Job summary
The post-holder will be responsible for service delivery as an Advanced Clinical Practitioner and demonstrate a high degree of autonomy and complex decision making in building bases, patients home addresses, over the telephone or via video consultation. The post holder will be based at one of the sites Lincoln/ Sleaford /Spalding/Louth or Boston, but will be at times expected to work within other areas of the trust.
The ACP will use specialist knowledge and skills to provide healthcare autonomously to patients in their area and is accountable for independent clinical assessment, diagnosis and treatment of patients with undiagnosed and undifferentiated conditions. The post holder will be a 1st level registered nurse/ registered healthcare professional and hold an MSc in Advanced Clinical Practice or equivalent at MSc level (as confirmed by HEI). They will be an independent Non-Medical Prescriber registered with the NMC or equivalent professional body. They will practice at an advanced level demonstrating in depth knowledge and competence in all aspects of urgent care, encompassing advanced clinical assessment, critical thinking and clinical management skills that are evidence based and deliver high quality patient centred care. The post holder will have a Trust-wide responsibility to promote clinical excellence in the care of patients presenting to their area by providing clinical advice and support to nursing staff and other health care professionals.
Main duties of the job
The post holder will hold an MSc in Advanced Clinical Practice or Credentialing qualification (or equivalent) and a Non-Medical Prescribing qualification. You will be able to work within the four pillars of practice.
Within your professional boundaries you will assess, diagnose and prescribe where appropriate. You will provide advice, care and clinical management for patients presenting with undiagnosed or undiagnosed undifferentiated illness. Your role will include supporting the delivery of policy, procedures and leadership as required within the scope of the 4 pillars of practice.
The clinician will act as a positive role model supporting UCR staff. The successful candidate will demonstrate clinical reasoning, critical thinking and will be key to supporting clinical work across the healthcare team to meet the needs of patients. You will participate in and lead change for the benefit of patients and/or the organisation and be a key member of the senior clinical team.
Job responsibilities
Clinical Practice
Uses highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the specialty with complex undifferentiated or undefined presentations. Undertakes physical examination as indicated by the patients condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required. Performs clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, including (but not limited to) catheterisation, cannulation, and suturing (role specific). Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans and X-Rays in accordance with IR(ME)R regulations and as local policy allows. Analyses multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgements and evaluating care provided; presenting this information, to speciality /senior medical staff for advice when scope of practice is exceeded. Autonomously formulates appropriate management plans for patients, formulates clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission or discharge. Continuously revaluates findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly. Prioritises health problems and intervenes appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation. Manages clinical events involving patients, often requiring unpredictable and high levels of mental and/or physical effort according to the patients dependency and clinical need. Provides clinical cover to the departments within the organisation according to patient and staffing needs. Prescribes and reviews medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence based practice and national and local protocols and within the roles scope of practice and legal framework. Integrates both pharmacological and non-pharmacological treatment in patient care/management plans. Assesses patients with mental health needs using local policy and guidelines and refers to the appropriate services. Communicates effectively with patients, carers, colleagues and others using appropriate communication styles. Anticipates barriers to communication and ensures patients and significant others are kept fully informed and consent to treatment. Acts as a resource for staff, advising on local, national and Trust policy, procedures and guidelines ensuring patient safety and clinical governance.
Management
Works in partnership with the existing senior management team, nursing and AHP teams in driving organisational development and change. Manages conflicting views and liaises between groups where there may be conflict. Highlights and addresses areas of witnessed poor practice and manages the situation appropriately. Manages staff performance, training and supervision of trainee ACPs including annual appraisals. Supports staff development in order to maximise potential, encouraging everyone to learn from each other and from external good practice. Supports patients, carers and staff during difficult situations arising in the clinical area e.g. breaking bad news or following an unexpected event. Produces accurate and complete documentation and patient records consistent with legislation, policies and procedures. Possesses excellent time management and personal organisation skills. Acts as a knowledge resource in how to initiate and manage the impact of change. Develops and contributes to local guidelines, interpreting and adapting national protocols and standards to enhance patient care and safety. Maintains awareness of budgetary constraints within the department, manages resources appropriately and encourages others to do likewise. Ensures appropriate representation and participation in departmental meetings as appropriate for role. Actively contributes and provides leadership with service development plans within the directorate.
