Advanced Clinical Practitioner - Urgent Treatment Centre Band 8a - Full Time, 37.5 hours NMC & AHP professional registrants can apply.

The Urgent Treatment Centre is expanding its service. The post is for a qualified Advanced Care Practitioner, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision making and expert care for patients within the Urgent Treatment Centre - experience required in Urgent and Emergency care or primary care.

Main duties of the job

The post holder will work in partnership with primary and secondary care to provide advanced clinical case management for patients with complex care and ensure that case management plans are agreed, implemented and reviewed as part of the Multi-Disciplinary Team (MDT) case management process. This is achieved by working alongside the Extensivist Consultants, GP practices and key stakeholders within Tameside and Glossop and ensuring that practices are fully engaged with the multi-disciplinary approach to care. The role will work at both practice and Integrated Team level across the T& Glossop CCG area

About us

Tameside and Glossop Integrated Care NHS Foundation Trust serves a community of 250,000 people across Tameside & Glossop. We provide a range of services both within the hospital and across our community for both adults and children.Our vision is to improve health outcomes for our population and influence wider determinants of health through collaboration with our health & care partners.

We have a clear set of values & behaviours which we expect all of our staff to demonstrate:

• Safety
• Care
• Respect
• Communication
• Learning

We believe that the best organisations are those that reflect the communities they serve. We are therefore seeking to improve the diversity of our workforce to make it truly representative of our local population.

We actively encourage applications irrespective of race, age, disability, sex, gender reassignment, gender identity or expression, sexual orientation, religion or belief, marriage & civil partnership, or pregnancy or maternity. Recognising those communities that are underrepresented within our workforce, we would particularly welcome applications from Black, Asian & minority ethnic candidates, LGBTQ+& Disabled people.

Benefits include flexible working, 27-33 days annual leave plus bank holidays, sick pay, NHS Pension Scheme, free eye tests and health checks, gym discount, free bicycle loan scheme, salary sacrifice car scheme, support with stress, bereavement, relationships, finance, and much more.

Job description

Job responsibilities

SECTION 1- MAIN RESPONSIBILITIES:

PROFESSIONAL / CLINICAL:

The priority outcomes for Integrated Teams are:

• Promotion of self-management and self-care
• Reduction in delayed discharges
• The maintenance of independence
• Improved communication between professionals and carers
• A reduction in A& E attendances
• A reduction in emergency admissions
• A reduction in re-admissions
• A high level of patient and professional satisfactio

The Post Holder will:

• Work as an Advanced Practitioner making independent clinical judgements/decisions based on patients clinical need
• Act as lead for the development of advanced and specialist practice
• Undertake independent comprehensive assessment and management of patients to incorporate physiological and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes.
• Demonstrate a high level of competence in clinical, diagnostic and examination skills
• Management of patients / and carers within the community with complex care needs.
• Provide counselling and advocacy for patients with acute and chronic conditions Undertake research and service development.
• Establish close liaison and communication between all stakeholders across health and social care, community, primary care and third sector disciplines involved in the care of patients and their families and work in partnership with other practitioners.
• Monitor and evaluate the role of the Advanced Practitioner in liaison with appropriate managers and general practitioners, and demonstrate and respond to changing needs
• Develop and sustain close working relationships, partnerships and networks and draw upon multiagency/inter-professional resources where appropriate in order to improve health

PROFESSIONAL RESPONSIBILITIES:

• Keep up to date with developments in the role of the Advanced Practitioner through personal professional development, in service training and education, professional conferences, courses and seminars as appropriate
• Keep accurate records and compile reports as necessary
• Maintain high professional standards of care and expertis

Communications:

• To contribute to the development of information/health promotion/leaflets for users and carers and other health professionals
• To demonstrate excellent communication skills with colleagues and patients and to be able to deliver teaching programmes
• To work in a professional manner with all agencies and to promote good working relationships
• Communicate in a positive and effective manner with all disciplines and across agencies
• Build relationships with clinical and non-clinical staff to obtain support for the INT project and to achieve project objectives
• Explain complex and / or contentious information to others in a manner appropriate to them.
• Use effective therapeutic communication skills at an advanced level and manage communication in potentially antagonistic and difficult circumstances where individuals have conflicting interests / interests which conflict with organisational objectives.
• Provide effective communication with regards the management of patients within the community.
• Provide regular written and verbal reports to the patients, GP, and wider multi-disciplinary team.
• Manufacture and distribute patient information literature and other educational materials and ongoing monitoring of their effectiveness.
• Use of technology such as web-based systems to provide patient information.
• Communicate with patients in an open, supportive and empathetic manner.
• Act as a patient advocat

