Job summary
The Advanced Clinical Practitioner works in all care settings as an autonomous practitioner and clinical leader, providing complete care of patients with undifferentiated needs, ensuring appropriate prioritisation, diagnosis and clinical management, prescribing independently and performing clinical procedures without direct supervision, and supervising and supporting other clinical staff.
We are pleased to invite informal visits to our department.
At the Urgent Treatment Unit (QMC), we work collaboratively to support the Accident and Emergency Department at Queen's Medical Centre. Patients are carefully streamed from the A&E front door to our department, where we triage and review cases based on our established inclusion and exclusion criteria.
Our team has access to a range of specialised services, including Same Day Emergency Care, the Gynaecology Advice Line, the Hyper Acute Neurology Unit, the Surgical Triage Unit, and Acute Medical (AMRA), all of which enable us to effectively manage patient conditions.
We take pride in our departments low staff turnover, which reflects our commitment to creating a supportive and efficient environment, even in a busy setting.
As we continue to expand our services, we are excited to align with NHS England and the Integrated Care Board in developing the Urgent Treatment Centre, operated by NEMS at QMC. This is a thrilling opportunity for both NEMS and our dedicated clinical team!
Main duties of the job
Professional:
Works within the relevant Code of Professional Conduct
Be committed to working flexibly within a dynamic environment, responding positively to the changing needs of the service
Promote and facilitate evidence-based practice
Demonstrates competence and development within the 4 pillars of advanced practice as defined by Health Education England in their Multi-Professional framework for advanced clinical practice in England : Clinical Practice, Leadership & Management, Education, Research
Maintain professional knowledge and practice to meet revalidation requirements
Demonstrate continual professional (CPD) development through organised or self-directed study/learning and participation in clinical supervision
Clinical:
Always practice within own scope of competence, recognising limitations of clinical practice
Assess and prioritise patients clinical needs in accordance with NEMS policies and guidelines
Without supervision undertakes consultations with patients presenting with undifferentiated, undiagnosed problems, practising autonomous skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan
Makes professionally autonomous decisions for which she/he is accountable
About us
NEMS CBS is a high
quality, high performing; not-for-profit organisation which delivers integrated
urgent care and urgent primary care services to over 1 million patients.
Responsive, adaptable and continually evolving, we have a reputation for
delivering locally tailored, safe, effective and cost-efficient services with
high levels of patient satisfaction.
We are committed to
investing in our people and have an established programme of learning and
development, successfully developing our own Urgent Care Practitioners and
Advanced Clinical Practitioners.
NEMS currently operates 3
main services: (1) Integrated Urgent Care across Nottinghamshire serving a
patient population of over 1 million, including home visiting, remote
consultation and clinical assessment services; (2) Urgent Primary care
provision located within the A&E Department at QMC, (3) A 24-hour walk-in
urgent primary care service adjacent to Kings Mill Hospital A&E, Mansfield.
NEMS CBS is a registered
society under the Co-operative and Community Benefit Societies Act 2014.
Core Benefits for the NEMS Workforce
- 25 days of holiday entitlement + bank holidays (pro rata)
- NHS Pension
- Access ongoing continuous professional development
- Compassionate Leave
- Regular clinical supervision
- Flexible working options
- Employee Assistance Programme
- Opportunity to participate in service development and improvement
- Free refreshments
- Eye Care Vouchers
Job description
Job responsibilities
Clinical Responsibilities:
- Assess
and prioritise patients clinical needs in accordance with NEMS policies
and guidelines.
- Without
supervision undertakes consultations with patients presenting with
undifferentiated, undiagnosed problems, practising autonomous skills in
history taking, physical examination, problem-solving and clinical
decision-making, to establish a diagnosis and management plan.
- Makes
professionally autonomous decisions for which she/he is accountable.
- Encourage
patients to carry out self-care where appropriate, supported by direction
to other sources of health and social care information.
- Acts
as a second opinion senior clinical colleague to others within the team.
- Prescribes
independently in a safe and effective manner in accordance with the
appropriate policy and guidance including the current antimicrobial
guidance.