Education and Research
Takes responsibility for their own learning and performance including the participation in clinical supervision and maintaining an awareness of relevant research evidence. Develops health promotion and education in conjunction with other health care professionals ensuring that all patient care within the multi-disciplinary team is based on research and best practice. Acts as a constant source of clinical and theoretical knowledge for all grades and disciplines of staff as well as patients and their significant others, providing support and clinical advice in specialist areas, based on evidenced based research. Possesses proficient typing, IT and computer skills. Uses audio/visual equipment to record and impart information and research. Prepares and delivers presentations and participates in workshops on a local, regional and national level, to ensure the communication of good practice. Works with the MDT to further develop appropriate clinical pathways and care approaches. Disseminates their own learning and good practice to other team members. Designs, coordinates and undertakes collaborative audit, research and development into the specialty and related practices. Plans, delivers and implements programmes of education and training for trainee ACPs, nurses, medical and other disciplines and continues to be involved in their ongoing support. Supports the Trust's research and development plans.
Professional Responsibility
Recognises and works within own competence and professional code of conduct as regulated by the NMC or equivalent professional body. Ensures that their own practice is kept updated, using an acceptable model of clinical supervision. Takes every opportunity to expand individual practice in line with the principles contained within the Nursing and Midwifery Councils (NMC) document The Code (2015) (or equivalent professional body). Identifies career development pathway as part of formal appraisal system. Ensures that all elements contained within the NMC's document The Code (2015)/ or equivalent professional code are adhered to, in particular, those relating to professional accountability. Through supervision and mentorship identifies personal learning needs and participates in personal continuing education and other activities to promote their own personal growth. Develops clinical knowledge and professional skills through relevant training and study. Adheres to occupational health guidelines at all times. Ensures the ability to be able to work on their own initiative; independently and within a team. Maintains the ability to read and interpret extensive policy documentation; sometimes of a clinical nature requiring periods of intense concentration.
Person Specification
Qualifications
Essential
Recognised Advanced Clinical Practice Qualifications at Masters Level Proven and Current Experience in Urgent care/ Emergency Medicine Setting Evidence of Recent Professional Development in the past year and demonstration of seeking & undertaking autonomous learning & Development Opportunities Ability to identify Training needs in other Health Care professionals and formulate detailed teaching plans. Ability of Critically Analysing published Research and applying theory to practice Desirable
Qualification in Teaching Knowledge of NHS Modernisation Agenda. Interpreting & Implementing National and Local policy Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the .
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. .
UK Registration
Applicants must have current UK professional registration. For further information please see
Employer details
Employer name
Lincolnshire Community Health Service NHS Trust Address
County wide
Waterside south
Lincolnshire
LN5 7JH
Employer's website #J-18808-Ljbffr
The post-holder will be responsible for service delivery as an Advanced Clinical Practitioner and demonstrate a high degree of autonomy and complex decision making in building bases, patients home addresses, over the telephone or via video consultation. The post holder will be based at one of the sites Lincoln/ Sleaford /Spalding/Louth or Boston, but will be at times expected to work within other areas of the trust.
The ACP will use specialist knowledge and skills to provide healthcare autonomously to patients in their area and is accountable for independent clinical assessment, diagnosis and treatment of patients with undiagnosed and undifferentiated conditions. The post holder will be a 1st level registered nurse/ registered healthcare professional and hold an MSc in Advanced Clinical Practice or equivalent at MSc level (as confirmed by HEI). They will be an independent Non-Medical Prescriber registered with the NMC or equivalent professional body. They will practice at an advanced level demonstrating in depth knowledge and competence in all aspects of urgent care, encompassing advanced clinical assessment, critical thinking and clinical management skills that are evidence based and deliver high quality patient centred care. The post holder will have a Trust-wide responsibility to promote clinical excellence in the care of patients presenting to their area by providing clinical advice and support to nursing staff and other health care professionals.
Main duties of the job
The post holder will hold an MSc in Advanced Clinical Practice or Credentialing qualification (or equivalent) and a Non-Medical Prescribing qualification. You will be able to work within the four pillars of practice.
Within your professional boundaries you will assess, diagnose and prescribe where appropriate. You will provide advice, care and clinical management for patients presenting with undiagnosed or undiagnosed undifferentiated illness. Your role will include supporting the delivery of policy, procedures and leadership as required within the scope of the 4 pillars of practice.
The clinician will act as a positive role model supporting UCR staff. The successful candidate will demonstrate clinical reasoning, critical thinking and will be key to supporting clinical work across the healthcare team to meet the needs of patients. You will participate in and lead change for the benefit of patients and/or the organisation and be a key member of the senior clinical team.
