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Advanced Clinical Practitioner

Employer
Norfolk Community Health and Care NHS Trust
Location
Norwich (Head Office)
Salary
£50,952 to £57,349 per annum
Closing date
26 Jun 2024

View more

Profession
Other Health Profession
Grade
Band 8A
Contract Type
Permanent
Hours
Full Time
Are you wanting to develop your autonomy as an Advanced Clinical Practitioner?

We are a growing multidisciplinary service managing the advanced practice within Urgent Community Response, Community Virtual Ward and Community Inpatient Units across Norfolk and Waveney.

Our ACP workforce are from a variety of disciplines including nursing, paramedic and physiotherapy with backgrounds in primary, secondary and tertiary care covering a multitude of specialties.

This is an ACP led model which provides additional clinical and technology enabled support to a complex caseload of patients in their own homes and within a community inpatient setting, who would otherwise be admitted to an acute hospital, or supporting patients being discharged.

You will make initial and follow up assessments of patients both in stable and unstable phases of their disease. Implementation of diagnostic skills including full history, appropriate clinical examination and request of investigations where required.

You will contribute to developing and progressing the care provided by relevant services by looking at alternative ways of delivering care, alternative pathways for patients and developing the ACP model to provide the care required by the Norfolk & Waveney population and the ICS.

We would welcome NMC Registrants residing across Norfolk and Waveney as many of our services are replicated across the sector.

Main duties of the job

Main Duties & Responsibilities

Clinical

In order to work at this level, professional requirements for advanced practice must be met.

1) The ACP will lead and maintain a culture which is open to change, new ideas, concepts and innovation.

2) Act as an advanced practitioner, demonstrating advanced clinical competence and a knowledge base beyond those associated with conventional healthcare role.

3) Undertake comprehensive clinical consultations with patients as an autonomous practitioner using their own clinical judgement to diagnose, treat, refer and/or discharge patients.

4) Make direct referrals to primary, secondary and social referrals within locally agreed pathways, guidance and protocols.

5) Ensure that patients receive high quality clinical care, delivered in a timely manner.

6) Prescribe, supply and administer medicines as indicated to address patient needs in accordance with own practice or within PGD's. Use handwritten or electronic prescribing as appropriate.

7) Ensure accurate and complete documentation of each and every patient contact.

8) Work as part of a multi-disciplinary and multi-agency team in order to ensure patients' needs are met.

9) Utilise critical thinking and problem-solving skills including critical reflection.

About us

Norfolk Community Health & Care and East Coast Community Healthcare are delighted to have collaborated to create a system-wide community of Advanced Practitioners across the whole of Norfolk and Waveney.

The community of ACPs will need to be confident and competent to cover Community Hospitals, Community Admission Avoidance (as part of the wider Urgent Care Response working with the Ambulance service) and the new and evolving service of Virtual Ward.

Geographically these areas will be -

Great Yarmouth & Waveney - Community AA and VW

South Norfolk Inpatient services - Dereham Hospital/Ogden Court (wymondham)

South Norfolk - Community AA and VW

Norwich Inpatient services- Community Hospital

Norwich - Community AA and VW

North Norfolk Inpatient services - North Walsham Hospital/Kelling Hospital

North Norfolk - Community AA and VW

West Norfolk Inpatient services - Swaffham Hospital

West Norfolk - Community AA and VW

We will try to support preferences as much as possible in terms of both geography and the service that individuals predominantly cover, or support rotation if that is preferred, but all ACPs must be able to cover all areas on occasion for purposes of service resilience.

NCH& C is proud to be the first standalone NHS community trust in the UK to achieve an 'Outstanding' rating from the Care Quality Commission (CQC).

Job description

Job responsibilities

Clinical

1) Join our Advanced Clinical Practitioners (ACPs) services covering Admission Avoidance in the community and Inpatient Units. Support patients across Norfolk & Waveney alongside Place based teams in North Norfolk, Norwich, South Norfolk, West Norfolk and Great Yarmouth & Waveney.

2) Challenging conversations, decision making and risk management. Community Admission Avoidance works with the Ambulance Trust (EEAST), GPs, community teams and inpatient to prevent unnecessary admissions to acute hospitals. Assess patients at home providing both medical and supportive care.

3) We invite applications for full time or part time posts, flexible working and shift patterns are offered and we consider trainee opportunities.

4) Trainee posts will be Band 7 and negotiated based upon learning needs, post holder will need to complete a masters pathway and personalised training before attaining an 8a ACP position.

6) We try to keep travel to a minimum, occasionally services need support, requiring travel to ensure patient safety.

7) Competence will develop through rotation in services, opportunity for individuals to choose to further rotate or be based somewhere will come with experience.

For a complete Job Description and Main Responsibilities please see attached.

Person Specification

Qualifications

Essential

  • Registered First Level Nurse/Therapist/Pharmacist/Paramedic
  • Degree in Healthcare
  • Master's in advanced practice (or working towards)
  • Enhanced Clinical Assessment at L7 or working towards Independent prescriber (or working towards)
  • Independent prescriber (or working towards)


Desirable

  • Long term conditions qualification Mentoring/leadership qualification


Experience

Essential

  • Significant years post Registration experience in a variety of settings
  • Experience of working to protocols and guidelines
  • Evidence of on-going personal and professional development
  • Previous experience of developing clinical guidelines and clinical care pathways
  • Experience of clinical audit
  • Evidence of successful management of change


Desirable

  • Previous experience in an ACP role


Skills, ability and knowledge

Essential

  • Ability to work autonomously and manage own workload
  • Management of patients with complex needs
  • Clinical examination skills
  • Accountability of own role and other roles in an ACP-led service
  • Management and Leadership skills / effective change agent
  • Evidence of advanced clinical practice
  • Awareness of the need to focus on continuous quality improvement
  • Able and willing to use Information Technology systems


Communication

Essential

  • Excellent written and Verbal communication skills using the English language
  • Ability to communicate with patients and families with regard to diagnosis, treatment and care planning
  • Negotiation and conflict management skills


Personal and People Development

Essential

  • Teaching and mentoring skills


Personal Attributes/Behaviours

Essential

  • Awareness and understanding of the NHS issues relevant to advanced clinical practice
  • Understanding of the Clinical Governance Framework
  • Aware of the political and organisational drivers that impact on the service


Other

Essential

  • Must hold full and valid driving license and have access to a vehicle
  • Willingness and flexibility to travel
  • Ability to be creative innovative and adaptable
  • Organised and motivated
  • Positive role model
  • Flexibility to work evenings and weekends in order to meet service needs
  • Required to rotate through Community Units, Admission Avoidance and Virtual Ward services


Employer details

Employer name

Norfolk Community Health and Care NHS Trust

Address

Across Norfolk and Waveney

Bowthorpe Rd, Norwich

Norwich (Head Office)

NR2 3TU

Any attachments will be accessible after you click to apply.

839-6386437-GP

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