Advanced Nurse Practitioner (ACP) - Single Point of Access

Job responsibilities

Key Duties:

SPoA:

Provide clinical expertise for a wide array of acute injuries and illnesses

Provide senior support to the SPoA triage teams in determining the correct route through which patients can access urgent care

Alongside the Interface Consultant, provide inclusive, collaborative senior trusted assessor level clinical conversations with professionals and patients, routing appropriate care pathways across the primary, community and secondary interface, including primary care colleagues, support of ambulance service Call before Convey and streaming services from a variety of sources

Care co-ordination, collaboration, right time, right place model, supporting the NHS Closer to Home agenda, utilizing the full breadth and depth of the system Directory of Services available in avoiding unnecessary ambulance conveyance, unnecessary ED and acute attendances and admissions, within an integrated system approach

Draw on all 4 pillars of advanced practice in delivering SPoA and alternating routing model of care.

Ability to prescribe remotely, offering advice and guidance, request and interpret appropriate investigations, and provide adequate safety netting advice to professionals and patients

Clinical:

Assess and prioritise patients undergoing treatment

Undertake advanced practitioner-level holistic assessment, planning, implementation and evaluation of patients care needs

On a daily basis, act autonomously to provide expert clinical/technical care, which contributes to the diagnosis, specialist care and treatment plans for these highly complex patients. In the absence of medical staff and within predetermined parameters, using advanced clinical-reasoning skills the post holder will initiate treatment plans and support to ensure the on-going safety of the patient

Demonstrate continual evaluation of practice within the defined specialist area and take responsibility for making agreed changes where appropriate

Request and arrange necessary investigations including X-rays, ultrasound scans, VQ scans, endoscopy, spirometry, echocardiography, and exercise tolerance tests, interpreting and reporting findings to appropriate clinicians

Discuss and agree assessment outcomes with patients, carers and other healthcare professionals, to enable them to make informed decisions regarding treatment

Ensure 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 this group of patients

Ensure that patients are referred to appropriate practitioner when needs and risks are not within own scope of practice. Ensure dignity, privacy, and cultural and religious beliefs are respected at all times

Professional:

Act as a role model by demonstrating high standards of holistic care

Ensure that documentation is of a very high standard, adhering to local and national guidelines

Take on a pivotal role in the development and promotion of a care philosophy, ensuring clinical practice is reflective of this ideology

Take key responsibility for supporting medical colleagues, nursing colleagues and the matron for services

Maintain a current and up-to-date personal professional profile in accordance with guidelines

Maintain competency

Ensure that all aspects of clinical practice are research and evidence based

Managerial/Leadership:

Assess and monitor risk in own and others practice, acting on results, thereby ensuring safe delivery of care

Monitor and develop quality initiatives in line with local and national requirements and guidelines; take a lead role in the facilitation of such initiatives

Identify the skills set and terms of reference required of the Advanced Nurse Practitioner role, ensuring they reflect the individual, holistic needs of patients undergoing care

Work pro-actively in managing change in own speciality, to improve practice and health outcomes

Attend relevant meetings regularly to influence and make decisions regarding service delivery provision and further development of the service

Manage own diary and workload

Act in such a way as to be a credible, effective leader, demonstrating effective clinical leadership on a daily basis

Educational:

Support the development of protocols for the management of patients

Contribute to and participate in the Organisation Education Strategy

Promote the service offered through formal and informal presentations within and outside the organisation through study days, conferences and written papers

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 in the speciality. This will include the development of links with other organisations and innovative approaches to staff development

Deliver formal and informal teaching initiatives as part of the above programme

Receive clinical supervision in order to clinically improve knowledge and the quality of care to patients

Contribute to the training of medical colleagues and other non-medical professionals in areas suitable to the service

Contribute to the training of colleagues and peers in aspects of service delivery provision and to support the service

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 such skills

Attend mandatory lectures and training as required by the organisation

Multi-disciplinary liaison:

Establish and maintain excellent communication with individuals and groups exploring complex issues relating to care options and decisions

In all aspects of work, challenge and demonstrate an ability to work autonomously across organisational and professional boundaries

Promote collaborative working relationships and effective communication between all members of the team

Co-ordinate closely with managers the timely movement of patients to ensure appropriate use of resources within the provision

Work with other areas, specialities and services to adjust boundaries across the specialist are

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

Research and Audit:

Identify the educational needs of the specialist group of patients and their carers, and ensure that these are met through the service provided

Identify areas of practice that may expand or be enhanced, to ensure the best clinical outcome for patients

