Job summary The Trainee Advanced Clinical Practitioner works in all care settings to develop autonomous practice, to enable to provide, complete care of patients with undifferentiated needs. Ensuring appropriate prioritisation, diagnosis, and clinical management, prescribing, or using PGDS and performing clinical procedures without/with direct supervision, depending on experience, supported by other clinical staff. Main duties of the job NEMS requires all staff to safeguard children, young people, and adults. All staff are required to access the organisational policies, also the Local Safeguarding Children Board and the Local Safeguarding Adults Board policies and procedures that underpin the safeguarding agenda. The safeguarding policies to be followed are found on the Nems Shared Drive NEMS policies, procedures, and guidelines - It is a condition of your employment that as an employee you are expected to adhere to our policies, procedures, and guidelines. These can all be found on the NEMS share point Receive and respond to requests for aid, treatment, or care. The requests may be from members of the public, healthcare practitioners or other professionals, and may include assisting patients to carry out personal care or to mobilise where right Working within the relevant Code of Professional Conduct Be committed to working flexibly, within a dynamic environment, responding positively to the changing needs of the service Always practice within own scope of competence, recognising limitations of clinical practice Assess and prioritise patients clinical needs by NEMS policies and guidelines With and without supervision, depending on competence and stage of training, undertakes consultations with patients presenting with undifferentiated, undiagnosed problems, practising autonomous skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan About us About NEMS NEMS CBS is a high quality, high performing; not-for-profit organisation which delivers integrated urgent care and urgent primary care services to over 1 million patients. Responsive, adaptable, and continually evolving, we have a reputation for delivering locally tailored, safe, effective, and cost-efficient services with elevated levels of patient satisfaction. We are committed to investing in our people and have an established programme of learning and development, successfully developing our own Urgent Care Practitioners and Advanced Clinical Practitioners. NEMS currently operates 3 main services: (1) Integrated Urgent Care across Nottinghamshire serving a patient population of over 1 million, including home visiting, remote consultation and clinical assessment services; (2) Urgent Primary care provision located within the A&E Department at QMC, (3) A 24-hour urgent primary care service adjacent to Kings Mill Hospital A&E, Mansfield. NEMS is committed to the NHS Values (as set out in the NHS Constitution March 2015). NEMS CBS is a registered society under the Co-operative and Community Benefit Societies Act 2014. Date posted 23 October 2024 Pay scheme Other Salary £47,175 to £66,545.57 a year Depending on experience & qualification Contract Permanent Working pattern Full-time, Part-time, Flexible working Reference number U9183-24-0048 Job locations Kings Mill Hospital Mansfield Road Sutton-in-ashfield Nottinghamshire NG17 4JL Nottingham University Hospital Derby Road Nottingham NG7 2UH Job description Job responsibilities Main Duties of The Job: Professional: 1.NEMS requires all staff to safeguard children, young people, and adults. All staff are required to access the organisational policies, also the Local Safeguarding Children Board and the Local Safeguarding Adults Board policies and procedures that underpin the safeguarding agenda. The safeguarding policies to be followed are found on the Nems Shared Drive. 2.NEMS policies, procedures, and guidelines - It is a condition of your employment that as an employee you are expected to adhere to our policies, procedures, and guidelines. These can all be found on the NEMS share point. 3.Receive and respond to requests for aid, treatment, or care. The requests may be from members of the public, healthcare practitioners or other professionals, and may include assisting patients to carry out personal care or to mobilise where right. 4.Working within the relevant Code of Professional Conduct. 5.Be committed to working flexibly, within a dynamic environment, responding positively to the changing needs of the service. 6.Promote and facilitate evidence-based practice. 7.Demonstrates competence and development within the 4 pillars of advanced practice as defined by Health Education England in their Multi-Professional framework for advanced clinical practice in England: Clinical Practice, Leadership & Management, Education, Research. 8.Maintain professional knowledge and practice to meet revalidation requirements. 9.Demonstrate continual professional (CPD) development through organised or self-directed study/learning and taking part in clinical supervision. 10.Contribute to the effectiveness of teams, working as part of a multidisciplinary team, aiding new members of staff, and actively contribute to service improvements where appropriate. 11.Recognise and report adverse events, incidents, errors and near misses 12.Ensure personal fitness for work presenting a positive image of self and the organisation, maintaining professional conduct including appearance. 13.Work flexibly across sites as required by the service, providing cover for sickness, bank holidays, and annual leave of other colleagues. 14.To ensure that ambitious standards of care are given and supported. To act and raise concerns when standards are not being supported following local policy and procedures. To be involved in Trust Initiatives to improve patient safety and care. 15.To act as an advocate for the patient and the family, including promoting and protecting their interests, privacy and rights, equality, and inclusion Clinical: Always practice within own scope of competence, recognising limitations of clinical practice. Assess and prioritise patients clinical needs by NEMS policies and guidelines. With and without supervision, depending on competence and stage of training, undertakes consultations with patients presenting with undifferentiated, undiagnosed problems, practising autonomous skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan. Makes professional, autonomous decisions for which she/he is accountable within their scope of competence, at stages of their training. Encourage patients to carry out self-care where appropriate, supported by direction to other sources of health and social care information. Develops ability to act as a second opinion senior clinical colleague to others within the team within your scope of competence. Willingness to Prescribe when training completed, independently in a safe and effective manner in accordance with the appropriate policy and guidance including the current antimicrobial guidance. Assists others, in the clinical team, to provide care in a safe effective manner in accordance with, the appropriate policy and guidance. Liaise directly with GPs and consultants regarding medicines, outside of the individuals normal sphere of competence, and medicine-related uncertainties. Provide advice and support, to other clinical staff within own sphere