Job summary

B8a Advanced Practitioner

Early Intervention Team

Permanent

Are you looking for a new challenge and keen to develop a service using advanced practice skills?

The Early Intervention Team (EIT) are looking for an ambitious, multitasker, experienced ACP to work with us in developing our admission prevention service. The role will be working in the community reviewing patients in a crisis working alongside: therapists, nurses, social workers and support workers.

Main duties of the job

The practitioner will be able to provide a holistic medical/ clinical assessment of patients, such as: post non- injury fall, reduced mobility, chest and urine infections, increased confusion and able to diagnose and prescribe to enhance the EIT intervention.

The team are working to develop the Urgent Community Response guidelines and support more admission avoidance work supporting the ambulance service and 111.

The postholder will also develop pathways and clinical links with primary and secondary care colleagues. You will work closely with a number of teams to develop new ways of working.

Full or part- time considered. The ACP service will run 7 days a week 8:30- 21:00.

For more information, please contact Gareth Blissett on 01284 713712 or by email Gareth.blissett@wsh.nhs.uk

About us

#BeKnown at West Suffolk NHS Foundation Trust. By us. By our patients. By our community

Were a busy, friendly, rural NHS Trust providing high-quality care and compassion to more than a quarter of a million people across west Suffolk. We care for, treat and support people in hospital, at home and in various community settings.

The West Suffolk Hospital in Bury St Edmunds provides acute and secondary care services (emergency department, maternity and neonatal services, day surgery unit, eye treatment centre, Macmillan unit and childrens ward). It has 500+ beds and is a partner teaching hospital of the University of Cambridge.

Adult and paediatric community services, provided in collaboration with West Suffolk Alliance partners, include a range of nursing, therapy, specialist, and ongoing temporary care and rehabilitation, some at our Newmarket Community Hospital.

We do our utmost to achieve outstanding clinical outcomes for patients and our values of fairness, inclusivity, respect, safety and team work guide how we work and behave as a team.

With nearly 5,000 staff, from all over the world, we strive to make our organisation a great place to work. Whatever your role or ambition, we want to help you be the best you can be.

We promote a diverse and inclusive community where everyones voice counts and you can #BeKnown for whoever you are.

Join us. What will you #BeKnown for?

Job description

Job responsibilities

Please see the full job description for more detail in supporting information

JOB PURPOSE:

• To practice as an Advanced Clinical Practitioner (ACP) within own sphere of competence and agreed acceptable limits of practice
• Responsible for assessing, diagnosing, interpreting investigations and treating patients within the community.
• To work as part of the multi-disciplinary team in providing quality evidence-based health care to meet the immediate needs of the patient for people at risk of hospital admission or to support an enhanced level of care after hospital discharge
• To be responsible for the assessment of care needs, the development, implementation and evaluation of programmes of care, without supervision, and to teach other staff
• To provide day-to-day clinical leadership to the team, participating fully in the delivery of healthcare provision.
• To provide clinical expertise for developing and enhancing the service and will demonstrate advanced skills and competencies and ensure that evidence-based practice is inherent in all aspects of care and treatment.

KEY TASKS

Clinical Responsibilities:

Practice autonomously as an ACP using collaborative and independent judgement to assess, investigate, diagnose, plan, implement, manage, and evaluate clinical nursing and medical care in the management of patients.

You will be responsible for the initial assessment and treatment of patients presenting with undifferentiated or undiagnosed conditions and make professional autonomous decisions regarding treatment within you scope of practice

Discuss highly complex medical issues appropriately with parents/carers using language that aids understanding.

Negotiate sensitively with parents/carers where consent is required for treatment that is vital for the welfare and survival of the patient and where there may be barriers to understanding through fear, anxiety or lack of knowledge, language difficulties or religious beliefs.

Work within agreed Local Trust and National Policies, Procedures and Guidelines

Following a clinical assessment and examination of the patient the ACP will make clinical management decisions utilising evidence-based practice where possible. This information will then form the basis of the clinical management plan, requesting further diagnostic and/or therapeutic interventions in line with already existing trust guidelines.

