Job summary
An exciting opportunity has arisen to join the Community Occupational Therapy and Physiotherapy service, for an Apprentice Advanced Clinical Practitioner. The Apprentice Advanced Clinical Practitioner role is a 24 month training programme which the post holder will study at post-graduate level to gain a master's degree in Advanced Clinical Practice at an approved Higher Education Institute (HEI).
In order to achieve qualification as an ACP, you must successfully achieve the completion of an end-point assessment.
The successful applicant will be able to demonstrate their commitment and experience in the four pillars of Advanced Clinical Practice: Clinical skills, Leadership & Management, Research, and Education. Key to the role will be the development of a clinical strategy for the role of the ACP within community for the management of long term conditions and frailty, with a focus on the patient journey across the health and social care system.
The post will remain at band 7 until the completion of the ACP qualification when it will transition to band 8a.
A commitment to undertake the academic programme through course attendance at UCLan and the requisite additional study is essential. This post is full time.
If you are already qualified as an ACP we would love to hear from you
The working hours are 37.5 hours per week which are worked over 7 days between the hours of 08:00am until 6.00pm.
Main duties of the job
To act as an Advanced Clinical Practitioner for Community Occupational Therapy and Physiotherapy with responsibility for advancing evidence-based clinical practice in this speciality, particularly across the multi-disciplinary team within community.
To exercise advanced clinical expertise, levels of judgement, discretion and decision making in clinical care demonstrated through the advanced competency framework provided through the MSc programme and under the four pillars of Advanced Clinical Practice: Clinical skills, Leadership & Management, Research, and Education. This will be done in collaboration with AHP, medical and nursing colleagues
Provide specialist clinical expertise (both within own professional clinical discipline and across the multidisciplinary therapy team), making evidence-based decisions with the patient about their rehabilitation and management of their long-term conditions including frailty. Practitioners will use their clinical-reasoning skills to undertake an assessment of the presenting problem, interpret findings, develop working and differential diagnoses, and formulate, communicate and implement management plans that take account of individuals' needs, goals and wishes, local service availability and relevant local, ICS and national guidelines and policies.
About us
At East Lancashire Hospitals Trust, our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 600,000 people across East Lancashire and the surrounding area. We employ over 7,000 staff, many of whom are internationally renowned and have won awards for their work.
Job description
Job responsibilities
- Enable individuals to make decisions about their care using the principles of shared decision making:
- helping them to identify the priorities and outcomes that are important to them
- explaining in non-technical language all available options (including doing nothing)
- exploring with them the risks, benefits and consequences of each available option
- supporting them to decide on their preferred way forward.
- Deliver and promote programmes of supported patient self-management, in ways that facilitate behavioural change, optimise individuals' rehabilitation and fulfilment of personal goals and independence relevant to their long-term condition including Frailty.
- Provide clinical and strategic leadership within the multidisciplinary team, working with the operational manager and wider leadership team, with responsibility for quality, training and clinical governance and research agendas.
- Monitor and lead improvements to standards of care through, supervision of practice, clinical audit, evidence-based practice, teaching and supporting professional colleagues and the provision of skilled professional leadership
- Lead on the development , delivery of an education programme for AHP, nursing and medical colleagues across primary and secondary care staff and partner organisations focusing on the assessment and management and rehabilitation following long term conditions including Frailty.
EXPERT CLINICAL PRACTICE:
- Be a clinical leader in the multidisciplinary delivery of long-term conditions management and rehabilitation in the community, demonstrating advanced, expert knowledge and skills in interventions with patients and carers.
- Takes professional responsibility demonstrating high-level decision-making and clinical-reasoning skills in the assessment and rehabilitation of patients within relevant clinical speciality both within own professional scope of practice and the holistic MDT.
- Manages a complex caseload (long term conditions including frailty) .
- Request appropriate investigations based on their level of competence and interpret the findings to facilitate diagnosis and management plans of patients.
- To receive referrals from and make referrals to healthcare professionals review the patient and act, accordingly, thereby reducing length of time patients wait for intervention.
- According to current legislation to undertake independent prescribing and make appropriate use of the administration of medication using Patient Group Directions where required and within scope of practice.
