This job has expired

Advanced Clinical Practitioner

Essex Partnership University NHS Foundation Trust
£50,952 to £57,349 per annum
Closing date
28 Sep 2023

View more

Other Health Profession
Band 8A
Contract Type
Full Time
This exciting new clinical leadership post has been developed to bring together our newly established Virtual Hospital (VH) and Urgent Community Response Services (UCR) for West Essex. These services are an integral part of the West Essex out of hospital care model designed to ensure that patients receive rapid appropriate care and treatment as close to home as possible. The post holder will have overall responsibility for the day to day clinical operational management of responsive services which are aligned to the Care Coordination Centre. They will work autonomously in assessing, diagnosing, treating and evaluating care for adults requiring complex management with the aim of preventing inappropriate hospital admission and facilitating prompt discharge from acute hospitals. Integral to this role is working closely and establishing effective professional relationships with patients, relatives and partner organisations.

The post holder will require specialist knowledge to demonstrate safe, competent clinical decision making and expert patient care including diagnostic skills. They will communicate and work collaboratively with the wider MDT to meet the needs of patients, supporting the delivery of policy and procedures and ensuring a cohesive service that is aligned to high quality care providing strong leadership within the team and local area. This will include adopting system-wide approaches required to perform as best practice.

Main duties of the job

  • Provide vision and professional leadership to the virtual hospital and urgent community response teams and align services to the Care Coordination Centre
  • Plan and support design of the services into one unique and effective service
  • Ensure that the service delivers the best possible high quality patient-led care which is dynamic, proactive, anticipatory, innovative, safe and responsive to health needs.
  • Be responsible for promoting excellence in clinical practice in the delivery of our virtual hospital and UCR services
  • Be responsible for ensuring the delivery of a compassionate, dignified and respectful service to patients at all times.
  • Ensure that the values outlined in the NHS Constitution are adhered to daily and any matters of concern are raised with the relevant Line Manager or through the necessary processes within the Trust.
  • The post holder will be responsible for the proactive case management of patients requiring complex case management in order to prevent hospital admissions and facilitate early discharge to improve patient health outcomes

About us

EPUT are looking for motivated staff who shares our Trust values of Care, Learn and Empower. In return, EPUT can offer you a range of benefits and development including

o Season Ticket Loans

o NHS discounts for staff

o Excellent Training facilities and opportunities

o Buying and Selling annual leave scheme

o The opportunity to work bank shifts and expand knowledge and experience in other areas

o Salary Sacrifice schemes including lease cars and Cycle to Work

o Day One Flexible Employer

Join our Staff bank

What is Staff Bank?

Our EPUT NHS staff bank is an entity managed by the trust that hires clinical and non-clinical healthcare professionals to take on shifts at our trust hospitals and community settings. Here at EPUT we maintain our own bank of specialist staff to ensure that we are able offer safe and effective care at all times.

All our permanent staff are automatically enrolled onto the staff bank however this does not mean you have to work any additional shifts, but the option is there for you if you wish.

If you are joining our Trust in a fixed term role, please indicate on your New Starter Paperwork that you wish to join our staff bank.

Job description

Job responsibilities


  • Provide a visible, accessible and professional leadership presence for the team, service users and their families.
  • Be responsible for the safe and effective delivery of VH & UCR services within West Essex community.
  • Ensure and embed high standards of care and safe practices in line with national guidance and best practice. This includes ensuring best practice arising from national reviews is fully embedded in local practice.
  • Represent the team and Organisation at local system and Integrated Care System (ICS) meetings/events relevant to the delivery of virtual hospitals and urgent community response
  • Build a strong alliance with our system-wide partners to ensure representation and service development can be maximised.

High Quality Clinical Service Delivery
  • To have a duty and responsibility to act within their professional boundaries. In order to work at this level NMC / HCPC requirements for advanced practice must be met
  • The post holder will provide clinical expertise and leadership to the VH & UCR integrated clinical team, drawing on clinical knowledge to undertake rapid interventions to include advanced assessment, diagnosis and treatment, inclusive of independent prescribing
  • Rapidly respond to and triage new referrals, assessing clinical condition, care environment and treatment options
  • Working integrative with the wider health and social care team within the Care Coordination Centre to meet the needs of patients, ensuring patients receive the right care, by the right person at the right time and in the right place. Placing the patient at the centre of all decisions, reinforcing the concept of a more streamlined patient journey, with minimal avoidable delays, whilst improving the quality of care preventing unnecessary hospital admission whilst also supporting safer discharge from hospital.
  • The post holder will demonstrate critical thinking in the clinical decision-making process.
  • Be accountable for planning and managing total episodes of care, working closely with the wider Care Coordination Centre health and social care team. Communicating effectively with patients and their carers to maximise recovery potential and to ensure understanding of condition by providing both written and verbal advice.
  • Ensure co-ordinated care is patient focused and underpinned by evidence based practice and continual professional development to enhance the knowledge and skills of staff.
  • Provide and receive complex, sensitive or contentious information requiring the use of developed negotiation, empathy, persuasive and motivational skills
  • Support systems for measuring and improving the quality of the patient/care experience
  • In collaboration with the Integrated Service Manager, ensure there are systems in place to learn from all patient/carer experience safety.
  • Ensure delivery of core contractual Key Performance Indicators (KPIs) and targets / expectations for Virtual Hospital/UCR services
  • To review outcomes information and develop systems of audit to ensure continuous improvement.

