Advanced Clinical Practitioner (XR08)

We are looking to recruit a Band 8 ACP in Specialty and Integrated Medicine CSU working in our wonderful new Same Day Emergency Care unit for Older Peoples Medicine. The unit was newly opened in November 2023 and has wonderful facilities for both staff and patients. As a team, we are passionate in achieving better outcomes for Older People. You will join our established team of qualified ACPs and apprentice ACPs, working within the Older Peoples Unit and Older Peoples wards as part of the Speciality and Integrated Medicine CSU. You will work within the multidisciplinary team to deliver care to patients presenting with common geriatric syndromes.

We are looking for a Band 8 ACP with a passion to help shape and develop our service in the future. You must be able to communicate effectively with a wide range of healthcare professionals, be enthusiastic and committed to making a difference and improve practice through ongoing personal and professional development. You must have substantial post registration experience, sound clinical knowledge whilst also demonstrating good managerial and leadership qualities.

Whilst the ideal candidate will have experience in Older Peoples Medicine, we would welcome applications from candidates with relevant experience in other specialties/backgrounds.

We are committed to continuing the development of this role within Speciality and Integrated Medicine and ACPs will be supported both educationally and clinically

Main duties of the job

Practice as an autonomous professional in a self-directed manner, with confidence, authority and expertise, undertaking comprehensive range of clinical procedures.Have direct responsibility for patient caseload, ensuring all patients have an accurate plan of care, which reflects the assessment undertaken and incorporate the issues and recommendations made.

Assess individuals, families and populations holistically using a range of different assessment methods.Have a health promotion and prevention orientation and comprehensively assess patients for risk factors and early signs of illness.

Interpret and analyse highly complex clinical and non-clinical facts to form accurate diagnoses, prognoses for a wide range of conditions, to recommend / deliver the best course of intervention including the development of comprehensive packages of care. Initiate pharmacological intervention, using non-medical prescribing or patient group directives and administer medications as prescribed by others in accordance with the Leeds Teaching Hospitals policies

Accurately request radiological and pathology investigations and make clinical decisions based upon the results. Plan, manage and complete episodes of care, working in partnership with others and delegating and referring as appropriate to optimise health outcomes and resource use, as well as providing direct support to patients and clients.

About us

As a team, we are passionate in achieving better outcomes for Older People. You will join our established team of qualified ACPs and apprentice ACPs, working within the Older Peoples Unit and Older Peoples wards as part of the

Speciality and Integrated Medicine CSU. You will work within the multidisciplinary team to deliver care to patients presenting with common geriatric syndromes.

Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:

Patient-centred/Collaborative/Fair/Accountable/Empowered

All our actions and endeavours will be guided and evaluated through these values

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Job description

Job responsibilities

KNOWLEDGE, SKILLS AND EXPERIENCE REQURIED

Qualifications and Training

Registered with relevant professional body

Degree-level registration qualification or equivalent post-registration award

Masters Degree in Advanced Practice, or relevant Higher Level degree plus PG Diploma in Advanced Practice

Life Support qualifications (or alternative profession specific clinically determined qualifications)

Relevant teaching qualification.

Non-medical prescribing

Experience

Evidence of continuous professional development and the practical application of new skills to the work place.

Evidence of strong teaching background.

Evidence of significant practical contributions to the development of the specific service within the past 2- years.

Managerial responsibilities.

Direct supervision of junior staff, in all professional groups.

Supervision of students

Evidence of lead for or contribution to audit programmes within practice

Change Management experience and direct involvement of redesign within a service, including promoting evidence based practice.

Skills/Knowledge

Documented evidence of advanced clinical skills competencies

Ability to motivate individuals and teams.

Advanced oral and written communication skills and confidence to discuss patient management with other members of the MDT.

High level of capability using outcome measures and audit.

Confidence and ability to accurately assess and manage complex patient presentations to a high professional standard.

Ability to critique own practice to an advanced level

ln-depth knowledge in their specialist clinical field.

Ability to manage time and workload effectively and to work in a high pressure environment.

Excellent liaison and negotiation skills.

Commitment to Staff Development and Training.

Self-motivated and able to work independently and autonomously both within the Trust and with partner organisations.

Evidence of managing complex patients in stressful and emotional situations where life-changing events are being communicated and clinically managed.

Personal Attributes

Inspirational, with ability to motivate a team.

Flexible, positive, problem solving approach to issues.

Ability to work autonomously and within a team.

Professional and patient focused, with a strong commitment to providing high quality care.

Able to remain calm and polite under pressure

Flexible and adaptable, able to work all shifts throughout 24 hour period.

Capable of lateral thinking with well developed assertiveness skills, able to successfully initiate, manage and sustain change.

Excellent interpersonal skills with effective oral and written communication skills.

6. THE LEEDS WAY VALUES

Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:

Patient-centred

Collaborative

Fair

Accountable

Empowered

All our actions and endeavours will be guided and evaluated through these values

Additionally the following are core values which relate specifically to this post:

7 CORE VALUES

Commitment to providing high quality evidence based care to patients and their carers.

