Job summary
Advanced Clinical Practitioner - Band 7
£51,883 - £58,544 Inc HCAS per annum pro rata
Full-time - 37.5 hours per week
We are looking for a proactive Advanced Clinical Practitioner who wants to share their skills within our team.
The post is based within the Urgent Community Response Team. This service provides a multi-disciplinary urgent assessment and crisis intervention service within a 2 hour response, and at times a 2-4 hr response to patients in the community with the aim of preventing hospital admission and supporting with early discharge from hospital, operating 7 days per week 8am to 8pm.
The post holder is an Advanced Clinical Practitioner, acting within their professional boundaries. The post-holder will be expected to be working towards becoming a non-medical prescriber with good community experience and skilled to see patients independently, making autonomous decisions in the clinical and diagnostic assessment of patients with potentially complex health and social care needs to support keeping them in the community and reduce hospital admissions / A&E attendance and to develop a comprehensive plan of care.
To be considered for this role you MUST hold professional registration with NMC or HCPC, applications without this will not be considered.
Proposed interview week beginning 12th May 2025
Main duties of the job
The post holder will have the support of the Lead Clinician where there is uncertainty or a need for additional support. The referrals are accepted to the service from GPs, Acute Trust, 111, St Christopher's hospice, Ambulatory Services and community providers. The role includes supporting LAS/111/999 referrals for Urgent Falls Pick-up.
- To respond to urgent referrals into the service from GP/111/Acute trust/Hospics and community providers for patients to be seen at home, who have deteriorated below baseline due to illness or injury and will require additional clinical support, medication prescribed and care plans to prevent attendance to A&E or hospital admission. There will be referrals for supporting early discharge with monitoring of symptoms and needs to ensure safe clinical care is maintained.
- To develop high level skills in clinical assessment and diagnostic reasoning to proactively manage high acuity users of health and social care services, with multiple co-morbidities and pharmacy, social, medical and nursing needs and who are at risk of hospital admission.
See JD attached for full duties
About us
Bromley Healthcare is a community interest company providing a wide range of services including community nursing services such as district nursing, health visiting, as well as therapy services for children, young people and adults. Being born from NHS Bromley's community provider unit we have been providing community services to the people of Bromley for many years and we have a wealth of experience.
Bromley Healthcare is a great place to work. The unique way we deliver services and offer everyone who works here a voice means that your career with us will be rewarding.
Social Enterprises are a fairly new and exciting way to deliver healthcare, offering many of the traditional advantages of the NHS (such as excellent training and development) with the freedom for innovation by being able to reinvest any surpluses we make into the community.
Salary is dependent on NHS experience and current banding/pay point, applicants from outside the NHS will receive the start point of the salary scale in line with NHS terms & conditions.
Excellent benefits package available including various pension schemes, discounted gym membership, cycle to work scheme, discounted electronics, access to EAP, high street discounts, Blue Light Card eligibility, opportunity to apply for low interest personal loans and an excellent lease car scheme and we are constantly looking to expand our staff benefits.
Job description
Job responsibilities
- To proactively monitor and manage high acuity users of health and social care services and multiple co-morbidities who may also have a combination of pharmacy, social, medical and nursing needs, and who are at risk of hospital admission and seeking support from colleagues as appropriate and develop/implement an appropriate plan of care including prescribing of medications if appropriate or review of medication.
- To recognise and manage early symptoms of disease exacerbation and acute illness based on an understanding of the disease, disease process and current evidence and practice standards.
- To develop high level skills in clinical assessment and diagnostic reasoning to proactively manage very high intensity users of health and social care services, with multiple co-morbidities and pharmacy, social, medical and nursing needs and who are at risk of hospital admission.
-
To contribute to partnership working with GPs, ANP/ACP/Clinical lead, Nursing home staff and other health care professionals within Bromley Healthcare, Social Services and voluntary agencies to promote an anticipatory care planning approach thereby supporting some aspects of the unscheduled care agenda.
-
To have a good understanding and knowledge of evidence-based practice and clinical management options, and be able to demonstrate a good level of expertise and clinical reasoning skills in this area.
- To ensure that personal performance meets job requirements, Professional Codes and standards, Bromley Healthcare and post competency standards at all times.
- To ensure your compliance with mandatory training programmes and ongoing professional development and development of the advanced practitioner role.
- To maintain a portfolio of advanced practice and personal development activities and evidence.
- To take an active part in clinical supervision.
- To actively participate in Bromley Healthcares appraisal and review process identifying own learning needs. To plan, implement and evaluate strategies to meet own Personal Development Plan.
see JD attached
Job description
Job responsibilities
- To proactively monitor and manage high acuity users of health and social care services and multiple co-morbidities who may also have a combination of pharmacy, social, medical and nursing needs, and who are at risk of hospital admission and seeking support from colleagues as appropriate and develop/implement an appropriate plan of care including prescribing of medications if appropriate or review of medication.
- To recognise and manage early symptoms of disease exacerbation and acute illness based on an understanding of the disease, disease process and current evidence and practice standards.
- To develop high level skills in clinical assessment and diagnostic reasoning to proactively manage very high intensity users of health and social care services, with multiple co-morbidities and pharmacy, social, medical and nursing needs and who are at risk of hospital admission.
