Job summary We have an exciting opportunity for Advanced Clinical Practitioners (ACPs) to join our Out of Hours team across Barrow-In-Furness and Kendal, on a salaried basis. This role is crucial in delivering high-quality care during out-of-hours periods, ensuring that patients receive timely and effective healthcare when they need it most. The Acute Respiratory Infection (ARI) hubs provide essential additional capacityduring the out of hours period,offering extra appointment slots to help relieve pressures on both primary and secondary care services. By enabling faster access to diagnosis and treatment, the ARI hubs play a vital role in reducing hospital admissions and improving patient outcomes, particularly for those with acute respiratory infections. Each site offers up to 20 hours per week to the successful candidate(s). Monday & Friday evenings - 1830-2100hrs Saturday & Sunday afternoons 1300-1900hrs CLOSING DATE: 27 NOVEMBER 2024 We encourage you to apply as early as possible as this job may close earlier than the advertised closing date once enough applications have been received Main duties of the job The post holder will work as a member of the clinical team. The post holder will be responsible for recognising, negotiating and implementing processes to enhance the delivery of care in the Treatment centres. Patient centred care will be delivered by assessing patients with undifferentiated and undiagnosed problems; initiating treatment, investigations, advice and management of problems using professional autonomous decision making processes, liaising when appropriate with other healthcare professionals and service providers to ensure safe and effective patient care. The post holder will contribute to development and delivery of a high quality innovative service to the community through the implementation of evidence based clinical practice, supported by continual professional development and mentorship/supervision. About us Cumbria Health places the patient, their family and their community at the heart of everything we do. We are an award-winning organisation, the first out-of-hours organisation in the country to be rated as outstanding by the Care Quality Commission (CQC). We provide primary health care services, both in and out of hours, across Cumbria. We are values-driven and place great emphasis on inclusivity and the wellbeing and development of our staff, while striving to provide a consistently high-quality service. Our service is designed to improve health and wellbeing. Working for Cumbria Health can offer flexible opportunities in terms of location, hours and working patterns so you can enjoy a great work life balance. In order to provide the best patient care we understand the importance of ensuring staff satisfaction and are consistently trying to ensure we offer our staff a positive working environment whether that be though training or social events. Listen to your heart. Have the work life balance you'd love. Date posted 14 October 2024 Pay scheme Other Salary £38.27 an hour Contract Permanent Working pattern Part-time Reference number B0554-24-0149 Job locations Westmorland General Hospital Kendal LA9 7RG Furness General Hospital Barrow-in-Furness LA14 4LF Job description Job responsibilities This list of duties and responsibilities, which follows, represents the broad range of tasks which may be required to be undertaken either routinely or periodically. This list is not exhaustive and the role may include additional duties which are not listed here. Communication 1. Communicates effectively as a member of a multi-disciplinary team. a. Refers when necessary to general practitioners, Paramedics, Accident and Emergency, Secondary Care, District nurses, Night rapid response nurses, Emergency social workers, Emergency mental health team, and Emergency dental services. 2. With Primary care nurses giving support, advice and leadership. 3. With reception staff regarding patient information. 4. Recognise and effectively manages situations where there are barriers to effective communication. 5. Recognises and effectively manages situations where there are barriers to effective communication. Clinical Skills 1. Works independently as an Advanced Clinical Practitioner within the scope of professional practice. a. Functions at a high level to a carry out clinical decision making such as diagnosing and discharging patients with minimal input from a medical practitioner remaining with the scope of professional practice. b. Practices as an autonomous practitioner where possible with non-medical prescribing authority. 2. Functions at a high level in relation to communication skills through patient consultation and nursing assessment of physical, psychological and social needs. a. Takes an accurate history, building rapport towards a therapeutic relationship. b. Assess, plan and implements patient centred plan of care for patients with in the out of hours treatment centres, independently discharge patients from your care and refer when necessary to other healthcare professionals for further specialised care. 3. Demonstrates clinical competence in the assessment and management of patients of all ages from infants to the elderly and management of lifelong illness such as diabetes, asthma and chronic obstructive pulmonary disease during the time of acute illness and managing minor illness. 4. Adapts to change within working situation managing unscheduled emergency situations. a. Basic life support, severe breathing problems, serious cardiovascular problems, collapsed patients and seriously ill patients. 