Commitment to working in a multidisciplinary team (both primary and secondary care providers).

Commitment to the clinical area, valuing the contribution of all team members, encouraging a positive and creative working environment.

Commitment to own development and the development of all staff within the unit.

8 CORE BEHAVIOUR AND SKILLS

Advanced clinical practice

Teaching and assessing skills

Communication skills

Time management skills

Organisational skills

Preceptorship skills

Understanding of research based practice research conscious

Team player

Ability to act professionally at all times

Understanding of the process of change.

9 CORE KNOWLEDGE AND UNDERSTANDING

An understanding of the organisational structure and working practices of the NHS.

Understanding the local and national nursing agenda.

Awareness of Leeds Teaching Hospitals Trust guidelines and policies.

10 PRINCIPAL DUTIES AND AREA OF RESPONSIBILITY

Clinical practice

Practice as an autonomous professional in a self-directed manner, with confidence, authority and expertise, undertaking comprehensive range of clinical procedures.

Have direct responsibility for patient caseload, ensuring all patients have an accurate plan of care, which reflects the assessment undertaken and incorporate the issues and recommendations made.

Work within the frequently challenging clinical environments with high levels of physical and mental effort

Assess individuals, families and populations holistically using a range of different assessment methods.

Have a health promotion and prevention orientation and comprehensively assess patients for risk factors and early signs of illness.

Interpret and analyse highly complex clinical and non-clinical facts to form accurate diagnoses, prognoses for a wide range of conditions, to recommend / deliver the best course of intervention including the development of comprehensive packages of care.

Initiate pharmacological intervention, using non-medical prescribing or patient group directives and administer medications as prescribed by others in accordance with the Leeds Teaching Hospitals policies

Accurately request radiological and pathology investigations and make clinical decisions based upon the results.

Provide specialist advice and support to patients, their families and other healthcare professionals following assessment, diagnosis and through treatment.

Plan, manage and complete episodes of care, working in partnership with others and delegating and referring as appropriate to optimise health outcomes and resource use, as well as providing direct support to patients and clients.

Use professional judgement in managing complex and unpredictable care events and capture the learning from these experiences to improve patient care and service delivery.

Organise complex activities or programmes for patients, drawing on an appropriate range of multi-disciplinary and inter-professional resources in practice.

Supervise and where necessary, work in collaboration with nursing, medical and AHP team members, demonstrating expert clinical practice to the ward team.

To be included on medical rotas as required by clinical role

Maintain a high standard of patient focused care in accordance with Leeds Teaching Hospitals Trust guidelines and policies.

Actively involve service users in providing feedback of their experience of the current service and suggestions for improvements.

Appropriately define the boundaries of own practice.

Leadership and Collaborative Practice

Identify and implement systems to promote their contribution and demonstrate the impact of advanced level practice to the healthcare team and the wider health and social care sector.

Provide consultancy services to own area and to other professions on therapeutic interventions, practice and service development.

Be resilient and determined and demonstrate leadership in contexts that are unfamiliar, complex and unpredictable.

Engage stakeholders and use high-level negotiating and influencing skills to develop and improve practice.

Work across professional, organisational and system boundaries and proactively develop and sustain new partnerships and networks to influence and improve health, outcomes and healthcare delivery systems.

Develop practice and roles that are appropriate to patient and service need through understanding the implications of epidemiological, demographic, social, political and professional trends and developments.

Contribute positively to the leadership within the care group acting as an effective role model.

Improving Quality and Developing Practice

Work within the NMC/HPC Code of Professional Conduct and Guidelines, the Leeds Teaching Hospitals NHS Trust policies and guidelines, COSHH, the Mental Health Act and other instruments of statutory legislation to ensure safe and effective professional working practices for self and others.

Be involved proactively in developing strategies and undertaking activities that monitor and improve the quality of healthcare and the effectiveness of their own and others practice.

Strive constantly to improve practice and health outcomes so that they are consistent with or better than national and international standards through initiating, facilitating and leading change at individual team, organisational and system levels.

Continually evaluate and audit own practice and that of others at individual and systems levels, selecting and applying valid and reliable approaches and methods which are appropriate to needs and context, and acting on the findings.

Responsible for the generation and collation of reports on own practice and that of team on service delivery and local and national targets, and monthly reporting to the Directorate Management Team and quarterly Divisional Clinical Governance Forum.

Continually assess and monitor risk in own and others practice and challenge others about wider risk factors.

Contribute to and at times lead the development of multidisciplinary research and clinical audit in urgent care

Critically appraise and synthesise the outcomes of relevant research, evaluations and audits and apply the information when seeking to improve practice.

Participate in and contribute to any regional and national research to evaluate the effectiveness of care strategies related to the patient experience within urgent care

Person Specification

Qualifications

Essential

• Registered with relevant professional body Degree-level registration qualification or equivalent post-registration award MSc in Advanced Practice
• PG Diploma in advanced practice for those with other Masters qualification
• Life Support qualifications Relevant teaching qualifica
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