Job summary We are seeking a professional, dedicated and caring ACP to be part of the multidisciplinary medical team to cover a period of maternity leave. You will report to the Nurse Consultant working as an independent practitioner and non-medical prescriber. Main duties of the job As the ACP you will work alongside the medical, nursing and AHP teams at an advanced practice level applying your extended knowledge and advanced skills in the principles and practice of palliative care to identify, assess, diagnose, treat, manage and support patients with palliative care needs including those with the most complex needs. As a member of the senior medical team, you will be someone who is able to exercise complex levels of judgement, discretion and decision making in clinical care, championing innovative practice within the field of hospice and end of life care and work. You will need to be able to work in a 24/7 specialist team environment as the 1st on call accountable to 2nd on call physician to ensure effective co-ordination of care and appropriate and timely responses for our patients. Requirements include: Being appropriately registered with NMC or an equivalent allied health professional body and hold physical assessment qualifications Non-medical prescriber (Extended formulary) with at least 5 years post-registration clinical experiences At least 5 years post-registration clinical experience At least 2 years palliative care experience or critical care/emergency care or primary care experience Able to work day and night shifts and contribute to the 24 hours 7 days a week on-call rota About us Birmingham Hospice provides expert palliative and end of life care for people and their families living with life-limiting illnesses. We believe that all people in Birmingham should have access to the best specialist care and support - when, where and how they need it. Our vision is a future where everyone with a life-limiting illness will live and die with dignity and in comfort. Our mission is to enable more people from all communities to access the care of their choice at the end of life. During a recent CQC inspection our sites have been rated outstanding, with independent health care regulators highlighting that colleagues and services are caring, responsive and well-led. Our outstanding teams are passionate about providing the very best care, and patients and their loved ones are at the heart of everything we do. Our values of kindness, respect, innovation, togetherness, positivity and openness are at the centre of who we are, what we do and how we behave. We pride ourselves on being an inclusive, welcoming, caring and supportive team. We are offering a competitive salary, with generous holiday allowance, a contribution pension scheme, and a commitment to investing in our people through employee benefits and ongoing professional development. Date posted 19 February 2025 Pay scheme Other Salary £50,952 to £57,349 a year 4% of FTE salary will be awarded for 1 in 5 on call commitment Contract Fixed term Duration 12 months Working pattern Full-time Reference number B0060-25-0003 Job locations 76 Grange Road Erdington Birmingham B24 0DF Birmingham St. Marys Hospice 176 Raddlebarn Road Birmingham B29 7DA Job description Job responsibilities To be part of the medical team reporting to the Nurse Consultant and working closely with the Consultants in Palliative Care, using advanced practice skills to identify, assess, diagnose, treat and manage patients with palliative care needs. As part of a multidisciplinary team; exercise complex levels of judgement, discretion and decision making in clinical care. Make appropriate use of the latest evidence base to supervise practice, audit clinical care, teach and support professional colleagues and to provide skilled leadership to clinical decision making. To champion innovative practice within the field of hospice and end of life care and work closely with the Director of Clinical Services, the hospice Consultants and senior nurses to develop progressive professional practice policies identifying opportunities for succession planning. The Advanced Clinical Practitioner will work alongside the medical, nursing and AHP teams at an advanced practice level applying their extended knowledge and skills in the principles and practice of palliative care to support patients with the most complex needs in a range of departments and care settings as required by the hospices joint clinical strategy. The Advanced Clinical Practitioner will contribute to the 24/7 on-call rota for either the Erdington site or Selly park site with the support of the second on call doctor, and will be required to work days and nights as part of this rota. There may be circumstances where cross cover for the sister site is required in and out of hours, but the base site for this post holder will be agreed at the point of recruitment. Main duties and responsibilities Working as an independent practitioner and non-medical prescriber, the post holder is accountable and responsible for their own actions or omissions in line with the Nursing and Midwifery Councils Code and current guidance on Advanced Clinical Practice. The post holder will always work within the scope of professional practice and guidance on advanced practice adhering to all relevant professional, legal and regulatory guidelines. The post holder assumes responsibility for their own professional development and updates