Job summary
The Advanced Clinical Practitioner will be an autonomous, accountable practitioner working on their own initiative and in collaboration with medical, nursing, and allied health professional colleagues as required. The post holder will also play a key role within the service / department by supporting specific elements of service improvement, audit and research as well as having an active on-going role in the development, supervision, training and assessment of junior colleagues. The role will be structured around the four core functions of advanced practice:
- Expert clinical practice within the field
- Professional leadership and management
- Education, training and development of self and others
- Practice and service development, research, and evaluation
The ACP should have a minimum of 15hrs per month (pro rata) for work relating to the non-clinical pillars and to ensure maintenance of competency in all areas of the role within the PCN and Trust wide across EPUT. This will facilitate improvements to patient care through the education of others, and quality/service improvement associated with leadership and research activities.
Main duties of the job
The post holder will work collaboratively within EPUT and North Uttlesford PCN to promote and improve the standards of end of life care and frailty working with the Clinical Lead for End of Life care in EPUT to support Trust wide services. They will be responsible for promoting a shared culture, vision and values to deliver corporate and team objectives in accordance with National Institute for Health and Care Excellence Quality standards for End of Life care and Care of Dying Adults in the Last Days of Life and will lead on the development of systems to ensure there is an effective measurement system to monitor the quality of end of life services.
The post holder will work alongside those working in community health, mental health services and primary care to determine needs of population as well as develop education sessions to develop staff. They will lead on the development of multi-professional education to assist with developing, embedding and sustaining the policies and guidelines associated with end of life
About us
EPUT are looking for motivated staff who shares our Trust values of Care, Learn and Empower. In return, EPUT can offer you a range of benefits and development including;
- Season Ticket Loans
- NHS discounts for staff
- Excellent Training facilities and opportunities
- Buying and Selling annual leave scheme
- The opportunity to work bank shifts and expand knowledge and experience in other areas
- Salary Sacrifice schemes including lease cars and Cycle to Work
- Day One Flexible Employer
The Trust supports and actively encourages flexible working for all employees. We offer many options and you are encouraged to ask the recruiting manager what is possible for this role. If appointed, you will have the opportunity to apply for a flexible working request from the first day of your employment
Join our Staff bank
What is Staff Bank?
Our EPUT NHS staff bank is an entity managed by the trust that hires clinical and non-clinical healthcare professionals to take on shifts at our trust hospitals and community settings. Here at EPUT we maintain our own bank of specialist staff to ensure that we are able offer safe and effective care at all times.
All our permanent staff are automatically enrolled onto the staff bank however this does not mean you have to work any additional shifts, but the option is there for you if you wish.
If you are joining our Trust in a fixed term role, please indicate on your New Starter Paperwork that you wish to join our staff bank.
Job description
Job responsibilities
Clinical
- Uses highest level of specialist knowledge and specific training to act autonomously in assessing, planning, and implementing a comprehensive management plan within their defined scope of practice.
- Elicit a patient history appropriate to the clinical situation, which will include, presenting complaint, history of the present illness, past medical history, social history, family history, medications, allergies, review of systems, risk factors and appropriate targeted history.
- Perform a physical/psychological examination tailored to the needs of the patients and the demands of the clinical situation.
- Assess and prioritise patients undergoing treatment.
- Demonstrate continual evaluation of the patients and use expertise to recommend adjustments/amendments to treatment plans, in consultation with the patient and members of the multi-professional team.
- Make direct referrals to other members of the health and social care teams.
- Requests bloods and radiological test as appropriate and within agreed scope
- Request and perform diagnostic tests as agreed locally and within agreed scope.
- Chase, view and Interpret results and report findings.
- Discuss and agree assessment outcomes with patients, carers, and other health care professionals to enable patients to make an informed decision regarding their treatment.
- Communicate highly complex information to patients, carers, and families during the consent process prior to commencement of treatment plans and invasive procedures including explaining treatment options.
- Authorise the decision to admit patients and/or proactively initiate discharge.
- Actively supports patients and their families through communicating difficult and highly complex sensitive information using a variety of methods to ensure effective understanding in a timely manner.
- Proactively supports patients, carers, and families in coming to terms with their illness/condition.
- Have a health promotion and prevention approach and comprehensively assess patients for risk factors and early signs of illness.
- Provides empathy and reassurance through understanding the quality-of-life issues associated with their illness/conditions and treatment related side effects.
- Ensure that accurate, essential, and appropriate written and verbal information is conveyed to the wider MDT to ensure effective management of patients.
- Ensure dignity, privacy and cultural and religious beliefs are always respected.
- Adheres to professional code of conduct, works within the boundaries of their scope of practice and always manage associated clinical risks effectively.
