services to combine the achievement of high quality patientcare and effective resource allocation / utilisation.
• All roles within East CoastCommunity Healthcare CIC (ECCH) require staff to demonstrate our Values andSignature Behaviours in the care and service they provide to patients, serviceusers, stakeholders and colleagues. All members of staff should consider theseas an essential part of their job role.
• OurValues outline the core behaviours that we can all achieve and are summarisedas an acronym within the word CARE.These stand for: Compassion, Action, Respect and Everyone.
• Underpinningour Values are our Signature Behaviours which highlight by taking the rightactions we continue to build a strong culture.Our four Signature Behaviours are: Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together.

Job description
Job responsibilities

• Work autonomously as an advanced practitionerwithin the specialty, managing a caseload of patients delivering individualiseddirect patient care.
• Direct responsibility for assessment,examination, investigation, and diagnosis of patients within their area ofwork.
• The ACP will be responsible for the provision ofeffective, efficient and appropriate high quality care and act at all times inaccordance within the relevant professions Code of Conduct within their levelof competence and agreed protocols.
• Appropriately treat patients, resulting in thesafe management and appropriate referral or discharge of patients withundifferentiated and undiagnosed presentations.
• Receive referrals via a variety of sources,including engagement with East of England Ambulance Service to identifypatients suitable for management within community setting. Manage own caseloadand clinical priorities according to agreed protocols and working practices.
• Undertake a variety of clinical skills andprovide treatment / advice as per speciality and scope of practice. Usingagreed protocols of clinical practice and professional guidelines. This servicemay be provided within primary, community or home care settings.
• Within scope of practice and clinical competencerequest and / or undertake diagnostic procedures and clinical investigationsrelated to plans of care.
• Utilise scope of practice to undertakeNon-Medical Prescribing role and provide advice on medicine management issuesassociated with the patient specialty group. Work within ECCH policy forMedicines Management.
• Utilise advanced knowledge and skills relatingto the speciality to provide specialist advice to other members of themultidisciplinary team based on patient assessment.
• Provide a seamless, high quality service fromreferral through to assessment, diagnosis, treatment and review, referring toother specialists as required. Provide guidance to staff, patients and theirfamilies and carers on pathway navigation.
• Lead in the development and updating of referralguidelines and policies for the service.
• Use highly developed communication skills toeffectively communicate with colleagues, patients and their relatives / carers,making reports and liaising as required with medical staff and other members ofthe multidisciplinary team both verbally and in writing.
• Use professional judgement to act as an advocatefor patients to ensure a patient focused approach to the delivery of care.Support and enable patients and carers to make informed decisions relating totheir treatment and management. Escalate any concerns via the nursing /professional structures as required.
• Work towards safe and timely discharge and / ortransfer of care of patients from or between hospitals and services andhealthcare professionals, ensuring barriers to discharge / transfer areidentified and acted upon appropriately.
• Report and raise concerns related toSafeguarding, accessing advice and support as required. Be conversant with ECCHpolicies for safeguarding including the assessment of mental capacity, andconsideration of Deprivation of Liberty Safeguards (DOLS) and the applicationof the principles of Prevent (counter terrorism awareness).
• Undertake training to develop further advancedclinical practice roles required by the service to provide a high standard ofpatient care.
• Provide highly visible and accessibleprofessional leadership and demonstrate expert knowledge and standards ofclinical practice.
• Promote team working, build rapport andcollaborative working practices with multidisciplinary team. Liaise withinter-hospital departments and personnel across organisational and professionalgroups. Ensuring effective communication and interpersonal skills with otherdisciplines and organisations.
• Lead and support the development of the roleaccording to changing patients needs, service requirements and evidence basepractice.
• Utilise the highest level of interpersonal andcommunication skills when dealing with complex, sensitive or emergencysituations, utilise persuasion, motivation and coaching to facilitate bestpatient outcomes, supporting patients to overcome barriers to communicationwhere necessary.
• Lead and actively participate in service/departmental projects, quality initiatives and statutory accreditationprocesses. This will include the setting and monitoring of clinical standardsof care.
• Lead in the recruitment and selection of staff.
• Act as an expert educational resource forclinical staff, patients, and carers by providing formal and informaleducation. Promote and develop a positive learning environment throughout the organisation.
• Recognise the limits of own professionalpractice and competence, undertake further training and academic qualificationsas required to maintain own specialist knowledge.
• Participate and where required lead or assist inresearch projects as required, disseminating and ensuring utilisation ofresearch results to change practice.
• Participate and where required lead auditprojects as required by the specialty, involving collating, analysing andreporting on results of the audit process.
• Collate, analyse and present reports on varyingaspects of the speciality activity as required by directorate or divisionalteam.
• Support the maintenance of KPIs 2-hour response CQCcompliance and local and national clinical governance initiatives in closecollaboration with the directorate senior nursing, medical and management andin collaboration with clinical governance teams.
• Maintain improvements in patient safety bysupporting implementation of patient safety initiatives, prompt and appropriateresponse to complaints resolution and escalation where appropriate
• Participating in creating a healthy workingenvironment complying with risk assessment / management in relation to health care.
• Contributing to the operational and financialmanagement of ECCH to achieve cost improvement plans. Actively participating inthe development of services to combine the achievement of high quality patientcare and effective resource allocation / utilisation.
• All roles within East CoastCommunity Healthcare CIC (ECCH) require staff to demonstrate our Values andSignature Behaviours in the care and service they provide to patients, serviceusers, stakeholders and colleagues. All members of staff should consider theseas an essential part of their job role.
• OurValues outline the core behaviours that we can all achieve and are summarisedas an acronym within the word CARE.These stand for: Compassion, Action, Respect and Everyone.
• Underpinningour Values are our Signature Behaviours which highlight by taking the rightactions we continue to build a strong culture.Our four Signature Behaviours are: Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together.