- Advise, initiate, evaluate and modify a range of interventions, which may include self-management and lifestyle advice, specialist therapies, social and independent prescribing.
- Use interactions as an opportunity to educate and encourage changes in behaviour that can have a positive impact on the health and wellbeing of individuals, communities and populations applying the principles of MECC.
- Record the information gathered through taking individuals history concisely and accurately for clinical management, and in compliance with local protocols, legal and professional requirements.
- Be accountable for their own decisions and actions and the outcomes of their interventions via appropriate professional body, supported by a professional culture of peer networking/review, reflective practice and engagement in evidence-based practice.
COMMUNICATION AND KEY WORKING RELATIONSHIPS:
- Demonstrate effective person-centred communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using a person-centred approach.
- Adapt how they engage with others (including those with communication, cognitive and sensory impairments) through using different verbal and non-verbal communication styles, and in ways that are responsive to individuals communication and language needs and preferences. Conveying information and discussing issues in ways that avoid jargon, negative descriptors and assumptions.
- Ability to communicate complex clinical information both written and verbal, in an easily understood form, to patients, carers, and all members of the multi-disciplinary team.
- Ability to deal with difficult or distressed patients and carers, conveying difficult and sometimes unwelcome information relating to clinical issues.
- Demonstrate team leadership, providing clinical and emotional support for staff working in high flow and demanding environments.
- 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.
- Advise on local non-clinical services that individuals and their carers may benefit from accessing to help manage a long-term condition and their impact, including those relating to employment, voluntary activities, counselling services and leisure facilities.
- Make appropriate referrals using appropriate documentation to other health and care professionals and agencies when this is in individuals best interests.
- Respect and draw on colleagues knowledge and expertise within the multi-disciplinary team and across the long-term conditions and frailty and other relevant pathways. Communicating with colleagues in ways that build and sustain relationships, seeking, gathering and sharing information appropriately, efficiently and effectively to expedite and integrate individuals care.
- Participate as an effective team member and understand the importance of effective team dynamics. Contributing effectively to multi-disciplinary team activity (including service delivery processes and learning and development).
- Facilitate collaboration and close working relationships with all services engaged in delivery of long-term conditions and other relevant pathways.
LEADERSHIP AND MANAGEMENT:
- Develop and implement robust governance systems based on an understanding of the level of practice required to deliver the service and assure safe quality standards of practice for service users.
- Ensure that practice is carried out in accordance with professional rules of conduct, professional standards, departmental and Trust policies, national policies and guidelines and statute.
- Lead new practice and service redesign solutions in response to feedback, evaluation and need.
- Act as a clinical role model, educator, coach and mentor seeking to instil and develop the confidence of the workforce.
- Develop and initiate systems to collect feedback and involvement from individuals, families, carers, communities and colleagues to assure and improve the quality of care and service delivery.
- Work with the operational manager on the monitoring of complaints, incidents, and patient/service user outcomes and feedback.
- Demonstrate receptiveness to challenge and preparedness to constructively challenge others, dealing with concerns that affect individual patients, colleagues and overall service safety and quality.
- To lead the development of relevant policies and clinical protocols in community and therapies and be responsible for policy implementation and service development.
- Negotiate a personal and individual scope of practice for staff to operate within legal, ethical, professional and organisational policies, governance and procedures, with a focus on managing risk and upholding safety.
- Demonstrates an awareness of their own limitations and through this, recognise the parameters of their scope of practice.
- Represent the Community integrated OT /Physiotherapy service on relevant committees and meetings, as a lead clinician, provide input in relation to specialist issues and clinical matters as required at a local and regional level.
- Provide annual individual performance review for staff to critically assess and address learning needs, negotiating a personal development plan that reflects the breadth of ongoing professional development necessary for the role.
- Act as an advocate for and contribute to a culture of organisational learning to inspire and develop future and existing staff.
EDUCATION, LEARNING AND DEVELOPMENT:
- Lead on the development and delivery of an education programme for all staff working with people with long term conditions and frailty in primary and secondary care and the third sector to improve the rehabilitation offer and understanding of conditions.
- Develop a strategy for training of the AHP workforce within community to develop the knowledge and skills necessary for succession planning, creating a sustainable workforce within the organisation.
