Advanced Clinical Practitioner -Falls, Frailty, & Complex Case

Central London Community Healthcare NHS Trust; Watford; On-site; GBP 55,000 - 63,000; Full time

Job summary

An established industry player is seeking an Advanced Clinical Practitioner to join their dedicated team in providing high-quality care to frail patients. This role emphasizes autonomous assessment, diagnosis, and treatment within a supportive environment, ensuring the best outcomes for patients. You will be part of a dynamic team that values collaboration and innovation, working across multiple sites to deliver effective community healthcare. If you are passionate about making a difference and have the necessary qualifications, this opportunity could be the perfect fit for you.

Benefits

Comprehensive induction program

Car lease scheme

Flexible working options

Training and development opportunities

Qualifications

• Registered Nurse or equivalent with advanced clinical qualifications.
• Proven experience in community care and clinical leadership roles.

Responsibilities

• Provide patient-centered care and clinical leadership in community settings.
• Conduct assessments and implement strategies to prevent hospital admissions.

Skills

Clinical Leadership

Advanced Clinical Decision-Making

Assessment and Diagnosis

Communication Skills

Problem-Solving

Education

MSc / PGDip Advanced Clinical Practice

Registered Nurse with NMC registration

Independent Non-Medical Prescriber

Tools

Microsoft Office

System One

Job description

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Advanced Clinical Practitioner - Falls, Frailty, & Complex Case

Band 8a

Main area: Advanced Clinical Practitioner Grade Band 8a

Contract: Permanent

Hours: Full time - 37.5 hours per week

Job ref: 824-HERTS-6975345

Site: Building Research Establishment OR Potters Bar Community Hospital

Town: Watford

Salary: £55,877 - £62,626 Per Annum, inclusive of HCAS

Salary period: Yearly

Closing: 16/02/2025 23:59

Central London Community Healthcare (CLCH) is one of the largest community healthcare organisations in London and Hertfordshire, providing our services to diverse communities in 11 London Boroughs and Hertfordshire.

We are rated Good by the Care Quality Commission and are ranked among top NHS employers. Community healthcare is our focus and our passion. We champion the role of community health professionals to ensure our patients receive great care closer to home.

Job Overview

CLCH Hertfordshire Adult Community Services - CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting!

We are looking for an Advanced Clinical Practitioner who is passionate about delivering high quality and effective care to frail patients to work as part of our Planned Care service.

Under the umbrella of Complex Case Management, Falls and Frailty, we provide a range of proactive and preventative interventions for some of the most vulnerable and complex patients living in our communities. These services facilitate multi-agency coordination and shared decision-making via MDT meetings, as well as completing in-person comprehensive geriatric assessments of frail individuals in their homes and clinic-based settings. The service aims to optimise long-term conditions management, prevent falls, maximise independence, and enable frail patients to live well and avoid unnecessary hospital admissions.

This role involves working across the South and West Herts. Clinically, you will undertake autonomous assessment and optimisation of frail patients in clinics or their usual place of residence. You will make recommendations for diagnostics and differential diagnosis, undertake prescribing/deprescribing, complete anticipatory care planning, and implement strategies to avoid unnecessary hospital admissions in the long term.

Main Duties of the Job

You will use the four pillars of advanced clinical practice to support your own development, the development of others, and the evolution of the service. You will have the opportunity to work closely with the Advanced Clinical Practitioners and Consultant Nurse in our Frailty Hospital at Home service as well as other senior clinicians across our specialist service portfolio.

You will need to demonstrate effective and proven clinical leadership and advanced clinical decision-making skills alongside an ability to build positive, productive relationships with teams and external stakeholders. You will be familiar with the current evidence base in assessment and management of frailty as a long-term condition.

This is a great opportunity to join a supportive team who work closely together and help shape the future of adult services in South and West Herts.

The service operates across multiple sites, and for the right candidate, there is some flexibility on the allocation of a main base at any of our main sites - in Watford, Potters Bar, and Harpenden. There will be a requirement to travel across the West Herts geography daily.

We look forward to receiving your application!

Please note: We are seeking applications from those who have either already completed their Advanced Clinical Practice degree or who are in the last year of study. Car driver and owner will be essential.

Working for Our Organisation

Just as we care about our patients’ wellbeing, we care about yours!

We can offer you:

• A comprehensive induction into the community service followed by a local induction to introduce you to the role
• Car lease scheme *T&C’s apply
• Flexible working options
• Training, support, and development in your career

Detailed Job Description and Main Responsibilities

The post holder will be practising autonomously as an Advanced Clinical Practitioner (ACP) to provide patient-centered quality care. This will encompass the skills of assessment, examination, diagnosis, and treatment within an agreed scope of practice throughout the Planned Care services.

