The Advanced Clinical Practitioner (ACP) role, as part of a multi-disciplinary team, supports in the delivery of high-quality care to those living with frailty in care homes, through comprehensive geriatric assessment, medication review and advance care planning as well as education and training.

The post holder will provide clinical expertise for developing and enhancing the service and will demonstrate advanced skills and competencies, ensuring evidence-based practice is inherent in all aspects of care and treatment. Working within local and nationally agreed protocols and guidelines, the ACP exercises independent judgement to assess, investigate, diagnose, plan, implement and evaluate the clinical care and management of frail patients in care homes.

The post holder will be an integral part of the Care Home Interface Project, they will be responsible to:

• Provide expert clinical care to residents of care homes involved in the project.
• Take responsibility for non-clinical tasks such as managing the team caseload
• Contribute to governance and policy
• Research and development (data collection and analysis of project outputs)
• Onward planning for service development (including future funding applications) which supports the objectives of the broader organisation.
• Lead engagement with key stakeholders to achieve cross agency relationship building
• Provide education across the primary/secondary/community care interface.

Main duties of the job

The post holder will be an integral part of the Care Home Interface Project, they will be responsible to:

• Provide expert clinical care to residents of care homes involved in the project.
• Take responsibility for non-clinical tasks such as managing the team caseload
• Contribute to governance and policy
• Research and development (data collection and analysis of project outputs)
• Onward planning for service development (including future funding applications) which supports the objectives of the broader organisation.
• Lead engagement with key stakeholders to achieve cross agency relationship building
• Provide education across the primary/secondary/community care interface.

About us

This is also a great opportunity for you to live and work in or around the historic port city of Bristol: gateway to the South West England. Bristol has its own thriving art, music and cultural scene hosting several exciting annual festivals such as the Bristol International Balloon Fiesta and the Bristol Harbour Festival.

Bristol is also ideally located for the outdoors, being within easy range of the Wye Valley, Forest of Dean, Mendip and Cotswold Hills. Getting around the city is easy with Bristol being named as Britain's first cycling city in 2014. Consistently ranked as having the highest quality of life in England and Wales, it's easy to see why Bristol has the highest retention rate of students post-graduation than any other UK city.

Job description

Job responsibilities

Clinical

• Deliver and participate in the clinical care of care home residents living with frailty.
• Provide skilled assessment of patients including history taking, physical assessment,
• Prognostication, medication review and advance care planning.
• Use expert and specialised clinical and theoretical knowledge in order to safely and appropriately assess and diagnose patients in their care.
• Act autonomously within evidenced based guidelines to plan and implement individualised management plans. Formulate clinical decisions and often complex treatment plans to manage illness and/or injury.
• Demonstrate competence, knowledge and skills in a wide range of practical procedures
• Prescribe as an Independent Prescriber, assessing and prescribing appropriate medication within appropriate specialty guidelines using the British National formular
• To delegate/refer to other practitioners when this will improve health outcomes or when risk and needs are beyond own competence and scope of practice.
• Accept referrals from other disciplines and provide specialist advice and support to colleagues within the organisation.

Personal & Professional

• Be responsible for maintaining current registration with appropriate professional bodies and perform within any Professional Code and relevant Guidelines for Practice.
• Keep up-to-date with current research and audit findings and base all clinical assessment and management decisions on credible high quality evidence
• Promote integrated working practice between clinical areas and interdisciplinary teams in order to ensure safe patient care.
• Contribute to the development of the Advanced Practitioner role both within the Directorate and Trust wide.
• Maintain own professional portfolio in-line with both local and national competency frameworks.

Service Development

• To actively take part in planning, developing and improving services in order to be responsive to patient needs as well as Directorate, Trust and National Health Service needs
• Participate in implementing national standards and frameworks at a local level within the specialty.
• To be responsible for identifying and addressing his/her own professional, training and development needs, ensuring these training and development needs are aligned to specialty service developments.

Education & Training

• Participate in the initial induction training programme for nursing and medical staff and continue to be involved in their on-going support and training as required.
• Be involved in the bedside, classroom, and directorate teaching of North Bristol NHS Trust staff, as well as utilising additional teaching opportunities such as: national teaching appropriate to the specialty, and teaching/contributing to courses run by the local university, in addition to presenting at national conferences.
• Mentor Advanced practice trainees and medical staff, and supervise other staff working within the clinical area, providing professional support and clinical supervision as required.
• Give guidance and participate in the teaching and assessment of junior, middle grade and senior medical staff.
• Establish links and networks with other professionals in similar roles within the specialty at Local, Regional and National level
• Act as a constant source of clinical and theoretical knowledge for all grades of nursing and medical staff, and patients.
• Be an active member of relevant trust wide professional groups such as the Non-Medical Prescribing Group.
• The post holder will be supported to fulfil any local and national portfolio requirements, adhering to the Four Pillars of Advanced Practice.
• Undertake statutory and mandatory training as required by the Trust.

Management

• Take part in the senior nurse structure within the clinical area/department, supporting junior members of the team.
• Ensure appropriate representation and participation in clinical/departmental meetings for example: Clinical governance, operational/service development meetings.
• Be aware of the budgetary constraints within the clinical area/department, manage resources appropriately, and encourage others to do likewise.
• Following Trust policy act in an appropriate manner when dealing with incidents and complaints.
• Contribute to multidisciplinary meetings and attend local and regional meetings in order to contribute to practice and service development

Research & Audit

• Develop skills and knowledge around research and implementing evidence-based practice into the clinical area.
• Be actively involved in department and national audits and understand the audit cycle.
• Understand change and implementation strategies to integrate findings from research and audit into clinical practice.
• Be actively involved and compliant in appropriate research studies and quality improvement projects and audits being undertaken within the clinical setting.
• Undertake opportunities to attend/present at conferences and publish to share best clinical practice from within advanced clinical practice.

Person Specification

Essential

Essential

• Registered Nurse/Physiotherapist/Occupational Therapist with relevant professional registration
• MSc in Advanced Practice or working towards.
• Independent Non-Medical Prescribing qualification or working towards
• Specialist training in relevant specialty
• Significant post registration experience in relevant specialty, including frailty care

Employer details

Employer name

North Bristol NHS Trust

Address

North Bristol NHS Trust

Southmead Road

Bristol

BS10 5NB

Any attachments will be accessible after you click to apply.

399-LMG3756