Job summary
Are you wanting to develop your autonomy as an Advanced Clinical Practitioner?
We are a growing multidisciplinary service managing the advanced practice within Urgent Community Response, Community Virtual Ward and Community Inpatient Units across Norfolk and Waveney.
Our ACP workforce are from a variety of disciplines including nursing, paramedic and physiotherapy with backgrounds in primary, secondary and tertiary care covering a multitude of specialties.
This is an ACP led model which provides additional clinical and technology enabled support to a complex caseload of patients in their own homes and within a community inpatient setting, who would otherwise be admitted to an acute hospital, or supporting patients being discharged.
You will make initial and follow up assessments of patients both in stable and unstable phases of their disease. Implementation of diagnostic skills including full history, appropriate clinical examination and request of investigations where required.
You will contribute to developing and progressing the care provided by relevant services by looking at alternative ways of delivering care, alternative pathways for patients and developing the ACP model to provide the care required by the Norfolk & Waveney population and the ICS.
We would welcome NMC Registrants residing across Norfolk and Waveney as many of our services are replicated across the sector.
Main duties of the job
Main Duties & Responsibilities
Clinical
In order to work at this level, professional requirements for advanced practice must be met.
1) The ACP will lead and maintain a culture which is open to change, new ideas, concepts and innovation.
2) Act as an advanced practitioner, demonstrating advanced clinical competence and a knowledge base beyond those associated with conventional healthcare role.
3) Undertake comprehensive clinical consultations with patients as an autonomous practitioner using their own clinical judgement to diagnose, treat, refer and/or discharge patients.
4) Make direct referrals to primary, secondary and social referrals within locally agreed pathways, guidance and protocols.
5) Ensure that patients receive high quality clinical care, delivered in a timely manner.
6) Prescribe, supply and administer medicines as indicated to address patient needs in accordance with own practice or within PGD's. Use handwritten or electronic prescribing as appropriate.
7) Ensure accurate and complete documentation of each and every patient contact.
8) Work as part of a multi-disciplinary and multi-agency team in order to ensure patients' needs are met.
9) Utilise critical thinking and problem-solving skills including critical reflection.
About us
Norfolk Community Health & Care and East Coast Community Healthcare are delighted to have collaborated to create a system-wide community of Advanced Practitioners across the whole of Norfolk and Waveney.
The community of ACPs will need to be confident and competent to cover Community Hospitals, Community Admission Avoidance (as part of the wider Urgent Care Response working with the Ambulance service) and the new and evolving service of Virtual Ward.
Geographically these areas will be -
Great Yarmouth & Waveney - Community AA and VW
South Norfolk Inpatient services - Dereham Hospital/Ogden Court (wymondham)
South Norfolk - Community AA and VW
Norwich Inpatient services - Community Hospital
Norwich - Community AA and VW
North Norfolk Inpatient services - North Walsham Hospital/Kelling Hospital
North Norfolk - Community AA and VW
West Norfolk Inpatient services - Swaffham Hospital
West Norfolk - Community AA and VW
We will try to support preferences as much as possible in terms of both geography and the service that individuals predominantly cover, or support rotation if that is preferred, but all ACPs must be able to cover all areas on occasion for purposes of service resilience.
NCH&C is proud to be the first standalone NHS community trust in the UK to achieve an 'Outstanding' rating from the Care Quality Commission (CQC).
Job description
Job responsibilities
Clinical
1) Join our Advanced Clinical Practitioners (ACPs) services covering Admission Avoidance in the community and Inpatient Units. Support patients across Norfolk & Waveney alongside Place based teams in North Norfolk, Norwich, South Norfolk, West Norfolk and Great Yarmouth & Waveney.
2) Challenging conversations, decision making and risk management. Community Admission Avoidance works with the Ambulance Trust (EEAST), GPs, community teams and inpatient to prevent unnecessary admissions to acute hospitals. Assess patients at home providing both medical and supportive care.
3) We invite applications for full time or part time posts, flexible working and shift patterns are offered and we consider trainee opportunities.
4) Trainee posts will be Band 7 and negotiated based upon learning needs, post holder will need to complete a masters pathway and personalised training before attaining an 8a ACP position.
6) We try to keep travel to a minimum, occasionally services need support, requiring travel to ensure patient safety.
7) Competence will develop through rotation in services, opportunity for individuals to choose to further rotate or be based somewhere will come with experience.
For a complete Job Description and Main Responsibilities please see attached.
Job description
Job responsibilities
Clinical
1) Join our Advanced Clinical Practitioners (ACPs) services covering Admission Avoidance in the community and Inpatient Units. Support patients across Norfolk & Waveney alongside Place based teams in North Norfolk, Norwich, South Norfolk, West Norfolk and Great Yarmouth & Waveney.
