Lead Advanced Clinical Practitioner (Enhanced Health in Care Homes)

NHS; Swanage; On-site; GBP 50,000 - 60,000; Full time

Job summary

A National Health Service provider in Swanage is seeking a Lead Advanced Clinical Practitioner to deliver high-quality care in care homes. The successful candidate will oversee a team, manage patient assessments, and ensure innovative clinical practices are upheld. Applicants should possess an MSc in Advanced Clinical Practice and demonstrate strong leadership and clinical judgement skills. This role offers a competitive salary and significant professional development opportunities.

Qualifications

• Registered health practitioner with relevant professional body membership.
• Evidence of Continuing Professional Development in advanced clinical practice.
• Ability to communicate effectively at different levels.

Responsibilities

• Provide high-quality person-centred care to service users.
• Lead clinical audits and ensure best practices.
• Manage complex patient assessments and clinical decisions.

Skills

Clinical leadership

Advanced clinical assessment

Patient care management

Interdisciplinary collaboration

Education

MSc in Advanced Clinical Practice

Registered health practitioner

Job description

Lead Advanced Clinical Practitioner (Enhanced Health in Care Homes)

PurbeckPCN runs the Enhanced Health in Care Home service which was designed to ensurecare home residents receive the same support as if they were living in theirown homes through collaborative and proactive care.

We look after 6 care homesin the Purbeck area and have a set day for each home in which we deliver a wardround for any residents that need a clinical review. The EHCH teamconsists of 2 ACPs, 1 Clinical Pharmacist, 1 Pharmacy Technician, 1 CareCoordinator and each Care Home has a GP lead.

Therole is to provide highly specialist, high-quality person-centred care whichalways considers peoples safety, privacy and dignity using advanced clinicalknowledge that is evidence based.

Aspart of a multi-professional team, the post holder will practice autonomously,whilst being accountable and self-directed in line with the relevant code ofprofessional conduct.

Main duties of the job

The role comprises of a wide range of responsibilities, including: Clinical; Leadership; Human Resources/Workforce; Financial/Resourcing; Policy and Service Development; and Research and Development.

The role is based primarily within the Care Homes in the Purbeck area, with support from within the wider PCN team.

The role is to plan and manage complete episodes of care; undertake independent comprehensive assessment and management of service users to incorporate pharmacological considerations; making complex clinical decisions regarding service user management and clinical outcomes.

To provide expert clinical advice, leadership and support ensuring the needs of the service are met by exercising and demonstrating high levels of clinical judgement, critical analysis and advanced decision-making skills.

To lead as a driver for change, to monitor and improve standards through supervision, evidence-based practice, clinical audit, research and education. To promote and demonstrate best practice by integrating evidence into practice.

To work strategically, contributing to the planning and development of integrated services.

The post holder will be accountable for the direct delivery of autonomous service user care.

Full details of all the Main Duties and Responsibilities are included in the Job Description attached to this advert.

About us

Primary Care Networks (PCN) are anew initiative in the NHS designed to improve the quality of care outside of hospital.A group of GP practices working with community providers develop services atscale for the residents of a defined area. Funding is available to PCNs todevelop new services and employ new members of staff such as ClinicalPharmacists, First Contact Physiotherapists, Paramedics, Dieticians, SocialPrescribers and more.

Working together, our 6 Purbeck PCN practices,(Bere Regis, Corfe Castle, Sandford, Swanage, Wareham and Wellbridge) alongwith Dorset Healthcare University NHS Foundation Trust, Mental Health Servicesand Community Voluntary services are looking at new ways to support Purbeckresidents with a range of physical & mental health issues, as well aspromoting health activities & wellbeing.

Purbeck PCN aims to build on some of the successachieved since its inception in 2019 and will continue to explore newopportunities, developing new & innovative services for the residents ofPurbeck.