-
To contribute to partnership working with GPs, ANP/ACP/Clinical lead, Nursing home staff and other health care professionals within Bromley Healthcare, Social Services and voluntary agencies to promote an anticipatory care planning approach thereby supporting some aspects of the unscheduled care agenda.
-
To have a good understanding and knowledge of evidence-based practice and clinical management options, and be able to demonstrate a good level of expertise and clinical reasoning skills in this area.
- To ensure that personal performance meets job requirements, Professional Codes and standards, Bromley Healthcare and post competency standards at all times.
- To ensure your compliance with mandatory training programmes and ongoing professional development and development of the advanced practitioner role.
- To maintain a portfolio of advanced practice and personal development activities and evidence.
- To take an active part in clinical supervision.
- To actively participate in Bromley Healthcares appraisal and review process identifying own learning needs. To plan, implement and evaluate strategies to meet own Personal Development Plan.
see JD attached
Person Specification
Qualifications
Essential
- Undergraduate degree in a suitable discipline
- Registered with appropriate professional body(NMC, HCPC)
- Registered non-medical prescriber (if professionally appropriate)
- Advanced clinical assessment or ECAS module completed
- Autonomous practice and clinical decision making
- Willing to work towards completing full ACP MSc, portfoilio or credentialing
- Evidence of Continuing Professional Development
Desirable
- Master level Award covering and assessing all 4 pillars of advanced clinical practice (clinical practice, leadership and management, education and research) or Credentialing equivalent ALNP D Model
- Registered nonmedical prescriber (Working towards/intention to complete)
Skills
Essential
- Able to function as an experienced nurse/advanced clinical practitioner with safe clinical skills
- Able to demonstrate advance skills for assessing patient conditions, and taking appropriate action in the management planning
- Evidence of the ability to devise/coordinate plans of care working autonomously and collaboratively
- Evidence of the ability to maintain and monitor high standards of care.
- Advance communication skills, with staff, clients other agencies
- Understanding of the principles of clinical governance, particularly in relation to their service area.
- Evidence of professional development and knowledge.
- UK drivers license with clean current licence & access to a vehicle for work purposes
Desirable
- Intravenous and cannulation skills.
- IVAB therapy administration and management
- Competent in venepuncture/phlebotomy
Experience
Essential
- Enthusiastic and effective team member with good person and organisational skill
- Evidence of experience in practicing at an advanced level with clincal advanced assessment skills
- Demonstrate good written and verbal communication skills
- Evidence of experience in autonomously managing, practice at an advanced level
- Extensive clinical experience and skills using evidence based practice
- Evidence of experience of multi- disciplinary and interagency working
- Experience of co-ordinating complex activities/programmes of care with other healthcare professionals and agencies
Desirable
- Evidence of experience of multidisciplinary and interagency working
- Experience in working across acute and community care settings.
- Working within a community setting
- Experience of working in an Admission Avoidance service.
- Experience of embracing and implementing change to provide high quality patient outcomes
- Post - registration with experience at NP level
Information Technology
Essential
- IT Skills to a good level with experience of EMIS, word processing and database management
Desirable
- EMIS templates development and search and reporting
Person Specification
Qualifications
Essential
- Undergraduate degree in a suitable discipline
- Registered with appropriate professional body(NMC, HCPC)
- Registered non-medical prescriber (if professionally appropriate)
- Advanced clinical assessment or ECAS module completed
- Autonomous practice and clinical decision making
- Willing to work towards completing full ACP MSc, portfoilio or credentialing
- Evidence of Continuing Professional Development
Desirable
- Master level Award covering and assessing all 4 pillars of advanced clinical practice (clinical practice, leadership and management, education and research) or Credentialing equivalent ALNP D Model
- Registered nonmedical prescriber (Working towards/intention to complete)
Skills
Essential
- Able to function as an experienced nurse/advanced clinical practitioner with safe clinical skills
- Able to demonstrate advance skills for assessing patient conditions, and taking appropriate action in the management planning
- Evidence of the ability to devise/coordinate plans of care working autonomously and collaboratively
- Evidence of the ability to maintain and monitor high standards of care.
- Advance communication skills, with staff, clients other agencies
- Understanding of the principles of clinical governance, particularly in relation to their service area.
- Evidence of professional development and knowledge.
- UK drivers license with clean current licence & access to a vehicle for work purposes
Desirable
- Intravenous and cannulation skills.
- IVAB therapy administration and management
- Competent in venepuncture/phlebotomy
Experience
Essential
- Enthusiastic and effective team member with good person and organisational skill
- Evidence of experience in practicing at an advanced level with clincal advanced assessment skills
- Demonstrate good written and verbal communication skills
- Evidence of experience in autonomously managing, practice at an advanced level
- Extensive clinical experience and skills using evidence based practice
- Evidence of experience of multi- disciplinary and interagency working
- Experience of co-ordinating complex activities/programmes of care with other healthcare professionals and agencies
Desirable
- Evidence of experience of multidisciplinary and interagency working
- Experience in working across acute and community care settings.
- Working within a community setting
- Experience of working in an Admission Avoidance service.
- Experience of embracing and implementing change to provide high quality patient outcomes
- Post - registration with experience at NP level
Information Technology
Essential
- IT Skills to a good level with experience of EMIS, word processing and database management
Desirable
- EMIS templates development and search and reporting
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).
Additional information
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).