In collaboration with other senior staff, at all times ensure clinical practice is patient centred and research based, in accordance with professional practice, guidelines, and national and local benchmarks

Encourage and assist other staff within the field to enable and empower them to carry out relevant research

Promote and disseminate research and audit findings relevant to the service

Carry out audit and evaluation in order to monitor the effectiveness of current therapeutic regimes and to improve health outcomes

Service Development:

In all aspects of work, challenge and demonstrate an ability to work across all organisational boundaries

Identify areas of practice which may expand, to ensure the best clinical outcomes for patients

Develop policies and clinical guidelines necessary to support the development of the specialist service

Continue with personal education and development, to identify improvements within the service framework

Influence decisions regarding service delivery through participation in meetings

Continue to develop and promote the Advanced Nurse Practitioner role through professional publications and conference papers

Budget:

Influence decisions regarding the allocation of financial resources through consultation, service redesign, participation in meetings and audit

Risk assessment:

Works with display screen equipment

Required to travel for work purposes

Exposure to high pressure situations

Exposed to complex and challenging situations

Human Resources:

Report sickness and return to work promptly in accordance with organisational policy

Other Job Requirements

Essential

• An understanding of the current NHS environment, particularly in relation to reforms, initiatives and issues
• Full registration with an appropriate Professional Body by the time of appointment
• Own/access to transport and ability to travel across hospital sites
• Standard Clauses
• A Disclosures and Barring Service check will be carried out where the position is eligible for a Disclosures and Barring Service Check in accordance with the 2012 Protection of Freedom Act and the guidance issued by the DBS.
• All posts working with children or vulnerable adults are required to have an Enhanced DBS checked including checking against DBS / ISA Vetting and barring lists

Teaching Experience

Essential

• Coordination of teaching programmes /conferences for the development of trainee ACPs
• Teaching of junior staff and/or involvement in training programmes.

Desirable

• Experience of teaching clinical skills to undergraduates.

Research Experience

Essential

• Ability to apply research outcomes to clinical problems
• Good knowledge of critical appraisal and ability to use literature and current research / guidelines to improve patient care
• Evidence of involvement in quality improvement or audit projects that have made a direct contribution to the improvement of a service

Desirable

• Experience of involvement in Research or Quality Improvement projects

Qualifications

Essential

• NMC or HCPC current registration
• MSc Advanced Practice (full MSc covering 4 pillars Advanced Practice)
• Recognised Health Assessment Module
• Non-Medical Prescribing qualification
• Currently ILS/ALS provider

Desirable

• Mentoring
• Teaching
• Successful completion of Collegiate Credentialing status
• Minor Injuries Module
• Minor Illness Module

Personal Qualities

Essential

• Ability to work effectively as a team member
• Enquiring, critical approach to work
• Ability to communicate effectively with patients, relatives, GPs, nurses and other agencies
• Commitment to Continuing Medical Education
• Diplomatic and tactful Flexible approach to work duties
• Ability to work under pressure
• Ability to work without supervision
• Reliable and supportive to other colleagues
• Ability to work antisocial hours

Other Job Requirements

Essential

• An understanding of the current NHS environment, particularly in relation to reforms, initiatives and issues
• Full registration with an appropriate Professional Body by the time of appointment
• Own/access to transport and ability to travel across hospital sites
• Standard Clauses
• A Disclosures and Barring Service check will be carried out where the position is eligible for a Disclosures and Barring Service Check in accordance with the 2012 Protection of Freedom Act and the guidance issued by the DBS.
• All posts working with children or vulnerable adults are required to have an Enhanced DBS checked including checking against DBS / ISA Vetting and barring lists

Improving Diversity and Inclusive Recruitment

Essential

• As part of the Trust's aim to improve diversity across the Trust, positive action is being taken and all applications for this post from BAME, Disabled and LGBT+ candidates can request to be considered under an expanded Guaranteed Interview Scheme if they meet the minimum criteria as specified in the person specification for this role. Here you can declare if you wish to be considered under this expanded Guaranteed Interview Scheme and this response would be visible to the Shortlisting Panel.

Experience

Essential

• At least 2 years experience as an MSc Advanced Practitioner
• Ability to manage differentiated and undifferentiated clinical presentations in all areas
• Knowledge to request and interpret appropriate investigations within accepted policies and practice
• Experience in managing and developing other healthcare professionals
• Team leadership experience and awareness of human factors that can affect performance
• Experience of change/project management

Desirable

• Experience in telemedicine
• Experience of working across boundaries of acute and community-based care

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).