Advanced Clinical Practitioner - Urgent Community Response

Lewisham and Greenwich NHS Trust; Lewisham; Sur place; GBP 49 000 - 65 000; Plein temps

Résumé du poste

Lewisham and Greenwich NHS Trust seeks an Advanced Clinical Practitioner to join the Urgent Community Response Team in a trainee ACP role (band 7) with progression to band 8a after credentialing. The ACP will work in the community with clinical leads for frailty, delivering advanced care and non-medical prescribing with high autonomy.

The post involves out-of-hours shifts, multidisciplinary collaboration, education/leadership duties and participation in audits, research and governance to improve

Qualifications

• NMC/ GPhC / HCPC registered professional
• MSc in Advanced Clinical Practice or equivalent
• Evidence of an ACP/Frailty portfolio
• Teaching/Assessment/Mentorship qualification (supervising and assessing)
• Level 7 Advanced physical assessment module
• ALS
• Frailty related Level 7 studies
• Leadership qualification or relevant leadership experience
• Research in practice qualifications or equivalent

Responsabilités

• Deliver advanced clinical care to acutely unwell patients in the community with comprehensive assessment and management planning.
• Lead service improvement initiatives and contribute to governance, education and workforce development.
• Provide clinical supervision and teaching, participate in audits, research and quality improvement.
• Promote evidence-based practice and contribute to resource and risk management to ensure safe clinical practice.

Connaissances

Autonomy in frailty care

Leadership in MDTs

Non-medical prescribing

Formation

MSc in Advanced Clinical Practice

PGCert in Education/Fellowship of HEA

ALS

IMER certificate

Level 7 Advanced physical assessment

Leadership qualification/experience

ACP/Frailty portfolio

GMC/NMC/HCPC registration

Description du poste

Advanced Clinical Practitioner - Urgent Community Response

An exciting opportunity is now available for a qualified Advanced Clinical Practitioner (ACP) to join the Urgent Community Response TeamatLewisham Hospital.The ACP will practice with a high degree of autonomy supported by the Clinical Leads for Frailty.Under the direction of theFrailty consultant and in conjunction with the UCRteam, the ACP will use expert, evidence-based clinical practice to care forpatients within the community. The ACP will be responsible for the assessment of patients, implementation and completion of agreed clinical management plans, requests and review clinical investigations, prescribe relevant medications and referral to other specialities and tertiary centres.

The successful candidate will work a shift pattern including out of hours and will primarily be based in the community setting. This post holder will be able to evidence the completion of Master level studies in advanced clinical practice. In addition, applicants will have to providea portfolio of evidence with the relevant advanced capabilities demonstrating relevant experience in frailtyor related speciality.

We welcome applications from those interested in developing into therole of ACP. You will initially be employed as a trainee ACP (band 7) and you will be supported through the Trust ACP credentialing program, once all the set elements of the program are completed and signed off, you will automatically progress into ACP Role (band 8a).

Main duties of the job

As an ACP, you will deliver advanced clinical care to acutely unwell patients in the community, undertaking comprehensive assessment, diagnosis, treatment planning and non-medical prescribing. You will work collaboratively across multidisciplinary teams to support admission avoidance, optimise patient outcomes and deliver high-quality, evidence-based care. The role also includes leading service improvement initiatives, supporting clinical governance, education and workforce development, contributing to research and audit, and providing leadership to drive innovation and continuous improvement across the UCR service.

The ACP provides clinical leadership within the multidisciplinary team, supports and supervises junior staff, contributes to workforce development and recruitment, and works collaboratively across services to ensure seamless patient care. The role also supports education and training through clinical supervision and teaching, participates in audit, research and quality improvement activities, and promotes evidence-based practice. In addition, the ACP contributes to resource and risk management by ensuring safe clinical practice, implementing governance processes, monitoring incidents, and supporting continuous service improvement.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

• Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
• Widening access (anchor institution) and employability
• Improving the experience of staff with disability
• Improving the EDI literacy and confidence of trust staff through training and development
• Making equalities mainstream

Job responsibilities

Promote the improvement of quality and clinical effectiveness.

Evaluate and audit own and others clinical practice, selecting and applying valid, reliable methods, then acting on the findings.

Take a critical approach toidentifygaps in the evidence base and its application to practice, alertingappropriate individualsand organisations tothese and how they might be addressed in a safe and pragmatic way.

Develop and implement robust governance systems and systematic documentation processes, keeping the need for modifications under critical review

Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence.

Implement practices that areappropriate forpatient and service need through understanding the wider implications of epidemiological, demographic, social, political, legislative, and professionaltrendsand developments.

Identifythe need for change and proactively generate practice innovations to implement solutions to better meet the needs of patient and the service.

Develop and undertake activities tomonitorthe progress and efficiency of the service and owns practice.

Continually assess and monitor risk in their own and others practice and challenge others if necessary.

Critically appraise and synthesise the outcomes of relevant research, serviceevaluationand audits, and apply the information whenseekingto improve practice.

Qualifications and Training

• NMC Registered RN/RM, GPhC or HCPC registered professional.
• MSc in Advanced Clinical Practice or NHSE digital badge.
• Evidence of a ACP/Frailty portfolio of practice or relevant specialty.
• Teaching/Assessment/Mentorship qualification (supervising and assessing).
• Level 7 Advanced physical assessment module.
• ALS
• Frailty related level 7 studies.
• Leadership qualification or relevant leadership experience.
• Research in practice qualifications or relevant experience.
• IMER certificate.
• ALS/instructor.
• PGCert in education/Fellowship of higher education (FHEA).

Experience

• Extensive previous clinical experience in the acute care of adults.
• Senior experience of leadership within a service including the management of a group of staff.
• Experience in the development of staff.
• Experience of working with a high degree of autonomy in line with a scope of practice. Able to weigh evidence, clinical guidance and occupational policies and seek advice from peers and senior members of the clinical teams when required.
• Ability to interpret highly complex and/or sensitive information demonstrating negotiating empathic skills to achieve outcomes with patients or health professionals.
• Evidence of implementing policies related to own area of work
• Evidence on the delivery of specialist training to nurses, doctors and AHPs.
• Evidence of leading on conducting audit/research.
• Experience in the management of physical illness in patients presenting mental health complaints.
• Experience managing own service budget.
• Significant experience in a range of patients in acute care settings.
• Experience in the management of adults presenting safeguarding concerns.
• Experience in teaching and assessment in clinical practice to nurses/doctors/CNS.
• Evidence of participating in academic publications.

Knowledge and Skills

• Advanced knowledge in Frailty or related speciality underpinned by relevant experience
• Relevant experience obtaining a clinical history of the patient and conducting a focal physical assessment of the patient and underpinned by assessment models (ie medical consultation models, focal systems assessment).
• Able to record healthcare generated information and maintain accurate record keeping.
• Experience of participating and conducting appraisals.
• Evidence of conducting own research and publications.
• Evidence of ongoing professional development across the 4 pillars of advanced practice.

Personal Qualities and Skills

• Able to plan and prioritise own workload in line with complex activities and plans which require adjustment in line with a changing workplace environmentable to contribute and participate in multidisciplinary/multi-agency team working.
• Self-motivated towards own practice and development.
• Demonstrate commitment to support national and Trust strategies and objectives for Advanced Clinical Practice.
• Evidence of involvement in national multi agency programs.

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.

£49,387 to £64,750 a yearper annum plus HCA