and maintains own clinical skills as appropriate and required for the role. Any development requirements will be discussed at appraisals and training supported by the hospice where necessary. The post holder works within the boundaries of the role function as it develops within Birmingham Hospice and as agreed by the Clinical Directors, Nurse Consultant and Palliative Medicine Consultants. The post holder works within the boundaries of the role function as it develops within Birmingham Hospice and as agreed by the Clinical Directors, Nurse Consultant and Palliative Medicine Consultants. External Ensures effective networking relationships and communication with Nursing/AHP colleagues and relevant organisations, primary care, cancer network and other hospices as necessary to maintain effective patient and family care. Clinical Duties Works as part of a Hospice Specialist Palliative Care Team, carrying out a high standard of clinical assessment, determining and providing treatment plans / interventions, advice or support as appropriate. Maintains clinical records in line with hospice and NMC, or appropriate professional body guidance. Uses advanced clinical judgment to plan, implement and evaluate care for patients with complex palliative needs throughout the hospice and outreach facilities as directed. Anticipates problems and risks and takes action before crises arise. As an independent prescriber, prescribes medicines for patients in accordance with local policies, national standards and formularies relating to independent prescribing. Participates fully as part of the 24 7 specialist team as 1st on call accountable to 2nd on call physician to ensure effective co-ordination of care and appropriate and timely responses for patients. When on call at weekends and out of hours, to be responsive to the teams requests for patient reviews and admissions to IPU as appropriate. Provides a source of expertise to all health care practitioners, including undertaking joint assessments as required. Identifies and reports clinical issues and incidents within the specialty that may affect the quality of palliative care services. Liaises daily with the rest of the medical team and ensures all members are kept fully briefed of all palliative care patient activity under the responsibility of the advanced clinical practitioner. Ensures senior nurse managers and therapy colleagues are aware of clinical activity ensuring the role links appropriately with all other nursing and therapy interventions in the best interests of patients. Professional Leadership Demonstrates leadership skills when undertaking the clinical assessment process and when planning and delivering care. Motivates all staff and others through providing training, supervision and mentorship. Applies a repertoire of interpersonal skills in response to the different needs of staff and colleagues. Encourages proactivity and innovation amongst the MDT and demonstrates flexibility within parameters of hospice policies. Acts as a role model and is accountable for own professional actions and decisions. Leads the development of ideas and specialist practice within the scope of the role. Innovates through exploring ideas with others and takes action which brings in different ways of working. Works with the Clinical Directors, Nurse Consultants and Palliative Care Consultants to ensure the development of progressive professional practice policies identifying opportunities for succession planning. Quality Improvement, Audit & Research Ensures the delivery of high quality, clinically effective care by prioritising and using research and audit in practice. Be an active participant within the clinical governance committees and support the associated work plan as required and directed by line manager. Leads on specific governance initiatives as necessary. Identifies and supports audits and evaluation of work that may be required to develop and improve palliative/ end of life care for patients and their carers. Acts as a resource and support to the Nurse Consultant role. Supports quality improvement initiatives and evidence based in service development plans / projects wherever possible. Participates in maintaining the profile of Birmingham Hospice through the presentation of quality improvement initiatives at local, regional and national conferences. Resource Management Manages own time and works effectively to meet objectives and requirements of the role. Is proactive as part of the senior clinical team in ensuring the totality of hospice skills are used to their best effect to ensure appropriate and timely responses for patients. Represents the senior clinical team at senior management group meetings as required. Makes proactive use of the multi-disciplinary team discussions and review meetings to ensure skills, expertise and use of hospice and professional resources are utilised in the patients interest. Is aware of the local policies of partner organisations with regards to care practices, treatments and prescribing formularies. Governance and Education Influences the setting and monitoring of standards of practice, ensuring delivery of cost effective and evidenced care. Supports the implementation and monitoring of clinical practice guidelines including standards, policies and protocols in line with national directives. Facilitates and participates in reflective reviews of palliative care. To be aware of professional responsibilities and comply