Job summary To prevent unnecessary hospital admission and facilitate early supported discharge. To provide advanced clinical assessment for patients in community settings i.e. own home and community inpatient beds. As a member of the intermediate care services the post holder will work as a community advanced clinical practitioner within the multi-disciplinary team. To provide advanced clinical assessment to patients with long term conditions and provide care programmes appropriate to the rehabilitation needs of individual patients. The post holder will work in partnership with the Team Leader, Service Managers, Therapists and other staff within intermediate care and or community teams. The post will also work in partnership with the Consultant in Elderly Medicine, GP, Community Matron, Case Managers, social care staff and the wider multidisciplinary team to provide patient focused care across intermediate tier services and services in the community including the voluntary sector. Main duties of the job For full details of this job vacancy, please see attached full job description and person specification. About us We are delighted to offer a wide range of benefits to employees including: Cycle to Work Travel Scheme Childcare Vouchers with Salary Sacrifice Onsite Nursery Buying and Selling Annual Leave Car Leasing Employee Assistance Programme Employee Health and Wellbeing Extensive Reward Scheme Counselling Service Financial packages including Vivup and Wagestream Staff Networks, Enable, Rainbow, Gender, Race Equality Ecoaware & Admin Network. Our values: We understand that it's down to the hard work, effort and dedication of our staff that makes a difference for our patients. Our people really do make our Airedale experience - we take pride in fostering a friendly, effective and caring work environment. Our values are part of our DNA, which are: Committed to Quality of Care Compassion Working together for patients Improving Lives Everyone Counts Respect and Dignity Got questions before you apply, please contact the recruiting manager to find out more. Date posted 27 February 2025 Pay scheme Agenda for change Band Band 6 Salary Depending on experience Salary dependant on qualification and experience Contract Permanent Working pattern Full-time Reference number 423-6988014 Job locations Airedale Hospital Skipton Road Keighley BD20 6TD Job description Job responsibilities Management of Care: Practice at an advanced level working as an autonomous practitioner within the multidisciplinary team. As an experienced advanced clinical practitioner take responsibility and be accountable for the clinical assessment, diagnosis, treatment and management of patients taking into account local and national guidelines. This is inclusive of those patients with undifferentiated and undiagnosed health care needs. Work in collaboration with the frailty team, senior staff and Doctors in ED/MAU to ensure elderly frail patients are offered appropriate assessment and care pathways. Ensure person centred advanced care plans are developed following a robust assessment process. Be mindful of patients needs, wishes and culture encouraging self management. Empower and educate service users, carers and relatives to enable informed choices to be made about their plan of care and record plans in appropriate and accessible format for patients and colleagues e.g. self-care exacerbation template. Refer patients, as appropriate, to secondary care and for appropriate diagnostic investigations inclusive of x-ray. Interpret these results holistically within the patient centred approach. With the information, prioritise, analyse, evaluate and review and adjust management plans whilst managing conflict of views and professional differences of opinions. Ensure that individual patients care and treatment plans facilitate the patient to reach their optimum health and independence. Proactively manage patients with long term conditions and acute exacerbations of these, working collaboratively with and be an advocate for shared care between professionals. As an Independent Prescriber, prescribe medications in accordance with NMC guidance, local and national policy guidance. As an independent prescriber review medication and optimise patient concordance and reduce polypharmacy. Champion patients rights, for example, dignity, equality, diversity choice and respect and provide high quality care based on best practice. Act as the patients and relatives advocate when necessary. Empower patients to manage disability, loss and change. Provide expert clinical leadership to other members of the health care team regarding the care required for patients. Work in partnership with the multi-disciplinary team from health, social care and the voluntary sector to promote continuity of care. To provide patients and carers with relevant and appropriate health education and promotion information to promote informed choices and to support self-care as appropriate. Adhere to record keeping standards and ensure good communication and documentation is entered within the appropriate systems. Support patients at end of life Assess risk that may affect patients and care delivery, working within ANHSFT risk management policies. To provide clinical care of a high standard, consistent with the requirements of clinical governance and the professional governing body e.g. NMC, HCPC Management of the Service: Provide expert clinical leadership in developing care pathways to advance practice and service provision in collaboration with