It is all about the people at East Cheshire NHS Trust. We have a real sense of community, and our values are truly embedded into everything we do, ensuring we are a great and inclusive place to work. You will be supported, developed and empowered throughout your career with us. Come and join us, where you can play your part in helping us deliver outstanding care and improving the health of all the people we serve.
Job overview
The Community Advanced Clinical Practitioner will contribute to the delivery of care within the Integrated community team using advanced clinical assessment skills to support timely assessment, intervention and management of the people presenting with acute, complex and / or long term conditions in a variety of settings across the community footprint / neighbourhood.
The position is working in a community setting, visiting patients in their own homes to support them to avoid unnecessary hospital admissions. You will drive the ACP agenda and support the clinical lead to develop the service for our patients.
The successful candidate will ensure they achieve all 4 pillars of advanced practice. Predominantly they will undertake clinical assessment of complex older people, aiming to reduce unnecessary hospital admissions. They will support the virtual ward and the urgent community response service as well as working with the Primary Care Network.
Hours per week: 22.5
Interview date: 5th March 2025
Main duties of the job
The Community ACP will:
* Undertake assessment of patients with differential and undiagnosed illness or exacerbation of existing conditions using advanced clinical skills, critical thinking, decision making and risk analysis, to provide safe, high quality, evidence-based care preventing unnecessary acute hospital admissions, supporting patients in their own homes for longer and preventing premature admissions into long term care facilities.
* Provide advanced clinical assessment of patients including appropriate diagnostics, early interventions to determine a clear clinical management plan and ensuring that the right care is received, in the right place at the right time.
* Take a lead clinical role within the community team supporting the triage and streaming function advanced clinical assessment and as part of the integrated team.
Person specification
Qualifications
Essential criteria
* Hold a current professional registration such as NMC (Nursing and Midwifery Council) or HCPC (Health and Care Professional Council).
* First Level degree or relevant qualifications.
* MSc (Master of Science) Advanced Practice or equivalent Clinical Masters (to include as a minimum clinical examination/diagnostics, independent Non-Medical Prescribing, Leadership, and research).
* Recognised teaching/ assessing qualification e.g. ENB 998: City and Guilds 730(7) Teaching and assessing adults.
Knowledge
Essential criteria
* Demonstrates attributes of a clinical expert in terms of specialist theoretical and practical knowledge/ expertise in advanced clinical reasoning and the range of work procedures within Acute Frailty care in the acute and emergency care setting.
* Advanced knowledge of the pathology of disease and illness processes relevant to community care including chronic disease, cancer, and end of life care and long term conditions.
* Evidence of professional/clinical knowledge managing acutely unwell patients in the community care setting.
* Advanced knowledge of the effects of the ageing process and needs of vulnerable adults in relation to their health and well-being.
* Clear and demonstrable evidence of advanced, autonomous practice in the management of patients / service users.
* Knowledge and understanding of Clinical Governance and how it applies to role.
* Knowledge of mental health assessment and safeguarding vulnerable adults.
* Knowledge of infection control.
* Professional awareness and knowledge of the National agenda/developments and innovations in Advanced clinical practice and specialist area.
* Understanding of Clinical Governance.
* Risk management and root cause analysis.
Skills
Essential criteria
* Advanced, person-centred clinical assessment for the health and well-being of patients with complex needs.
* Physical clinical examination skills.
* Performs clinical procedures appropriate to the patients, needs including further invasive testing and treatments requiring highly developed skills and precision.
* Able to formulate appropriate management plans for patients.
* Assertiveness skills and the ability to deal with interpersonal conflict.
* Excellent communication skills, written and verbal.
* Able to sustain and develop relationships across professional boundaries.
* Leadership skills and excellent decision-making capabilities.
* Problem-solving, prioritising and delegating appropriately.
* Time management.
* Computer literacy.
* Ability to work logically and complete tasks.
* Ability to work independently.
* Able to effectively manage resources e.g., prescribing, specialist equipment, continence.
* Advanced clinical assessment and diagnostic reasoning.
Experience
Essential criteria
* Evidence of extensive experience and transferable skills within an advanced practice role within a related setting.
* Completed portfolio of supervised practice in advanced clinical practice.
* Multidisciplinary education development and delivery.
* Leading profession and multi-professional working within and across organisational boundaries.
* Experience of conducting audit/research.
* Previous experience of managing change and project management.
* Proven experience of working as an independent practitioner.
* Understanding of frailty and end of life processes.
Other Role Requirements
Essential criteria
* Please refer to the Job Description and Person Specification for further details.
We are an equal opportunities employer and welcome all applications irrespective of age, disability, gender, sexual orientation, race or religion. The Trust is a Disability Confident Leader and as such, applicants with disabilities will be offered an interview providing they meet the minimum criteria for the post (outlined in the Person Specification). In order to facilitate applications from all members of the community the Trust is able to offer services including Braille Applications and Interpreting Services.
The Trust may close any advertised post before the stated closing date. We recommend that you apply as soon as possible.
If you have not heard from us within 3 weeks of the advert closing date, regretfully you should assume that your application has been unsuccessful.
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