As Purbeck residents are at the heart of any newservices the Network delivers, we have been and will continue to work closelywith the Practice Patient Participation Groups (PPGs) and Youth PatientParticipation Groups (YPPGs). These groups provide feedback from patientrepresentatives to help shape our projects, ensuring they deliver what PurbeckResidents both want & need.

Job responsibilities

MAIN DUTIES ANDRESPONSIBILITIES

CLINICALRESPONSIBILITIES

Develop and implement the highest quality innovative clinicalpractice. Be proactive in clinical decision making, underpinned by thehighest level of theoretical and practical knowledge and be able todemonstrate improved patient care outcomes.

To undertake comprehensive specialist holistic assessment ofpatients and carers where needs are highly complex. This will involveplanning, implementing and evaluating the care delivery according to changinghealthcare needs and varying degrees of clinical risk.

Authorise the decision to admit service users and / orproactively initiate discharge (where applicable to profession).

To work autonomously using advanced levels of history taking andexamination skills within multidisciplinary team guidelines and protocols.

Utilise advanced clinical skills in assessment and/or formulatea diagnosis and/or treatment plan.

Demonstrate a high level of knowledge in relation to pattern ofdisease / disorder, markers of condition progression and range of treatmentsavailable at each stage of disease or condition.

Be able to assess critically and re-evaluate the clinicalsituation as the patients condition or needs change, including effectivemanagement of risk.

Anticipate likely potential physical and psychological problemscaused either by the condition or by treatment.

Where appropriate to profession, Independent Non-Medical /Supplementary prescriber, able to take a history, assess, examine, diagnoseand prescribe and develop a management plan including medication and monitorresponse to medication.

Advise and communicate as appropriate with acute hospitals,primary and social care and community teams thus ensuring seamless continuityand transfer (if appropriate) of care for patients between other relevanthealth, social and third sector agencies, professionals and other caresettings.

To act at all times as an advocate for service users, carers andrelatives.

Take a lead in empowering and facilitating all other professionsto meet the care needs of service users and their carers by the promotion ofprinciples and philosophy such as Care Closer to Home, rehabilitation andoptimal self-care.

Establish, maintain and effectively manage barriers to advanced,highly skilled and effective communication with service users, carers andprofessionals across health and social care, in order to develop atherapeutic relationship within which highly sensitive, distressing healthconditions and highly complex issues are often addressed. This includesimparting information regarding diagnosis, prognosis and treatment andreferring to other teams as appropriate to promote integrated working and toimprove patient outcomes.

Provide appropriate support and advice to carers and refer forcarers assessment if appropriate.

Collect, collate, evaluate and report information, maintainingaccurate confidential patient records to a very high standard reflective ofAdvanced Clinical Practice.

Develop, implement and audit protocols, guidelines and policiesfor the service. These will be shared with the multi-professional teams inall care settings.

Maintain a professional portfolio and demonstrate that practiceis up to date and evidence based.

Maintain competency and ensure own compliance with mandatorytraining and revalidation requirements.

Identify own personal developmental and educational needs towork at an advanced level ensuring appropriate action is taken to maintainand further develop such skills.

Receive clinical supervision in order to clinically improveknowledge and the quality of care to service users.

Establish and maintain a regional and national network ofcontacts relevant to the service.

MANAGERIAL RESPONSIBILITIES

Undertake clinical supervision and systematic peer caseloadreview of colleagues on an individual or group basis.

Act as a role model demonstrating effective clinical leadershipon a daily basis.

Assess and monitor risk in own and others practice, acting onresults, thereby ensuring safe delivery of care.

Participate in maintaining systems for risk assessment andminimisation including promoting a fair blame culture in order that nearmisses and incidents are reported and investigated.

Contribute to investigation of incidents and complaints whenrequired; participate in identifying lessons learnt and the sharing oflearning across the organisation.

Ensure dignity, privacy, and cultural and religious beliefs arerespected at all times.

Continually monitor standards of care through quality markers,achievement of PCN targets, and benchmarking.

To be aware of local quality data and use it to identifypractice development required.

