Trainee Advanced Clinical Practitioner

Job responsibilities

Trainee Advanced Clinical Practitioner (TACP)

Base Location: King Street WIC & various Local Care Direct (LCD) sites

Line Manager: Clinical Education Lead

Hours of Work: Various shifts with a minimum of 30 hrs up to 37.5 hrs as per apprenticeship agreement

DBS Required: Enhanced with Child & Adult checks

Vaccination Requirement:

• Covid19 double vaccination recommended.
• This job has been rated as medium risk for requiring Hep B immunisation & vaccination is recommended, therefore post holders will be offered Hep B.
• Flu jab recommended & offered.

Job Purpose:

The TACP will be registered with a professional body relevant to the training post, with relevant post graduate qualifications & clinical experience (minimum of 3 years post registration).

They will act within their professional boundaries & will provide care for the patient from initial history taking, clinical assessment, diagnosis & treatment to discharge or onwards referral. This may take place over the telephone, in a clinic setting or the patients home.

They will demonstrate safe, clinical decision making & provide expert care for patients, working within their scope of clinical competence. They will be required to work flexibly to meet service demand.

The TACP will undertake the ACP apprenticeship course in order to fulfil the training post requirements with Bradford University. The ACP apprenticeship course is typically a 3 year training programme & the post holder will be based as a paid LCD employee.

The apprenticeship encompasses work based academic learning, contributing towards gaining a masters degree in advanced clinical practice at a Higher Education Institute (HEI), alongside successfully completing a portfolio & a local competency framework of evidence based practice & consolidation of knowledge.

They will work as a trainee under the supervision of experienced Clinical Educators to provide complete care ensuring safe & effective management of patients. They will develop & build their experience & skills to deliver specialist knowledge, underpinned by Health Education Englands 4 pillars of advanced clinical practice.

The TACP will act as a role model to develop the knowledge to deliver advanced practice skills within LCD, promoting patient centred clinical effectiveness, developing the skills to work autonomously in delivering independent assessment of undifferentiated & undiagnosed presentations. This will include developing the skills to perform clinical examination, diagnosis, clinical decision making & planning of care & treatment, diagnosis, prescribing, health promotion & safe discharge of patients.

At the end of the apprenticeship & on successful completion of the end point assessment you will be eligible to apply for ACP roles advertised across LCD.

KEY PRINCIPLES

Undertake & complete the acquisition & development of new skills, knowledge & experience based on advanced practice competencies which are underpinned by Health Education England 4 pillars of advanced practice.

The TACP will complete a supported package of generic and specialist advanced practice competencies to develop skills which may include:

Clinical

1. Deliver & participate in the clinical care of patients attending the clinical area.
2. Throughout the programme develop the skills of an autonomous practitioner ensuring that evidence based practice is inherent in all aspects of care
3. Provide a level of advanced & comprehensive health assessment based on a specialist body of knowledge under direct or indirect supervision.
4. Clinically examine & assess patient needs holistically & plan clinical care accordingly.
5. Provide assessment, treatment, & diagnosis at the point of contact which may be in a variety of clinical & non clinical settings.
6. Make professionally autonomous decisions for which the post holder is accountable.
7. Only work within the clinical competencies & scope of practice of the individual maintaining a positive approach to patient care & experience whilst recognising limitations of the training role
8. Work under supervision with confidence & competence within professional guidelines.
9. Complete & maintain accurate, contemporaneous records which include the documentation of the presenting history, past medical history, medications, allergies, examination findings, differential diagnosis & management plan & appropriate safety netting.
10. Adhere to Medicines management policy & procedures. work within parameters of current nurse prescribing legislation if appropriate or approved Patient Group Directives to initiate pharmacological interventions.
11. Act as a referral agent & care co-ordinator by establishing multi-agency collaboration across the primary / secondary interface to meet the needs of the patient.
12. Work within the Code of Professional Conduct or guidelines of relevant professional body e.g. NMC, GPhC or HCPC.

Research & Quality

1. Demonstrate evidence-based care, working within agreed guidelines & protocols.
2. Take an active role in research studies within the policy framework of the organisation.
3. Participate in audit, data collection & activity monitoring to improve performance & inform future service development.
4. Choose an area of special interest within advanced clinical practice with the intention to develop & take forward in your ACP role.

Professional & Education

1. Take responsibility for own development, learning & performance ensuring course requirements are fulfilled.
2. Work within the professional Code of Conduct & other directives as defined by the HCPC, GPhC or NMC.
3. Undertake appropriate personal & professional development to meet the requirements of HCPC, GPhC or NMC registration.
4. Develop own skills & competencies through education, training & development activities related to the current & future demands of the role opportunities & where possible achieve Independent Prescriber status.
5. Observe & participate in all areas of clinical practice including telephone assessment, face to face & home visits. Working flexibly to meet demand on the day.
6. Understand & observe professional & national guidelines on confidentiality.
7. Comply with the corporate governance structure in keeping with the principles & standards set by the organisation.
8. Ensure clinical supervision needs are met.
9. Participate in teaching & mentoring other health professionals & members of the multi disciplinary team.

