Job summary Allied Health Professionals The Advanced Practitioner Integrated Urgent Care plays a critical role in providing clinical leadership, supervision, and governance to Specialist Paramedics and Nurses engaged in remote urgent and emergency care assessments. This position supports clinical workforce development, ensuring the safe and effective delivery of care in alignment with the Trust's clinical strategy. Using advanced skills and knowledge, you will practice through comprehensive patient assessments, diagnostics, and interventions, particularly for complex cases. As the lead urgent care clinician supporting clinical validation, you will ensure patient safety and care quality through clinical leadership, development, and supervision. Key responsibilities include analysing performance indicators, formulating clinical development and risk mitigation plans, and supporting continuous clinician proficiency through education and development. Aligned with national frameworks in advanced clinical practice, this role focuses on the four pillars of advanced practice: expert clinical practice, clinical leadership, research and audit, and education. To maintain competence, you will rotate through the primary and urgent care system and the Emergency Operations Centre (EOC). For further information about the role, please contact at Danielle.Clarkneas.nhs.uk Main duties of the job - Provide clinical leadership to the Trust's workforce for integrated urgent care. - Ensure ambulance clinical quality indicators and key clinical performance metrics are achieved. - Offer subject matter expertise in clinical investigations and reviews, making balanced judgments on care standards in line with the Just Culture guide. - Deliver the advancing practice program within the clinical validation service and integrated urgent care. - Conduct clinical case and practice reviews within the clinical validation service and integrated urgent care. - Supervise specialist paramedics/nurses and other clinical staff. - Implement the clinical strategy within the clinical validation service and integrated urgent care, ensuring audit results, investigation findings, research outputs, and clinical education plans enhance practice. - Provide clinical advice and support to operational management, quality & safety, research, and clinical pathways teams. - Practice according to the four pillars of advanced practice through clinical work, research, education, and leadership to advance professional development. - Promote a culture of continuous development, nurturing talents and building strengths within teams. About us We employ 3,500 staff in 63 locations and serve a population of 2,600,000 in Northumberland, Tyne & Wear, County Durham, and Tees over 3230 square miles. Many people think the job of the ambulance service is to collect patients and take them to hospital, but we do much more Paramedic skills have developed hugely in recent years, meaning we carry out more treatment at the scene and en-route to hospital. We have a dedicated clinical assessment service that allows us to provide patients with the most appropriate care from the beginning of the patient journey. We have a specialised branch of the Trust called HART which deal with explosions or terrorist attacks. Ultimately patients are the heart of everything that we do to support our mission of "safe, effective and responsive care for all". We value and respect the diversity employees bring to our workplace. We recruit a workforce that reflects the community we serve, and welcome applications from people from all backgrounds. To ensure we deliver on our aims in relation to diversity and inclusion we assess ourselves against a range of frameworks. We are ENEI Gold employer, Disability Confident Leader, Dyslexia Smart Award employer, Dementia Friendly, and part of Mind Blue Light programme and the Race at Work Charter from the Princes Responsible Business Network and are achieving across all objectives in NHS Equality Delivery System. Date posted 14 October 2024 Pay scheme Agenda for change Band Band 8a Salary £53,755 to £60,504 a year per annum Contract Permanent Working pattern Full-time Reference number 340-APIUCHCPC-10-24 Job locations Bernicia House Goldcrest Way NEWCASTLE UPON TYNE NE15 8NY Job description Job responsibilities Aligned to the national frameworks for Advanced Practice, the post holder must embody the capabilities of a multi-professional advanced clinical practitioner, delivering across the four pillars of advancing practice, alongside key responsibilities. Patient Care The post holder will manage patient care by: - Conducting advanced clinical assessments of patients with complex health needs, ensuring care plans meet these needs. - Employing structured clinical referral and handover processes. - Using clinical judgment to assess, diagnose, treat, refer, and/or discharge patients with undifferentiated injuries and illnesses. - Adhering to Trust, JRCALC, and national guidelines while making decisions within their professional scope of practice. - Utilising advanced clinical skills and knowledge defined in the Advanced Practitioner Urgent Care Scope of Practice. - Administering or prescribing medication in line with Trust policies and guidelines. - Navigating acute and urgent care pathways effectively, including arranging direct admissions when necessary. - Referring patients to appropriate care settings and ensuring proper handover. - Maintaining accurate records and understanding information governance responsibilities. - Delivering evidence-based care and maintaining professional standards (e.g., ILS, JRCALC, NICE). - Treating patients, relatives, and the public with dignity and respect, even in difficult situations. Research and Audit Responsibilities - Promote the service by collecting, analysing, and reporting evidence of its impact on patient outcomes. - Lead research, clinical audit, service evaluation, and improvement initiatives. - Contribute to developing guidelines and care pathways based on evidence. - Participate in serious incident reviews and embed learning into practice. - Serve as an expert resource within the organisation. Leadership, Training, and Supervision Responsibilities - Engage in self-appraisal and lead others development through supervision, mentorship, and reflective practice. - Act as an expert resource and role