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Advanced Clinical Practitioner - Urgent Treatment Centre

Employer
Essex Partnership University NHS Foundation Trust
Location
Harlow
Salary
£50,952 to £57,349 per annum plus 5% High Cost allowance
Closing date
5 Jun 2024

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Profession
Other Health Profession
Grade
Band 8A
Contract Type
Permanent
Hours
Full Time
This is an exciting opportunity to be part of a dynamic, progressive team as part of an Integrated Urgent Treatment Centre located on the Acute site at Princess Alexandra Hospital, Harlow.

Are you keen to have a key role within the Hertfordshire and West Essex Health and Care System? Working in collaboration with our acute colleagues at Princess Alexandra Hospital, Stellar Healthcare and Stort Valley Healthcare (GP Federation), we are seeking to employ ambitious, motivated, forward thinking individuals to take active roles in our new integrated Urgent Treatment Centre (UTC).

These exciting new posts are integral to the successful delivery of the UTC, a ground-breaking collaboration between PAH and community providers in Herts and West Essex. The service will support the NHS long term ambition of preventing unnecessary hospital admissions and ensuring delivery of care by the right person, in the right place at the right time.

There will be opportunity to rotate and gain experience across a range of services/teams within the system including virtual wards, urgent community response team and Minor Injuries Unit.

If you have the desire to work within a service that will deliver urgent and responsive high-quality care to patients and have the advanced skills and specialist knowledge to support safe, competent clinical decision-making to deliver expert patient care come and join our team.

Main duties of the job

To work autonomously in assessing diagnosing, treating and evaluating care for patients presenting with a minor illness, acting within the parameters of their Code of Professional Conduct and Trust guidelines.

The post holder will require specialist advanced knowledge and skills to demonstrate safe, competent, clinical decision making and expert patient care, to provide a service to meet the needs of the patients who attend the Urgent Treatment Centre (UTC). As an autonomous practitioner the post holder will provide holistic health care for patients with undifferentiated and undiagnosed problems.

Working closely with colleagues at Princess Alexandra Hospital in Triage, Minor injuries and Emergency Department. Building strong communication links to facilitate a seamless patient journey and to 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 the safe and effective delivery of UTC service

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
  • Season Ticket Loans
  • NHS discounts for staff
  • Excellent Training facilities and opportunities
  • Buying and Selling annual leave scheme
  • The opportunity to work bank shifts and expand knowledge and experience in other areas
  • Salary Sacrifice schemes including lease cars and Cycle to Work
  • Day One Flexible Employer

The Trust supports and actively encourages flexible working for all employees. We offer many options and you are encouraged to ask the recruiting manager what is possible for this role. If appointed, you will have the opportunity to apply for a flexible working request from the first day of your employment

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

Principal responsibilities

Clinical

Uses highest level of specialist knowledge and specific training to act autonomously in assessing, planning, and implementing a comprehensive management plan within their defined scope of practice.

The post holder will require specialist advanced knowledge and skills to demonstrate safe, competent, clinical decision making and expert patient care, to provide a service to meet the needs of the patients who attend the Urgent Treatment Centre (UTC). As an autonomous practitioner the post holder will provide holistic health care for patients with undifferentiated and undiagnosed problems.

Working closely with colleagues at Princess Alexandra Hospital in Triage, Minor injuries and Emergency Department. Building strong communication links to facilitate a seamless patient journey and to 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.

Provide clinical expertise and leadership, drawing on clinical knowledge to undertake rapid interventions to include advanced assessment, diagnosis and treatment, inclusive of independent prescribing

Be responsible for the safe and effective delivery of UTC service

Elicit a patient history appropriate to the clinical situation, which will include, presenting complaint, history of the present illness, past medical history, social history, family history, medications, allergies, review of systems, risk factors and appropriate targeted history.

Perform a physical/psychological examination tailored to the needs of the patients and the demands of the clinical situation.

Assess and prioritise patients undergoing treatment.

Demonstrate continual evaluation of the patients and use expertise to recommend adjustments/amendments to treatment plans, in consultation with the patient and members of the multi-professional team.
  • Where appropriate and required liaise with onsite STELLA Healthcare Lead GP for advice and support.
  • Interpretation of plain film x-rays, with access to the duty radiographer for diagnostic advice.

Make direct referrals to other members of the health care team.

Requests bloods and radiological test as appropriate and within agreed scope

Request and perform diagnostic tests as agreed locally and within agreed scope.

Chase, view and Interpret results and report findings.

Discuss and agree assessment outcomes with patients, carers, and other health care professionals to enable patients to make an informed decision regarding their treatment.

