Advanced Clinical Practitioner Band 7

Job summary

Advanced Clinical Practitioner - Band 7

£51,883 - £58,544 Inc HCAS per annum pro rata

Full-time - 37.5 hours per week

We are looking for a proactive Advanced Clinical Practitioner who wants to share their skills within our team.

The post is based within the Urgent Community Response Team. This service provides a multi-disciplinary urgent assessment and crisis intervention service within a 2 hour response, and at times a 2-4 hr response to patients in the community with the aim of preventing hospital admission and supporting with early discharge from hospital, operating 7 days per week 8am to 8pm.

The post holder is an Advanced Clinical Practitioner, acting within their professional boundaries. The post-holder will be expected to be working towards becoming a non-medical prescriber with good community experience and skilled to see patients independently, making autonomous decisions in the clinical and diagnostic assessment of patients with potentially complex health and social care needs to support keeping them in the community and reduce hospital admissions / A&E attendance and to develop a comprehensive plan of care.

To be considered for this role you MUST hold professional registration with NMC or HCPC, applications without this will not be considered.

Proposed interview week beginning 12th May 2025

Main duties of the job

• To respond to urgent referrals into the service from GP/111/Acute trust/Hospics and community providers for patients to be seen at home, who have deteriorated below baseline due to illness or injury and will require additional clinical support, medication prescribed and care plans to prevent attendance to A&E or hospital admission. There will be referrals for supporting early discharge with monitoring of symptoms and needs to ensure safe clinical care is maintained.
• To develop high level skills in clinical assessment and diagnostic reasoning to proactively manage high acuity users of health and social care services, with multiple co-morbidities and pharmacy, social, medical and nursing needs and who are at risk of hospital admission.

About us

Bromley Healthcare is a community interest company providing a wide range of services including community nursing services such as district nursing, health visiting, as well as therapy services for children, young people and adults. Being born from NHS Bromley's community provider unit we have been providing community services to the people of Bromley for many years and we have a wealth of experience.

Bromley Healthcare is a great place to work. The unique way we deliver services and offer everyone who works here a voice means that your career with us will be rewarding.

Social Enterprises are a fairly new and exciting way to deliver healthcare, offering many of the traditional advantages of the NHS (such as excellent training and development) with the freedom for innovation by being able to reinvest any surpluses we make into the community.

Salary is dependent on NHS experience and current banding/pay point, applicants from outside the NHS will receive the start point of the salary scale in line with NHS terms & conditions.

Excellent benefits package available including various pension schemes, discounted gym membership, cycle to work scheme, discounted electronics, access to EAP, high street discounts, Blue Light Card eligibility, opportunity to apply for low interest personal loans and an excellent lease car scheme and we are constantly looking to expand our staff benefits.

Date posted: 22 April 2025

Pay scheme: Agenda for change

Band: Band 7

Salary: £51,883 to £58,544 a year Inc HCAS per annum pro rata

Contract: Permanent

Working pattern: Full-time

Reference number: 848-BHC-108-25

Job locations: Urgent Community Response, 1st Floor Central Court, 1b Knoll Rise, Orpington, BR6 0JA

Job responsibilities

• To proactively monitor and manage high acuity users of health and social care services and multiple co-morbidities who may also have a combination of pharmacy, social, medical and nursing needs, and who are at risk of hospital admission and seeking support from colleagues as appropriate and develop/implement an appropriate plan of care including prescribing of medications if appropriate or review of medication.
• To recognise and manage early symptoms of disease exacerbation and acute illness based on an understanding of the disease, disease process and current evidence and practice standards.

Person Specification

Qualifications

Essential

• Undergraduate degree in a suitable discipline
• Registered with appropriate professional body(NMC, HCPC)
• Registered non-medical prescriber (if professionally appropriate)
• Advanced clinical assessment or ECAS module completed
• Autonomous practice and clinical decision making
• Willing to work towards completing full ACP MSc, portfolio or credentialing
• Evidence of Continuing Professional Development

Desirable

• Master level Award covering and assessing all 4 pillars of advanced clinical practice (clinical practice, leadership and management, education and research) or Credentialing equivalent ALNP D Model
• Registered non-medical prescriber (Working towards/intention to complete)

Skills

Essential

• Able to function as an experienced nurse/advanced clinical practitioner with safe clinical skills
• Able to demonstrate advance skills for assessing patient conditions, and taking appropriate action in the management planning
• Evidence of the ability to devise/coordinate plans of care working autonomously and collaboratively
• Evidence of the ability to maintain and monitor high standards of care.
• Advance communication skills, with staff, clients other agencies
• Understanding of the principles of clinical governance, particularly in relation to their service area.
• Evidence of professional development and knowledge.
• UK drivers license with clean current licence & access to a vehicle for work purposes

Desirable

• Intravenous and cannulation skills.
• IVAB therapy administration and management
• Competent in venepuncture/phlebotomy

Experience

Essential

• Enthusiastic and effective team member with good person and organisational skill
• Evidence of experience in practicing at an advanced level with clinical advanced assessment skills
• Demonstrate good written and verbal communication skills
• Evidence of experience in autonomously managing, practice at an advanced level
• Extensive clinical experience and skills using evidence based practice
• Evidence of experience of multi- disciplinary and interagency working
• Experience of co-ordinating complex activities/programmes of care with other healthcare professionals and agencies

Desirable

• Evidence of experience of multidisciplinary and interagency working
• Experience in working across acute and community care settings.
• Working within a community setting
• Experience of working in an Admission Avoidance service.
• Experience of embracing and implementing change to provide high quality patient outcomes
• Post - registration with experience at NP level

Information Technology

Essential

• IT Skills to a good level with experience of EMIS, word processing and database management

Desirable

• EMIS templates development and search and reporting

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 NHS Careers website.

Employer details

Employer name: Bromley Healthcare CIC

Address:

Urgent Community Response, 1st Floor Central Court

1b Knoll Rise

Orpington

BR6 0JA

Employer's website: http://www.bromleyhealthcare.org.uk/