Responsibility for Patient Care:

• Management of patients to incorporate physiological, psychological and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes.
• Independently adjust treatment plans according to need assessing appropriate management options, and initiate treatment or referral to an appropriate professional where necessary
• Request haematological and radiological investigations appropriately, and act upon the results of these investigations and adjusting the patients management plan accordingly
• Request therapeutic procedures/interventions and evaluate the outcome of these interventions
• Provide education and counselling regarding the range of treatment options available to the patient
• Provide the patient with comprehensive information regarding clinical procedures, ensuring informed consent
• Obtain written consent for medical procedures.
• Manage complete programmes of care in a manner which provides appropriate support for patients and their families
• Demonstrate the ability to make sound decisions regarding patient management in the absence of specific protocols
• Promote clinical awareness of the need for constant review and development of professional practice
• Take action where unsatisfactory practice is identified
• Secure agreed changes or development in practice.
• Provide clinical support to primary, community and secondary care professionals in the delivery and development of a multi-disciplinary approach to care across Tameside and Glossop
• Undertake clinical assessment and interventions within the Community (clinical and community based) and make appropriate referrals
• Maintain and evaluate the use of the documentation within the Integrated Teams
• Provide advice, support and consultation to primary and secondary healthcare staff in relation to the management of patients with complex care needs.
• Maintain and develop the scope of your own professional and clinical practice
• To maintain accurate records in line with organisational and professional policies
• Adhere to the NMC Standards: - Professional Code of Conduct Scope of Professional Practice Records and Record Keeping.
• Contribute to the development of innovation, creativity and improvement.
• Actively give and receive constructive criticism and feedback.
• Be adaptable, flexible, and trustworthy and work with integrity.
• Analyse various sources of information to assess risks and make judgements on the potential impact
• Produce and manage appropriate risk logs.

Planning and organising:

• Co-ordinate and manage meetings across organisations within one of five localities. Proactively track the creation, allocation and monitoring of complex case management plans
• Ensure that practices are actively engaged in Integrated Neighbourhood Teams
• Provide clinical support to primary, community and secondary care professionals in the delivery and development of a multi-disciplinary approach to care across Tameside and Glossop
• Support staff in practices to undertake regular risk stratification of their patients and provide appropriate support if required
• Ensure that practices undertake a consistent approach in identifying patients suitable for an MDT approach to their care
• Ensure that agreed operational targets are delivered (KPIs and CQUIN targets)
• Provide cross Locality cover for other Advanced Practitioners as required.
• Provide specialist advice concerning patients with acute/chronic conditions for primary and secondary care
• Ensure effective use of physical and financial resources Use physical and financial resources and technology effectively and in the best interests of the patient.
• Contribute to the strategic and operational development of service in line within current national guidelines.
• Participate in the development of care pathways, protocols and clinical guidelines
• Ongoing review and development of existing protocols relating to specialist nursing roles within the directorate
• Liaise with appropriate departments within the Trust regarding the modification of traditional role boundaries, with a view to facilitating the ongoing development of the Advanced Practitioner role
• Develop standards by which the ongoing development of the Advanced Practitioner role can be monitored
• Acting as a role model to others wishing to develop professional roles and providing appropriate information and support
• Promotion of the Advanced Practitioner role within and outside the Trust

Responsibilities for Physical and / or Financial Resources

• Non budget holder

Responsibility for Policy and Service Development and Implementation

• In conjunction with Locality Advanced Practitioner colleagues, review the Standard Operating Procedure every 6 months
• To work with key stakeholders across Tameside and Glossop to develop the model of care. Key stakeholders include patients and their families, primary and secondary care providers the third sector and private sector as appropriate
• Support the on-going development of a risk stratification tool which can be used across practices and services
• Provide support to other Advanced Practitioners

Responsibilities for Human Resources and Leadership

• Lead for service development and liaison with key stakeholders
• Contribute to the strategic and operational development of specialist Services
• Ensure the effective use of physical and financial resources
• Act as a resource, providing clinical leadership and facilitating professional development amongst the multidisciplinary team both within and outside the organisation.
• Promote best practice, utilising local and regional benchmarking groups for the generation and promotion of standards, nursing and clinical guidelines.
• Contribute to clinical governance arrangements by providing expert input and securing quality improvement, including influencing other disciplines, to help deliver quality

Person Specification

Qualifications

Essential

• Registered Nurse / Therapist with current registration working at an Advanced Practitioner level
• Independent non-medical prescriber
• MSc in Advanced Practice or Equivalent
• Basic Life Support
• NMC Approved mentor preparation course or equivalent

Experience & Knowledge

Essential

• Any attachments will be accessible after you click to apply.
  
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