Job summary Trainee Band 7 role, progressing to Band 8a on completion of competencies. An exciting opportunity has arisen for a trainee advanced clinical practitioner within the emergency department. We are a busy dynamic major trauma centre providing high quality care to patients from a rural and urban environment. As a Trainee Advanced clinical practitioner you will already be a senior experienced clinician ideally with extensive A&E or acute and critical care knowledge, this is underpinned by your use of advanced clinical skills. You will be a motivated team player who possesses excellent verbal and written communication skills. The successful candidate should possess a strong desire to develop themselves to deliver outstanding care within the four pillars of advanced clinical practice, helping to develop the advanced practice strategy within the Emergency Department. The successful candidate should be prepared to work in all areas of the emergency department, assessing patients with undifferentiated medical emergencies. You will report to the Lead ACP and Consultant, who will oversee your development and progress. You will be part of a team of people who will be instrumental in developing and delivering our plans moving forward and will contribute positively to the development of the patient pathways for acute medicine. You will be required to rotate between day duty and night duty including weekends. Main duties of the job Preference will be given to internal Trust staff, as well as 'Priority' and 'At Risk' status including NHS At Risk staff throughout Devon who are able to display recent relevant experience as dictated by the Person Specification. This rolecan be defined as a trainee clinician, part of the Emergency Department (ED) clinical team required to assess, diagnose, plan, implement and evaluate treatment/interventions for patients presenting with an undifferentiated diagnosis. You will be learning to be able to work across every area of the ED and working towards being able to deliver a high standard of autonomous care to all patients attending the ED, whilst working within your own professional scope of practice and acknowledging any limitations you may have as an TACP. You must be able to work independently within the four pillars of advanced practice by, contributing to departmental education delivery, departmental management meetings, as well as participating in clinical research and audit alongside your clinical duties, before you are able to transition fully to the AfC Band 8a ACP role. You will also be required to complete your academic master's study which must encompass Non-medical Prescribing (NMP). Once this criterion is met this JD should be replaced with the AfC Band 8a ACP in ED JD. About us We are a people business - where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. We offer all of this in a vibrant, modern city with a historic reputation for adventure. PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY. If you have any issues with applying online and need additional support including reasonable adjustments with the application process please contact the recruitment team on 01752 432100. We recognise that work life balance is important for our colleagues and so we invite requests from applicants around less than full time/flexible working for our advertised roles. Please contact the recruiting manager to discuss this prior to your application submission. We commit to giving this full consideration in each case. We encourage people from diverse backgrounds to apply for our roles, as diversity strengthens our teams. It is sometimes necessary to close vacancies before the closing date. If you have not heard from us within 4 weeks of the closing date, please assume that you have not been shortlisted. Date posted 15 January 2025 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £60,504 a year on completion of Msc in Advanced Practice Contract Permanent Working pattern Full-time Reference number 216-LH-M6887642 Job locations University hospitals Plymouth NHS trust plymouth PL6 8DH Job description Job responsibilities 1. Develop high level skills in assessing, differentially diagnosing, planning, implementing and evaluating individual treatment interventions for patients by virtue of growing expert clinical judgement and partnership with members of the MDT. 2. Develop expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses. 3. Under direct or indirect supervision initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care. 4. Demonstrate professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers. 5. Develop complex decision-making skills to promote high quality care in unpredictable and challenging circumstances. 6. Ensure compliance with their respective code of professional conduct and work within their scope of practice. 7. Works in conjunction with the MDT to clearly define values, direction and policies impacting upon care. 8. Work in partnership with individuals, families and carers, using a range of assessment methods 9. Be able to demonstrate a critical understanding of their broadening level of responsibility and autonomy. This includes being critically aware of their limits of their own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information. 10. Be responsible and accountable for their decisions, actions and omissions at this level of practice. 11. Utilise professional judgement and maturity, understanding when to seek help. 12. Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care 13. Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope. 14. If applicable to role and profession, issue fit notes in accordance with local and national guidance. 15. Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with the legal framework you work under to supply and prescribe medicines (if from professional group legally entitled to prescribe). 16. Work clinically within the Royal College of Emergency Medicine (RCEM) Advanced Clinical Practitioner (ACP) curriculum, keeping accurate records of work based placed assessments, and advance your practice over time in line with the curriculum and credentialing process. 17. Deliver and participate in the clinical care of all patients attending the Emergency Department (Majors, Ambulatory, Resus, Paediatrics and Minors).This encompasses the need to appropriately assess, examine, investigate, diagnose and treat patients, resulting in the safe referral or discharge of patients with undifferentiated and undiagnosed presentations. 18. Practice with confidence and competence within the legal and governance frameworks that oversee your practice such as the NMC/HCPC, RCEM, NICE Guidelines and local UHP clinical guidelines For further details please see the attached JD & PS Job description Job responsibilities 1. Develop high level skills in assessing, differentially diagnosing, planning, implementing and evaluating individual treatment interventions for patients by virtue of growing expert clinical judgement and partnership with members of the MDT. 2. Develop expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses. 3. Under direct or indirect supervision initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care. 4. Demonstrate professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers. 5. Develop complex decision-making skills to promote high quality care in unpredictable and challenging circumstances. 6. Ensure compliance with their respective code of professional conduct and work within their scope of practice. 7. Works in conjunction with the MDT to clearly define values, direction and policies impacting upon care. 8. Work in partnership with individuals, families and carers, using a range of assessment methods 9. Be able to demonstrate a critical understanding of their broadening level of responsibility and autonomy. This includes being critically aware of their limits of their own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information. 10. Be responsible and accountable for their decisions, actions and omissions at this level of practice. 11. Utilise professional judgement and maturity, understanding when to seek help. 12. Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care 13. Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope. 14. If applicable to role and profession, issue fit notes in accordance with local and national guidance. 15. Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with the legal framework you work under to supply and prescribe medicines (if from professional group legally entitled to prescribe). 16. Work clinically within the Royal College of Emergency Medicine (RCEM) Advanced Clinical Practitioner (ACP) curriculum, keeping accurate records of work based placed assessments, and advance your practice over time in line with the curriculum and credentialing process. 17. Deliver and participate in the clinical care of all patients attending the Emergency Department (Majors, Ambulatory, Resus, Paediatrics and Minors).This encompasses the need to appropriately assess, examine, investigate, diagnose and treat patients, resulting in the safe referral or discharge of patients with undifferentiated and undiagnosed presentations. 18. Practice with confidence and competence within the legal and governance frameworks that oversee your practice such as the NMC/HCPC, RCEM, NICE Guidelines and local UHP clinical guidelines For further details please see the attached JD & PS Person Specification Qualifications Essential Statutory Professional Registration Professional Degree Proven evidence of ability to work at academic level 7 (prior level 6 or level 7 study, or if appropriate, willingness to submit academic piece for assessment). Desirable Management package Provider/Instructor on life support courses Knowledge & Experience Essential Significant demonstrable experience working within a similar role and recognition of transferrable skills Demonstrable management ability and leadership experience Proven evidence of comprehensive clinical and practical skills Desirable Change management skills Multi-professional supervision Aptitude & Abilities Essential Ability to recognise and analyse complex situations and take appropriate action. Proven evidence of relevant, recent study and continuing professional development Ability to communicate effectively both in written and verbally from. Person Specification Qualifications Essential Statutory Professional Registration Professional Degree Proven evidence of ability to work at academic level 7 (prior level 6 or level 7 study, or if appropriate, willingness to submit academic piece for assessment). Desirable Management package Provider/Instructor on life support courses Knowledge & Experience Essential Significant demonstrable experience working within a similar role and recognition of transferrable skills Demonstrable management ability and leadership experience Proven evidence of comprehensive clinical and practical skills Desirable Change management skills Multi-professional supervision Aptitude & Abilities Essential Ability to recognise and analyse complex situations and take appropriate action. Proven evidence of relevant, recent study and continuing professional development Ability to communicate effectively both in written and verbally from. 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 University Hospitals Plymouth NHS Trust Address University hospitals Plymouth NHS trust plymouth PL6 8DH Employer's website https://www.plymouthhospitals.nhs.uk/ (Opens in a new tab)