Work proactively in managing change in own speciality to improvepractice and health outcomes.

RESPONSIBILITYFOR HUMAN RESOURCES/WORKFORCE

Participate in the recruitment and selection of both trained anduntrained staff which involves developing job descriptions, short listingcandidates and interviewing.

Provide mentorship and shadowing opportunities for otherprofessional colleagues undertaking post registration courses or specialistplacements, ensuring this learning experience is effectively managed,supporting the individual through highly complex and emotive clinicalsituations.

Recognise and utilise the individuals skills and knowledge,coaching others in their development and acting as a mentor/preceptor acrossall professional boundaries.

Plan, deliver and evaluate appropriate specialist learningprogrammes. Organise and arrange relevant study days and conferences to meetidentified educational needs of multi-professional audience.

Formally educate, supervise, mentor, coach and advise to enhancethe principle of advancing practice for new staff/team members within thePCN. Provides training, clinical supervision and systematic peer caseloadreview of colleagues.

Create and support an environment in which clinical practicedevelopment is fostered, evaluated and disseminated.

Provide education to Care Home teams when required.

RESPONSIBILITYFOR FINANCE / RESOURCES

Ensure the effective and efficient use of physical and financialresources with shared responsibility to identify and order goods as requiredwithin agreed financial parameters.

Influence decisions regarding the allocation of financialresources through consultation, service redesign, participation in meetingsand audit.

RESEARCH& DEVELOPMENT

Facilitate learning for patients and their carers in relation totheir identified health needs.

In collaboration with other senior staff, ensure that clinicalpractice is patient centred and research based in accordance withprofessional practice, guidelines, and national and local benchmarks.

To actively engage in clinical supervision appropriate toadvancing practice as well as other learning and development opportunitiessuch as Special Interest Groups, Action Learning Groups and Communities ofPractice

To facilitate the development of aspiring and trainee AdvancedClinical Practitioners through the provision of learning opportunities as aworkplace supervisor, educational supervisor or clinical supervisor providingfeedback and working with others where issues of capability and/orprogression arise

Regularly undertake audit and service evaluation to informservice improvement using an evidence-based approach to draw on bestpractice. When necessary, support and facilitate colleagues in research andclinical audit to improve effectiveness and quality of patient care.Participate in surveys as required.

Critically analyse research findings and their implications forpractice.

Disseminate evidence-based practice and audit findings throughlocal, regional and/or national presentation to professional groups andthrough publication.

POLICY& SERVICE DEVELOPMENT

To inform the management team of current changes and trends innational practice that could improve patient care and facilitate changes topractice.

To ensure that good practice is rapidly shared within theservice area and wider organisation where appropriate.

Contribute to the strategic development of the service by theevaluation of service delivery, identify areas for improvement and change andimplement the agreed changes to practice.

Develop, influence and lead implementation of policy making,procedures, protocols and clinical guidelines, internally and externally,necessary to support the service.

Continue to develop and promote the Advanced ClinicalPractitioner role through professional publications and conference papers.

RESPONSIBILITYFOR INFORMATION / DATA

Collects, collates and presents diverse statistical informationin order to facilitate the formation of reports, business plans andsuccession planning. Maintains client records.

PROFESSIONALRESPONSIBILITIES

Ensure that personal performance meets job requirements,Professional Codes and standards andpost competency standards at all times.

Ensure the required level of IT competence required for the roleto process, record, evaluate, analyse and report data.

Demonstrate commitment to the role and to service improvementthrough developing relationships with Commissioners, innovative thinking andsmall scale project management.

Challenge poor practice and take appropriate action making fulluse of current support systems.

Provide a positive, compassionate role model to junior staff andcolleagues to ensure the delivery of people centred care and the keycomponents of compassionate care.

Create effective teamwork across professional boundaries usingteam building skills, creating common goals, and through engagement.

Respect and apply the requirements of equality and diversity,promoting and role modelling these across the multi-disciplinary team.

