Lead Advanced Clinical Practitioner - Acute Care Team

East Lancashire Hospitals NHS Trust
£58,972 to £68,525 a year per annum
Closing date
8 Jun 2023

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Other Health Profession
Band 8B
Contract Type
Full Time
Job summary

There is an exciting opportunity to recruit a Lead Advanced Clinical Practitioner for the Acute Care Team. This is a temporary post, covering a secondment, which is to provide outstanding leadership and managerial support for the Acute Care Team, which has a combination of Advanced Practitioners, Clinical Practitioners and Healthcare assistants

The post holder will support the Consultant Nurse in delivering the Acute Care Team operational framework supporting evidence based care that is well led, safe, effective and caring whilst having direct oversight and accountability of the team.

We are looking for someone who has energy, drive and resilience with a clear desire to lead a team and develop the service further. It is a busy and challenging role with multiple competing demands, which requires someone who can manage their own workload, whilst having a clear vision of the development of the department and workforce. Excellent team working skills, along with good negation skills is required, with an ability to support, encourage and motivate others.

You will be supported by the Consultant Nurse with monthly 1-1s to enable progression of team and service development.

Main duties of the job

  • Provide leadership and managerial support for the Acute Care Team Advanced and clinical practitioner team.
  • Support the Consultant Nurse with the objectives of continuous service development and strategic framework.
  • Attend and actively take part in divisional and organisational forums, supporting new and existing initiatives.
  • Provide highly specialised acute and responsive care and leadership within the hospital setting, using advanced clinical knowledge that is evidence based, acting as a role model to colleagues.
  • Provide expert advice and to ensure the needs of the patient are met by leading, challenging and changing practice within the clinical setting.
  • Work closely with the Critical Care Medical Teams to support outstanding, evidence-based care delivery.
  • To provide the infrastructure that addresses the knowledge and skills deficits of the Advanced clinical practitioner team, including a clear strategic framework of how the pillars of advanced practice will be met and maintained.
  • Support the Implementation of national guidelines or evidence-based practice to improve patient care. Addresses clinical governance issues promptly.
  • To undertake clinical audit and research
  • Lead change as required and ensure resolution of conflict.
  • Undertake quality improvement projects to support service development.

About us

The Acute Care Team has a great team, who work under some really challenging times with increased demand for service, and increased pressures for capacity. The team is multi-disciplinary, where everyone wants to make a difference to patients and our colleagues. We are committed as a team to provide a working environment that is supportive, responsive and realistic with the pressures we face.

Job description

Job responsibilities

  • Working as an Advanced Clinical Practitioner making independent clinical judgements/decisions based on patients clinical need
  • Undertake independent comprehensive assessment and management of patients to incorporate physiological, psychological and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes, including discharging patients from the service when treatment is complete/optimum outcome is achieved
  • Demonstrate a high level of competence in clinical, diagnostic and examination skills
  • To have a/experience of a teaching qualification for all staff, in particular with the advanced clinical practice framework of mentoring.
  • Act as a facilitator, resource and model to nursing and medical staff, and professions allied to medicine
  • Undertake research and service development
  • Monitor and evaluate the role of the Advanced Clinical Practitioner in liaison with Consultant Nurse and Critical Care Clinical Director, and demonstrate and respond to changing needs
  • Keep up to date with developments in the role of the Advanced Clinical Practitioner through personal professional development, in service training and education, professional conferences, courses and seminars as appropriate
  • Possesses excellent leadership skills and be able to direct members of wider multidisciplinary team as appropriate.
  • Undertakes direct line manager responsibilities for the ACPs within the Emergency Directorate.
  • Provides leadership and educational support for the Acute Care Team
  • Provides clinical and leadership support for the junior medical teams, across the 24 hour period.
  • Maintain high professional standards of care and expertise.
  • Develops and supports protocols of care for patients in conjunctions with other members of the multidisciplinary team.
  • Involvement in clinical governance within the Directorate.
  • Maintain and extend professional knowledge and skills to keep up to date with current trends and practices
  • Be proactive in the accessing of inter-professional clinical supervision
  • Be involved in relevant professional groups to ensure up to date knowledge of role development
  • Acquire new skills and apply to practice
  • To adhere to professional Code of Professional Conduct at all times
  • Challenge professional/organisational boundaries with a view to improving care/health outcomes
  • Ensure effective use of physical and financial resources
  • Use physical and financial resources and technology effectively and in the best interests of the patient.
  • Participate in the development of care pathways, protocols and clinical guidelines
  • Ongoing review and development of existing protocols relating to specialist nursing roles within the directorate
  • Liaise with appropriate departments within the Trust regarding the modification of traditional role boundaries, with a view to facilitating the ongoing development of the Advanced Practitioner role
  • Develop standards by which the ongoing development of the Advanced Practitioner role can be monitored
  • Acting as a role model to others wishing to develop professional roles and providing appropriate information and support

Personal Responsibilities:
  • Apply a flexible approach to the role of which necessary changes to the job content may be expected to evolve.
  • Highlights incidents, potential complaints and takes appropriate action to ensure the risk of further occurrence is minimised and the episode brought to a prompt conclusion.