- Have a direct responsibility for a patient caseload, ensuring an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made.
- Initiate pharmacological intervention, using v300 non-medical prescribing (dependant on registration) and administer medications as prescribed by others in accordance with trust policies.
- To prescribe and review medication in accordance with current legislation and trust policy (dependant on registration).
- To work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication, medication regimes, side effects and interactions.
Professional leadership and Management
- Act in such a way as to be a credible, effective leader, demonstrating effective clinical leadership daily.
- Act as a role model by demonstrating high standards of holistic care
- Take key responsibility for supporting the wider MDT.
- Effectively manage own diary and workload.
- Effectively manage patient caseload.
- Ensure that documentation is of a very high standard reflective of Advanced Clinical Practice, adhering to EPUT, local and national guidelines.
- Identify the skills set and terms of reference required of the Advanced Clinical Practitioner role, ensuring they reflect the individual, holistic needs of patients undergoing care.
- Works in collaboration with the MDT to investigate clinical incidents associated with patients in their care.
- Assess and monitor risk in own and others practice, acting on results, thereby ensuring safe delivery of care.
- Diffuse potential complaints and hostile situations with staff, patients and carers using highly developed negotiation and interprofessional skills
- Support the complaints process and support learning from death oversight and promotion of patient safety
- Provide representation, as appropriate at various local, EPUT and national meetings, providing feedback to the organisation on clinical and professional issues, which have an impact on care and standards of practice within their sphere of responsibility.
- Develop formal and informal links outside the organisation, sharing good practice, innovative ideas, and promote staff and service development.
- Establish and maintain a regional and national network of contacts relevant to the service.
- Promote the service through formal and informal presentations within and outside the organisation through study days, conferences, and written papers.
- Engage stakeholders and use high-level negotiating and influencing skills to develop and improve practice.
- Develop practice and roles that are appropriate to patient and service need through understanding the implications of epidemiological, demographic, social, political and professional trends and developments.
- To deputise for the end of life care lead in representation at the wider integrated care systems when required.
- To support the end of life care subcommittee to share development, learning and progress services. Acting as chair in the end of life care leads absence.
- To support development and update EPUT clinical guidance in line with national updates and benchmarks. I can see this is referred to below but think it may sit here too but take guidance from you
Education and Training
- Has obtained the theoretical knowledge; MSc in advanced practice or equivalent, in conjunction with practical experience; evidenced in a supporting portfolio, to a level that allows the job responsibilities to be delivered at a high standard.
- Has obtained Non-Medical Prescribing if appropriate to registered profession.
- Identify own personal developmental and educational needs to work at an advanced level and beyond. Ensure appropriate action is taken to maintain and further develop skills.
- Maintain a professional portfolio and participate in continuing professional development.
- Maintain competencies and attend mandatory lectures and training as required by the Trust.
- Receive clinical supervision to clinically improve knowledge and the quality of care delivered to patients. Receive supervision from Clinical Lead for End of Life
- Utilises professional knowledge and skills, underpinned by theoretical and relevant practical experience to teach, motivate, and support junior staff on a range of clinical practices.
- Participates in the delivery of specialist training and development of other health and social workers.
- Develop and organise study days and training sessions for self and others within the locality and EPUT Trust wide
- Participates in the supervision and mentorship of multi-professional students and junior staff.
- Carry out training needs analysis, using the results to design, develop and deliver a teaching programme promoting practice development for those staff caring for patients within the speciality. This will include the development of links with other organisations and innovative approaches to staff development.
Research, service development and audit
- Maintain up to date knowledge in the specialist field, using information to affect change in practice and ensuring effective dissemination of new knowledge.
- Participate in service development. Writes protocols, guidelines, and procedures for own remit, which, impacts on other members of the multi-disciplinary team.
- Participate in the development and evaluation of protocols and guidelines and procedures using current literature and research.
- Participates in the development of patient information to improve patient care.
- Liaise with MDT, including consultants, senior nursing colleagues and management in the development of services, contribute ideas and make recommendations for service improvements.
- Implement policies informing members of the multidisciplinary team of any changes.
- In collaboration with the MDT, ensure that clinical practice is patient centred and researched based, in accordance with professional practice, guidelines, and national and local benchmarks.
- Support relevant audit activity in the specialities to evaluate the effectiveness of care interventions and disseminates outcomes with any potential changes to clinical practice, which improves health outcomes.
- Participate in regular audits in their own role and EPUT Trust wide
- Where appropriate participate in research projects and/or support the wider MDT with research initiatives.