relevant stakeholders and Line manager. Ensure that patients and carers comments, concerns and complaints are appropriately and proactively managed including investigation and feedback within the Patients Advocacy and liaison service (PALS). Contribute to the regular service meetings held by the Community Consultant Clinical Practitioner, Clinical Leads and Team Leaders. Contribute to clinical MDT meetings. Professional / Leadership: Provide Clinical Supervision within their own clinical speciality and monitor the provision of supervision for all team members. Actively promote the embedding of trust values through demonstration of those values. Encourage a culture of continued clinical improvement and the maintenance of the workplace as a learning environment where everyone can learn from each other and from good practice. Champion and facilitate multi-disciplinary/professional team working. Demonstrate and promote effective communications and relationships within community and intermediate care services sharing good practice and innovation. Participate in the development of services and strategy for older peoples service and Community and Intermediate Care services. Be available as a resource to others involved in care delivery. Develop strategies for quality improvement in collaboration with the Team Leader/Clinical Lead for Community Nursing, setting and maintaining high clinical standards. Establish systems for research, audit and evaluation of care in collaboration with the Community Consultant Clinical Practitioner. Proactively participate in the development of care pathways. Budget Management: To ensure prescribing within the context of national and local guidelines. Responsible for ensuring there are sufficient levels of equipment, which is maintained, monitored and replaced as appropriate within resources. Working within ANHSFT Standing Financial instructions at all times. Work Force Planning and Development: Contribute to the development of the knowledge and practice of others. Contribute to the education of others by guiding and developing team members in their professional and clinical practice. Facilitate learning for staff and be actively involved in training sessions to disseminate good practice. Develop and deliver educational programmes to clinical staff. Act as a mentor, preceptor, coach or clinical supervisor. Governance: As a member of the Senior Multidisciplinary Team, work collaboratively with colleagues and contribute to the development of policy, identifying how policy will impact on practice and service delivery. Within own specialty identify the need for and develop protocols and policies whilst working closely with relevant stakeholders and the Practice Development Team. Contribute to the development of new policies making recommendations as appropriate and ensure implementation and monitoring of operational policies with the service. Work with ANHSFT Clinical quality and Governance Teams in areas of clinical quality, infection control, waste disposal, to ensure care provided is based on best practice. Receive and review prescribing data and conduct audit of prescribing practice. Contribute to ANHSFT audit or research activity as required. Implement audit initiatives to monitor care quality within the unit including using tools such as key performance indicators. Undertake audits as identified in the audit program. Ensure audit information is used to make recommendations to raise standards of care, practice and service delivery. Ensure that incidents are reported appropriately and action is taken to reduce risk. Working with the team leader and risk managers contribute to critical incident investigations as necessary and actively monitor incidents reported on AEFs ensuring action is initiated and learning disseminated to staff., Encourage patient/carer involvement in the planning, delivery and monitoring of care. With the line manager undertake an annual development review which would include the reviewing of prescribing via ePACT data to ensure your specialized knowledge continues to be underpinned by theory and experience. Undertake appropriate mandatory training. Information Management: Keep accurate, contemporaneous documentation and care plans in accordance with professional body guidance, information governance and local / national guidance. Ensure service activity is monitored and recorded and is appropriate for service need / delivery. Obtain, analyse, share and use current information for decision making in collaboration with the Team leader and others. Working Conditions: The service is delivered over 24 hours a day, 365 days a year. Staff will be expected to work on a shift rota in order to cover the needs of the service. Frequent exposure to body fluids, blood and wounds. Occasional exposure to aggressive behaviour. Moving and handling patients, stores and equipment. Frequent concentration, work pattern unpredictable due to interruptions to deal with service issues. Frequent distressing or emotional circumstances dealing with patient complaints, dealing with staff problems or conveying unwelcome news. Job description Job responsibilities Management of Care: Practice at an advanced level working as an autonomous practitioner within the multidisciplinary team. As an experienced advanced clinical practitioner take responsibility and be accountable for the clinical assessment, diagnosis, treatment and management of patients taking into account local and national guidelines. This is inclusive of those patients with