An exciting opportunity has arisen for a Trainee Advanced Clinical Practitioner in Acute Medicine, primarily based in Medical Same Day Emergency Care (MSDEC) at Worcestershire Royal Hospital.

MSDEC is a fast paced busy area with approximately 40-60 patients attending and being discharged daily. Patients are referred via their GP, WMAS/111 or Pulled from the ED's daily and may return within 24-48 hours for urgent reassessment or follow up of investigations.

The right individual for the role would be self-motivated, competent and pro-active with an ability to manage multiple patients at once and delegate where necessary. They must possess appropriate academic qualifications at degree level or above to allow for their enrolment onto a MSC Advancing Practice apprenticeship and have experience of management within their discipline.

Working hours are between 08:00-22:00 in a shift pattern covering Monday to Sunday inclusive of bank holidays.

For further enquiries, please contact Advanced Clinical Practitioner / MSDEC Lead Kirsty Jewkes at kirsty.jewkes@nhs.net

Main duties of the job

The role expectation is to be the responsible clinician for a wide variety of patients with acute medical presentations by means of clerking, review with a senior decision maker and planning for future care provision.

To undertake an academic programme within a local university whilst working as a practitioner.

The practitioner will also work alongside their supervisor to complete the WAHT e-portfolio.

About us

Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is nearly 6,800 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Our objectives are simple:

• Best services for local people
• Best experience of care and best outcomes for our patients
• Best use of resources
• Best people

Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

Job description

Job responsibilities

Key Duties:

Clinical:

Assess and prioritise patients undergoing treatment

Undertake under supervision holistic assessment, planning, implementation and evaluation of patients care needs. Once completed Health assessment and non- medical prescribing to undertake autonomous holistic assessments from beginning to end of the patients journey.

Providing clinical/technical care, which contributes to the diagnosis, specialist care and treatment plans for these highly complex patients. In the absence of medical staff and within predetermined parameters, using advanced clinical-reasoning skills the post holder will initiate treatment plans and support to ensure the on-going safety of the patient

Demonstrate continual evaluation of practice within the defined specialist area and take responsibility for making agreed changes where appropriate

Request and arrange necessary investigations including X-rays, ultrasound scans, VQ scans, endoscopy, spirometry, echocardiography, and exercise tolerance tests, interpreting and reporting findings to appropriate clinicians

Discuss and agree assessment outcomes with patients, carers and other healthcare professionals, to enable them to make informed decisions regarding treatment

Ensure that accurate, essential and appropriate written and verbal information is relayed to staff, ensuring adequate facilities are in place to maintain safety in the environment, ensuring effective management of this group of patients

Ensure that patients are referred to appropriate practitioner when needs and risks are not within own scope of practice. Ensure dignity, privacy, and cultural and religious beliefs are respected at all times

Professional:

Act as a role model by demonstrating high standards of holistic care

Ensure that documentation is of a very high standard, adhering to local and national guidelines

Take on a pivotal role in the development and promotion of a care philosophy, ensuring clinical practice is reflective of this ideology

Take key responsibility for supporting medical colleagues, nursing colleagues and the matron for services

Maintain a current and up-to-date personal professional profile in accordance with guidelines

Maintain competency

Ensure that all aspects of clinical practice are research and evidence based

Managerial/Leadership:

Assess and monitor risk in own and others practice, acting on results, thereby ensuring safe delivery of care

Monitor and develop quality initiatives in line with local and national requirements and guidelines take a lead role in the facilitation of such initiatives

Identify the skills set and terms of reference required of the Advanced Nurse Practitioner role, ensuring they reflect the individual, holistic needs of patients undergoing care

Work pro-actively in managing change in own speciality, to improve practice and health outcomes

Attend relevant meetings regularly to influence and make decisions regarding service delivery provision and further development of the service

Manage own diary and workload

Act in such a way as to be a credible, effective leader, demonstrating effective clinical leadership on a daily basis

Educational:

Support the development of protocols for the management of patients

Contribute to and participate in the Organisation Education Strategy

Promote the service offered through formal and informal presentations within and outside the organisation through study days, conferences and written papers

Carry out training needs analysis, using the results to design, develop and deliver a teaching programme promoting practice development for those staff caring for patients in the speciality. This will include the development of links with other organisations and innovative approaches to staff development

Deliver formal and informal teaching initiatives as part of the above programme

Receive clinical supervision in order to clinically improve knowledge and the quality of care to patients

Contribute to the training of medical colleagues and other non-medical professionals in areas suitable to the service

Contribute to the training of colleagues and peers in aspects of service delivery provision and to support the service

Identify own personal developmental and educational needs to work at an advanced level and beyond. Ensure appropriate action is taken to maintain and further develop such skills

Attend mandatory lectures and training as required by the organisation

Multi-disciplinary liaison:

Establish and maintain excellent communication with individuals and groups exploring complex issues relating to care options and decisions

In all aspects of work, challenge and demonstrate an ability to work autonomously across organisational and professional boundaries

Promote collaborative working relationships and effective communication between all members of the team

Co-ordinate closely with managers the timely movement of patients to ensure appropriate use of resources within the provision

Work with other areas, specialities and services to adjust boundaries across the specialist are

Develop formal and informal links outside the organisation, sharing good practice innovative ideas, and promote staff and service development

Establish and maintain a regional and national network of contacts relevant to the service

Research and Audit:

Identify the educational needs of the specialist group of patients and their carers, and ensure that these are met through the service provided

Identify areas of practice that may expand or be enhanced, to ensure the best clinical outcome for patients

In collaboration with other senior staff, at all times ensure clinical practice is patient centred and research based, in accordance with professional practice, guidelines, and national and local benchmarks

Encourage and assist other staff within the field to enable and empower them to carry out relevant research

Promote and disseminate research and audit findings relevant to the service

Carry out audit and evaluation in order to monitor the effectiveness of current therapeutic regimes and to improve health outcomes

Service Development:

In all aspects of work, challenge and demonstrate an ability to work across all organisational boundaries

Identify areas of practice which may expand, to ensure the best clinical outcomes for patients

Develop policies and clinical guidelines necessary to support the development of the specialist service

Continue with personal education and development, to identify improvements within the service framework

Influence decisions regarding service delivery through participation in meetings

Continue to develop and promote the Advanced Nurse Practitioner role through professional publications and conference papers

Budget:

Influence decisions regarding the allocation of financial resources through consultation, service redesign, participation in meetings and audit

Human Resources:

Report sickness and return to work promptly in accordance with organisational policy

Vision and Values:

The Trust aims to provide local services for local people. It has developed its vision to reflect this commitment.

To continue to be the major provider of acute/specialist services for the people of Worcestershire (and wider) with a strong reputation for providing outstanding, high quality, reliable, accessible and integrated healthcare for local people

Driving this commitment are the Trust-wide signature behaviours:

Do what we say we will do

No Delays, every day

We listen, we learn, we lead

Work together, celebrate together

Standard Clauses are contained in the full JD attached to this listing.

Person Specification

Qualifications

Essential

• First level NMC registration or with professional body
• Recognised Teaching and Assessing qualifications
• Degree level qualification
• Recognised Health Assessment Course
• Independent prescribing or working toward this currently
• Current ILS/ALS provider

Desirable

• Working towards or in possession of Masters level study

Experience

Essential

• Relevant Experience at Band 6
• Evidence of advanced clinical assessment, decision making, diagnosis and care delivery skills
• Experience of change/project management
• Involvement in Evidence Based Healthcare agenda
• Risk management

Desirable

• Clinical Audit experience
• Complaints management
• Research projects

Personal Qualities

Essential

• Articulate
• Assertive
• High professional standards
• Able to remain calm under pressure
• Able to foster good working relationships
• Aware of own strengths and limitations
• Flexible
• Highly motivated
• Committed to service and quality improvement

Skills / knowledge

Essential

Any attachments will be accessible after you click to apply.

C9365-23-0358-5