Advanced Clinical Practitioner (ACP) - PC24 - Face To Face Only

Work as an autonomous Advanced Clinical

Practitioner across NEMS urgent care services, focusing on face-to-face consultations.

Assess, examine, diagnose, treat and safely

discharge or refer patients with undifferentiated urgent care presentations.

Make safe decisions around admission,

transfer, referral, follow-up and safety-netting, working within professional

competence and agreed local pathways.

Recognise and act on serious illness,

clinical deterioration, safeguarding concerns, mental health risk and

presentations that require escalation to another service.

Request and interpret appropriate

investigations, including blood tests, urine tests, ECGs and imaging, in line

with local policy, competence and relevant regulations.

Prescribe, review and advise on medicines

where qualified to do so, or use agreed local medicines mechanisms within

scope.

Maintain clear, accurate and timely clinical

records, including assessment findings, clinical reasoning, advice given,

decisions made and onward plans.

Practitioner will provide autonomous clinical care for our Kings Mill Hospital - PC24 location. The role is designed to provide a focus on face-to-face consultations, supporting patients across Integrated Urgent Care

Services, urgent treatment centres and other agreed service models.

The post holder will be an

experienced registered clinician, able to assess, diagnose, treat, refer and

discharge patients with undifferentiated urgent care presentations. They will

work within their professional registration, agreed scope of practice, NEMS

policies and local clinical pathways.

Face-to-face work will include

assessment and management of patients presenting to NEMS urgent treatment

services. The post holder will be expected to recognise serious illness,

clinical deterioration, safeguarding concerns, mental health risk and presentations

requiring escalation or transfer to another service.

They will

also support clinical supervision, learning, audit, incident review and service

improvement, ensuring that care remains safe, effective, patient centred and

financially sustainable.

The post holder will have

o Safe clinical decision-making, including

treatment, discharge, referral, transfer and safety-netting

o Recognition and escalation of serious illness,

clinical risk and safeguarding concerns

o Clinical leadership, supervision and support

for the wider team

o Participation in governance, audit, learning

and service improvement activity

Work as an autonomous Advanced Clinical

Practitioner across NEMS urgent care services, focusing on face-to-face consultations.

Assess, examine, diagnose, treat and safely

discharge or refer patients with undifferentiated urgent care presentations.

Make safe decisions around admission,

transfer, referral, follow-up and safety-netting, working within professional

competence and agreed local pathways.

Recognise and act on serious illness,

clinical deterioration, safeguarding concerns, mental health risk and

presentations that require escalation to another service.

Request and interpret appropriate

investigations, including blood tests, urine tests, ECGs and imaging, in line

with local policy, competence and relevant regulations.

Prescribe, review and advise on medicines

where qualified to do so, or use agreed local medicines mechanisms within

scope.

Maintain clear, accurate and timely clinical

records, including assessment findings, clinical reasoning, advice given,

decisions made and onward plans.

Undertake face-to-face consultations across

NEMS urgent care services, including assessment of minor illness, minor injury

and other appropriate urgent care presentations.

Carry out clinical procedures where trained,

competent and required for patient care.

Provide safe clinical handover to ED,

specialties, GPs, community services or other colleagues where ongoing care is

required.

Support patient flow, streaming and

redirection decisions where this forms part of the service model.

Act as a senior clinical presence on shift,

supporting colleagues and contributing to the safe running of the service.

Provide advice, supervision and support to

trainee ACPs, UCPs, nurses, AHPs, UCAs and non-registered staff.

Support induction, training, clinical

supervision and competency development across the wider team.

Escalate clinical or operational concerns

early, particularly where patient safety, staffing, flow or professional

practice may be affected.

Address unsafe practice or poor behaviour in

a professional and proportionate way, escalating concerns where required.

Contribute to a culture where incidents,

complaints, audit, feedback and day-to-day operational learning are used to

improve care.

Take part in incident reviews, significant

event analysis, complaint responses and shared learning activity where

required.

Support audit, quality improvement and

service evaluation work across NEMS urgent care services.

Contribute to the development and review of

clinical guidelines, SOPs, pathways and local standards, ensuring they are

practical, evidence-based and relevant to the way services are delivered.

Use available data, feedback and clinical

experience to support improvements in patient flow, clinical quality,

productivity and patient experience.

Maintain professional registration, mandatory

training, clinical supervision, CPD and revalidation requirements.

Maintain an up-to-date portfolio showing

competence, scope of practice, reflective learning and prescribing practice

where applicable.

Share learning with colleagues through

teaching, case discussion, supervision, peer review and practical shift-based

support.

Support students, trainees and developing

practitioners in a safe and constructive way, recognising their competence and

learning needs.

Work within relevant NMC, HCPC or equivalent

code of conduct NEMS policies and agreed scope of practice.

Communicate clearly with patients, carers and

colleagues, particularly where information is complex, sensitive or

distressing.

Involve patients in decisions about their

care and ensure that consent, capacity and best-interest issues are considered

and documented appropriately.

Maintain confidentiality and information

governance standards at all times.

Work flexibly across NEMS sites and services

where reasonably required, in line with service need, competence and

contractual arrangements.

Undertake any other reasonable duties

requested by a manager, where these are appropriate to the role, grade and

competence of the post holder.

Act in a manner that reflects and

promotes the values of NEMS.

NEMS Community Benefit Services (NEMS) is a not-for-profit social enterprise and a Company Limited by Guarantee. It has been operating in Nottinghamshire for over 25 years, now providing a population of more than 1.2 million with urgent primary health care services. It operates out of 2 registered locations and four bases and deploys a team of more than 370 healthcare professionals, including 150+ sessional GPs, 90+ substantive staff, 30+ agency workers, and 140+ non-healthcare staff.

NEMS provides services to a population of circa 1.2 million under the following service portfolio headings;

The Board of Directors comprises non-executive Member directors and executive directors and is responsible for overall strategy and governance of the organisation. The Board of Directors is supported by two sub-committees Quality and People Committee and Finance and Performance Committee. An Operational Executive Team, comprising Executive Board Directors, together with other senior leaders, is being established to oversee the smooth running of the day-to-day activities of NEMS.

Values

Knowledge

Experience

Qualifications

Desirable: - Minor illness or minor injury qualification; - IR(ME)R / imaging requesting training where relevant; - ILS, ALS or equivalent urgent care training

Skills & Abilities