undifferentiated and undiagnosed health care needs. Work in collaboration with the frailty team, senior staff and Doctors in ED/MAU to ensure elderly frail patients are offered appropriate assessment and care pathways. Ensure person centred advanced care plans are developed following a robust assessment process. Be mindful of patients needs, wishes and culture encouraging self management. Empower and educate service users, carers and relatives to enable informed choices to be made about their plan of care and record plans in appropriate and accessible format for patients and colleagues e.g. self-care exacerbation template. Refer patients, as appropriate, to secondary care and for appropriate diagnostic investigations inclusive of x-ray. Interpret these results holistically within the patient centred approach. With the information, prioritise, analyse, evaluate and review and adjust management plans whilst managing conflict of views and professional differences of opinions. Ensure that individual patients care and treatment plans facilitate the patient to reach their optimum health and independence. Proactively manage patients with long term conditions and acute exacerbations of these, working collaboratively with and be an advocate for shared care between professionals. As an Independent Prescriber, prescribe medications in accordance with NMC guidance, local and national policy guidance. As an independent prescriber review medication and optimise patient concordance and reduce polypharmacy. Champion patients rights, for example, dignity, equality, diversity choice and respect and provide high quality care based on best practice. Act as the patients and relatives advocate when necessary. Empower patients to manage disability, loss and change. Provide expert clinical leadership to other members of the health care team regarding the care required for patients. Work in partnership with the multi-disciplinary team from health, social care and the voluntary sector to promote continuity of care. To provide patients and carers with relevant and appropriate health education and promotion information to promote informed choices and to support self-care as appropriate. Adhere to record keeping standards and ensure good communication and documentation is entered within the appropriate systems. Support patients at end of life Assess risk that may affect patients and care delivery, working within ANHSFT risk management policies. To provide clinical care of a high standard, consistent with the requirements of clinical governance and the professional governing body e.g. NMC, HCPC Management of the Service: Provide expert clinical leadership in developing care pathways to advance practice and service provision in collaboration with relevant stakeholders and Line manager. Ensure that patients and carers comments, concerns and complaints are appropriately and proactively managed including investigation and feedback within the Patients Advocacy and liaison service (PALS). Contribute to the regular service meetings held by the Community Consultant Clinical Practitioner, Clinical Leads and Team Leaders. Contribute to clinical MDT meetings. Professional / Leadership: Provide Clinical Supervision within their own clinical speciality and monitor the provision of supervision for all team members. Actively promote the embedding of trust values through demonstration of those values. Encourage a culture of continued clinical improvement and the maintenance of the workplace as a learning environment where everyone can learn from each other and from good practice. Champion and facilitate multi-disciplinary/professional team working. Demonstrate and promote effective communications and relationships within community and intermediate care services sharing good practice and innovation. Participate in the development of services and strategy for older peoples service and Community and Intermediate Care services. Be available as a resource to others involved in care delivery. Develop strategies for quality improvement in collaboration with the Team Leader/Clinical Lead for Community Nursing, setting and maintaining high clinical standards. Establish systems for research, audit and evaluation of care in collaboration with the Community Consultant Clinical Practitioner. Proactively participate in the development of care pathways. Budget Management: To ensure prescribing within the context of national and local guidelines. Responsible for ensuring there are sufficient levels of equipment, which is maintained, monitored and replaced as appropriate within resources. Working within ANHSFT Standing Financial instructions at all times. Work Force Planning and Development: Contribute to the development of the knowledge and practice of others. Contribute to the education of others by guiding and developing team members in their professional and clinical practice. Facilitate learning for staff and be actively involved in training sessions to disseminate good practice. Develop and deliver educational programmes to clinical staff. Act as a mentor, preceptor, coach or clinical supervisor. Governance: As a member of the Senior Multidisciplinary Team, work collaboratively with colleagues and contribute to the development of policy, identifying how policy will impact on practice and service delivery. Within own specialty identify the need for and develop protocols and policies whilst working closely with relevant stakeholders and the Practice Development Team. Contribute to the development of new policies making