5. Performs investigations to reach a differential diagnosis using core clinical skill and competence. Initiate treatment including diagnostic investigations. a. Recognition of abnormal vital signs observing paediatric and adult respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressures as appropriate. b. Performs investigatory procedures including; Performing ECGs, Urinalysis, Blood Glucose monitoring, Venepuncture, measuring and interpreting Peak Flow. 6. Demonstrates competence in examination techniques a. Examination of the Ear Nose and Throat system b. Basic Neurological examination of Headaches and Head injury c. Basic Muscular-skeletal examination in the assessment of injury d. Basic eye examination in the assessment of injury, foreign body and infection. e. Respiratory Examination f. Abdominal Examination g. Cardiovascular Examination h. Vaginal Examination and sexual health screening 7. Performs safe manual handling techniques. 8. Recognises own limitations, seek assistance and refer appropriately. 9. Delivers a high standard of care without discrimination to all ages, sexes and ethnic origins of the population through continuum of life. 10. Deliver safe, effective evidence based care and advice to ease patient problems. 11. Promotes improving the health of the individual through advice and education to aid adjustment of lifestyle, including Contraception advice. Organisational Skills 1. Aware of and complies with Cumbria Health policies and procedures. 2. Able to adapt to change in the workplace being involved in new developments in the delivery of care. 3. Ensures faulty clinical equipment is reported and repaired and adequate for use. 4. Ensures store supplies are adequately ordered and maintained. 5. Participates and supports the implementation of clinical governance, clinical audit and clinical risk assessment, setting and monitoring standards of care. 6. Promotes improving the health of the community through reporting and preventing occurrences of infectious disease, proving advice and education. 7. Has a flexible approach to geographical locations across county sites. Professional 1. Ensures practice and implementation of care is evidence based by adhering to local and national guidance. 2. Complies with NMC. HCPC, GPC code of conduct and works within scope of professional practice 3. Maintains confidentiality of information regarding patients. 4. Ensures accurate, concise documentation. 5. Reports any adverse incidents or near miss events through agreed Cumbria Health system. 6. Maintains professional development in risk awareness, health and safety, fire safety at work, Child and Adult safeguarding, conflict resolution, information governance and basic life support by attending annual mandatory training. 7. Identifies and/ or participates in strategies of risk assessment to avoid or prevent clinical incidents and near misses incorporated in the clinical governance framework including: a. Risk management, Child and Adult safeguarding policies, Drug policies and Infection prevention policies. Leadership 1. Is a support network for other colleagues. 2. Acts as role model to inspire and motivate others. 3. Motivates and inspires others to deliver excellent standards of care, both within own team and across the wider workforce 4. Acts as mentor, support and induct new staff. 5. Supports and challenges colleagues on specific aspects of their practice, encouraging healthy debate and contributing to the development of others Training and Education 1. Enhances professional development. 2. Continually keeps up to date with current evidence based practice. 3. Is involved in lifelong learning. 4. Ensures mandatory training has been completed. 5. Participates in in-house training provided / clinical meetings / supervision Job description Job responsibilities This list of duties and responsibilities, which follows, represents the broad range of tasks which may be required to be undertaken either routinely or periodically. This list is not exhaustive and the role may include additional duties which are not listed here. Communication 1. Communicates effectively as a member of a multi-disciplinary team. a. Refers when necessary to general practitioners, Paramedics, Accident and Emergency, Secondary Care, District nurses, Night rapid response nurses, Emergency social workers, Emergency mental health team, and Emergency dental services. 2. With Primary care nurses giving support, advice and leadership. 3. With reception staff regarding patient information. 4. Recognise and effectively manages situations where there are barriers to effective communication. 5. Recognises and effectively manages situations where there are barriers to effective communication. Clinical Skills 1. Works independently as an Advanced Clinical Practitioner within the scope of professional practice. a. Functions at a high level to a carry out clinical decision making such as diagnosing and discharging patients with minimal input from a medical practitioner remaining with the scope of professional practice. b. Practices as an autonomous practitioner where possible with non-medical prescribing authority. 2. Functions at a high level in relation to communication skills through patient consultation and nursing assessment of physical, psychological and social needs. a. Takes an accurate history, building rapport towards a therapeutic relationship. b. Assess, plan and implements patient centred plan of care for patients with in the out of hours treatment centres, independently discharge patients from your care and refer when necessary to other healthcare professionals for further specialised care. 3. Demonstrates clinical competence in the assessment and management of patients of all ages from infants to the elderly and management of lifelong illness such as diabetes, asthma and chronic obstructive pulmonary disease during the time of acute illness and managing minor illness. 