Advanced Clinical Practitioner - Urgent Community Response

Lewisham-and-Greenwich-Nhs-Trust; London Borough of Lewisham; Presencial; GBP 45.000 - 65.000; Jornada completa

Descripción de la vacante

Lewisham and Greenwich NHS Trust is actively seeking an Advanced Clinical Practitioner to join the Urgent Community Response Team. The ACP will work with autonomy under the Frailty consultant, delivering advanced clinical care in community settings and managing investigations, prescribing, and referrals within a strong governance framework.

Applicants should demonstrate Master level studies in advanced clinical practice, a portfolio of relevant frailty experience, and evidence of

Formación

• NMC/HCPC registration required.
• MSc in Advanced Clinical Practice or NHSE digital badge.
• Evidence of an ACP/Frailty portfolio of practice.
• Teaching/Assessment/Mentorship qualification (supervising and assessing).
• Level 7 Advanced physical assessment module.

Responsabilidades

• Promote quality and clinical effectiveness.
• Audit own and others’ clinical practice and act on findings.
• Lead service redesign and governance initiatives across the UCR service.
• Develop and implement robust governance systems and documentation.
• Identify needs for change and drive practice innovations.

Conocimientos

Frailty knowledge

Autonomy in practice

Clinical leadership

Audit/research

Teaching/mentorship

Educación

MSc in Advanced Clinical Practice

NMC/HCPC registration

Portfolio of ACP/Frailty practice

Descripción del empleo

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Advanced Clinical Practitioner - Urgent Community Response

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview

An exciting opportunity is now available for a qualified Advanced Clinical Practitioner (ACP) to join the Urgent Community Response Team at Lewisham Hospital . The ACP will practice with a high degree of autonomy supported by the Clinical Leads f or Frailty . Under the direction of the Frailty consultant and in conjunction with the UCR team, the ACP will use expert, evidence-based clinical practice to care for patients within the community . The ACP will be responsible for th e 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 wil l 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 add ition, applicants will have to provide a portfolio of evidence with the relevant advanced capabilities demonstrating relevant experience in frailty or related speciality.

We welcome applications from those interested in developing into the role 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 automa tically 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.

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

Detailed job description and main 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 to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and 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 are appropriate for patient and service need through understanding the wider implications of epidemiological, demographic, social, political, legislative, and professional trends and developments .

Identify the 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 to monitor the 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, service evaluation and audits, and apply the information when seeking to improve practice .

Person specification

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.

We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.

As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women’s staff networks to bring staff together and celebrate diversity across our whole workforce.

Please note: Information provided during recruitment and pre‑employment checks must be accurate. Misrepresentation may be investigated as fraud and could lead to withdrawal from the process, professional sanctions, or criminal action.

Please note: that sponsorship under the Skilled Worker route is subject to Trust allocation and UK Visas and Immigration (UKVI) approval.

Use of AI in recruitment: We may use artificial intelligence (AI) tools to support the initial review of applications against the essential criteria for this role. Where AI is used, it will support rather than replace human decision-making, and applications will remain subject to appropriate human review.

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.

Application numbers

To ensure fairness and manageable shortlisting processes, some vacancies may have an application cap. This means the vacancy will close once a set number of applications have been received even if this happens before the advertised closing date.
We recommend applying as early as possible to avoid missing out. All applications received before the cap is reached will be considered equally and assessed against the person specification.