model, demonstrating high standards of professional and clinical practice. - Supervise and support Specialist Paramedics/Nurses, ensuring their practice development. - Mentor clinicians and support their CPD and revalidation training. - Develop systems for feedback to improve clinical care and professional practice. - Support training and development activities across the organisation. - Drive personal CPD, including team development reviews. - Collaborate with system partners to develop service improvements. - Maintain a professional portfolio to evidence scope of practice and CPD. - Undertake statutory and mandatory training as required. Communication and Relationship Responsibilities - Build working relationships with colleagues, peers, and managers across the Trust. - Provide trusted supervision and feedback to paramedics, nurses, and other clinicians. - Develop relationships with external organisations to lead system working initiatives and represent the Trust in clinically relevant forums. Analytical and Judgmental Responsibilities - Conduct advanced clinical assessments of patients with complex needs and plan appropriate care. - Exercise clinical judgment to assess, diagnose, treat, refer, and/or discharge patients within Trust guidelines. - Act as a clinical leader with expertise in remote assessment and management of various conditions. - Analyse clinical data related to patient care and research activities. - Make reasoned judgments based on clinical evidence and practice. Planning and Organisational Responsibilities - Self-manage and prioritise workload, balancing clinical supervision with governance and development activities. - Work in the Emergency Operations Centre, providing remote clinical advice and decision support. - Represent the organisation in public and professional settings, developing partnerships to enhance service and practice. Policy and Service Development Responsibilities - Promote a positive safety culture by contributing to policy and guideline development. - Lead the development of evidence-based SOPs, clinical guidelines, and care pathways. - Lead initiatives related to service development that improve patient care. Financial, Physical, and Information Resource Responsibilities - Manage medicines in line with Trust policies and ensure the security of Trust vehicles and premises. - Use Trust equipment, facilities, and premises appropriately, ensuring safety and security. - Comply with Health and Safety regulations to maintain a safe working environment. Corporate Responsibilities - Maintain confidentiality and security of information in compliance with GDPR and other relevant legislation. - Ensure staff are aware of their responsibilities under various laws, including the Freedom of Information Act. - Adhere to Health and Safety regulations and ensure personal and colleague safety. - Participate in mandatory training and maintain awareness of Equal Opportunities and other Trust policies. - The job description is subject to change as organisational needs evolve. - Participate in the Trusts on-call rota. Job description Job responsibilities Aligned to the national frameworks for Advanced Practice, the post holder must embody the capabilities of a multi-professional advanced clinical practitioner, delivering across the four pillars of advancing practice, alongside key responsibilities. Patient Care The post holder will manage patient care by: - Conducting advanced clinical assessments of patients with complex health needs, ensuring care plans meet these needs. - Employing structured clinical referral and handover processes. - Using clinical judgment to assess, diagnose, treat, refer, and/or discharge patients with undifferentiated injuries and illnesses. - Adhering to Trust, JRCALC, and national guidelines while making decisions within their professional scope of practice. - Utilising advanced clinical skills and knowledge defined in the Advanced Practitioner Urgent Care Scope of Practice. - Administering or prescribing medication in line with Trust policies and guidelines. - Navigating acute and urgent care pathways effectively, including arranging direct admissions when necessary. - Referring patients to appropriate care settings and ensuring proper handover. - Maintaining accurate records and understanding information governance responsibilities. - Delivering evidence-based care and maintaining professional standards (e.g., ILS, JRCALC, NICE). - Treating patients, relatives, and the public with dignity and respect, even in difficult situations. Research and Audit Responsibilities - Promote the service by collecting, analysing, and reporting evidence of its impact on patient outcomes. - Lead research, clinical audit, service evaluation, and improvement initiatives. - Contribute to developing guidelines and care pathways based on evidence. - Participate in serious incident reviews and embed learning into practice. - Serve as an expert resource within the organisation. Leadership, Training, and Supervision Responsibilities - Engage in self-appraisal and lead others development through supervision, mentorship, and reflective practice. - Act as an expert resource and role model, demonstrating high standards of professional and clinical practice. - Supervise and support Specialist Paramedics/Nurses, ensuring their practice development. - Mentor clinicians and support their CPD and revalidation training. - Develop systems for feedback to improve clinical care and professional practice. - Support training and development activities across the organisation. - Drive personal CPD, including team development reviews. - Collaborate with system partners to develop service improvements. - Maintain a professional portfolio to evidence scope of practice and CPD. - Undertake statutory and mandatory training as required. Communication and Relationship Responsibilities - Build working relationships with colleagues, peers, and managers across the Trust. - Provide trusted supervision and feedback to paramedics, nurses, and other clinicians. - Develop relationships with external organisations to lead system working initiatives and represent the Trust in clinically relevant forums. Analytical and Judgmental Responsibilities - Conduct advanced clinical assessments of patients with complex needs and plan appropriate care. - Exercise clinical judgment to assess, diagnose, treat, refer, and/or