The Division of Medicine are excited to offer an Advanced Practitioner/Trainee Advanced Clinical Practitioner Post.
Advanced Practice is characterised by a high degree of autonomy and complex decision making.
The role encompasses the four pillars of practice in line with the Multi-professional Framework for Advanced Clinical Practice in England. .
The post will involve caring for patients with diverse needs
The post will involve working within the Advanced Clinical practitioner team to triage and deal with request for same day / urgent visits and support the management of the daily visit workload. Mentorship, support and guidance will be provided as required
The post will involve developing and maintaining supportive working relationships with the medical, nursing and multi-professional teams.
The applicant will be self-motivated , will show a desire to improve patient care through the application of advanced clinical skills and knowledge, leadership, education and research skills.
The applicant will develop advanced knowledge and skills to prevent / avoid attendance at A& E and hospital admission, reduce the length of hospital admissions and facilitate early discharge if appropriate. Please note if the applicant does not hold the MSC in Advanced Practice they will spend two years undertaking this at the university of Bolton. One study day and one designated clinical day a week will be given to develop the appropriate skills for the role in order to progress to a band 8a.Main duties of the job
The post holder will be proactive in pioneering the role in response to lessons learned both in the educational programme and from work-based learning in clinical practice.
The post is intended improve outcomes for patients by improving services.
The Advanced Clinical Practitioner will be expected to exercise critical judgment to satisfy the expectations and demands of the role.About usChoose Well - Choose WWL
Wrightington, Wigan and Leigh NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff, makes for happy patients'.
We have a recognised track record in staff engagement, and living our values 'the WWL Way'. WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.Job descriptionJob responsibilitiesProfessional / clinical Practice
Evaluation and Research
- Ensure clinical practice reflects all current NMC documents including (a) Code of professional Conduct (b) Standards for record keeping (c) Administration of Medicines.
- Work within the trust s policies and procedures and the parameters set down in agreed local clinical protocols and guidelines and national best practice guidelines such as those published by NICE and within own sphere of competence. Trust policies, procedures and guidelines can be found on the trust website.
- Assess a range of patients with undifferentiated and differentiated problems and under supervision if needed and work towards the development of a comprehensive management plan in undifferentiated and differentiated presentations.
- Develop and utilise advanced knowledge and skills to assess, examine, diagnose, plan, treat and refer patients if needed to meet the patients physiological, psychological and social needs and in response to the changing needs of the service.
- Utilise appropriate investigations to confirm diagnosis and action as needed.
- Work towards organising the clinical management of patients, utilising advanced knowledge and skills prioritising patients accordingly. This may be through triage, face to face and telephone consultations, MDT meetings as appropriate using professional clinical judgement.
- Recognise and respond appropriately to urgent and emergency situations with the support and guidance from other team members.
- Work towards managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others with the support and guidance from other team members. This will involve utilising clinical judgement and decision making to initiate appropriate interventions and treatment for patients.
- Make and receive referrals to and from other health care professionals
- Communicate patients condition, verbally and in writing as required, to other members of the multi-professional and multi-agency team and contribute towards the decision-making processes in patient management.
- Discuss with mentor / supervisor the utilization of medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice.
- Non- Medical Prescribing qualification (V300) as agreed in the MSc Advanced Practice.
- Support and promote patient independence and daily living within their home.
- Support patients to make healthy lifestyle choices through implementing health education and promotion strategies and promote self-care where appropriate
- Share with the employer the responsibility to achieve organisational vision / aims with personal objectives by attending / participating in regular appraisals as appropriate.
- Have regular contact with the named mentor, clinical supervisor to support individual learning, develop expertise in advanced clinical decision making, leadership, research and audit skills. Training will be supported through the integration of theory and practice.
Management / Leadership
- Facilitate the development of clinical practice through research and education by integrating theory and practice.
- Implement research-based practice and assist in disseminating research findings and support changes in care.
- Engage in research activity and audit as appropriate, in order to enhance knowledge of the role and service delivery and / or improve patient outcomes.