  • Management of patients to incorporate physiological, psychological and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes, including discharging patients from the service when treatment is complete/optimum outcome is achieved
  • Independently adjust treatment plans according to need assessing appropriate management options, and initiate treatment or referral to an appropriate professional where necessary
  • Request haematological and radiological investigations appropriately, independently interpreting and acting upon the results of these investigations and adjusting the patients management plan accordingly
  • Request therapeutic procedures/interventions and evaluate the outcome of these interventions
  • Assess and manage patients with complex problems, making independent referrals to medical teams and other practitioners both within and outside the specific directorate.
  • Provide/facilitate interventions which are evidence based and individualised to the patients needs
  • Demonstrate the ability to make sound decisions regarding patient management in the absence of specific protocols
  • Promote clinical awareness of the need for constant review and development of professional practice
  • Take action where unsatisfactory practice is identified
  • Secure agreed changes or development in practice.
  • To complete and update ALS+APLS.

Audit/Quality Improvement and Research:
  • Continually evaluate/audit ones own practice and that of others.
  • Initiate appropriate and relevant research and evaluate the findings in the context of service development..
  • Ensure that where possible, clinical practice is based upon available research evidence and that such evidence is disseminated to other staff to enable them to use this information in their work and improve health outcomes.
  • Seek out new knowledge by reading, enquiring and partaking of continuous education. Evaluate information gained and make appropriate judgements regarding its appropriateness for integration into practice.
  • Seek to develop new skills and develop role in accordance with changing scenarios.
  • Monitor the effectiveness of current treatments and interventions with a view to improving outcomes.
  • Apply validated research findings to Clinical Practice.
  • Add to wider knowledge pool with published works in peer-reviewed journals.
  • Present at national and international conferences.
  • Have clear monitoring mechanisms of all the ACP lead projects/research being undertaken.

  • Act as a senior nurse/practitioner in terms of advice on education provision thereby ensuring provision remains contemporary and models best practice.
  • Complete and oversee a training matrix and training needs analysis for the Advanced clinical practitioner team and works collaboratively with education and training providers to develop evidenced based programmes to address acute care knowledge and skills deficits.
  • Takes responsibility with colleagues for the teaching of qualified and unqualified staff in the provision of acute skills both on a formal and informal basis ensuring periodic review and updating.
  • Identifies minimum standards of competency for practice, education and training of practitioners, and supports the acquisition of the required skill level.
  • Encourages reflective practice and utilises opportunities to engage in clinical supervision.
  • Identifies and pursues own educational and professional development ensuring that he/she remains professionally up to date and competent in practice.
  • Communicate effectively with patients and their families and assess needs and provide relevant support, information, education, advice and counselling where and when necessary
  • Seek opportunities to publicise and promote the role of the Advanced Practitioner and disseminate information regarding the development of practice
  • Act as a resource for information and supervision within the clinical setting for junior staff.
  • Facilitate the sharing of information and the development of knowledge amongst nursing and non nursing staff
  • Facilitate the development of collaboration with other practitioners
  • Teach students, qualified and unqualified staff, medical staff and other professionals by example, demonstration, explanation and evaluation
  • Ensure the learning/training needs of individual ACPs within the team are met as determined by annual appraisal and initial skills appraisal
  • Develop and deliver training and education to support the development of good practice.
  • Identify own learning needs/development needs and appropriate approaches by which these needs can be addressed and undertake lifelong learning by maintaining personal development and knowledge
  • Establish and develop links with appropriate teaching/training establishments and contribute to training delivery where appropriate
  • Communicate effectively with a wide range of people in a manner consistent with their level of understanding, culture and background and preferred ways of understanding
  • Ensure communication and working relationships are effective and underpin staff involvement in all complexities and levels of decision making.
  • Provides complex information to the Trust, locally and nationally when explaining strategy and organisational decisions where negotiation and persuasion is necessary.
  • Provides and receives highly complex information and anticipates barriers to communication, whilst recognising factors that may influence the situation and pro-actively seeking out solutions to improve communication

Skills and Knowledge
  • History taking, physical examination and assessment
  • Referral for tests/investigations and formulation of a treatment plan based on interpretation of results
  • Non medical prescriber
  • Clinical examination and diagnostic assessment.
  • Assessment of social/domestic circumstances.
  • Identification of medical risks and referral to appropriate individuals
  • Interpretation of X-rays and other diagnostic investigations
  • Advice and support for patients and carers
  • Liaison with medical staff
  • Liaison with general practitioners
  • Outcome data collection
  • Maintenance of electronic databases
  • Providing information for informed consent
  • Liaison with appropriate members of multidisciplinary tea

Person Specification

ACP Lead

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