An exciting opportunity for a dynamic clinician to join Frailty and shape the future of Frailty Care at RWT as an advanced clinical practitioner.

There is 1 full time post available. The position will be on a 12hrs per day, seven days per week throughout the year rostered shift. (Trainee position to be employed on a full-time basis)

We are looking to recruit a qualified Band 8a Advanced Clinical Practitioner and/or trainee Band 8a (annex 21) advanced clinical practitioner into the exciting and highly rewarding acute frailty team working across all areas of the speciality including the emergency department and same day emergency care (SDEC). they will work alongside the nursing, medical and AHP workforce.

You will require excellent communication skills and be excited about being part of an innovative team. Individuals should be self-driven, take pride in their work, be highly motivated, and professional whilst maintaining a flexible approach.

This role will support the delivery of a high quality, safe and compassionate healthcare service, all staff are expected to act as a role model to others in all aspects of their work.

Main duties of the job

The post holder will work within the Acute Frailty SDEC and Emergency Department autonomously seeing patients with undifferentiated and undiagnosed problems for older adult frailty presentations. They will be able to provide assessments, order and interpret appropriate diagnostics and ensure a safe forward plan for patients.

The role will work collaboratively within the Acute Frailty SDEC and Emergency Department alongside the medical and nursing workforce. Although primarily clinically focused the role will enable the post holder the time to undertake all aspects of the Four Pillars of Advanced Practice using their non-clinical time.

This role also allows suitable professionals to take on this role as Advanced Clinical Practitioners to join the workforce in a trainee capacity. Over three years the trainee will undertake a Masters in Advanced Clinical Practice apprenticeship (Level 7). Providing the theoretical knowledge to underpin the clinical experience gained in practice. On successful completion of the Masters programme and local assessment the trainees position will progress to a fully qualified Advanced Clinical Practitioner.

To deliver advanced level practice this encompasses aspects of education, research and management but is firmly grounded in direct compassionate care provision or clinical work with patients, families, caseloads and populations.

80% role clinical 20% role in education/research/service development.

About us

The Royal Wolverhampton NHS Trust is one of the largest NHS trusts in the West Midlands providing primary, acute and community services and we are incredibly proud of the diversity of both our staff and the communities we serve. We are building a workforce that can help us to fulfil our values, improve the quality of care for patients, and solve the health care problems of tomorrow. We're passionate about the value that diversity of thinking and lived experience brings in enabling us to become a learning organisation and leader in delivering compassionate care for our patients.

We are delighted that we have been rated as Good by CQC. We have achieved numerous awards The Nursing Times Best Diversity and Inclusion Practice and Best UK Employer of the Year for Nursing Staff in 2020.

The Trust is a supportive working environment committed to creating flexible working arrangements that suit your needs and as such will consider all requests from applicants who wish to work flexibly.

