NEMS Community Benefit Services Ltd

Advanced Clinical Practitioner, UCCH Lead

The closing date is 16 June 2025

Job summary

The CAS / UCCH is a 24-hour telephone advice service, which incorporates calls from East Midlands Ambulance Service (EMAS) / 111 / Care homes. There is a day service that then follows into the Out of Hours (OOH) period. Some calls that 111 have advised patients to attend ED, transfer onto the NEMS telephone service as an ED disposition call to see if the patient does clinically need to be in ED or can be offered an alternative service such as a Walk-In Centre (WIC), Minor Injury Unit (MIU) Urgent Care Centre (UCC) or own GP service or closing the call with self care advice. The EMAS calls are identified cat 3 and cat 5 calls which meet the agreed NEMS criteria, they are usually primary care calls that the general public have rang 999 instead of 111 or their own GP services. These calls are transferred to NEMS for triage to see what is the best disposition for the patient, this may be closed as self-care, ambulance required, own GP service, ED or a local UCC/WIC /MIU/Urgent Care Response Team (UCR) / District Nurse (DN)

The ACP will carry out clinical telephone consultations providing advice and information in line with policies, procedures, and guidelines, whilst utilising professional judgement and referring to other agencies where appropriate.

Main duties of the job

The ACP will provide clinical support to other clinical staff members during the operating hours of the Clinical Assessment Service, providing senior expertise and a broad knowledge of urgent care experience.

The ACP will utilise their skills through the 4 pillars of advance clinical practice, leadership and management, education and research.

There is an expectation of the ACP to be able to step up in times of service demand, UCCH is forever evolving with additional services so there is an expectation for the ACP to upskill our telephone triage, promote change, be prepared to work across into the OOH period when service demand requires it and to work across site at Platform One and PC24.

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 is committed to the NHS Values (as set out in the NHS Constitution March 2015).

NEMS CBS is a registered society under the Co-operative and Community Benefit Societies Act 2014.

Date posted

27 May 2025

Pay scheme

Other

Salary

£66,537.16 to £73,048.14 a year Depending on Experience

Contract

Permanent

Working pattern

Full-time, Part-time, Job share

Reference number

U9183-25-0039

Job locations

Forward House

Station Street

Nottingham

NG2 3AJ

Kings Mill Hospital

Mansfield Road

Sutton-in-ashfield

Nottinghamshire

NG17 4JL

Job description

Job responsibilities

Main Duties of The Job:

The Expectation of the ACP role in CAS / UCCH is to be a leader, provide expert knowledge, be adaptable to change, to have the ability to upskill / teach / train new and existing telephone staff, audit and to work closely with the Multi-Disciplinary Team (MDT).

Professional:

1. NEMS requires all staff to safeguard children, young people and adults. All staff are required to access the organisational policies, also the Local Safeguarding Children Board and the Local Safeguarding Adults Board policies and procedures that underpin the safeguarding agenda. The safeguarding policies to be followed are found on the Nems Shared Drive.

2. NEMS policies, procedures and guidelines - It is a condition of your employment that as an employee you are expected to adhere to our policies, procedures and guidelines. These can all be found on the NEMS share point

3. Receive and respond to requests for assistance, treatment or care. The requests may be from members of the public, healthcare practitioners or other professionals.

4. Works within the relevant Code of Professional Conduct.

5. Be committed to working flexibly within a dynamic environment, responding positively to the changing needs of the service.

6. Promote and facilitate evidence-based practice.

7. 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.

8. Maintain professional knowledge and practice to meet revalidation requirements.

9. Demonstrate continual professional (CPD) development through organised or self-directed study/learning and participation in clinical supervision.

10. Contribute to the effectiveness of teams, working as part of a multidisciplinary team, assisting new members of staff, and actively contribute to service improvements where appropriate.

11. Recognise and report adverse events, incidents, errors and near misses. 8. Ensure personal fitness for work presenting a positive image of self and the organisation, maintaining professional conduct including appearance.

12. Work flexibly across sites as required by the service, providing cover for sickness, bank holidays, and annual leave of other colleagues.

13. To ensure that high standards of care are given and maintained. To act and raise concerns when standards are not being maintained following local policy and procedures. To be involved in Trust Initiatives to improve patient safety and care.

14. To act as an advocate for the patient and the family, including promoting and protecting their interests, privacy and rights, equality and inclusion.

Clinical:

1. Always practice within own scope of competence, recognising limitations of clinical practice.

2. Undertake telephone clinical assessments of patients healthcare needs and provide clinical advice in accordance with relevant policies and guidance and facilitate onward referral to other professionals if required.

3. Assess and prioritise patients clinical needs in accordance with NEMS policies and guidelines.

4. Makes professionally autonomous decisions for which she/he is accountable.

5. Encourage patients to carry out self-care where appropriate, supported by direction to other sources of health and social care information.

6. To act as a second opinion senior clinical colleague to others within the team.

7. Prescribes independently in a safe and effective manner in accordance with the appropriate policy and guidance including the current antimicrobial guidance.

8. Assists others in the clinical team to provide care in a safe effective manner in accordance with the appropriate policy and guidance.

9. Liaise directly with GPs and consultants regarding medicines outside of the individuals normal sphere of competence and medicine-related uncertainties.

10. Provide advice and support to other clinical staff within own sphere of competence.

11. Liaise and communicate clinical information verbally and via technical links with NEMS and health system partners to ensure continuity of care for the patient.

12. Maintain accurate, contemporaneous record keeping of all interventions with patients, fully utilising computer software systems in place and/or other mediums.

13. Always maintain confidentiality in accordance with legislative and policy requirements.

14. Act as the patients advocate when required to.

15. Participate and assist in service evaluation, clinical audit and research as required.

16. Participate in developing and delivering teaching to colleagues within the service.

17. Undertake safe clinical practice within health and safety guidelines.

18. Work within and be aware of the organisations clinical policies and guidelines.

19. Maintain own awareness of current health policy relevant to practice.

20. Be aware of the impact your decisions may have upon the patient and their General Practitioner.

21. Liaise with other professionals to facilitate direct referrals to other health care providers within the policies of the organisation.

22. Recognise and act upon opportunities through consultation to promote public health.