Advanced Clinical Practitioner

Job responsibilities

Overview

Ariel Healthcare and Springmead Surgery will be piloting an integrated same day urgent care service for children and young. The service will contribute to expansion of primary care services for Chard residents and will offer opportunities to develop pathways across the system. This service will run 5 days a week and serve patients aged 18 years and under registered at either of the surgeries. The post holder will be supported by the duty doctor. This is an innovative role and we are looking for an Advanced Nurse Practitioner who has specialist skills in paediatrics (or role of equivalent clinical competency) to provide additional capacity to the provision of a same day primary care service for under 18s, offering face to face, telephone or video appointments.

Definition ofAdvancedPracticeMain Purpose

Advanced clinical practice is delivered by experienced, registered health and care practitioners. It is a level of practice characterised by a high degree of autonomy and complex decision making. This is underpinned by a masters level award or equivalent that encompasses the four pillars of clinical practice, leadership and management, education, and research, with demonstration of core capabilities and area specific clinical competence. Advanced clinical practice embodies the ability to manage clinical care in partnership with individuals, families, and carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance peoples experience and improve outcomes.

• To be responsible for the rapid assessment, diagnostics, and treatment of individuals within the primary care service using an advanced level of professional accountability, autonomy, and judgement, underpinned by Masters level theory and experience. This includes highly complex decision-making across a broad range of differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.
• To plan and manage complete episodes of care. This will be working in collaboration with senior medical colleagues and others when required.
• Delegating and referring as appropriate, to ensure timely, effective management to optimise health outcomes, in line with the evidence base and nationally recognised best practice.
• To play a key operational role and maintain a pro-active approach to managing, updating and leading clinical pathways.
• To promote and implement service and policy development and redesign, impacting beyond own area and other disciplines, informed by current best practice and evidence-base, in accordance with values-based care.
• To ensure high quality learning environments for all disciplines within a context of multi-professional education and training that is responsive to future changes and challenges.
• Reflecting & imbedding current trends & feedback e.g. Health Education England (HEE) National Education & Training Survey (NETS). Leading to and supporting the maintenance of a learning environment producing learners that are Fit for Our Future & workforce plans, including meeting The Long-Term Plan patient pathways

Duties and Responsibilities

The post holder is expected to be able to:

• Demonstrate ongoing evidence of capability at Masters Level across the 38 standardswithin the four pillars of Advanced Practice outlined in the Multi Professional Frameworkfor Advanced Practice (Clinical practice, Leadership and Management, Education,Research.)
• Practise in compliance with your respective code of professional conduct and within yourscope of practice. Being responsible and accountable for decisions, actions andomissions at this level of practice.
• Demonstrate a critical understanding of your broadened level of responsibility andautonomy and the limits of own competence and professional scope of practice,including when working with complexity, risk, uncertainty, and incomplete information.
• Act on professional judgement about when to seek help, demonstrating critical reflectionon own practice, self-awareness, emotional intelligence, and openness to change.
• Assume responsibility for the daily management of the clinical areas to which you haveresponsibility for.

Key Working Relationships

Internal:

All members of the primary care team.

Members of the public.

External:

Health Visitors

Community Midwives

SENCos

Community Paediatricians

Minor Injuries Unit staff

Responsibility for Financial, HR, Information and Physical Resources

• Incorporates current technology appropriately in care delivery and uses informationsystems to support decision-making, to improve care.
• Develops and implements robust governance systems and systematic documentationprocesses, keeping the need for modifications under critical review and supportingoverall governance process, including adverse incident and complaints reporting andinvestigation.
• Makes and or influences decisions regarding allocation of financial resources through consultation, service redesign, participation in meetings, audit, evaluation, and research activities. This may involve ordering specialist supplies, authorising staff payments to cover shortfalls.
• Ensures that accurate, essential, and appropriate written and verbal information is relayed to staff, ensuring adequate facilities are in place to maintain safety in the environment, ensuring effective management of patient caseload.
• Collects statistical information and data in order to inform the service and aid the business planning process.
• Identifies areas where investment should be made to further develop the service and feed this into the business planning cycle locally and nationally.
• Assesses risks to health, safety and security using the results to take appropriate action and to promote and improve practice.
• Have systems in place for the identification of poor practice, development and monitoring of development plans for all staff and the monitoring of compliance with training.
• To use data and information to identify areas for service improvement and through the use of improvement methodologies, work with staff to implement and evaluate the changes made.

Mental, Physical and Emotional Effort.

This Post Requires:

• Frequent concentration for long periods, undertaking tasks such as entering and verifyingdata, carrying out complex treatments.
• Working on a continuous basis with identified patient caseload/carers. This can involveperiods of emotional stress.
• Frequent requirement to exert need for light to moderate physical activity during post-holders shift, including patient support and manual handling, manoeuvring equipment.
• Working on an occasional to regular basis with exposure to patients with infectiousconditions, exposure to bodily fluids and unpleasant conditions.
• Possibility of being subject to violence and aggression from patients/carers, generalpublic, which may or may not be related to patients illness.

Qualifications

Essential

• Professional Registration with either NMC, GPhC or HCPC.
• Evidence of MSc level education - Such as:
• MSc Advanced Practice.
• Equivalent / other MSc mapped to the four pillars of advanced practice.
• Demonstrated competence at an advanced practice level through Royal College or HEE Credentialing.
• Evidence of Continuing Professional Development.
• Leadership/management course or validated portfolio evidence (if not part of MSc level qualification)

Desirable

• Non-Medical Prescribing if appropriate to registered profession / role.

Experience

Essential

• Significant experience of working as a registered practitioner in a provider organisation (e.g. acute sector, community provider, third sector, social care or primary care) and within a relevant specialty (suggested 4-5 years minimum)
• Demonstrate an up to date and detailed knowledge of relevant guidelines and clinical practice in the speciality.
• Evidence of recent teaching, mentorship and supervision of staff
• Evidence of recent audit and/or research experience
• Evidence of involvement in change management and/or clinical service improvement.

Skills and Ability

Essential

• Evidence of theoretical and practical skills allowing autonomous patient management (i.e. patient assessment, diagnosis and management) related to clinical scope of practice
• Understand, encourage and support clinical supervision and mentorship both within and across professional roles.
• Effective leadership skills relevant to role (i.e. demonstrated ability to provide clinical professional leadership)
• Effective written and verbal communication skills
• Educational skills such as identification of learning needs, delivery and evaluation, providing work based learning.
• Experience of multi-professional working
• Ability to interpret and evaluate national and international guidelines and apply to local protocols and practice as appropriate
• Ability to communicate effectively with all stakeholders including to X Leadership and Management service users, clinicians, and senior leadership teams. This will require proven ability and leadership skills demonstrating motivational, visionary, diplomacy and negotiation skills.
• Works under own initiative with strong organisational skills and ability to achieve to deadlines
• Able to use high-level problem- solving and analytical skills and manage complexity.
• Effective time-management and prioritisation skills
• Appropriate level of I.T literacy
• (i.e., for radiology, pathology, microbiology ordering as per Trust protocols, utilising patient systems)

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).