- Directs
others in the clinical team to provide care in a safe effective manner in
accordance with the appropriate policy and guidance.
- Liaise
directly with GPs and consultants regarding medicines outside of the
individuals normal sphere of competence and medicine-related uncertainties.
- Provide
advice and support to other clinical staff.
- Liaise
and communicate clinical information verbally and via technical links with
NEMS and health system partners to ensure continuity of care for the patient.
- Maintain
accurate, contemporaneous record keeping of all interventions with
patients, fully utilising computer software systems in place and/or other
mediums.
- Maintain
confidentiality at all times in accordance with legislative and policy
requirements.
- Act
as the patients advocate when required to.
- Participate
and assist in service evaluation, clinical audit and research as required.
- Participate
in developing and delivering teaching to colleagues within the service.
- Participate
in the investigation of complaints, incidents and accidents.
- Be
aware of the impact your decisions may have upon the patient and their
General Practitioner.
- Liaise
with other professionals to facilitate direct referrals to other health
care providers within the policies of the organisation.
- Participate
in the mentorship of visiting health professionals and students on
recognised training programmes.
- Recognise
and act upon opportunities through consultation to promote public health.
Please see the attached job description / person specification for a more comprehensive description of the role.
Job description
Job responsibilities
Clinical Responsibilities:
- Assess
and prioritise patients clinical needs in accordance with NEMS policies
and guidelines.
- Without
supervision undertakes consultations with patients presenting with
undifferentiated, undiagnosed problems, practising autonomous skills in
history taking, physical examination, problem-solving and clinical
decision-making, to establish a diagnosis and management plan.
- Makes
professionally autonomous decisions for which she/he is accountable.
- Encourage
patients to carry out self-care where appropriate, supported by direction
to other sources of health and social care information.
- Acts
as a second opinion senior clinical colleague to others within the team.
- Prescribes
independently in a safe and effective manner in accordance with the
appropriate policy and guidance including the current antimicrobial
guidance.
- Directs
others in the clinical team to provide care in a safe effective manner in
accordance with the appropriate policy and guidance.
- Liaise
directly with GPs and consultants regarding medicines outside of the
individuals normal sphere of competence and medicine-related uncertainties.
- Provide
advice and support to other clinical staff.
- Liaise
and communicate clinical information verbally and via technical links with
NEMS and health system partners to ensure continuity of care for the patient.
- Maintain
accurate, contemporaneous record keeping of all interventions with
patients, fully utilising computer software systems in place and/or other
mediums.
- Maintain
confidentiality at all times in accordance with legislative and policy
requirements.
- Act
as the patients advocate when required to.
- Participate
and assist in service evaluation, clinical audit and research as required.
- Participate
in developing and delivering teaching to colleagues within the service.
- Participate
in the investigation of complaints, incidents and accidents.
- Be
aware of the impact your decisions may have upon the patient and their
General Practitioner.
- Liaise
with other professionals to facilitate direct referrals to other health
care providers within the policies of the organisation.
- Participate
in the mentorship of visiting health professionals and students on
recognised training programmes.
- Recognise
and act upon opportunities through consultation to promote public health.
Please see the attached job description / person specification for a more comprehensive description of the role.
Person Specification
Qualifications
Essential
- Registered Healthcare Professional. Masters level qualification in Advanced Clinical Practice to include non-medical prescribing.
Desirable
- Masters level qualification in relevant continuous professional development.
Experience
Essential
- Supervising clinical colleagues. Leading quality improvement. Delivering against competing priorities and deadlines while also directing the work of teams/individuals. Working in a diverse and complex organisation.
Person Specification
Qualifications
Essential
- Registered Healthcare Professional. Masters level qualification in Advanced Clinical Practice to include non-medical prescribing.
Desirable
- Masters level qualification in relevant continuous professional development.
Experience
Essential
- Supervising clinical colleagues. Leading quality improvement. Delivering against competing priorities and deadlines while also directing the work of teams/individuals. Working in a diverse and complex organisation.
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
