Advanced Clinical Practitioner (CRT@The Front Door)

Wwl; Wigan; On-site; GBP 53,000 - 61,000; Full time

Job summary

Join a leading healthcare team as an Advanced Clinical Practitioner in Wigan. This role involves providing expert clinical care and support within the Community React Team, working to prevent hospital admissions and enhance patient discharges. Ideal candidates will have significant clinical experience and possess advanced practice qualifications.

Qualifications

• Registered Nurse, AHP or paramedic required.
• Independent non-medical prescriber/ V300 needed.
• MSc in Advanced Practice essential.

Responsibilities

• Work across professional boundaries within the clinical team.
• Provide expert clinical advice and support patient management.
• Participate in risk management and quality improvement.

Skills

Advanced clinical skills

Excellent team working

Clinical judgement and decision-making

Education

MSc in Advanced Practice

NMC Approved mentor preparation course

Registered Nurse, AHP or paramedic

Job description

Advanced Clinical Practitioner (CRT@The Front Door)

NHS AfC: Band 8a

Main area Community Services Grade NHS AfC: Band 8a Contract Permanent Hours

• Full time
• Part time
• Flexible working

37.5 hours per week (Over 7 days between 08:00-18:00) Job ref 302-25-7187270CM

Site Royal Albert Edward Infirmary Town Wigan Salary £53,755 - £60,504 pa pro rata Salary period Yearly Closing 15/06/2025 23:59

Choose Well - Choose WWL

Job overview

There is an exciting opportunity to join the Community React Team as part of a newly created role within the ED footprint of the Royal Edward Albert Infirmary.

We are looking to recruit 2 x ACPs into this new position with the successful applicants playing a key role working at the front door of the acute site and, across admissions avoidance workstreams across the division.

The role of the Advanced Clinical Practitioner is to work across professional boundaries, undertaking a variety of clinical duties, within the context of the clinical team and to work as part of the community response team and work with the principles of the Community Services Division. The ACP is required to work as an autonomous clinical professional.

This permanent full-time role 37.5 hours works to deliver service 7 days per week from 08:00-18:00 (including bank holidays).

You will work intrinsically with the Community React Team providing expert clinical advice to inform sound clinical judgement in the diagnosis and continuity of assessment, decision making, treatment and management of patients in the community. The successful applicant will also play a key role in the admission avoidance on the acute site, supporting and facilitating earlier discharges and driving care back into the community with wraparound support. You will help to lead the clinical development of the service in partnership with the divisional management team and remain flexible to meet the needs of a very dynamic service.

Main duties of the job

We are looking to recruit 2 x ACPs to work within the Community React Team (CRT). The role will require a visual presence across the acute site to help avoid admissions, and support to facilitate earlier, and safer discharges back into community settings.

The post holders will work as part of the community multi-disciplinary teams to manage patients in the community setting, including patients' home, clinics and the community assessment unit at the acute hospital site. The post holders will support the clinical team in terms of clinical leadership and expertise.

CRT works in collaboration with Northwest Ambulance Service (NWAS), Primary Care, Care Homes and the wider healthcare economy, with a focus on safe admission avoidance.

This is an exciting time for the Community ReactTeam as we continue to evolve, working closely with our key stakeholders. The expectation is to work within a changing environment and to drive the transformation agenda.

You must be able to travel across Trust independently.

An Enhanced DBS with Adults' Barred List checks will be obtained during pre-employment checks.

This post involves contact with patients and families face to face within a community setting. Therefore, it cannot be ruled out that the post holder may come in to contact with people who have COVID-19, although the Trust provides PPE and takes all reasonable steps to minimise risk.

This vacancy may close early if sufficient applications are received.

Working for our organisation

Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that ‘happy staff, makes for happy patients’. We have a recognised track record in staff engagement and living our values.

· People at the Heart

· Listen and Involve

· Kind and Respectful

WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. We are seeking to recruit people who share our values and beliefs.

At WWL we value the benefits a rich and diverse workforce brings to our community and therefore welcome applications from all sections of society.

COVID-19 vaccination remains the best way to protect yourself, your family, your colleagues and of course our patients from the virus when working in our healthcare settings. Whilst COVID-19 vaccination is not a condition of employment, we do encourage our staff to get vaccinated. If you are unvaccinated there is helpful advice and information available by contacting [e-mail] where you can also ask about how to access vaccinations.

Detailed job description and main responsibilities

Key results from the job holder
• The post holder will be professionally and legally responsible and accountable for all aspects of your own work including the management of patients in your care
• The post holder will be responsible for providing face to face consultations for patients in the community setting
• The post holder will provide clinical leadership and support for members of the multidisciplinary team
• The post holder will be able to take a comprehensive patient history, carry out physical examinations and use expert knowledge and clinical judgement to identify the potential diagnosis

Planning and Organisational Duties
• Work within the Trust's Policies and Procedures and the parameters set down in agreed local clinical protocols and guidelines and national guidelines such as those published by NICE.
• Organise the clinical management of individual patients, utilising clinical knowledge and advanced skills to assess, diagnose, plan, implement and initiate changes where required. This will include monitoring and evaluating the responses to treatment through analysis and interpretation of clinical tests and investigations and the discharge of the patient.
• Apply appropriate advanced clinical and technological skills in response to the changing needs of care and the dynamic state of healthcare services.
• Facilitate the development of clinical practice through research and education of the multidisciplinary team, by integrating theory with practice.
• Evaluate care through quality assurance initiative and assessment of clinical outcomes.
• Be an expert clinical resource for other health care practitioners.
• Take every opportunity to promote the health of patients and initiate health education strategies as necessary.
• Participate in risk management and risk assessment working closely with other members of the clinical team.
• Continually develop own professional practice as indicated by the changing needs of services / patients
• Participate in the development of the quality and audit strategy, which includes standard setting and development of audit tools.
• Participate in developing and updating clinical protocols in care in responses to advances in clinical practice.