Communicate highly complex information to patients, carers, and families during the consent process prior to commencement of treatment plans and invasive procedures including explaining treatment options.

Authorise the decision to admit patients and/or proactively initiate discharge.

Actively supports patients and their families through communicating difficult and highly complex sensitive information using a variety of methods to ensure effective understanding in a timely manner.

Proactively supports patients, carers, and families in coming to terms with their illness/condition.

Have a health promotion and prevention approach and comprehensively assess patients for risk factors and early signs of illness.

Provides empathy and reassurance through understanding the quality-of-life issues associated with their illness/conditions and treatment related side effects.

Ensure that accurate, essential, and appropriate written and verbal information is conveyed to the wider MDT to ensure effective management of patients.

Ensure dignity, privacy and cultural and religious beliefs are always respected.

Adheres to professional code of conduct, works within the boundaries of their scope of practice and always manage associated clinical risks effectively.

Have a direct responsibility for a patient caseload, ensuring an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made.

Initiate pharmacological intervention, using v300 non-medical prescribing (dependant on registration) and administer medications as prescribed by others in accordance with trust policies.

To prescribe and review medication in accordance with current legislation and trust policy (dependant on registration).

To work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication, medication regimes, side effects and interactions.

Professional leadership and Management

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

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

Take key responsibility for supporting the wider MDT.

Effectively manage own dairy and workload.

Effectively manage patient caseload.

Ensure delivery of core contractual Key Performance Indicators (KPIs) and targets / expectations for Virtual Hospital/UCR services

Ensure that documentation is of a very high standard reflective of Advanced Clinical Practice, adhering to local and national guidelines.

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

Works in collaboration with the MDT to investigate clinical incidents associated with patients in their care.

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

Diffuse potential complaints and hostile situations with staff, patients and carers using highly developed negotiation and interprofessional skills

Provide representation, as appropriate at various local and national meetings, providing feedback to the organisation on clinical and professional issues, which have an impact on care and standards of practice within their sphere of responsibility.

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.

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

Engage stakeholders and use high-level negotiating and influencing skills to develop and improve practice.

Develop practice and roles that are appropriate to patient and service need through understanding the implications of epidemiological, demographic, social, political and professional trends and developments.

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

Education and Training

Has obtained the theoretical knowledge MSc in advanced practice or equivalent, in conjunction with practical experience evidenced in a supporting portfolio, to a level that allows the job responsibilities to be delivered at a high standard.

Has obtained Non-Medical Prescribing if appropriate to registered profession.

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 skills.

Maintain a professional portfolio and participate in continuing professional development.

Maintain competencies and attend mandatory lectures and training as required by the Trust.

Receive clinical supervision to clinically improve knowledge and the quality of care delivered to patients.

Utilises professional knowledge and skills, underpinned by theoretical and relevant practical experience to teach, motivate, and support junior staff on a range of clinical practices.

Participates in the delivery of specialist training and development of other healthcare workers within the Trust.

Develop and organise study days and training sessions for self and others within the clinical team.

Participates in the supervision and mentorship of multi-professional students and junior staff.

Undertake clinical supervision for trainee APs.

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 within the speciality. This will include the development of links with other organisations and innovative approaches to staff development.

Person Specification

Education/Qualification

Essential

  • o1st level Registered Nurse/Registered Paramedic
  • oAutonomous Nurse/Care Practitioner Training e.g. A33 or equivalent
  • oMasters in Advanced Clinical practitioner (Emergency Care) or appropriate relevant experience.
  • oAcademic studies (LEVEL 2/3 OR M) in Minor injury/Minor illness modules.


Desirable

  • oIndependent non-medical prescriber
  • oEvidence of further x-ray interpretation training e.g. Red Dot.


Managerial Experience

Essential

  • oExtensive post registration experience.
  • oAbility to organise the swift flow of patients through the unit safely & effectively
  • oDemonstrate responsibility for establishing the interpretation of policies within the team ensuring team members have the same understanding and guidance on implementation.
  • oHave experience of working under Patient Group Directions (PGD's) for the supply of medications.


Desirable

  • oProven post registration experience in an Emergency Department.


Job Planning / Appraisal Skills

Essential

  • oProvide evidence of continuous personal and professional development
  • oDemonstrates expert clinical skills.
  • oThe ability to work autonomously to meet the individual needs of patients from the age of 1 year: safeguarding children and vulnerable adults.
  • oAbility to communicate very sensitive, complex condition related information to patients, a carers and relatives wit
    Any attachments will be accessible after you click to apply.

    364-A-7745

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