- Support and facilitate other staff if appropriate, who are undertaking research / audit projects.
- Facilitate collaborative links between clinical practice and research through proactive engagement, networking with academic, clinical and other active researchers.
- Apply new knowledge to the development of own practice demonstrating evidence-based care
Developing self and others
- Act as a role model, educator, supervisor and coach seeking to instil and develop the confidence of others.
- Actively contribute to service improvements where appropriate.
- Display trust values.
- Promote personal fitness to work presenting a professional image of the organisation
- Evaluate of practice of self and others.
- Evaluate and audit own and others clinical practice, selecting and applying valid reliable methods, then acting on the findings to develop self and others.
- Monitor and maintain health, safety and security of self and others.
- Actively engage in peer review to inform own and others practice, formulating implementing strategies to act on learning and make improvements.
- Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
- Demonstrate resilience.
- Participate in clinical supervision.
- Continuously update own skills and knowledge and maintain awareness of clinical issues.
- Demonstrate reflective practitioner skills.
- Identify own personal training needs and take part in any appropriate training applicable to development needs.
- Develop and support a positive learning environment for self and others.
- Develop a comprehensive portfolio of evidence relating to skills identified as being relevant to the role as agreed with the clinical mentor/supervisor and ACP. As such they shall provide evidence of competency through case-based discussion (CBD), direct observed practice (DOP) and simulated assessments (OSCE).
- Participate in audit and research if required.
- Implement high standards of care and act or raise concerns when standards are not being maintained following local policy and procedures.
- Assess capacity, gain valid informed consent and work within the legal framework with patients who lack capacity to consent to treatment. Be aware of the mental Capacity Act.
- To support / patient/carer involvement in providing feedback to inform service development and improvements.
- To act as an advocate for the patient including promoting and protecting the patients interests, privacy and rights, equality and inclusion.
- Recognised and report adverse events, incidents, errors and near misses.
- Apply infection control measures according to national guidelines.
- Be proactive in the management of all risks. This entails risk assessment of all situations, complying with the Health and Safety at Work Act 1974, utilising the incident reporting system, implementing Caldicott principles and utilising the freedom to speak up guardian when appropriate.
- Demonstrate the ability to keep up to date with current practice, using available evidence and contributing to developments.
- Actively participate in clinical supervision and the appraisal process.
- Be accountable for own professional actions and recognise own professional boundaries.
- Ensure all clinical incidents are reported to the line manager.
- Promote and maintain high standards relating to health, safety, infection control and welfare of self and others.
- Display behaviours that demonstrate the organisation vision and values.
- Current registration on professional NMC / HPC register
- 1st degree or successful completion of portfolio submitted and accepted by University providing MSc programme.
- MSc in Advanced Practice or willingness and commitment to study towards as determined through Individual Performance Review and Personal Development Plans.
- Evidence of CPD
- Non-Medical Prescribing qualification or willing to work towards
- Significant clinical experience where a degree of autonomous working has been required.
- Experience of undertaking expanded roles within the speciality applied for
- Evidence of working on own initiative, managing time effectively and prioritising appropriately.
- Excellent interpersonal, written and verbal communication.
- Able to motivate and lead others.
- Clinical judgement and decision making skills
- Excellent team working skills.
- Computer literate in IT systems and programs, Word, Excel and PowerPoint.
- Evidence of recent CPD activities
- Willing to continue to professional develop and support the development of others
- Knowledge of local and national healthcare agendas, strategy and policies and how they relate to the service
- Understand the impact of advanced practice roles on service delivery and their contribution to the multi-professional team.
- Computer literate in IT systems and programs, Word, Excel and PowerPoint.
Employer detailsEmployer name
- Speak English to an appropriate standard relevant to their role, i.e. with confidence and accuracy, using correct sentence structures and vocabulary, and without hesitation
- Access to a vehicle to enable travel between all hospital sites as required
- Demonstrate Enthusiasm
- Flexible in working hours to meet the needs of the service
- Knowledge of WWL Behaviours
Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation TrustAddress
Royal Albert Edward Infirmary
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