- Promote and disseminate research and audit findings relevant to the service sharing widely across EPUT
- Continue to develop and promote the Advanced Clinical Practitioner role through professional publications and conference papers
Multi-disciplinary liaison
- Ensure effective communication is maintained between members of the multidisciplinary team to ensure appropriate individuals are informed of changes in patient conditions or treatment plan.
- Be a core member of the multidisciplinary team providing specialist knowledge and advice.
- Establish and maintain excellent communication with individuals and groups exploring complex issues relating to care options and decisions.
- Promote collaborative working relationships and effective communication between all members of the team.
- Promote links with other End of Life services, such as hospices, social care and voluntary sector
- Promote links with relatives and loved ones to improve patient relations
Job description
Job responsibilities
Clinical
- Uses highest level of specialist knowledge and specific training to act autonomously in assessing, planning, and implementing a comprehensive management plan within their defined scope of practice.
- Elicit a patient history appropriate to the clinical situation, which will include, presenting complaint, history of the present illness, past medical history, social history, family history, medications, allergies, review of systems, risk factors and appropriate targeted history.
- Perform a physical/psychological examination tailored to the needs of the patients and the demands of the clinical situation.
- Assess and prioritise patients undergoing treatment.
- Demonstrate continual evaluation of the patients and use expertise to recommend adjustments/amendments to treatment plans, in consultation with the patient and members of the multi-professional team.
- Make direct referrals to other members of the health and social care teams.
- Requests bloods and radiological test as appropriate and within agreed scope
- Request and perform diagnostic tests as agreed locally and within agreed scope.
- Chase, view and Interpret results and report findings.
- Discuss and agree assessment outcomes with patients, carers, and other health care professionals to enable patients to make an informed decision regarding their treatment.
- Communicate highly complex information to patients, carers, and families during the consent process prior to commencement of treatment plans and invasive procedures including explaining treatment options.
- Authorise the decision to admit patients and/or proactively initiate discharge.
- Actively supports patients and their families through communicating difficult and highly complex sensitive information using a variety of methods to ensure effective understanding in a timely manner.
- Proactively supports patients, carers, and families in coming to terms with their illness/condition.
- Have a health promotion and prevention approach and comprehensively assess patients for risk factors and early signs of illness.
- Provides empathy and reassurance through understanding the quality-of-life issues associated with their illness/conditions and treatment related side effects.
- Ensure that accurate, essential, and appropriate written and verbal information is conveyed to the wider MDT to ensure effective management of patients.
- Ensure dignity, privacy and cultural and religious beliefs are always respected.
- Adheres to professional code of conduct, works within the boundaries of their scope of practice and always manage associated clinical risks effectively.
- Have a direct responsibility for a patient caseload, ensuring an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made.
- Initiate pharmacological intervention, using v300 non-medical prescribing (dependant on registration) and administer medications as prescribed by others in accordance with trust policies.
- To prescribe and review medication in accordance with current legislation and trust policy (dependant on registration).
- To work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication, medication regimes, side effects and interactions.
Professional leadership and Management
- Act in such a way as to be a credible, effective leader, demonstrating effective clinical leadership daily.
- Act as a role model by demonstrating high standards of holistic care
- Take key responsibility for supporting the wider MDT.
- Effectively manage own diary and workload.
- Effectively manage patient caseload.
- Ensure that documentation is of a very high standard reflective of Advanced Clinical Practice, adhering to EPUT, local and national guidelines.
- Identify the skills set and terms of reference required of the Advanced Clinical Practitioner role, ensuring they reflect the individual, holistic needs of patients undergoing care.
- Works in collaboration with the MDT to investigate clinical incidents associated with patients in their care.
- Assess and monitor risk in own and others practice, acting on results, thereby ensuring safe delivery of care.
- Diffuse potential complaints and hostile situations with staff, patients and carers using highly developed negotiation and interprofessional skills
- Support the complaints process and support learning from death oversight and promotion of patient safety
- Provide representation, as appropriate at various local, EPUT and national meetings, providing feedback to the organisation on clinical and professional issues, which have an impact on care and standards of practice within their sphere of responsibility.
- Develop formal and informal links outside the organisation, sharing good practice, innovative ideas, and promote staff and service development.
- Establish and maintain a regional and national network of contacts relevant to the service.
- Promote the service through formal and informal presentations within and outside the organisation through study days, conferences, and written papers.
- Engage stakeholders and use high-level negotiating and influencing skills to develop and improve practice.
- Develop practice and roles that are appropriate to patient and service need through understanding the implications of epidemiological, demographic, social, political and professional trends and developments.
- To deputise for the end of life care lead in representation at the wider integrated care systems when required.
- To support the end of life care subcommittee to share development, learning and progress services. Acting as chair in the end of life care leads absence.