- Provide professional clinical leadership through actively engaging in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.
- To maintain own continuing professional development (CPD) by engaging in self-directed learning, using a process of critical reflection to identify learning needs to maximise clinical skills and knowledge.
- Maintain a portfolio of evidence or work-based learning showing how you meet all the required capabilities for working in this role e.g. completion of NHSE e learning modules.
- Take a lead role in implementing a competency and capability framework, inspiring the wider team to develop competencies and capabilities through provision of work-based and inter-professional learning opportunities.
- As a clinical leader and educator, designs, develops and delivers programmes of specialised learning in line with evidence-based practice to peers, junior staff and the wider MDT.
Job description
Job responsibilities
- Enable individuals to make decisions about their care using the principles of shared decision making:
- helping them to identify the priorities and outcomes that are important to them
- explaining in non-technical language all available options (including doing nothing)
- exploring with them the risks, benefits and consequences of each available option
- supporting them to decide on their preferred way forward.
- Deliver and promote programmes of supported patient self-management, in ways that facilitate behavioural change, optimise individuals' rehabilitation and fulfilment of personal goals and independence relevant to their long-term condition including Frailty.
- Provide clinical and strategic leadership within the multidisciplinary team, working with the operational manager and wider leadership team, with responsibility for quality, training and clinical governance and research agendas.
- Monitor and lead improvements to standards of care through, supervision of practice, clinical audit, evidence-based practice, teaching and supporting professional colleagues and the provision of skilled professional leadership
- Lead on the development , delivery of an education programme for AHP, nursing and medical colleagues across primary and secondary care staff and partner organisations focusing on the assessment and management and rehabilitation following long term conditions including Frailty.
EXPERT CLINICAL PRACTICE:
- Be a clinical leader in the multidisciplinary delivery of long-term conditions management and rehabilitation in the community, demonstrating advanced, expert knowledge and skills in interventions with patients and carers.
- Takes professional responsibility demonstrating high-level decision-making and clinical-reasoning skills in the assessment and rehabilitation of patients within relevant clinical speciality both within own professional scope of practice and the holistic MDT.
- Manages a complex caseload (long term conditions including frailty) .
- Request appropriate investigations based on their level of competence and interpret the findings to facilitate diagnosis and management plans of patients.
- To receive referrals from and make referrals to healthcare professionals review the patient and act, accordingly, thereby reducing length of time patients wait for intervention.
- According to current legislation to undertake independent prescribing and make appropriate use of the administration of medication using Patient Group Directions where required and within scope of practice.
- Advise, initiate, evaluate and modify a range of interventions, which may include self-management and lifestyle advice, specialist therapies, social and independent prescribing.
- Use interactions as an opportunity to educate and encourage changes in behaviour that can have a positive impact on the health and wellbeing of individuals, communities and populations applying the principles of MECC.
- Record the information gathered through taking individuals history concisely and accurately for clinical management, and in compliance with local protocols, legal and professional requirements.
- Be accountable for their own decisions and actions and the outcomes of their interventions via appropriate professional body, supported by a professional culture of peer networking/review, reflective practice and engagement in evidence-based practice.
COMMUNICATION AND KEY WORKING RELATIONSHIPS:
- Demonstrate effective person-centred communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using a person-centred approach.
- Adapt how they engage with others (including those with communication, cognitive and sensory impairments) through using different verbal and non-verbal communication styles, and in ways that are responsive to individuals communication and language needs and preferences. Conveying information and discussing issues in ways that avoid jargon, negative descriptors and assumptions.
- Ability to communicate complex clinical information both written and verbal, in an easily understood form, to patients, carers, and all members of the multi-disciplinary team.
- Ability to deal with difficult or distressed patients and carers, conveying difficult and sometimes unwelcome information relating to clinical issues.
- Demonstrate team leadership, providing clinical and emotional support for staff working in high flow and demanding environments.
- 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.
- Advise on local non-clinical services that individuals and their carers may benefit from accessing to help manage a long-term condition and their impact, including those relating to employment, voluntary activities, counselling services and leisure facilities.
- Make appropriate referrals using appropriate documentation to other health and care professionals and agencies when this is in individuals best interests.