4. Adapts to change within working situation managing unscheduled emergency situations. a. Basic life support, severe breathing problems, serious cardiovascular problems, collapsed patients and seriously ill patients. 5. Performs investigations to reach a differential diagnosis using core clinical skill and competence. Initiate treatment including diagnostic investigations. a. Recognition of abnormal vital signs observing paediatric and adult respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressures as appropriate. b. Performs investigatory procedures including; Performing ECGs, Urinalysis, Blood Glucose monitoring, Venepuncture, measuring and interpreting Peak Flow. 6. Demonstrates competence in examination techniques a. Examination of the Ear Nose and Throat system b. Basic Neurological examination of Headaches and Head injury c. Basic Muscular-skeletal examination in the assessment of injury d. Basic eye examination in the assessment of injury, foreign body and infection. e. Respiratory Examination f. Abdominal Examination g. Cardiovascular Examination h. Vaginal Examination and sexual health screening 7. Performs safe manual handling techniques. 8. Recognises own limitations, seek assistance and refer appropriately. 9. Delivers a high standard of care without discrimination to all ages, sexes and ethnic origins of the population through continuum of life. 10. Deliver safe, effective evidence based care and advice to ease patient problems. 11. Promotes improving the health of the individual through advice and education to aid adjustment of lifestyle, including Contraception advice. Organisational Skills 1. Aware of and complies with Cumbria Health policies and procedures. 2. Able to adapt to change in the workplace being involved in new developments in the delivery of care. 3. Ensures faulty clinical equipment is reported and repaired and adequate for use. 4. Ensures store supplies are adequately ordered and maintained. 5. Participates and supports the implementation of clinical governance, clinical audit and clinical risk assessment, setting and monitoring standards of care. 6. Promotes improving the health of the community through reporting and preventing occurrences of infectious disease, proving advice and education. 7. Has a flexible approach to geographical locations across county sites. Professional 1. Ensures practice and implementation of care is evidence based by adhering to local and national guidance. 2. Complies with NMC. HCPC, GPC code of conduct and works within scope of professional practice 3. Maintains confidentiality of information regarding patients. 4. Ensures accurate, concise documentation. 5. Reports any adverse incidents or near miss events through agreed Cumbria Health system. 6. Maintains professional development in risk awareness, health and safety, fire safety at work, Child and Adult safeguarding, conflict resolution, information governance and basic life support by attending annual mandatory training. 7. Identifies and/ or participates in strategies of risk assessment to avoid or prevent clinical incidents and near misses incorporated in the clinical governance framework including: a. Risk management, Child and Adult safeguarding policies, Drug policies and Infection prevention policies. Leadership 1. Is a support network for other colleagues. 2. Acts as role model to inspire and motivate others. 3. Motivates and inspires others to deliver excellent standards of care, both within own team and across the wider workforce 4. Acts as mentor, support and induct new staff. 5. Supports and challenges colleagues on specific aspects of their practice, encouraging healthy debate and contributing to the development of others Training and Education 1. Enhances professional development. 2. Continually keeps up to date with current evidence based practice. 3. Is involved in lifelong learning. 4. Ensures mandatory training has been completed. 5. Participates in in-house training provided / clinical meetings / supervision Person Specification Experience Essential Significant post registration experience (minimum 3 years in relevant field acute or primary care setting) Evidence of autonomous practice assessing & managing patients with undifferentiated presentations Evidence of good practice Leadership Skills Desirable Experience of working within primary or urgent care Qualifications Essential 1st Level professional registration Graduate degree with honours at least 2.2 Non Medical prescribing qualification Evidence of advanced clinical examination & history taking qualification Evidence of recent Continual Professional Development Desirable MSc Advanced Practice 998 or equivalent teaching certificate. ILS Intermediate Life support Person Specification Experience Essential Significant post registration experience (minimum 3 years in relevant field acute or primary care setting) Evidence of autonomous practice assessing & managing patients with undifferentiated presentations Evidence of good practice Leadership Skills Desirable Experience of working within primary or urgent care Qualifications Essential 1st Level professional registration Graduate degree with honours at least 2.2 Non Medical prescribing qualification Evidence of advanced clinical examination & history taking qualification Evidence of recent Continual Professional Development Desirable MSc Advanced Practice 998 or equivalent teaching certificate. ILS Intermediate Life support 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 Cumbria Health Address Westmorland General Hospital Kendal LA9 7RG Employer's website https://www.chocltd.co.uk/ (Opens in a new tab)