Person Specification

Experience

• Effective leadership skills relevant to role (i.e., demonstrated ability to provide clinical professional leadership and mentorship).
• Demonstrable experience of working in a provider organisation and within a relevant specialty as Registered Practitioner Band 7 level.
• Demonstrates highly developed expertise and knowledge underpinned by theory acquired through CPD in relation to clinical assessment, treatment and evaluation
• Experience of managing patients with frailty.
• Evidence of effective leadership and risk management skills.
• Evidence of relevant leadership in meeting clinical governance objectives.
• Able to demonstrate wide knowledge of health policy and its application in practice and evidence of developing involvement in influencing local and national standards.
• Able to demonstrate advanced skills for assessing and interpreting complex client conditions, comparing a range of options and taking appropriate action.
• Experience of co-ordinating complex activities / programmes of care with other professionals and agencies.
• Evidence of involvement in the development of programmes of care, protocols and audit.
• Experience of interdisciplinary working.
• Able to demonstrate innovation and effective use of resources.
• Able to actively research for the potential to improve quality and customer care, seeking new ideas and methods to improve health care.
• Evidence of involvement in policy and leading practice change.
• Able to demonstrate highly developed physical skills where accuracy is important such as in the manipulation of fine tools and materials for patient interventions.
• Evidence of proactive involvement in the supervision and development of members of the multi-disciplinary team and able to demonstrate changes of practice through these.
• Evidence of designing, delivering and evaluating education and training in practice.
• Able to undertake clinical supervision and systematic peer caseload review of colleagues on an individual or group basis and support aspiring and trainee Advanced Clinical Practitioners through supervisory roles.
• Ability to promote the best use of available resources in the pursuit of quality service provision ensuring a safe environment.
• Able to analyse data and produce reports using Microsoft Excel and Word.
• Confident in the use of computer systems, spread sheets, databases, data collection and coordination, word processing and report writing.
• Experience of effective use of electronic patient / service user record systems.
• Demonstrable skills in written and spoken English to a standard which enables the post holder to carry out the full range of duties and responsibilities of the role effectively.
• Demonstration of publications, presentations and research at national and international events, within the healthcare arena.
• Evidence of research involvement.

Qualifications

• Registered health practitioner with membership of relevant professional body
• MSc in Advanced Clinical Practice or equivalent route to Advanced Clinical Practice with evidence of meeting the nationally agreed capabilities (i.e.. PG Dip 120 credits in advanced clinical practice and successful completion of approved support portfolio route to advanced clinical practice) with achievement of the Digital Badge.
• Evidence of Continuing Professional Development through an advanced clinical practice portfolio demonstrating advanced level practice across the four pillars of clinical practice, education, leadership and research
• Relevant role specific qualifications or training (i.e leadership courses, Frailty assessments, specific clinical skills etc)
• Registered non-medical prescriber (where professionally appropriate)
• Demonstrable knowledge of legislation, guidelines and best practice in relevant to area of clinical practice and application of these to practice
• Business Travel:
• Subject to the provisions of the Equality Act, able to travel using own vehicle on Trust business. Level 1/2
• (Level details are contained in the full Person Specification - attached)
• Knowledge and understanding of the PCNs strategies relevant to role

Personal Qualities / Attributes

• Evidence of demonstrating the PCNs values and behaviours.
• Able to communicate effectively at different levels of the organisation, and where there may be barriers, with staff, patient/service users, visitors or external organisations both verbally and in writing in the exchange of highly complex, sensitive or contentious information which may require the use of negotiating and/or persuasive skills.
• Able to analyse and assess situations and to interpret potentially conflicting situations and determine appropriate action, where there is a range of options and judgement is required.
• Experience of planning and organising complex activities requiring the formulation and adjustment of plans .e.g. organising own time, co-ordination with other agencies and plans for sudden, unforeseen circumstances.

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.

Depending on experienceBand 8a - Depending on Experience