with all appropriate policies, standards and guidelines. Understands and complies with guidance surrounding advanced practice. To be aware of ones own continuous professional development needs and maintain an annual personal development plan. Actively contributes to the delivery of the hospice education programme. Supporting Professional Activities (SPA) time will be allocated each week to the ACP, to ensure they are able to maintain this part of the role. Service Development Reviews care pathways feeding reviews into appropriate discussions to ensure continual quality improvements. Works with other disciplines to integrate best practice tools e.g. pathways of care and to minimise duplication of elements of care, fragmentation of care and delays in response to patients needs. Maintains links with other Palliative Care Specialists to share or learn from examples of good practice. Critically evaluates relevant research findings to develop practice. Represents the hospice and the work of the hospice at local, regional and national level as required through conference presentations. General Requirements You are responsible for limiting your actions to those that you feel competent to undertake. If you have any doubts about your competence during your duties, you should immediately speak to your line manager / supervisor. This is not an exhaustive list of duties and a regular review will take place with the post holder as part of their ongoing development and performance management. Job description Job responsibilities To be part of the medical team reporting to the Nurse Consultant and working closely with the Consultants in Palliative Care, using advanced practice skills to identify, assess, diagnose, treat and manage patients with palliative care needs. As part of a multidisciplinary team; exercise complex levels of judgement, discretion and decision making in clinical care. Make appropriate use of the latest evidence base to supervise practice, audit clinical care, teach and support professional colleagues and to provide skilled leadership to clinical decision making. To champion innovative practice within the field of hospice and end of life care and work closely with the Director of Clinical Services, the hospice Consultants and senior nurses to develop progressive professional practice policies identifying opportunities for succession planning. The Advanced Clinical Practitioner will work alongside the medical, nursing and AHP teams at an advanced practice level applying their extended knowledge and skills in the principles and practice of palliative care to support patients with the most complex needs in a range of departments and care settings as required by the hospices joint clinical strategy. The Advanced Clinical Practitioner will contribute to the 24/7 on-call rota for either the Erdington site or Selly park site with the support of the second on call doctor, and will be required to work days and nights as part of this rota. There may be circumstances where cross cover for the sister site is required in and out of hours, but the base site for this post holder will be agreed at the point of recruitment. Main duties and responsibilities Working as an independent practitioner and non-medical prescriber, the post holder is accountable and responsible for their own actions or omissions in line with the Nursing and Midwifery Councils Code and current guidance on Advanced Clinical Practice. The post holder will always work within the scope of professional practice and guidance on advanced practice adhering to all relevant professional, legal and regulatory guidelines. The post holder assumes responsibility for their own professional development and updates and maintains own clinical skills as appropriate and required for the role. Any development requirements will be discussed at appraisals and training supported by the hospice where necessary. The post holder works within the boundaries of the role function as it develops within Birmingham Hospice and as agreed by the Clinical Directors, Nurse Consultant and Palliative Medicine Consultants. The post holder works within the boundaries of the role function as it develops within Birmingham Hospice and as agreed by the Clinical Directors, Nurse Consultant and Palliative Medicine Consultants. External Ensures effective networking relationships and communication with Nursing/AHP colleagues and relevant organisations, primary care, cancer network and other hospices as necessary to maintain effective patient and family care. Clinical Duties Works as part of a Hospice Specialist Palliative Care Team, carrying out a high standard of clinical assessment, determining and providing treatment plans / interventions, advice or support as appropriate. Maintains clinical records in line with hospice and NMC, or appropriate professional body guidance. Uses advanced clinical judgment to plan, implement and evaluate care for patients with complex palliative needs throughout the hospice and outreach facilities as directed. Anticipates problems and risks and takes action before crises arise. As an independent prescriber, prescribes medicines for patients in accordance with local policies, national standards and formularies relating to independent prescribing. Participates fully as part of the 24 7 specialist team as 1st on call accountable to 2nd on call physician to ensure effective co-ordination of care and appropriate and timely responses for