recommendations as appropriate and ensure implementation and monitoring of operational policies with the service. Work with ANHSFT Clinical quality and Governance Teams in areas of clinical quality, infection control, waste disposal, to ensure care provided is based on best practice. Receive and review prescribing data and conduct audit of prescribing practice. Contribute to ANHSFT audit or research activity as required. Implement audit initiatives to monitor care quality within the unit including using tools such as key performance indicators. Undertake audits as identified in the audit program. Ensure audit information is used to make recommendations to raise standards of care, practice and service delivery. Ensure that incidents are reported appropriately and action is taken to reduce risk. Working with the team leader and risk managers contribute to critical incident investigations as necessary and actively monitor incidents reported on AEFs ensuring action is initiated and learning disseminated to staff., Encourage patient/carer involvement in the planning, delivery and monitoring of care. With the line manager undertake an annual development review which would include the reviewing of prescribing via ePACT data to ensure your specialized knowledge continues to be underpinned by theory and experience. Undertake appropriate mandatory training. Information Management: Keep accurate, contemporaneous documentation and care plans in accordance with professional body guidance, information governance and local / national guidance. Ensure service activity is monitored and recorded and is appropriate for service need / delivery. Obtain, analyse, share and use current information for decision making in collaboration with the Team leader and others. Working Conditions: The service is delivered over 24 hours a day, 365 days a year. Staff will be expected to work on a shift rota in order to cover the needs of the service. Frequent exposure to body fluids, blood and wounds. Occasional exposure to aggressive behaviour. Moving and handling patients, stores and equipment. Frequent concentration, work pattern unpredictable due to interruptions to deal with service issues. Frequent distressing or emotional circumstances dealing with patient complaints, dealing with staff problems or conveying unwelcome news. Person Specification Experience Essential Substantial post registration experience and significant experience working at a senior level Band 6/7 or equivalent Experience of working in primary or community health setting. Extensive knowledge of older people's and long term conditions agenda. Demonstrate a high level of clinical skill. Demonstrate an in depth knowledge and experience of clinical examination, history taking, pharmacology, pathophysiology, etc Experience of instigating and interpreting investigations and initiating appropriate plans of care for patients. Experience of promoting self care. Cultural awareness Experience of multi-agency working across service interfaces. Thorough understanding of the NHS Constitution and its implications Desirable Experience of working in primary or community health setting. (Band6/7) Education / Training Essential Relevant and current professional qualification e.g. RN 1st Level Adult nursing, Physiotherapist registered with HCPC Independent Prescriber Evidence of continuing professional development To have undertaken study at masters level To have undertaken accredited courses which enable Advanced Practitioner status Experience of teaching, assessing, coaching and supporting learning to a variety of groups Qualification in teaching and assessing Desirable Continued professional development at Masters level. oWorking towards Advanced Clinical Practitioner qualification at Masters level (band 6/7 trainee role) Person Specification Experience Essential Substantial post registration experience and significant experience working at a senior level Band 6/7 or equivalent Experience of working in primary or community health setting. Extensive knowledge of older people's and long term conditions agenda. Demonstrate a high level of clinical skill. Demonstrate an in depth knowledge and experience of clinical examination, history taking, pharmacology, pathophysiology, etc Experience of instigating and interpreting investigations and initiating appropriate plans of care for patients. Experience of promoting self care. Cultural awareness Experience of multi-agency working across service interfaces. Thorough understanding of the NHS Constitution and its implications Desirable Experience of working in primary or community health setting. (Band6/7) Education / Training Essential Relevant and current professional qualification e.g. RN 1st Level Adult nursing, Physiotherapist registered with HCPC Independent Prescriber Evidence of continuing professional development To have undertaken study at masters level To have undertaken accredited courses which enable Advanced Practitioner status Experience of teaching, assessing, coaching and supporting learning to a variety of groups Qualification in teaching and assessing Desirable Continued professional development at Masters level. oWorking towards Advanced Clinical Practitioner qualification at Masters level (band 6/7 trainee role) 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). 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 Airedale NHS Foundation Trust Address Airedale Hospital Skipton Road Keighley BD20 6TD Employer's website https://www.airedale-trust.nhs.uk (Opens in a new tab)