discharge patients within Trust guidelines. - Act as a clinical leader with expertise in remote assessment and management of various conditions. - Analyse clinical data related to patient care and research activities. - Make reasoned judgments based on clinical evidence and practice. Planning and Organisational Responsibilities - Self-manage and prioritise workload, balancing clinical supervision with governance and development activities. - Work in the Emergency Operations Centre, providing remote clinical advice and decision support. - Represent the organisation in public and professional settings, developing partnerships to enhance service and practice. Policy and Service Development Responsibilities - Promote a positive safety culture by contributing to policy and guideline development. - Lead the development of evidence-based SOPs, clinical guidelines, and care pathways. - Lead initiatives related to service development that improve patient care. Financial, Physical, and Information Resource Responsibilities - Manage medicines in line with Trust policies and ensure the security of Trust vehicles and premises. - Use Trust equipment, facilities, and premises appropriately, ensuring safety and security. - Comply with Health and Safety regulations to maintain a safe working environment. Corporate Responsibilities - Maintain confidentiality and security of information in compliance with GDPR and other relevant legislation. - Ensure staff are aware of their responsibilities under various laws, including the Freedom of Information Act. - Adhere to Health and Safety regulations and ensure personal and colleague safety. - Participate in mandatory training and maintain awareness of Equal Opportunities and other Trust policies. - The job description is subject to change as organisational needs evolve. - Participate in the Trusts on-call rota. Person Specification EDUCATION, QUALIFICATIONS AND TRAINING Essential Registered Health professional (eg. paramedic, nurse, allied health professional, pharmacist) with no restrictions on practice ? Holds a Master's Degree (MSc) Advanced Clinical Practice or equivalent MSc with HEE/NHS.E portfolio and digital badge ? Non-medical prescribing. Desirable Has successfully completed appropriate additional academic postregistration theoretical study that relates to urgent care/long term conditions (minimum Level 6). ? Teaching or Mentoring qualification. KEY SKILLS, KNOWLEDGE AND APTITUDE Essential Ability to apply advanced clinical assessment, clinical reasoning and formulate differential diagnoses and management plan underpinned by extensive knowledge and experience. Ability to deliver advanced clinical skills and interventions in accordance with scope of practice for Advanced Practitioner Urgent Care. ? Excellent communication skills. Ability to expertly complete documentation in a concise and professional manner. Willing to lead/participate in clinical governance, review and develop policy and guidelines. ? Comply with Duty of Candour laws as outlined in the Francis Report. EXPERIENCE Essential Significant post-registration experience of advanced clinical practice, clinical leadership, clinical supervision and mentorship. ? Significantexperience in the assessment and care of undifferentiated patients in a remote care or an urgent and emergency care setting. Desirable Experience of working in other clinical settings independently. ? Experience of undertaking a lead clinical supervisor role. ? Holds and maintains Resuscitation Council (UK) ILS Provider qualification. DISPOSITION / PERSONAL ATTRIBUTES Essential Reliable, conscientious, enthusiastic and selfmotivating. ? Ability to mentor and clinically supervise staff. A commitment to sharing knowledge and skills. ? Committed to personal and professional development. ? Ability to communicate complex information with other healthcare professionals and Trusts. SPECIAL REQUIREMENTS / OTHER Essential Full UK driving license or ability to attend multiple sites of work Person Specification EDUCATION, QUALIFICATIONS AND TRAINING Essential Registered Health professional (eg. paramedic, nurse, allied health professional, pharmacist) with no restrictions on practice ? Holds a Master's Degree (MSc) Advanced Clinical Practice or equivalent MSc with HEE/NHS.E portfolio and digital badge ? Non-medical prescribing. Desirable Has successfully completed appropriate additional academic postregistration theoretical study that relates to urgent care/long term conditions (minimum Level 6). ? Teaching or Mentoring qualification. KEY SKILLS, KNOWLEDGE AND APTITUDE Essential Ability to apply advanced clinical assessment, clinical reasoning and formulate differential diagnoses and management plan underpinned by extensive knowledge and experience. Ability to deliver advanced clinical skills and interventions in accordance with scope of practice for Advanced Practitioner Urgent Care. ? Excellent communication skills. Ability to expertly complete documentation in a concise and professional manner. Willing to lead/participate in clinical governance, review and develop policy and guidelines. ? Comply with Duty of Candour laws as outlined in the Francis Report. EXPERIENCE Essential Significant post-registration experience of advanced clinical practice, clinical leadership, clinical supervision and mentorship. ? Significantexperience in the assessment and care of undifferentiated patients in a remote care or an urgent and emergency care setting. Desirable Experience of working in other clinical settings independently. ? Experience of undertaking a lead clinical supervisor role. ? Holds and maintains Resuscitation Council (UK) ILS Provider qualification. DISPOSITION / PERSONAL ATTRIBUTES Essential Reliable, conscientious, enthusiastic and selfmotivating. ? Ability to mentor and clinically supervise staff. A commitment to sharing knowledge and skills. ? Committed to personal and professional development. ? Ability to communicate complex information with other healthcare professionals and Trusts. SPECIAL REQUIREMENTS / OTHER Essential Full UK driving license or ability to attend multiple sites of work 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name North East Ambulance Service NHS Foundation Trust Address Bernicia House Goldcrest Way NEWCASTLE UPON TYNE NE15 8NY Employer's website https://www.neas.nhs.uk/ (Opens in a new tab)