Advanced Clinical Practitioner (ACP)

East Coast Community Healthcare CIC; Great Yarmouth; On-site; GBP 38,000 - 45,000; Full time

Job summary

A community healthcare provider in Great Yarmouth is seeking an Advanced Clinical Practitioner to join their Primary Care Home teams. In this role, you will manage complex patient needs autonomously, providing high-quality care and collaborating with multidisciplinary teams. Candidates with experience in community settings are encouraged to apply. This position may include a Band 7 development opportunity for the right candidate.

Benefits

Employee benefits aligned with NHS terms

Support for development into community practice

Qualifications

• Registered First Level Nurse/Therapist/Pharmacist/Paramedic.
• Significant experience at senior level, Band 7 or above.
• Previous experience in an ACP role.

Responsibilities

• Consult, assess, and treat patients with complex needs.
• Work autonomously within specialty managing individual patient care.
• Lead and support the development of the role based on patient needs.

Skills

Clinical examination skills

Management of patients with complex needs

Excellent written and verbal communication skills

Negotiation and conflict management skills

Education

Degree in Healthcare

Masters in Advanced Clinical Practice (or working towards)

Independent Prescriber (or working towards)

Job description

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 practice will be provided.

Please note this post could be offered as a Band 7 development post for the right candidate who is able to study at level 7.

Main duties of the job

You will 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 responsibilities

Work autonomously as an advancedpractitioner within the specialty, managing a caseload of patients deliveringindividualised direct patient care.

Direct responsibility forassessment, examination, investigation, and diagnosis of patients within theirarea of work.

The ACP will beresponsible for the provision of effective, efficient and appropriate highquality care and act at all times in accordance within the relevant professionsCode of Conduct within their level of competence and agreed protocols.

Appropriately treat patients,resulting in the safe management and appropriate referral or discharge ofpatients with undifferentiated and undiagnosed presentations.

Receive referrals via a variety ofsources, including engagement with East of England Ambulance Service toidentify patients suitable for management within community setting. Manage owncaseload and clinical priorities according to agreed protocols and workingpractices.

Undertake a variety of clinicalskills and provide treatment / advice as per speciality and scope of practice.Using agreed protocols of clinical practice and professional guidelines. Thisservice may be provided within primary, community or home care settings.

Within scope of practice andclinical competence request and / or undertake diagnostic procedures andclinical investigations related to plans of care.

Utilise scope of practice toundertake Non-Medical Prescribing role and provide advice on medicinemanagement issues associated with the patient specialty group. Work within ECCHpolicy for Medicines Management.

Utilise advanced knowledge andskills relating to the speciality to provide specialist advice to other membersof the multidisciplinary team based on patient assessment.

Providea seamless, high quality service from referral through to assessment,diagnosis, treatment and review, referring to other specialists as required.Provide guidance to staff, patients and their families and carers on pathwaynavigation.

Leadin the development and updating of referral guidelines and policies for theservice.

Usehighly developed communication skills to effectively communicate withcolleagues, patients and their relatives / carers, making reports and liaisingas required with medical staff and other members of the multidisciplinary teamboth verbally and in writing.

Useprofessional judgement to act as an advocate for patients to ensure a patientfocused approach to the delivery of care. Support and enable patients andcarers to make informed decisions relating to their treatment and management.Escalate any concerns via the nursing / professional structures as required.

Worktowards safe and timely discharge and / or transfer of care of patients from orbetween hospitals and services and healthcare professionals, ensuring barriersto discharge / transfer are identified and acted upon appropriately.

Reportand raise concerns related to Safeguarding, accessing advice and support asrequired. Be conversant with ECCH policies for safeguarding including theassessment of mental capacity, and consideration of Deprivation of LibertySafeguards (DOLS) and the application of the principles of Prevent (counterterrorism awareness).

Undertaketraining to develop further advanced clinical practice roles required by theservice to provide a high standard of patient care.

Providehighly visible and accessible professional leadership and demonstrate expertknowledge and standards of clinical practice.

Promoteteam working, build rapport and collaborative working practices withmultidisciplinary team. Liaise with inter-hospital departments and personnelacross organisational and professional groups. Ensuring effective communicationand interpersonal skills with other disciplines and organisations.

Leadand support the development of the role according to changing patients needs,service requirements and evidence base practice.

Utilisethe highest level of interpersonal and communication skills when dealing withcomplex, sensitive or emergency situations, utilise persuasion, motivation andcoaching to facilitate best patient outcomes, supporting patients to overcomebarriers to communication where necessary.

Leadand actively participate in service/ departmental projects, quality initiativesand statutory accreditation processes. This will include the setting andmonitoring of clinical standards of care.

Leadin the recruitment and selection of staff.

Actas an expert educational resource for clinical staff, patients, and carers byproviding formal and informal education. Promote and develop a positivelearning environment throughout the organisation.

Recognisethe limits of own professional practice and competence, undertake furthertraining and academic qualifications as required to maintain own specialistknowledge.

Participateand where required lead or assist in research projects as required,disseminating and ensuring utilisation of research results to change practice.

Participateand where required lead audit projects as required by the specialty, involvingcollating, analysing and reporting on results of the audit process.

Collate,analyse and present reports on varying aspects of the speciality activity asrequired by directorate or divisional team.

Support the maintenance of KPIs 2-hourresponse CQC compliance and local and national clinical governance initiativesin close collaboration with the directorate senior nursing, medical andmanagement and in collaboration with clinical governance teams.

Maintainimprovements in patient safety by supporting implementation of patient safetyinitiatives, prompt and appropriate response to complaints resolution andescalation where appropriate.

Participating increating a healthy working environment complying with risk assessment /management in relation to health care.

Contributing tothe operational and financial management of ECCH to achieve cost improvementplans. Actively participating in the development of services to combine theachievement of high quality patient care andeffective 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

Experience

• 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
• Previous experience in an ACP role

Personal Attributes

• 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
• 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

• 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
• Long term conditions qualification

Skills and Knowledge

• 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

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.