patients. When on call at weekends and out of hours, to be responsive to the teams requests for patient reviews and admissions to IPU as appropriate. Provides a source of expertise to all health care practitioners, including undertaking joint assessments as required. Identifies and reports clinical issues and incidents within the specialty that may affect the quality of palliative care services. Liaises daily with the rest of the medical team and ensures all members are kept fully briefed of all palliative care patient activity under the responsibility of the advanced clinical practitioner. Ensures senior nurse managers and therapy colleagues are aware of clinical activity ensuring the role links appropriately with all other nursing and therapy interventions in the best interests of patients. Professional Leadership Demonstrates leadership skills when undertaking the clinical assessment process and when planning and delivering care. Motivates all staff and others through providing training, supervision and mentorship. Applies a repertoire of interpersonal skills in response to the different needs of staff and colleagues. Encourages proactivity and innovation amongst the MDT and demonstrates flexibility within parameters of hospice policies. Acts as a role model and is accountable for own professional actions and decisions. Leads the development of ideas and specialist practice within the scope of the role. Innovates through exploring ideas with others and takes action which brings in different ways of working. Works with the Clinical Directors, Nurse Consultants and Palliative Care Consultants to ensure the development of progressive professional practice policies identifying opportunities for succession planning. Quality Improvement, Audit & Research Ensures the delivery of high quality, clinically effective care by prioritising and using research and audit in practice. Be an active participant within the clinical governance committees and support the associated work plan as required and directed by line manager. Leads on specific governance initiatives as necessary. Identifies and supports audits and evaluation of work that may be required to develop and improve palliative/ end of life care for patients and their carers. Acts as a resource and support to the Nurse Consultant role. Supports quality improvement initiatives and evidence based in service development plans / projects wherever possible. Participates in maintaining the profile of Birmingham Hospice through the presentation of quality improvement initiatives at local, regional and national conferences. Resource Management Manages own time and works effectively to meet objectives and requirements of the role. Is proactive as part of the senior clinical team in ensuring the totality of hospice skills are used to their best effect to ensure appropriate and timely responses for patients. Represents the senior clinical team at senior management group meetings as required. Makes proactive use of the multi-disciplinary team discussions and review meetings to ensure skills, expertise and use of hospice and professional resources are utilised in the patients interest. Is aware of the local policies of partner organisations with regards to care practices, treatments and prescribing formularies. Governance and Education Influences the setting and monitoring of standards of practice, ensuring delivery of cost effective and evidenced care. Supports the implementation and monitoring of clinical practice guidelines including standards, policies and protocols in line with national directives. Facilitates and participates in reflective reviews of palliative care. To be aware of professional responsibilities and comply with all appropriate policies, standards and guidelines. Understands and complies with guidance surrounding advanced practice. To be aware of ones own continuous professional development needs and maintain an annual personal development plan. Actively contributes to the delivery of the hospice education programme. Supporting Professional Activities (SPA) time will be allocated each week to the ACP, to ensure they are able to maintain this part of the role. Service Development Reviews care pathways feeding reviews into appropriate discussions to ensure continual quality improvements. Works with other disciplines to integrate best practice tools e.g. pathways of care and to minimise duplication of elements of care, fragmentation of care and delays in response to patients needs. Maintains links with other Palliative Care Specialists to share or learn from examples of good practice. Critically evaluates relevant research findings to develop practice. Represents the hospice and the work of the hospice at local, regional and national level as required through conference presentations. General Requirements You are responsible for limiting your actions to those that you feel competent to undertake. If you have any doubts about your competence during your duties, you should immediately speak to your line manager / supervisor. This is not an exhaustive list of duties and a regular review will take place with the post holder as part of their ongoing development and performance management. Person Specification Personal Skills and Attributes Essential Able to articulate and address personal development needs Demonstrates ability to work across traditional professional/organisational boundaries and agencies Evidence of ability to