This Advanced Clinical Practitioner post sits within NEMS Community Benefit Services' urgent care services at the Kings Mill Hospital PC24 site. The clinician assesses, diagnoses, treats and discharges or refers patients with undifferentiated presentations, while supervising and supporting the wider team and contributing to governance. The role is face-to-face only, across urgent treatment centres and other agreed service models, with senior clinical presence on shift. Current professional registration and evidence of advanced practice are required.
What the job involves
- Work autonomously as an Advanced Clinical Practitioner across NEMS urgent care services, focusing on face-to-face consultations
- Assess, examine, diagnose, treat and safely discharge or refer patients with undifferentiated urgent care presentations
- Make safe decisions on admission, transfer, referral, follow-up and safety-netting within agreed local pathways
- Recognise and act on serious illness, deterioration, safeguarding concerns, mental health risk and presentations needing escalation
- Request and interpret investigations including blood tests, urine tests, ECGs and imaging, in line with local policy and competence
- Prescribe, review and advise on medicines where qualified, or use agreed local medicines mechanisms within scope
- Maintain clear, accurate and timely clinical records of assessment, reasoning, advice and onward plans
- Carry out clinical procedures where trained, competent and required for patient care
- Provide safe clinical handover to ED, specialties, GPs and community services where ongoing care is needed
- Act as a senior clinical presence on shift and provide advice, supervision and support to trainee ACPs, UCPs, nurses, AHPs, UCAs and non-registered staff
- Take part in incident reviews, significant event analysis, complaint responses, audit and quality improvement
- Contribute to the development and review of clinical guidelines, SOPs, pathways and local standards
What’s required
Qualifications
- Masters level qualification in Advanced Clinical Practice, or equivalent evidence of advanced practice capability
- Independent non-medical prescribing qualification, or willingness to complete where required
- Evidence of working at an advanced level of clinical practice
- Evidence of continuing professional development
Registration & licences
- Current NMC, HCPC or equivalent professional registration
Experience
- Clinical experience in a primary, community, urgent care, emergency care or out-of-hospital setting
- Autonomous assessment and management of undifferentiated patients
- Face-to-face urgent care consultations
- Supervising, supporting or teaching other clinical staff or students
Skills & knowledge
- Assessment and management of urgent care presentations, including red flags and clinical deterioration
- Safeguarding adults and children
- Mental capacity, consent and mental health risk
- Medico-legal aspects of advanced practice
- Making safe autonomous clinical decisions and knowing when to seek advice or escalat[e]
- Clinical governance, audit, incident learning and quality improvement
Other
- Values including being non-judgemental, kind, co-operative, proactive and willing to learn
Nice to have
- Knowledge of NEMS services, local urgent care pathways and system partners
- Experience in urgent treatment centres, GP out-of-hours, clinical assessment services or emergency departments
- Experience as shift lead, clinical co-ordinator or senior clinician on duty
- Minor illness or minor injury qualification
- IR(ME)R or imaging requesting training where relevant
- ILS, ALS or equivalent urgent care training
- Competence in Adastra, SystmOne, EMIS, Nervecentre or other relevant clinical systems
- Ability to contribute to audit, service improvement and pathway development
What’s offered
- Unsocial hours enhancements