Advanced Clinical Practitioner

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.

Apply now to join an organisation that has been awarded an Outstanding rating by the Care Quality Commission (CQC), the highest possible rating and the first stand-alone NHS community trust in the country to be awarded the title.

1) Work within the Advanced Clinical Practitioner Team across the Community Inpatient Units and Community Virtual Ward across Norfolk you will provide a variety of step-down care and admission avoidance with the shared goal of providing high level care out of the acute hospital setting, wherever possible

2) Lead complex decision making, challenging conversations and balance risk management as part of your role. We work closely with service providers across the healthcare setting to prevent unnecessary admissions to acute hospitals.

3) Assess patients within the community and inpatient units providing both medical and supportive care.

4) We invite applications for full time or part time posts, flexible working and we consider trainee opportunities.

5) 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.

8) Rotations across both services are an expectation of the role

1) Combine theory and experience to operate as an expert practitioner. Your expertise will be clearly visible in clinical practice.

2) Work within your scope of practice, follow Trust policy and procedure. Conduct venepuncture / cannulation, catheterisation, ECG recording and interpretation, blood gases/ cultures and verification of expected death as well as interpreting pathology results including bloods & radiology.

3) Clerking of newly referred patients, some of which are acutely unwell and have had no prior workup, ensuring necessary investigations are requested and treatment plans commenced.

4) Provide specialist and advanced skills in patient assessment and scope of practice across a range of specialties such as history taking and physical examination.

5) Lead complex discussions with MDTs / patients / next of kins to identify appropriate locations of care, escalating where appropriate whilst advocating patient wishes

6) Where appropriate lead advanced care planning discussions, lead ReSPECT conversations and plan accordingly

7) Maintain accurate, contemporaneous, and timely care records.

8) Discharge of patients compiling discharge summaries and prescribing medications to take home.

9) Leading on discharge processes ensuring appropriate follow-up / communication

10) Prescribe, administer, and dispense appropriate medications for management and treatment of patients symptoms within Trust PGDs or own boundaries as a prescriber.

11) Respect and promote dignity, choice and autonomy of patients, families and carers.

12) Provide leadership and support during daily Red to Green and MDT meetings to support patient flow.

Clinical governance and service improvement

1) Work with clinical leads, ward managers, matron and medical staff to provide clinical leadership to other members of the team, investigate adverse clinical incidents and complaints.

2) Develop and implement clinical audits and research projects, identifying areas of best practice and areas for quality improvement.

3) Provide support and supervision to assist both internal and external learners to develop knowledge, skills and abilities.

4) Contribute to quality improvement within the service through the identification and indication of changes, which lead to evidence-based practice and improved standards of care.

5) Work with associate Directors of primary care to contribute to patient pathways in line with the EEC Clinical and Care Strategy

1) Participate in the recruitment and development of staff in the medical directorate ensuring patient care is high quality.

2) Comply with Trust policies and requirements, undertaking duties in accordance with relevant codes of professional conduct.

3) Creating a healthy working environment, focusing on health and safety policies and risk assessment.

East of England Community Health & Care NHS Trust (EEC) provide compassionate care from the start of life through to the end of life. Working in people's homes, local clinics, and community hospitals, our 5,500 colleagues serve a population of 3.5 million people across the East of England.

We believe that people are better looked after locally and this belief drives us to work hard to bring expert care to patients in our seven community hospitals, within GP surgeries and in patients' own homes. Working in the community will provide you with the opportunity to develop longer-term and more personal relationships with patients, carers, and other professionals.

We have brought together 2 outstanding community providers - Cambridgeshire Community Services NHS Trust (CCS) and Norfolk Community Health and Care NHS Trust (NCH&C).

We welcome applications from people who share our values and can help us deliver outstanding care in our local community.

Qualifications

Desirable: - Long term conditions qualification; - Mentoring/leadership qualification

Experience

Desirable: - Previous experience in an ACP role

Skills, ability and knowledge

Communication

Personal and People Development

Essential: - Teaching and mentoring skills

Personal Attributes/Behaviours

Other