- To support development and update EPUT clinical guidance in line with national updates and benchmarks. I can see this is referred to below but think it may sit here too but take guidance from you
Education and Training
- Has obtained the theoretical knowledge; MSc in advanced practice or equivalent, in conjunction with practical experience; evidenced in a supporting portfolio, to a level that allows the job responsibilities to be delivered at a high standard.
- Has obtained Non-Medical Prescribing if appropriate to registered profession.
- Identify own personal developmental and educational needs to work at an advanced level and beyond. Ensure appropriate action is taken to maintain and further develop skills.
- Maintain a professional portfolio and participate in continuing professional development.
- Maintain competencies and attend mandatory lectures and training as required by the Trust.
- Receive clinical supervision to clinically improve knowledge and the quality of care delivered to patients. Receive supervision from Clinical Lead for End of Life
- Utilises professional knowledge and skills, underpinned by theoretical and relevant practical experience to teach, motivate, and support junior staff on a range of clinical practices.
- Participates in the delivery of specialist training and development of other health and social workers.
- Develop and organise study days and training sessions for self and others within the locality and EPUT Trust wide
- Participates in the supervision and mentorship of multi-professional students and junior staff.
- Carry out training needs analysis, using the results to design, develop and deliver a teaching programme promoting practice development for those staff caring for patients within the speciality. This will include the development of links with other organisations and innovative approaches to staff development.
Research, service development and audit
- Maintain up to date knowledge in the specialist field, using information to affect change in practice and ensuring effective dissemination of new knowledge.
- Participate in service development. Writes protocols, guidelines, and procedures for own remit, which, impacts on other members of the multi-disciplinary team.
- Participate in the development and evaluation of protocols and guidelines and procedures using current literature and research.
- Participates in the development of patient information to improve patient care.
- Liaise with MDT, including consultants, senior nursing colleagues and management in the development of services, contribute ideas and make recommendations for service improvements.
- Implement policies informing members of the multidisciplinary team of any changes.
- In collaboration with the MDT, ensure that clinical practice is patient centred and researched based, in accordance with professional practice, guidelines, and national and local benchmarks.
- Support relevant audit activity in the specialities to evaluate the effectiveness of care interventions and disseminates outcomes with any potential changes to clinical practice, which improves health outcomes.
- Participate in regular audits in their own role and EPUT Trust wide
- Where appropriate participate in research projects and/or support the wider MDT with research initiatives.
- Promote and disseminate research and audit findings relevant to the service sharing widely across EPUT
- Continue to develop and promote the Advanced Clinical Practitioner role through professional publications and conference papers
Multi-disciplinary liaison
- Ensure effective communication is maintained between members of the multidisciplinary team to ensure appropriate individuals are informed of changes in patient conditions or treatment plan.
- Be a core member of the multidisciplinary team providing specialist knowledge and advice.
- Establish and maintain excellent communication with individuals and groups exploring complex issues relating to care options and decisions.
- Promote collaborative working relationships and effective communication between all members of the team.
- Promote links with other End of Life services, such as hospices, social care and voluntary sector
- Promote links with relatives and loved ones to improve patient relations
Person Specification
Education/Qualifications
Essential
- Professional Registration and degree in clinical field
- MSC in Advanced Practice or willingness to complete within 6-12 months of employment
- Consultation and assessment qualification
- Non-Medical Prescribing - v300 if appropriate to registered profession
Knowledge/Skills
Essential
- Significant post registration experience
- Aware of local and national targets, policies and guidelines
- Knowledge of clinical governance and risk assessment/management
- Ability to formulate differential diagnoses, appropriate treatment and evaluate effectiveness
- Evidence of both theoretical and practical skills and competency in patient management
Corporate
Essential
- Full UK Drivers Licence
- Ability to Travel across Trust sites as required
Person Specification
Education/Qualifications
Essential
- Professional Registration and degree in clinical field
- MSC in Advanced Practice or willingness to complete within 6-12 months of employment
- Consultation and assessment qualification
- Non-Medical Prescribing - v300 if appropriate to registered profession
Knowledge/Skills
Essential
- Significant post registration experience
- Aware of local and national targets, policies and guidelines
- Knowledge of clinical governance and risk assessment/management
- Ability to formulate differential diagnoses, appropriate treatment and evaluate effectiveness
- Evidence of both theoretical and practical skills and competency in patient management
Corporate
Essential
- Full UK Drivers Licence
- Ability to Travel across Trust sites as required
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.
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).
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.
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).
Employer details
Employer name
Essex Partnership University NHS Foundation Trust
Address
North Uttlesford PCN - Saffron Walden
Saffron Walden
CB11 3HY
Employer's website
https://eput.nhs.uk/ (Opens in a new tab)