Team Management
  • Ensure effective skill mix for best possible clinical care and provide safe, effective levels of care.
  • Provide stong leadership and management to the team with support, supervision, appraisial, professional development plans.
  • Ensure all direct reports have clear team goals and strategic guidance for the overall service.
  • Encourage professional development within the team and work closely to develop strong leadership from direct reports and other staff.
  • Implement systems and controls for the effective recruitment, selection and retention of staff for VH & UCR services
  • Support all direct reports to plan for 100% compliance with statutory and mandatory training.
  • Support all direct reports to achieve 100% compliance with appraisals and personal development plans for the staff they manage.

Team Development
  • Oversee the production of team development plans that ensure that all staff aligned to VH & UCR services have (a) achieved the required competencies for their role and (b) have opportunity to access additional training and development in line with their appraisal personal development plans.
  • Support the implementation of extended clinical practice to modernise the service, to benefit patients and their families. Support the progression of the services and ensure relevant redesign is supported to benefit patients and their families care.
  • In collaboration with senior clinical colleagues and the system, develop and review workforce planning including annual reviews of skill mix to ensure a high performing, safe and effective service.
  • Ensure the VH & UCR teams meet their responsibilities to provide clinical experience and mentorship support for pre and post registration students (future possibility of non-nursing student placements, social workers, therapists), in line with internal and external standards.
  • Ensure a system is in place to analyse the training and development needs for VH & UCR staff.
  • Support the service to become a high performing and clinically recognised centre of excellence.

  • Undertake investigation and management of incidents in relation to the service.
  • Manage complaints relating to the service in line with agreed Trust processes and where required to resolve complex complaints, meeting with complainants to address their concerns to ensure local resolution is achieved wherever possible.
  • Ensure implementation of effective and high quality systems throughout the service, liaising with other agencies around Safeguarding, human rights and best interest decisions.
  • In collaboration with the senior management team, support the Directorates approach to improving compliance with NHSLA standards, CQC registration and other regulatory requirements.
  • Work with the senior management team to ensure the delivery of the Directorate and Corporate Objectives.
  • Support the Directorate with the delivery of the CQUIN and System Efficiency (previously QIPP) agendas.
  • Be responsible for providing governance and assurance mechanisms for the team reporting to the line manager
  • Develop effective working relationships with external stakeholders
  • Participate in the manager on call rota

Finance / Budget Management
  • In collaboration with Integrated Service manager have oversight of the delegated team budgets and ensure the financial targets are met.
  • Comply with financial processes, standing financial instructions and deadlines.
  • Ensure relevant financial information is presented to staff and meetings, as appropriate.

  • Maintain own professional registration and practice requirements.

Person Specification



  • Registered Nurse with current NMC registration
  • Post Registration Qualification in Advanced Practice
  • Degree level education in relevant subject or equivalent intellectual ability
  • Coaching skills


  • Master's Degree or equivalent relevant experience
  • Post registration experience / qualification in frailty



  • Good working knowledge of all areas of clinical and non-clinical governance, including quality, audit and risk management
  • Comprehensive understanding of NHS including role and function of Integrated Care Systems and Primary Care Networks
  • Comprehensive understanding of Social Care Systems and processes
  • Advanced knowledge of community service provision



  • Significant current experience in a senior nursing position
  • Significant clinical experience within community / frailty services
  • Advanced clinical reasoning skills and ability to make operational judgments
  • Experience of successfully managing the implementation of change.
  • Able to provide and receive highly complex, sensitive or contentious information

Employer details

Employer name

Essex Partnership University NHS Foundation Trust


Any attachments will be accessible after you click to apply.


Get job alerts

Create a job alert and receive personalised job recommendations straight to your inbox.

Create alert