Job responsibilities
Clinical Practice
Uses highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the specialty with complex undifferentiated or undefined presentations. Undertakes physical examination as indicated by the patients condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required. Performs clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, including (but not limited to) catheterisation, cannulation, and suturing (role specific). Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans and X-Rays in accordance with IR(ME)R regulations and as local policy allows. Analyses multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgements and evaluating care provided; presenting this information, to speciality /senior medical staff for advice when scope of practice is exceeded. Autonomously formulates appropriate management plans for patients, formulates clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission or discharge. Continuously revaluates findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly. Prioritises health problems and intervenes appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation. Manages clinical events involving patients, often requiring unpredictable and high levels of mental and/or physical effort according to the patients dependency and clinical need. Provides clinical cover to the departments within the organisation according to patient and staffing needs. Prescribes and reviews medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence based practice and national and local protocols and within the roles scope of practice and legal framework. Integrates both pharmacological and non-pharmacological treatment in patient care/management plans. Assesses patients with mental health needs using local policy and guidelines and refers to the appropriate services. Communicates effectively with patients, carers, colleagues and others using appropriate communication styles. Anticipates barriers to communication and ensures patients and significant others are kept fully informed and consent to treatment. Acts as a resource for staff, advising on local, national and Trust policy, procedures and guidelines ensuring patient safety and clinical governance.
Management
Works in partnership with the existing senior management team, nursing and AHP teams in driving organisational development and change. Manages conflicting views and liaises between groups where there may be conflict. Highlights and addresses areas of witnessed poor practice and manages the situation appropriately. Manages staff performance, training and supervision of trainee ACPs including annual appraisals. Supports staff development in order to maximise potential, encouraging everyone to learn from each other and from external good practice. Supports patients, carers and staff during difficult situations arising in the clinical area e.g. breaking bad news or following an unexpected event. Produces accurate and complete documentation and patient records consistent with legislation, policies and procedures. Possesses excellent time management and personal organisation skills. Acts as a knowledge resource in how to initiate and manage the impact of change. Develops and contributes to local guidelines, interpreting and adapting national protocols and standards to enhance patient care and safety. Maintains awareness of budgetary constraints within the department, manages resources appropriately and encourages others to do likewise. Ensures appropriate representation and participation in departmental meetings as appropriate for role. Actively contributes and provides leadership with service development plans within the directorate.
Education and Research
Takes responsibility for their own learning and performance including the participation in clinical supervision and maintaining an awareness of relevant research evidence. Develops health promotion and education in conjunction with other health care professionals ensuring that all patient care within the multi-disciplinary team is based on research and best practice. Acts as a constant source of clinical and theoretical knowledge for all grades and disciplines of staff as well as patients and their significant others, providing support and clinical advice in specialist areas, based on evidenced based research. Possesses proficient typing, IT and computer skills. Uses audio/visual equipment to record and impart information and research. Prepares and delivers presentations and participates in workshops on a local, regional and national level, to ensure the communication of good practice. Works with the MDT to further develop appropriate clinical pathways and care approaches. Disseminates their own learning and good practice to other team members. Designs, coordinates and undertakes collaborative audit, research and development into the specialty and related practices. Plans, delivers and implements programmes of education and training for trainee ACPs, nurses, medical and other disciplines and continues to be involved in their ongoing support. Supports the Trust's research and development plans.
Professional Responsibility
Recognises and works within own competence and professional code of conduct as regulated by the NMC or equivalent professional body. Ensures that their own practice is kept updated, using an acceptable model of clinical supervision. Takes every opportunity to expand individual practice in line with the principles contained within the Nursing and Midwifery Councils (NMC) document The Code (2015) (or equivalent professional body). Identifies career development pathway as part of formal appraisal system. Ensures that all elements contained within the NMC's document The Code (2015)/ or equivalent professional code are adhered to, in particular, those relating to professional accountability. Through supervision and mentorship identifies personal learning needs and participates in personal continuing education and other activities to promote their own personal growth. Develops clinical knowledge and professional skills through relevant training and study. Adheres to occupational health guidelines at all times. Ensures the ability to be able to work on their own initiative; independently and within a team. Maintains the ability to read and interpret extensive policy documentation; sometimes of a clinical nature requiring periods of intense concentration.
Person Specification
Qualifications
Essential
Recognised Advanced Clinical Practice Qualifications at Masters Level Proven and Current Experience in Urgent care/ Emergency Medicine Setting Evidence of Recent Professional Development in the past year and demonstration of seeking & undertaking autonomous learning & Development Opportunities Ability to identify Training needs in other Health Care professionals and formulate detailed teaching plans. Ability of Critically Analysing published Research and applying theory to practice Desirable
Qualification in Teaching Knowledge of NHS Modernisation Agenda. Interpreting & Implementing National and Local policy Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the .
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. .
UK Registration
Applicants must have current UK professional registration. For further information please see
Employer details
Employer name
Lincolnshire Community Health Service NHS Trust Address
County wide
Waterside south
Lincolnshire
LN5 7JH
Employer's website #J-18808-Ljbffr