- Respect and draw on colleagues knowledge and expertise within the multi-disciplinary team and across the long-term conditions and frailty and other relevant pathways. Communicating with colleagues in ways that build and sustain relationships, seeking, gathering and sharing information appropriately, efficiently and effectively to expedite and integrate individuals care.
- Participate as an effective team member and understand the importance of effective team dynamics. Contributing effectively to multi-disciplinary team activity (including service delivery processes and learning and development).
- Facilitate collaboration and close working relationships with all services engaged in delivery of long-term conditions and other relevant pathways.
LEADERSHIP AND MANAGEMENT:
- Develop and implement robust governance systems based on an understanding of the level of practice required to deliver the service and assure safe quality standards of practice for service users.
- Ensure that practice is carried out in accordance with professional rules of conduct, professional standards, departmental and Trust policies, national policies and guidelines and statute.
- Lead new practice and service redesign solutions in response to feedback, evaluation and need.
- Act as a clinical role model, educator, coach and mentor seeking to instil and develop the confidence of the workforce.
- Develop and initiate systems to collect feedback and involvement from individuals, families, carers, communities and colleagues to assure and improve the quality of care and service delivery.
- Work with the operational manager on the monitoring of complaints, incidents, and patient/service user outcomes and feedback.
- Demonstrate receptiveness to challenge and preparedness to constructively challenge others, dealing with concerns that affect individual patients, colleagues and overall service safety and quality.
- To lead the development of relevant policies and clinical protocols in community and therapies and be responsible for policy implementation and service development.
- Negotiate a personal and individual scope of practice for staff to operate within legal, ethical, professional and organisational policies, governance and procedures, with a focus on managing risk and upholding safety.
- Demonstrates an awareness of their own limitations and through this, recognise the parameters of their scope of practice.
- Represent the Community integrated OT /Physiotherapy service on relevant committees and meetings, as a lead clinician, provide input in relation to specialist issues and clinical matters as required at a local and regional level.
- Provide annual individual performance review for staff to critically assess and address learning needs, negotiating a personal development plan that reflects the breadth of ongoing professional development necessary for the role.
- Act as an advocate for and contribute to a culture of organisational learning to inspire and develop future and existing staff.
EDUCATION, LEARNING AND DEVELOPMENT:
- Lead on the development and delivery of an education programme for all staff working with people with long term conditions and frailty in primary and secondary care and the third sector to improve the rehabilitation offer and understanding of conditions.
- Develop a strategy for training of the AHP workforce within community to develop the knowledge and skills necessary for succession planning, creating a sustainable workforce within the organisation.
- Provide professional clinical leadership through actively engaging in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.
- To maintain own continuing professional development (CPD) by engaging in self-directed learning, using a process of critical reflection to identify learning needs to maximise clinical skills and knowledge.
- Maintain a portfolio of evidence or work-based learning showing how you meet all the required capabilities for working in this role e.g. completion of NHSE e learning modules.
- Take a lead role in implementing a competency and capability framework, inspiring the wider team to develop competencies and capabilities through provision of work-based and inter-professional learning opportunities.
- As a clinical leader and educator, designs, develops and delivers programmes of specialised learning in line with evidence-based practice to peers, junior staff and the wider MDT.
Person Specification
Qualifications
Essential
- Post Graduate Qualification in specific specialty or equivalent experience
- MSc in Advanced Clinical Practice.
- Non-medical prescribing V300 or working towards
Experience
Essential
- Evidence of clinical experience at a high level in a range of clinical settings
- Proven experience of working with complex cases
- Evidence of experience working in partnership and collaboration
- Participation in research, audit and evaluation
Work Related Knowledge and Skills
Essential
- Knowledge of chronic disease management
Person Specification
Qualifications
Essential
- Post Graduate Qualification in specific specialty or equivalent experience
- MSc in Advanced Clinical Practice.
- Non-medical prescribing V300 or working towards
Experience
Essential
- Evidence of clinical experience at a high level in a range of clinical settings
- Proven experience of working with complex cases
- Evidence of experience working in partnership and collaboration
- Participation in research, audit and evaluation
Work Related Knowledge and Skills
Essential
- Knowledge of chronic disease management
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).
