Trainee Advanced Care Practitioner

Job responsibilities

ROLE AND RESPONSIBILITIES

This role description has been taken from the 4 pillars of advanced clinical practice from Health Education 2017 A.

Clinical Practice Health and care professionals working towards the level of advanced clinical practice (band 8a) will be able to:

Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice.

Demonstrate a critical understanding of their broadened level of responsibility and autonomy 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 reflection on own practice, self-awareness, emotional intelligence, and openness to change.

Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate (e.g. of history-taking; holistic assessment; identifying risk factors; mental health assessments; requesting, undertaking and/or interpreting diagnostic tests; and conducting health needs assessments).

Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care.

Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses. PPD Generic Role description August 2020

Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, life style advice and care.

Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers.

Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.

Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.

Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope

LEADERSHIP AND MANAGEMENT

Health and care professionals working at the level of advanced clinical practice will be able to:

Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working.

Role model the values of their organisation/place of work, demonstrating a person-centred approach to service delivery and development.

Evaluate own practice, and participate in multi-disciplinary service and team evaluation, demonstrating the impact of advanced clinical practice on service function and effectiveness, and quality (i.e. outcomes of care, experience and safety).

Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.

Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence. 2.6 Actively seek feedback and involvement from individuals, families, carers, communities and colleagues in the co-production of service improvements.

Critically apply advanced clinical expertise in appropriate faciliatory ways to provide consultancy across professional and service boundaries, influencing clinical practice to enhance quality, reduce unwarranted variation and promote the sharing and adoption of best practice.

Demonstrate team leadership, resilience and determination, managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others.

Continually develop practice in response to changing population health need, engaging in horizon scanning for future developments (e.g. Impacts of genomics, new treatments and changing social challenges). PPD Generic Role description August 2020

Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals, families, carers, communities and colleagues safety and well-being when necessary.

Negotiate an individual scope of practice within legal, ethical, professional and organisational policies, governance and procedures, with a focus on managing risk and upholding safety.

EDUCATION

Health and care professionals working at the level of advanced clinical practice should be able to:

Critically assess and address own learning needs, negotiating a personal development plan that reflects the breadth of on-going professional development across the four pillars of advanced clinical practice.

Engage in self-directed learning, critically reflecting to maximise clinical skills and knowledge, as well as own potential to lead and develop both care and Services.

Engage with, appraise and respond to individuals motivation, development stage and capacity, working collaboratively to support health literacy and empower individuals to participate in decisions about their care and to maximise their health and well-being.

Advocate for and contribute to a culture of organisational learning to inspire future and existing staff.

Facilitate collaboration of the wider team and support peer review processes to identify individual and team learning.

Identify further developmental needs for the individual and the wider team and supporting them to address these.

Supporting the wider team to build capacity and capability through work-based and inter-professional learning, and the application of learning to practice

Act as a role model, educator, supervisor, coach and mentor, seeking to instil and develop the confidence of others.

RESEARCH

Health and care professionals working at the level of advanced clinical practice will be able to:

Critically engage in research activity, adhering to good research practice guidance, so that evidence based strategies are developed and applied to enhance quality, safety, productivity and value for money.

Evaluate and audit own and others clinical practice, selecting and applying valid, reliable methods, then acting on the findings. PPD Generic Role description August 2020

Critically appraise and synthesise the outcome of relevant research, evaluation and audit, using the results to underpin own practice and to inform that of others.

Take a critical approach to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and organisations to these and how they might be addressed in a safe and pragmatic way.

Actively identify potential need for further research to strengthen evidence for best practice. This may involve acting as an educator, leader, innovator and contributor to research activity and/or seeking out and applying for research funding.

Develop and implement robust governance systems and systematic documentation processes, keeping the need for modifications under critical review.

Disseminate best practice research findings and quality improvement projects through appropriate media and forums (e.g. presentations and peer review research publications).

Facilitate collaborative links between clinical practice and research through proactive engagement, networking with academic, clinical and other active researchers

PROFESSIONAL RESPONSIBILITIES

To work as an trainee autonomous practitioner in line with a code of conduct and standards of practice having regard to NMC code of professional conduct for nurses, midwife and health visitor and their professional contribution to clinical governance.

Perform advanced history taking, physical assessment/clinical examination, requesting/ conducting/interpreting appropriate investigations/procedures to inform a clinical diagnosis and appropriate management plan as identified through the individuals scope of professional practice and competency assessment.

Work collaboratively with other health care professionals and relevant community agencies to facilitate appropriate referral of patients by admitting, signposting or discharging patients to other health care facilities to ensure optimum care.

Education, Training & Qualifications

Essential

• NMC or other healthcare professional registration
• Working towards master's degree in advanced clinical practice (with completion of first 2 modules) i.e, skills assessment, management of minor injuries and illness
• Working towards the 4 pillars of Advanced clinical Practice , Clinical Practice, Education, Leadership/Management & Research

Desirable

• Post graduate Leadership qualification
• Evidence of developing competencies of clinical practice expertise
• Non-medical prescribing
• ALS

Knowledge & Experience

Essential

• At least 3 years relevant and credible clinical background in related area
• Experience of working as a health care professional at band 6 (minimum) in specific area
• Evidence of continued practice & professional development
• Evidence of undertaking research and development (or in progress)
• Experience in managing a team of staff and resources
• In depth Knowledge of current issues relating to specific clinical area
• Understanding of quality issues including clinical governance

Desirable

• Membership of relevant professional groups
• Service improvement experience
• Quality improvement experience

Skills

Essential

• Able to work on/under own initiative
• Able to organise and prioritise own work load
• Exercise independent clinical judgement within framework of agreed protocols
• Advanced decision-making skills
• Advanced communication skills
• Ability to recognise and analyse complex situations and take appropriate action

Desirable

• Teaching expertise
• Evidence of implementing change in the workplace
• Practical skills, manipulation and reduction of fracture, plastering, wound care including assessment and closure-glue, suturing.
• Multi -Professional working

Key Competencies/ Personal Qualities & Attributes

Essential

• Self-motivated
• Flexible and adaptable to meet the needs of the service
• Proactive
• Evidence of: Clinical decision making skills
• Professional innovation
• Act as role model
• Passionate for service delivery

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

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