Whilst making a holistic assessment of healthcare needs the opportunity of disease risk management will also be recognised and discussed

To provide holistic patient care within the unscheduled and scheduled care setting in the form assessment and diagnosis, and by initiating treatment plans whilst the patient awaits senior review.

Prescribe medicines independently (where legally permitted) or uses PGDs to review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice, national and practice protocols, and within scope of practice to optimise treatment

Develop a plan of care, which is individualised, and patient focussed.

Communicate current health care measures and strategies for health education to the patient in both a realistic and therapeutic manner

Refer patients appropriately to other healthcare professionals as required

Ensure GPs and appropriate healthcare are involved in patients care.

Leadership:

Liaise with on an on-going basis, informing them of patients management plans as appropriate

Plan and co-ordinate the patients assessment, treatment and discharge/admission

Demonstrated effective leadership at all times

Clinical Governance:

Participate in audit, clinical governance and other clinical meetings where the outcomes and recommendations have the potential to improve the quality of care; give case presentations as required.

Contribute to the development and implementation of clinical policies, procedures and guidelines

Promote the delivery of evidence-based care to all patients, recognising the limitations of the evidence allowing autonomous decisions to be made

The ACP must recognise their limitations and adhere to the NMC Standards/or equivalent, i.e. HPC and Guidelines, referring to senior medical staff if scope of practice is exceeded

Participate in the evaluation/ audit of clinical standards

Report clinical incidents in line with the policy

Comply with all relevant regulations and policies

Promote peoples equality, diversity and rights

Communication:

To undertake effective multidisciplinary liaison across the primary/secondary care interface by initiating appropriate referrals to and receiving patients from other agencies

To communicate effectively with challenging or vulnerable patients e.g. those with learning difficulties, mental health problems, the homeless or those facing sudden bereavement, in the appropriate manner, whether face to face of over the phone as needs require

Education & Training:

Teach and support student and newly qualified/less experienced ANPs/ENP, junior and senior nurses, student nurses/midwives, therapists, paramedic trainees, support workers and other staff, as appropriate in the clinical setting.

Assist with the mentoring and monitoring of the multidisciplinary team of competencies in skill acquisition

Support educational activities within the clinical setting to ensure the delivery of high-quality education

To work within the professional Code of Conduct and other directives as defined by the NMC

To undertake appropriate personal and professional development to meet the requirements of NMC Registration or equivalent governing body

Undertake clinical research in line with service development and evidence-based practice

Information Technology:

To maintain accurate up-to-date electronic records by utilising computer software

Codes of Conduct and Accountability:

The post holder is expected to comply with relevant Nursing and Midwifery Council or HCPC codes of conduct and accountability or equivalent depending on professional qualification

The post holder may be required to undertake other related duties not specifically mentioned above. Any changes to this role specification will be made in consultation with the post holder.

Maintain, advance and develop personal theoretical knowledge, high standards of clinical competence and professional development through self-education. Maintain e-profile as agreed.

Person Specification

Experience

Essential

• Extensive recent relevant experience of face-to-face patient care
• Extensive experience of working at band 7 or above
• Demonstrates evidence of clinical competencies in acute emergency care
• Experience of undertaking expanded roles within the speciality applied for

Desirable

• Demonstrable experience and involvement in clinical audit methods and quality initiatives
• Experience of teaching

Skills and Abilities

Essential

• Evidence of working on own initiative, managing time and prioritising
• Understand team nursing and team working
• Ability to think logically, to make decisions, cope with stress, and work with all levels of staff
• To have clear speaking voice and fluency in written/spoken English
• Excellent communication skills
• Good listening skills
• Possess imagination and intuition
• Be able to demonstrate wide knowledge base
• Demonstrate excellent leadership skills
• Able to work proactively
• Computer skills
• Influential and persuasive
• Ability to motivate and develop staff and change practice in line with national strategic drivers
• Excellent multidisciplinary team working skills
• Ability to travel to rural locations

Desirable

• Good presentation skills

Personal Qualities

Essential

• Eager to embrace change
• To be confident in autonomous face-to-face patient interactions
• Flexible approach to work, extended hours in the community
• Clear vision of the future advancement of th
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