The post holder will support a way of working that emphasizes a more efficient and patient-focused service and will ensure the proactive care of frail patients with undifferentiated and undiagnosed presentations across Planned Care pathways.

The post holder will deliver both a clinical and leadership role with a focus on the development of the service and research, along with management responsibilities.

Please refer to the job description, person specification, and trust values for an outline of skills, knowledge, and experience required.

Person Specification

Education/Qualification

• Registered Nurse with current NMC registration or Physiotherapist or Paramedic with HCPC registration
• MSc / PGDip Advanced Clinical Practice
• Independent Non-Medical Prescriber
• Evidence of Management/ Leadership training
• Evidence of continuing professional education and training at master’s level.
• Further desirable qualifications in Primary Care/ Frailty/ Long Term Conditions Management/ Falls Prevention
• Evidence of teaching demonstrated by a suitable qualification or accredited experience

Experience

• Extensive experience in Community Care and/or Primary Care
• Experience in a clinical leadership/ management role within a complex healthcare environment
• Extensive theoretical & practical knowledge relating to assessment & treatment of long-term conditions and frailty syndromes
• Proven experience of utilizing expert diagnostic and clinical skills to provide autonomous, unscheduled medical care and management of patients presenting with undifferentiated and undiagnosed conditions
• Experience of assessing and providing quality care to people with Long Term Conditions
• Proven ability to prioritize and manage own workload with minimal supervision.
• Experience of team / service/ staff management including HR processes
• Experience of implementing evidence-based care and developing others to do so
• Experience of conducting research projects and audit
• Experience of change management and implementing change in practice
• Evidence of innovation in practice
• Experience in Community services / falls prevention services

Skills and Knowledge

• Ability to analyze complex problems and develop practical and workable solutions
• Ability to lead, enthuse, motivate, and involve individuals and the clinical team
• Ability to adapt leadership style to differing situations
• Ability to manage and deliver deadlines within resources
• A strong sense of personal and team accountability with a clear understanding of the boundaries around delegated authority, responsibility, and accountability
• Excellent interpersonal and communication skills
• Ability to communicate effectively both verbally and in writing
• Good working understanding of the changing NHS environment
• Evidence of a comprehensive range of clinical skills and expertise relevant to the role
• Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills, and prescribing/treatment
• Clinical knowledge across a range of acute and chronic conditions
• Highly competent in the physical examination of patients presenting with a range of clinical conditions with depth knowledge of pharmacology
• Knowledge of and experience in the provision of care to vulnerable adults and children in line with best practice of safeguarding
• Able to work autonomously, planning and prioritizing own workload and that of others
• Able to delegate work effectively and safely
• Able to deal with conflict and manage appropriately
• Able to manage difficult situations and address poor practice
• Able to identify own and others' learning and development needs and actively seek ways to meet those needs
• Competent IT skills including use of Microsoft Office package, System One, and email
• In-depth knowledge of relevant Code of Professional Conduct
• Knowledge of Personal Development Planning
• Knowledge of risk management and incident reporting
• Detailed knowledge of Primary Health Care and collaborative working with other care providers, e.g., social care and voluntary services
• Knowledge of the audit process and able to implement in practice
• Knowledge of evidence-based practice and able to implement in practice
• Knowledge of clinical governance processes, assessing and managing risk
• Knowledge of clinical supervision
• Knowledge of how to implement equal opportunities in practice
• Experience in leading a Research project
• Involvement in a quality improvement project or transformation project

Key Attributes

• Able to carry out the duties of the post
• Health cleared by Employee Health for the role specified.
• Cross cover at other sites within the division
• Able to provide evidence of where you have demonstrated the Trust’s Values and Behaviors
• Able to demonstrate excellence in Customer Service
• Able to meet the required IT Skills for the post

Due to the high number of applications received for some posts, we may close this vacancy before the advertised closing date. Therefore, please apply for this post as soon as you can if you are interested and meet the requirements of the Person Specification.

Only those candidates who clearly demonstrate how they meet the person specification will be shortlisted for this job.

Interview arrangements will be communicated via email, so please check your email regularly following the closing date.

At CLCH, we appreciate and are proud of the diversity in the communities we serve and the workforce we employ. Applications are open and welcome to anyone, regardless of your age, sexual orientation, gender identity and expression, ethnicity, religion, and disability.

We are proud to say that we follow the workforce race equality standard and 28% of our senior staff (8A and above) are from a BAME background. CLCH also has active BAME and LGBTQI networks:

Disability and Wellbeing Network (DAWN)

Race Equality Network

Rainbow Network which supports LGBTQI staff.

Each network has a champion who is an executive director at the Trust and they hold regular meetings to discuss issues and make plans to improve CLCH.

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: Louise Ayres

Job title: Head of Clinical Services

Email address: [e-mail]

Telephone number: 07795 367951