Management

1. Actively promote integrated working in collaboration with other health care professionals both within & outside of LCD.
2. Contribute to the development, implementation, review & evaluation of clinical protocols.
3. Ensure effective communication, participating in meetings & consulting with other professionals, services & agencies as required.
4. Maintain personal & professional development through evidence of continuous professional development (CPD), including demonstrating a personal awareness of advisory papers & current national issues that may have a local impact for the service.
5. Participate in development of the UCP role & other healthcare professionals though teaching, mentoring & assessment; this will include the provision of evidence based healthcare advice which contributes to the diagnosis, care, or treatment of a wide range of clinical conditions.
6. Participate in the mentoring of colleagues & participate in the delivery of training material.
7. Manage the safeguarding of adults & children & refer appropriately.

COMMUNICATIONS & RELATIONSHIPS

• Ensure agreed lines of communication & reporting are implemented within the team to support all employees understanding LCD business plans, objectives, priorities & changes.
• Promote effective cross functional working & that the operational team supports the achievement of objectives, standards & protocols of other LCD areas.
• Attend internal & external meetings representing LCD & engaging in discussions appropriate to the role and level of the post.

PATIENT CARE

• Ensure that the quality of patient care is firmly at the centre of the organisations objectives & vision.
• Ensure the management & monitoring of the highest standards or safety and quality in the delivery of healthcare and related services and manage risk within LCD.

FINANCIAL RESOURCES

Ensure financial policies & procedures are maintained & the budget is adhered to and that best value for money is achieved.

CONFIDENTIALITY

Operate & ensure the team operates within information governance protocols & that business confidentiality is maintained at all times.

TRAINING

Complete the defined company induction programme & core training for this role & mandatory refresher training thereafter & ensure that accurate records of training are maintained.

INFECTION PREVENTION AND CONTROL (IP&C)

Healthcare workers have a duty of care to patients & are expected to comply fully with the companies IP&C policies & attend or complete IP&C training, for personal & patient safety & for prevention of healthcare associated infection. Knowledge, skills, and behaviour in the workplace should reflect this.

SAFEGUARDING

Individuals have a duty of care to children & vulnerable adults that they come into contact with whilst at work to safeguard & promote their welfare and to work to prevent, recognise, respond, appropriately refer & record potential neglect or abuse, adhering to the company's policies & procedures.

MANAGING SELF

• Ensure that relevant professional practice is evidence based & current.
• Ensure that CPD is maintained & facilitates the ability to provide care to a high standard in a way that is both safe & cost effective.
• Ensure that mandatory training is up to date & participate in training.
• Effectively utilise time management, organisational & coordination skills.
• Identify own professional development needs through the PDR process.

The main duties & responsibilities shown here are not exhaustive and the post holder will be expected to carry out any reasonable activities according to the needs of the business as directed by the line manager.

Skills/ Knowledge

Essential

• Effective communication skills: verbal, written and non-verbal.
• Able to work independently and accountably.
• Knowledge of current clinical and professional issues.
• Up to date knowledge of health agenda (local and national).
• Innovative approach to practice.
• Keyboard / PC skills.
• Awareness of the impact of evidence-based practice within nursing and Paramedic practice.
• Effective interpersonal skills.

Desirable

• Able to develop self and others.
• Aware of impact of change on self and service.
• Evidence of previous contribution to service change or improvement.
• Evidence of development of others in previous roles.

Other requirements

Essential

• Able to pass pre-employment health assessment.

Experience

Essential

• Evidence of a range of clinical expertise.
• Evidence of working as an autonomous practitioner.
• Evidence of continuing personal and professional development.
• Experience of working in primary / urgent care.
• Experience of multidisciplinary teamwork.
• Minimum of 3 years post registration experience.
• Experience of PGDs.

Desirable

• Experience of change management.
• Evidence of a range of expertise in urgent / primary / emergency care.

Qualifications

Essential

• First level Registered General Nurse / BSc in Nursing (min 2:2) OR BSc in Paramedic Practice (min 2:2) / IHCD paramedic qualification OR GPhC registered pharmacist.

Desirable

• Additional qualifications relevant to primary / urgent care.
• Prescribing qualification (currently undertaking or willing to undertake).
• Urgent care Practitioner course (level 7) which includes minor injury / illness.
• Management of minor injuries (level 6 / 7).
• Management of minor illness (level 6 / 7).

Personal circumstances

Essential

• Flexibility in working hours.
• Flexibility in location of work.

Training

Essential

• Evidence of continuing professional development and application to practice within the last 12 months.

Desirable

• Understanding of training needs in relation to post.

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.

UK Registration

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