Communications and Key Working Relationships
• Accept, make and receive referrals to and from other health care professionals.
• Communicate patients' conditions, verbally and in writing, to other members of the healthcare team and contribute to decision-making processes in patient management.
• Communicate on an on-going basis with the GP, Community Medical Lead, Senior Registrar / Consultant responsible for the patient - updating him / her on changes / progress.
• Participate in virtual ward rounds, perform case presentation and contribute to the decision making process in patient management.
• Act as a resource, providing clinical leadership and facilitating professional development amongst the multidisciplinary team both within and outside the organisation.
• Promote best practice, utilising local and regional benchmarking groups for the generation and promotion of standards and clinical guidelines.
• Contribute to clinical governance arrangements by providing expert input and securing quality improvement, including influencing other disciplines, to help deliver quality services.

Responsibility for Finance
• Ensuring the effective use of all financial resources in providing and delivering the service.
• Identifying and implementing cost improvement programmes within the service

Responsibility for Human Resources
• Involvement in staff engagement and patient feedback.
• Participate in personal development review.
• Undertake clinical audit and audit the evaluation of practice of self and others.

Responsibility for Health & Safety
• Compliance with the Health & Safety at Work Act 1974 – the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.

Responsibility for Teaching
• Facilitate research-based practice, assist in disseminating research findings and support changes in care.
• Take part in/ lead research projects, as appropriate, in order to enhance knowledge of the role and / or patient outcomes.
• Support and facilitate other staff who are undertaking research / audit projects.
• Provides clinical leadership, acts as a resource and facilitate professional development amongst the multidisciplinary team both within and outside the organisation.
• Promote best practice, utilising local and regional benchmarking groups for the generation and promotion of standards, nursing and clinical guidelines.
• Contribute to clinical governance arrangements by providing expert input and securing quality improvement, including influencing other disciplines, to help deliver quality services.
• Contribute to the Induction programme of staff as required.
• Contribute to the development, supervision and training of other clinical staff.
• Support healthcare practitioners, students and others, as required, to achieve appropriate levels of competence in practice.
• Participate and provide clinical supervision for self and others.

Work Circumstances & on-call
The service covers 7 days a week including bank holidays.

Person specification

Knowledge

• Detailed knowledge of the principles of clinical governance and its application.

Skills

• Able to motivate and lead others.
• Influential and persuasive.
• Excellent team working skills.
• Advanced clinical skills relevant to the speciality.
• Ability to take a patient history, provide a full clinical assessment.
• Ability to order and review diagnostic tests relevant to area.
• Knowledge of Health.
• Skilled at promotion of relevant educational issues.
• Advanced planning, organisational skills including the ability to prioritise completing tasks in a highly complex and dynamic environment.
• Clinical judgement and decision-making skills.
• Evidence of ability to work within four pillars.
• Undertaken a management programme.

Experience

• Significant experience in a clinical setting
• Substantial experience in clinical area
• Substantial experience working within an acute emergency department with knowledge of the ED footprint.
• Able to demonstrate advanced theoretical and clinical knowledge and skills.
• Significant knowledge of community services and support offered.
• Understanding of clinical Governance and risk management
• Evidence of carrying out research/audit/ leadership
• Has a clear vision of the future development of practice.
• Demonstrate flexibility within the role.
• Have an understanding of team dynamics and an ability to influence the building of effective working relationships between staff.
• Ability to support, encourage and motivate others
• Post-registration experience in a relevant clinical setting.
• Experience in various acute/ community/primary care settings.
• Portfolio of evidence

Qualifications

• Registered Nurse, AHP or paramedic
• Independent non-medical prescriber/ V300
• MSc in Advanced Practice
• NMC Approved mentor preparation course or equivalent mentor course

Additional

• Speak English to an appropriate standard relevant to their role, i.e. with confidence and accuracy, using correct sentence structures and vocabulary, and without hesitation
• Ability to cope working in a stressful environment and with emotional/aggressive patients/carers.
• Possess energy, drive and resilience with a keen desire to develop the further.
• Flexible in working hours to meet the needs of the service.
• Able to travel across Trust independently.

Our Trust prefers candidates to submit applications online. Please contact the Recruitment Team on 01942 244000 if you have difficulty applying online.

The Trust reserves the right to close adverts earlier than the stated closing date if there is a high volume of applications.

We endeavour to inform all applicants of the outcome of their application by email or SMS text message.

Guidance on Completing Your Application

Applications are scored against the person specification, therefore we recommend that you use the supporting information section of your application form to demonstrate how you meet the essential and desirable criteria for the role, providing illustrative examples where possible.

On-Call

Please note that some roles may require you to participate in an on-call rota, if the role is predominantly operational.

WWL has signed up to the Greater Manchester Continuous Service Commitment. and will recognise your continuous or ‘unbroken’ service in any Greater Manchester Local Authority or NHS organisation, Transport for Greater Manchester, Greater Manchester Fire and Rescue Service or Greater Manchester Combined Authority; giving you access to our service-related benefits.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Name Alex Meace Job title Operational and Performance Manager: CRT Email address [e-mail] Telephone number 07747 783894

If you have problems applying, contact

Address Buckingham Row
Brick Kiln Lane
Wigan
WN1 1XX
Telephone [phone]