Job description

Job responsibilities

To ensure safe and effective clinical practice To be professionally accountable for the maintenance of standards of professional practice and behaviours as set by the Nursing & Midwifery Council To take personal responsibility for actions and omissions, and fully recognise personal accountability To practise within an ethical framework based upon dignity and respect for the well-being and safety of patients and clients To demonstrate expert and extensive knowledge in areas such as diagnostics, therapeutics, the biological, social and epidemiologicalsciences, and enhanced skills in areas such as consultation and clinical decision-making in a variety of settings Undertake interventional procedures/ highly specialist diagnostics with appropriate consent Act as a change agent, developing clinically effective practice through the effective utilisation and integration of evidence basedpractice, setting implementing and monitoring evidence based standards of care, policies, procedures and protocols Ensure a culture of continuous quality improvement through the use of audit, patient feedback and reflection on practice by self andother members of the team. Promote a clean and safe environment for staff, patients and visitors by ensuring compliance with legislation, policies and protocolsincluding health and safety, healthcare associated infection prevention, clinical governance, including risk management and criticalincident reporting and root cause analysis. Ensure/deliver a high standard of compassionate clinical care and record keeping in accordance with Nursing and Midwifery Council,national legislation and local standards Lead effective communication with the multi-professional team regarding patient care. Assess the risks involved in the care of patients and ensure utilisation of practices and protocols to minimise those risks, including safeuse of medical devices. To monitor the standards of care and take appropriate actions when standards fall below expected levels. Report incidents and near misses promptly and appropriately and take effective action to minimise future risk. Identify and implement systems to promote contribution of advanced level nursing and demonstrate the impact of advanced levelnursing to the healthcare team and the wider health and social care sector Continually evaluate and audit the practice of self and others at individual and systems levels, selecting and applying valid and reliableapproaches and methods which are appropriate to needs and context, and acting on the findings Continually assess and monitor risk in own and others practice and challenge others about wider risk factors Critically appraise and synthesise the outcomes of relevant research, evaluations and audits and apply the information when seeking toimprove practice Initiate, coordinate, and implement research in specialist area In the absence of medical staff and within predetermined parameters, using advanced clinical-reasoning skills initiate treatment plansand support to ensure on-going patient safetyTo enhance the patients experience To assess individuals, families and populations holistically using a range of different assessment methods, physical examination,ordering and interpreting diagnostic tests or advanced health needsassessment Admit/discharge patients between acute and secondary care Have a health promotion and prevention orientation, and comprehensively assess patients for risk factors and early signs of illness.Utilise making every contact count as an approach to changebehaviour through interactions with individuals, carers and families to support them in making positive changes to their physical andmental health and wellbeing Draw on a diverse range of highly specialist knowledge in decision-making to determine evidence-based therapeutic interventionsprescribe medication and actively monitor the effectiveness of therapeutic interventions Working in partnership with others, delegate and refer to other practitioners as appropriate to optimise health outcomes and resourceuse Use professional judgement in independently managing complex and unpredictable care events and capture the learning from theseexperiences to improve patient care and service delivery. Draw upon an appropriate range of multi-agency and inter-professional resources in clinical practice. Work within appropriately defined boundaries of practice. Ensure an effective and efficient patients journey by supervising the planning and co-ordination of the episode of care including thesmooth transition to other settings, promoting safe and effective discharge and optimising communication with interdisciplinary andinteragency teams as required. Co-ordinate nursing/midwifery interventions advise on clinical decisions and monitor the quality of patient care provided through usingexpert clinical knowledge relevant to own field of practice,underpinned by theory and experience Within a multidisciplinary framework, develop a culture of person-centred care. Promote a caring environment where equality and diversity issues are respected and patients are enabled to be partners in their care Identify opportunities to develop care and services by ensuring that there are effective systems in place to ascertain patient and carerexperience/feedback and ensure complaints are managed in line withorganisational policy, including the dissemination of learning points Ensure that everyone within the sphere of care is treated with dignity and humanity, understanding individual needs, showing Shortlisting pack compassion and sensitivity, and provide care in a way that respects all people equally Provide consultancy service to own services and other professions on therapeutic interventions, practice and service development. Plan opportunities to generate and apply new knowledge to own and others practice in structured ways which are capable of evaluation Lead and develop highly specialised programmes of care/care packages ensuring effective delivery by self or others To undertake the role of Independent Nurse Prescriber within the clinical setting in line with Trust policy / National guidance. Undertakeannual audit of prescribing practice. Contribute to the training of medical colleagues and other non-medical professionals in areas linked to the serviceTo manage and develop the performance of the team Demonstrate resilience and determined leadership in contexts that are unfamiliar, complex and unpredictable. Strive constantly to improve practice and health outcomes so that they are consistent with or better than national and international standards through initiating, facilitating and leading change at individual, team, organisational and system levels Engage stakeholders and use high-level negotiating and influencing skills to develop and improve practice. Work across professional, organisational and system boundaries and proactively develop and sustain new partnerships and networksto influence and improve health, outcomes and healthcare delivery systems. Develop practices and roles that are appropriate to patient and service need through understanding the implications of and applyingepidemiological, demographic, social, political and professional trends and developments. Identify the need for change, proactively generate practice innovations and lead new practice and service redesign solutions to bettermeet the needs of patients and the service. Act as a visible positive role model, creating a supportive ethos to empower staff to contribute to the delivery of high quality personcentred care. Ensure nurses and nursing staff take responsibility for the care they provide and answer for their own judgments and actions and carryout those actions in a way that is agreed with their patients, and thefamilies and carers of their patients, and in a way that meets the requirements of organisational policies and procedures, theirprofessional bodies and the law. Take all reasonable care of health and safety at work for you, your team and others and to co-operate with employers to ensurecompliance with health and safety requirements. Create a learning environment that ensures effective learning opportunities for staff and students including appropriate orientation andinduction programmes, a range of clinical support strategies(mentoring, coaching, peer review and clinical supervision). Maintain training needs analyses to support standards of care delivery development of the service. Develop strategies and undertake activities that monitor and improve the quality of healthcare and the effectiveness of own and otherspractice Lead the appraisal process ensuring that personal development plans are consistent with the teams, wards and organisationsobjectives, succession planning and workforce development supportingrevalidation. Plan, monitor and evaluate on-going mandatory training and relevant education and development opportunities for the nursing team Use financial acumen in patient/client, team, organisational and system level decision-making and demonstrate appropriate strategiesto enhance quality, productivity and value Manage the practice setting, hold a delegated budget and demonstrate effective use of resources and workforce planning by monitoringworkload and, through efficient rostering, maintain appropriate staffing levels and skill mix taking account of role and competence ofstaff when delegating work. Effective use of e-rostering for the efficient management of resources within the post holders area ofresponsibility Manage the nursing/midwifery team, ensuring compliance by self and others with professional standards, legislation, national andorganisational policies.

Person Specification

Band 8a ACP-Qualifications

Essential

• Professional Healthcare registration with a UK regulatory body (NMS/HCPC/GPC)
• Independent prescribing qualification/ specialist training
• Masters degree in Advanced Clinical Practice/ Advanced Practice
• Evidence of professional updating within last 12 months
• Advanced Life Support Qualification- ALS

Band 8a ACP-Skills/Experience

Essential

• Elderly Care Experience
• ANP expe
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