A Vacancy at Calderdale and Huddersfield NHS Foundation Trust.
The Advanced Clinical Practitioner in Acute Frailty will be a highly experienced, knowledgeable, and educated member of the team who is able to work autonomously making high-level decisions to treat health needs. Advanced level practice encompasses all four pillars including clinical, education, research, and management, but the role is firmly grounded in direct care provision and clinical work with patients’ families and populations.
The post holder will be an experienced Advanced Clinical Practitioner who, acting within their professional boundaries, will provide care for the presenting patient, from initial history taking, clinical assessment, diagnosis, treatment, and evaluation of care. They will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills for the frail elderly population on Same Day Emergency Care. The post holder will also rotate into the CHFT Urgent Community Response team in order to meet service needs and to provide care closer to home, as part of this transformational role.
Key Responsibilities:
1. Assess individuals, families, and carers holistically, using a range of different methods, such as physical assessment, history taking, ordering and interpreting diagnostic tests, or advanced health needs assessments.
2. Communicate effectively with patients, family and carers, and the multidisciplinary team.
3. Use expert knowledge and clinical judgement to decide whether to refer patients for investigations and make diagnoses.
4. Decide and carry out treatment, which may include the prescribing of medicines or referring patients to an appropriate specialist.
5. Ensure the provision of continuity of care.
6. Assess and evaluate, with patients and/or carers, the effectiveness of the treatment and care provided and make changes as needed.
7. Work autonomously within a wider health care team and as a lone practitioner.
8. Work across professional, organisational, and system boundaries and proactively develop and sustain new partnerships and networks to influence and improve health outcomes and healthcare delivery systems.
Post Specific Criteria:
1. Lead the management of patients from arrival to discharge, demonstrating improvements in patient pathways and experience.
2. Be responsible for the assessment and management of patients presenting with undifferentiated and undiagnosed illnesses and injuries.
3. Assess and manage patients across the age spectrum and within scope of practice.
4. Provide expert clinical care, including appropriate investigations and initiation of necessary interventions.
5. Work with internal and external agencies/teams to effectively manage the care episode, including discharge.
6. Work collaboratively as part of the multidisciplinary team to ensure patients are assessed and have all appropriate investigations required to make diagnostic and treatment decisions.
7. Liaise effectively with referrers to ensure timely and appropriate patient admission and discharge.
8. Monitor rate of readmission/re-attendance, identifying any trends and work within the multidisciplinary team including virtual wards to address these.
9. Work in the multidisciplinary team to develop practice, research, and audit.
10. Develop and review policies, guidelines, integrated care pathways, and patient information, as necessary.
11. Develop nurse-led clinical audit and research within the service, undertaking regular reviews of practice to continually improve the quality of care.
Clinical Duties:
1. Practice as an autonomous professional in a self-directed manner, with confidence, authority, and expertise, undertaking a comprehensive range of clinical procedures.
2. Have direct responsibility for patient case load, ensuring all patients have an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made.
3. Work clinically to optimise health and well-being through comprehensive history taking and physical assessment of patients.
4. Determine appropriate therapeutic interventions drawing on a diverse range of knowledge and skill.
5. Plan, prioritise, and manage complete episodes of care for patients presenting with undifferentiated and undiagnosed conditions.
6. Be proactive in clinical decision making, underpinned by an advanced level of theoretical and practical knowledge.
7. Accurately request radiological and pathology investigations and make clinical decisions based upon the results.
8. Provide specialist advice and support to patients, their families, and other healthcare professionals following assessment, diagnosis, treatment, and discharge/admission.
9. Work in partnership with others, delegating and referring as appropriate to optimise health outcomes and resource use.
10. Use professional judgement in managing complex and unpredictable clinical care.
11. Communicate effectively to develop and sustain partnership working with individuals, groups, communities, and agencies.
12. Actively plan for patient discharge, working across organisational and professional boundaries to establish robust therapeutic plans.
13. Maintain adequate patient documentation requirements for the whole patient episode.
14. Be responsible and accountable for own decisions, actions, and omissions at this level of practice.
15. To prescribe and review medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need.
16. Demonstrate a high level of knowledge in relation to patterns of disease or disorder, markers of condition progression, and range of treatment available.
17. Be able to assess critically and re-evaluate the clinical situation as the patient’s condition changes.
18. To be responsible for the delivery of a detailed, accurate, and potentially complex clinical handover.
Education / Training:
1. Act as a source of clinical and theoretical knowledge for all grades and disciplines of staff as well as patients and their significant others.
2. Promote a learning environment within the clinical area of responsibility in which individuals take ownership for their professional development.
3. Critically assess and address own learning needs, negotiating a personal development plan.
4. Continually develop personal theoretical knowledge and maintain high standards of clinical competence.
5. Complete specialist field competencies, including advanced life support training.
6. Access ongoing clinical supervision to identify and address educational needs.
7. Develop and maintain a peer network of support, information, and learning with other ACPs.
8. Maintain own professional portfolio.
9. Lead the development and acquisition of specialist knowledge and skills to enhance and extend the practice of others.
10. Identify and address the educational needs of patients, families, carers, and staff involved in the delivery of this service.
11. Contribute to the teaching and support of staff from the multi-professional team.
12. Provide an appropriate learning environment, including mentorship, coaching, supervision, and preceptorship.
13. Organise and contribute to relevant educational programmes and in-house study days.
Improving Quality and Developing Practice:
1. Coordinate and participate in ongoing service review and evaluation.
2. Participate in research, audit, and quality improvement projects.
3. Evaluate clinical practice in relation to its evidence base and clinical effectiveness.
4. Identify areas of risk and poor quality, and address these through appropriate governance structures.
5. Participate and actively seek peer review in practice.
Managerial Duties:
1. Work collaboratively with the Matron, Directorate Manager, and other senior staff to ensure efficient operational management of the service.
2. Identify and implement systems to promote their contribution and demonstrate the impact of advanced level practice.
3. Provide support to the Matron and other senior nurses within the directorate.
4. Collaborate with the multi-professional team to develop a shared vision of the service.
5. Act as a role model and provide consultancy in expert clinical evidence-based practice.
6. Work collaboratively with colleagues to develop effective documentation, pathways, protocols, and guidelines for care.
7. Contribute to the development of the team and the service to continuously improve patient care.
8. Participate in implementing national standards and frameworks at a local level.
9. Network locally, regionally, nationally, and internationally to develop the ACP role.
10. Manage budgets effectively including participation in cost improvement programmes.
11. Use effective change management skills to initiate and implement service and practice development.
12. Participate in the selection, interviewing, appraisal, and professional development of team members.
13. Maintain involvement and active input in multidisciplinary meetings and appropriate local bodies/forums.
Financial Duties:
1. Ensure safe, cost-effective care managed through allocated budget.
This advert closes on Tuesday 17 Dec 2024.
Proud member of the Disability Confident employer scheme
A Disability Confident employer will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer.
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