adapt according to changing service needs Evidence of excellent communication skills Flexible working, according to the needs of the service Able to work effectively as a member of a team and motivate others Able to work without supervision and use own initiative, whilst also understanding limitations and when to ask for help Experience Essential Knowledge and experience At least 5 years post-registration clinical experience At least 2 years palliative care experience or critical care/emergency care or primary care experience Able to demonstrate skills in clinical prioritisation Record of independent or supplementary medication reviews Demonstrates implementation of evidence-based practice Evidence of evaluation of clinical practice and continuing professional development Ability to use information technology appropriately Provides clinical leadership and expertise Demonstrates advanced skills in clinical assessment diagnosis and decision making for patients with a variety of general medical and palliative diagnoses Experience of teaching professionals from different disciplines Ability to participate in a collaborative educational programme Knowledge and experience of mentorship within clinical practice Participation in the development, maintenance and monitoring of service standards Understanding of audit and research, and experience of participation in the audit process Evidence of change management experience Service improvement Knowledge and understanding of involvement of patient and public in service delivery, development and design Experience of research A/I/T Desirable Evidence of change management experience Service improvement. Knowledge and understanding of involvement of patient and public in service delivery, development and design Experience of research Qualifications Essential Education and qualifications RGN with current registration Be appropriately registered with NMC or an equivalent allied health professional body Educated to degree level Advanced communication skills training Non-medical prescriber (Extended formulary) Physical assessment qualification Qualification in end of life/palliative care nursing Practice Teacher status or professional equivalent Clinically orientated Masters level qualification (eg Masters in Advanced Clinical Practice) A/C Desirable Qualification in end of life/palliative care nursing Practice Teacher status or professional equivalent Clinically orientated Masters level qualification (eg Masters in Advanced Clinical Practice) Person Specification Personal Skills and Attributes Essential Able to articulate and address personal development needs Demonstrates ability to work across traditional professional/organisational boundaries and agencies Evidence of ability to adapt according to changing service needs Evidence of excellent communication skills Flexible working, according to the needs of the service Able to work effectively as a member of a team and motivate others Able to work without supervision and use own initiative, whilst also understanding limitations and when to ask for help Experience Essential Knowledge and experience At least 5 years post-registration clinical experience At least 2 years palliative care experience or critical care/emergency care or primary care experience Able to demonstrate skills in clinical prioritisation Record of independent or supplementary medication reviews Demonstrates implementation of evidence-based practice Evidence of evaluation of clinical practice and continuing professional development Ability to use information technology appropriately Provides clinical leadership and expertise Demonstrates advanced skills in clinical assessment diagnosis and decision making for patients with a variety of general medical and palliative diagnoses Experience of teaching professionals from different disciplines Ability to participate in a collaborative educational programme Knowledge and experience of mentorship within clinical practice Participation in the development, maintenance and monitoring of service standards Understanding of audit and research, and experience of participation in the audit process Evidence of change management experience Service improvement Knowledge and understanding of involvement of patient and public in service delivery, development and design Experience of research A/I/T Desirable Evidence of change management experience Service improvement. Knowledge and understanding of involvement of patient and public in service delivery, development and design Experience of research Qualifications Essential Education and qualifications RGN with current registration Be appropriately registered with NMC or an equivalent allied health professional body Educated to degree level Advanced communication skills training Non-medical prescriber (Extended formulary) Physical assessment qualification Qualification in end of life/palliative care nursing Practice Teacher status or professional equivalent Clinically orientated Masters level qualification (eg Masters in Advanced Clinical Practice) A/C Desirable Qualification in end of life/palliative care nursing Practice Teacher status or professional equivalent Clinically orientated Masters level qualification (eg Masters in Advanced Clinical Practice) 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 Birmingham Hospice Address 76 Grange Road Erdington Birmingham B24 0DF Employer's website https://www.birminghamhospice.org.uk (Opens in a new tab)