Person Specification

Personal Attributes

Essential

• Awareness and understanding of the NHS issues relevant to advanced clinical practice
• Understanding of the Clinical Governance Framework
• Aware of the political and organisational drivers that impact on the service
• Must hold full and valid driving license and have access to a vehicle
• Ability to be creative innovative and adaptable
• Organised and motivated
• Positive role model
• Flexibility to work outside core hours in order to meet service needs
• Ability to embrace our Culture, Values and Signature Behaviours:
• (Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together)
• Willingness and ability to work across different sites and travel to alternative sites and across the community as required

Qualifications

Essential

• Registered First Level Nurse/Therapist/Pharmacist/Paramedic
• Degree in Healthcare
• Masters in Advanced Clinical Practice (or working towards)
• Independent Prescriber (or working towards) where professional governing body supports non-medical prescribing

Desirable

• Long term conditions qualification
• Mentoring/leadership qualification

Skills and Knowledge

Essential

• Ability to work autonomously and manage own workload
• Management of patients with complex needs
• Clinical examination skills
• Accountability of own role and other roles in an ACP-led service
• Management and Leadership skills / effective change agent
• Evidence of advanced clinical practice
• Awareness of the need to focus on continuous quality improvement
• Excellent written and Verbal communication skills using the English language
• Ability to communicate with patients and families with regard to diagnosis, treatment and care planning
• Negotiation and conflict management skills
• Good IT skills

Experience

Essential

• Significant experience at senior level, Band 7 or above
• Evidence of teaching in a variety of environments
• Experience of working to protocols and guidelines
• Evidence of on-going personal and professional development
• Previous experience of developing clinical guidelines and clinical care pathways
• Experience of clinical audit
• Evidence of successful management of change management

Desirable

• Previous experience in an ACP role

Person Specification
Personal Attributes

Essential

• Awareness and understanding of the NHS issues relevant to advanced clinical practice
• Understanding of the Clinical Governance Framework
• Aware of the political and organisational drivers that impact on the service
• Must hold full and valid driving license and have access to a vehicle
• Ability to be creative innovative and adaptable
• Organised and motivated
• Positive role model
• Flexibility to work outside core hours in order to meet service needs
• Ability to embrace our Culture, Values and Signature Behaviours:
• (Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together)
• Willingness and ability to work across different sites and travel to alternative sites and across the community as required

Qualifications

Essential

• Registered First Level Nurse/Therapist/Pharmacist/Paramedic
• Degree in Healthcare
• Masters in Advanced Clinical Practice (or working towards)
• Independent Prescriber (or working towards) where professional governing body supports non-medical prescribing

Desirable

• Long term conditions qualification
• Mentoring/leadership qualification

Skills and Knowledge

Essential

• Ability to work autonomously and manage own workload
• Management of patients with complex needs
• Clinical examination skills
• Accountability of own role and other roles in an ACP-led service
• Management and Leadership skills / effective change agent
• Evidence of advanced clinical practice
• Awareness of the need to focus on continuous quality improvement
• Excellent written and Verbal communication skills using the English language
• Ability to communicate with patients and families with regard to diagnosis, treatment and care planning
• Negotiation and conflict management skills
• Good IT skills

Experience

Essential

• Significant experience at senior level, Band 7 or above
• Evidence of teaching in a variety of environments
• Experience of working to protocols and guidelines
• Evidence of on-going personal and professional development
• Previous experience of developing clinical guidelines and clinical care pathways
• Experience of clinical audit
• Evidence of successful management of change management

Desirable

• Previous experience in an ACP role

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.
UK Registration

Applicants must have current UK professional registration. For further information please see

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.
UK Registration

Applicants must have current UK professional registration. For further information please see

Employer details

Employer name

East Coast Community Healthcare CIC
Address

East Coast Community Healthcare

Morton Peto Road

Great Yarmouth

Norfolk

NR31 0LT

Employer's website