2) Challenging conversations, decision making and risk management. Community Admission Avoidance works with the Ambulance Trust (EEAST), GPs, community teams and inpatient to prevent unnecessary admissions to acute hospitals. Assess patients at home providing both medical and supportive care.
3) We invite applications for full time or part time posts, flexible working and shift patterns are offered and we consider trainee opportunities.
4) Trainee posts will be Band 7 and negotiated based upon learning needs, post holder will need to complete a masters pathway and personalised training before attaining an 8a ACP position.
6) We try to keep travel to a minimum, occasionally services need support, requiring travel to ensure patient safety.
7) Competence will develop through rotation in services, opportunity for individuals to choose to further rotate or be based somewhere will come with experience.
For a complete Job Description and Main Responsibilities please see attached.
Person Specification
Qualifications
Essential
- Registered First Level Nurse/Therapist/Pharmacist/Paramedic
- Degree in Healthcare
- Master's in advanced practice (or working towards)
- Enhanced Clinical Assessment at L7 or working towards Independent prescriber (or working towards)
- Independent prescriber (or working towards)
Desirable
- Long term conditions qualification Mentoring/leadership qualification
Experience
Essential
- Significant years post Registration experience in a variety of settings
- Experience of working to protocols and guidelines
- Evidence of on-going personal and professional development
- Previous experience of developing clinical guidelines and clinical care pathways
- Experience of clinical audit
- Evidence of successful management of change
Desirable
- Previous experience in an ACP role
Skills, ability and knowledge
Essential
- Ability to work autonomously and manage own workload
- Management of patients with complex needs
- Clinical examination skills
- Accountability of own role and other roles in an ACP-led service
- Management and Leadership skills / effective change agent
- Evidence of advanced clinical practice
- Awareness of the need to focus on continuous quality improvement
- Able and willing to use Information Technology systems
Communication
Essential
- Excellent written and Verbal communication skills using the English language
- Ability to communicate with patients and families with regard to diagnosis, treatment and care planning
- Negotiation and conflict management skills
Personal and People Development
Essential
- Teaching and mentoring skills
Personal Attributes/Behaviours
Essential
- Awareness and understanding of the NHS issues relevant to advanced clinical practice
- Understanding of the Clinical Governance Framework
- Aware of the political and organisational drivers that impact on the service
Other
Essential
- Must hold full and valid driving license and have access to a vehicle
- Willingness and flexibility to travel
- Ability to be creative innovative and adaptable
- Organised and motivated
- Positive role model
- Flexibility to work evenings and weekends in order to meet service needs
- Required to rotate through Community Units, Admission Avoidance and Virtual Ward services
Person Specification
Qualifications
Essential
- Registered First Level Nurse/Therapist/Pharmacist/Paramedic
- Degree in Healthcare
- Master's in advanced practice (or working towards)
- Enhanced Clinical Assessment at L7 or working towards Independent prescriber (or working towards)
- Independent prescriber (or working towards)
Desirable
- Long term conditions qualification Mentoring/leadership qualification
Experience
Essential
- Significant years post Registration experience in a variety of settings
- Experience of working to protocols and guidelines
- Evidence of on-going personal and professional development
- Previous experience of developing clinical guidelines and clinical care pathways
- Experience of clinical audit
- Evidence of successful management of change
Desirable
- Previous experience in an ACP role
Skills, ability and knowledge
Essential
- Ability to work autonomously and manage own workload
- Management of patients with complex needs
- Clinical examination skills
- Accountability of own role and other roles in an ACP-led service
- Management and Leadership skills / effective change agent
- Evidence of advanced clinical practice
- Awareness of the need to focus on continuous quality improvement
- Able and willing to use Information Technology systems
Communication
Essential
- Excellent written and Verbal communication skills using the English language
- Ability to communicate with patients and families with regard to diagnosis, treatment and care planning
- Negotiation and conflict management skills
Personal and People Development
Essential
- Teaching and mentoring skills
Personal Attributes/Behaviours
Essential
- Awareness and understanding of the NHS issues relevant to advanced clinical practice
- Understanding of the Clinical Governance Framework
- Aware of the political and organisational drivers that impact on the service
Other
Essential
- Must hold full and valid driving license and have access to a vehicle
- Willingness and flexibility to travel
- Ability to be creative innovative and adaptable
- Organised and motivated
- Positive role model
- Flexibility to work evenings and weekends in order to meet service needs
- Required to rotate through Community Units, Admission Avoidance and Virtual Ward services
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).
