Respiratory Advanced Clinical Practitioners

Mid Cheshire Hospitals NHS Foundation Trust; Bradfield Green; On-site; GBP 52,000 - 64,000; Full time

Job summary

Mid Cheshire Hospitals NHS Foundation Trust is expanding its Respiratory Team and inviting applications for two Respiratory Advanced Clinical Practitioners. You will be part of a multi-professional team delivering high-quality care across acute and outpatient respiratory services, supporting a 7-day service and early patient care pathways.

The role focuses on assessment, diagnosis and management of diverse respiratory conditions, with emphasis on evidence-based care, audits and clinical

Qualifications

• Assessment, investigation, diagnosis and management of respiratory conditions.
• Developing and implementing individualised plans of care.
• Contributing to teaching, service development, clinical governance, audit and research.

Responsibilities

• Provide comprehensive assessment, diagnosis and management of respiratory patients.
• Undertake timely review of admitted patients to improve adherence to evidence-based care.
• Develop and evaluate individualised care plans with patients and families.
• Work autonomously within scope of practice and seek senior input when needed.
• Support development of 7-day respiratory service with MDT collaboration.
• Assist with respiratory virtual ward and early out-of-hospital care.
• Collaborate across inpatient and outpatient pathways to reduce admissions and length of stay.

Skills

Clinical assessment

Autonomous practice

Audit & governance

Multidisciplinary teamwork

Education

Advanced clinical practitioner qualification

Job description

An exciting opportunity has arisen for two Respiratory Advanced Clinical Practitioners (ACPs) to join our expanding Respiratory Team and play a key role in delivering high-quality care across acute and outpatient respiratory services. The successful candidates will work as part of the wider multidisciplinary respiratory team to improve standards of care for patients admitted to hospital with Respiratory problems. Working with our established multi-professional team, the new advanced practitioners will enable a 7 day respiratory service to be stablished with care delivered as early as possible in the patient's journey. You will be working alongside the existing team of Advanced Practitioners, Physician Associates, the resident doctor team and consultant colleagues. The role will help to support the consistent delivery of standards of care outlined in the National asthma and COPD audits, improving patient experience, care and flow. There will be a strong emphasis on evidence based care and the demonstration of this through audit completion to demonstrate that we are delivering care in line with the national standards. Respiratory ACPs will undertake the assessment, investigation, diagnosis and management of patients presenting with a broad range of respiratory conditions, developing and implementing individualised plans of care and ensuring patients receive timely, evidence-based treatment.

• Provide comprehensive assessment, diagnosis and management of patients presenting with a wide range of respiratory conditions.
• Undertake timely review of patients presenting with respiratory problems following admission, improving adherence to evidence based standard of care
• Develop, implement and evaluate individualised plans of care in collaboration with patients, families and the wider multidisciplinary team.
• Work autonomously within their scope of practice while recognising when specialist or consultant input is required.
• Contribute to the delivery and development of a 7-day respiratory service, working collaboratively with the wider team of Advanced Practitioners, Physician Associates and other members of the respiratory workforce.
• Support the ongoing development and delivery of the respiratory virtual ward, helping to provide continuity of care and early identification of patients suitable for out of hospital care.
• Work collaboratively across inpatient and outpatient services to support effective patient pathways and reduce avoidable hospital admissions and length of stay.
• Contribute to teaching, service development, clinical governance, audit, research and quality improvement within respiratory medicine, Works as an autonomous practitioner taking responsibility for assessment, diagnosis and treatment of patients presenting within their care. Evaluate response to treatments and initiate changes as required within scope of competence. Work within own competence and confidence to ensure safe practice for patients and where unsure seeking out senior colleagues or medical team for support. Communicate effectively with patients, supporting people in making decisions, planning care or seeking to make positive changes. Communicate highly complex information to the Multi-Disciplinary Team (MDT). Work collaboratively with other professionals and refer to appropriate clinicians to ensure the needs of patients and services are met. Request and perform diagnostic procedures and support staff with patients who are unable to obtain these procedures. Request diagnostic interventions, including pathology and radiological tests within own speciality skill set whilst working within own remitof competency. Admit and discharge patients within own competence and utilising pathways, policies, and guidelines. Review of the deteriorating patient and initiation of management plans and escalation to medical team or senior colleagues where appropriate. Establish and maintain effective communication with patients, their families and other relevant agencies and professionals across health, education and social services. Promote clinical excellence and evidence-based approach to care by complying with the agreed policies and procedures. Provide support and advice to other specialities to ensure the correct patient pathway. Take an active role in Health promotion of individuals through appropriate support and education. Analyse and act on information to proactively manage and maintain NHS standards and targets. Maintain accurate patient records on trust documentation ensuring professional confidentiality is always maintained. Provide expert clinical knowledge to clinical staff, patients, carers, relatives and when applicable community and policy-making organisations/groups. LEADERSHIP AND MANAGEMENT Act as a role model by demonstrating effective leadership and expertise by maintaining credibility across the trust, the wider health care community and external agencies, ensuring a positive image of the trust is maintained. Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams to encourage productive working. Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements. Involved within recruitment, selection, induction and orientation of Trainee ACPs. Undertake trainee ACP appraisals and clinical supervision (3 years post qualification) and ensure time allocated within job plan to facilitate. Lead new practice and service redesign solutions in response to feedback, evaluation and need. Continually develop practice in response to changing population. Participate in sharing experience and knowledge to pre and post registered staff to contribute to the development of future advanced practitioners. Work with division and corporate nursing team to respond and feedback on complaints/reports where required and ensure lessons are learnt to enhance and change practice where required.

MCHFT provides a full range of local hospital and community services for people across East Cheshire (population 399K) and West Cheshire and Chester boroughs (population 357K). The Trust provides high quality planned and unplanned/emergency care, cardiac and critical care as well as child health, maternity services, and intermediate care across our sites at Leighton Hospital in Crewe, Victoria Infirmary in Northwich, and Elmhurst Intermediate Care Centre in Winsford. The Trust provides 500 beds and employs over 5,000 members of staff. An extensive range of community services is provided across 26 medical centres and schools by our community arm, Central Cheshire Integrated Care Partnership, in collaboration with Cheshire and Wirral Partnership NHS FT and the South Cheshire and Vale Royal GP Alliance. With the formation of Integrated Care Systems in July 2022 the Trust became a strategic partner in both Cheshire East and Cheshire West and Chester 'places' and is part of the Cheshire and Merseyside partnership caring for a population of over 2.7million. During the Coronavirus pandemic, the Trust was recognised nationally for its 'Be Safe Be EquiPPEd' campaign, which aimed to make the Trust as safe as possible for staff and patients, through supporting the correct use of PPE. At Mid Cheshire, our mission is to inspire hope and provide unparalleled care for the people and communities of Cheshire, helping them to enjoy life to the fullest.