of competence. Liaise and communicate clinical information verbally and via technical links, with NEMS and health system partners to ensure continuity of care, for the patient. Maintain accurate, contemporaneous record keeping of all interventions with patients, fully utilising computer software systems in place, and/or other mediums. Always maintain confidentiality in accordance with legislative and policy requirements. Act as the patients advocate when required to. Participate and assist in service evaluation, clinical audit and research as required. Participate in developing and delivering teaching to colleagues within the service. Participate in the investigation of complaints, incidents, and accidents. Undertake safe clinical practice within health and safety guidelines. Work within and be aware of the organisations clinical policies and guidelines. Maintain own awareness of current health policy, relevant to practice. Be aware of the impact your decisions, may have upon the patient and their General Practitioner. Job description Job responsibilities Main Duties of The Job: Professional: 1.NEMS requires all staff to safeguard children, young people, and adults. All staff are required to access the organisational policies, also the Local Safeguarding Children Board and the Local Safeguarding Adults Board policies and procedures that underpin the safeguarding agenda. The safeguarding policies to be followed are found on the Nems Shared Drive. 2.NEMS policies, procedures, and guidelines - It is a condition of your employment that as an employee you are expected to adhere to our policies, procedures, and guidelines. These can all be found on the NEMS share point. 3.Receive and respond to requests for aid, treatment, or care. The requests may be from members of the public, healthcare practitioners or other professionals, and may include assisting patients to carry out personal care or to mobilise where right. 4.Working within the relevant Code of Professional Conduct. 5.Be committed to working flexibly, within a dynamic environment, responding positively to the changing needs of the service. 6.Promote and facilitate evidence-based practice. 7.Demonstrates competence and development within the 4 pillars of advanced practice as defined by Health Education England in their Multi-Professional framework for advanced clinical practice in England: Clinical Practice, Leadership & Management, Education, Research. 8.Maintain professional knowledge and practice to meet revalidation requirements. 9.Demonstrate continual professional (CPD) development through organised or self-directed study/learning and taking part in clinical supervision. 10.Contribute to the effectiveness of teams, working as part of a multidisciplinary team, aiding new members of staff, and actively contribute to service improvements where appropriate. 11.Recognise and report adverse events, incidents, errors and near misses 12.Ensure personal fitness for work presenting a positive image of self and the organisation, maintaining professional conduct including appearance. 13.Work flexibly across sites as required by the service, providing cover for sickness, bank holidays, and annual leave of other colleagues. 14.To ensure that ambitious standards of care are given and supported. To act and raise concerns when standards are not being supported following local policy and procedures. To be involved in Trust Initiatives to improve patient safety and care. 15.To act as an advocate for the patient and the family, including promoting and protecting their interests, privacy and rights, equality, and inclusion Clinical: Always practice within own scope of competence, recognising limitations of clinical practice. Assess and prioritise patients clinical needs by NEMS policies and guidelines. With and without supervision, depending on competence and stage of training, undertakes consultations with patients presenting with undifferentiated, undiagnosed problems, practising autonomous skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan. Makes professional, autonomous decisions for which she/he is accountable within their scope of competence, at stages of their training. Encourage patients to carry out self-care where appropriate, supported by direction to other sources of health and social care information. Develops ability to act as a second opinion senior clinical colleague to others within the team within your scope of competence. Willingness to Prescribe when training completed, independently in a safe and effective manner in accordance with the appropriate policy and guidance including the current antimicrobial guidance. Assists others, in the clinical team, to provide care in a safe effective manner in accordance with, the appropriate policy and guidance. Liaise directly with GPs and consultants regarding medicines, outside of the individuals normal sphere of competence, and medicine-related uncertainties. Provide advice and support, to other clinical staff within own sphere of competence. Liaise and communicate clinical information verbally and via technical links, with NEMS and health system partners to ensure continuity of care, for the patient. Maintain accurate, contemporaneous record keeping of all interventions with patients, fully utilising computer software systems in place, and/or other mediums. Always maintain confidentiality in accordance with legislative and policy requirements. Act as the patients advocate when required to. Participate and assist in service evaluation, clinical audit and research as required. Participate in developing and delivering teaching to colleagues within the service. Participate in the investigation of complaints, incidents, and accidents. Undertake safe clinical practice within health and safety guidelines. Work within and be aware of the organisations clinical policies and guidelines. Maintain own awareness of current health policy, relevant to practice. Be aware of the impact your decisions, may have upon the patient and their General Practitioner. Person Specification Qualifications Essential Regulated Health Care Professional with existing registration. Educated to degree level or equivalent. Minimum Level 6 qualification in History Taking and Clinical Assessment, and or Minor Injury Management and/ or Minor Illness Commitment to Continuous Professional Development (CPD) and lifelong learning with the ability and willingness to undertake competency-based training both internally and as an on-going requirement for the post to meet service requirements. Willing and able to undertake telephone triage course if required. Minimum 3 years qualified. Significant post registration experience where autonomous working at a senior level that has been acquired in the speciality area or a related area where advanced skills could be transferrable. Experience of clinical leadership. Experience of working within multi professional settings with consolidated clinical practice and contributing to effective team working. Experience of / involvement with evidenced service improvement and innovation through service/practice development initiatives, audit, or research. Desirable Currently working towards Masters module in Advanced Clinical Assessment and Management. To hold/working towards Non-Medical Prescribing qualification. or evidence of working to PGDs with advanced knowledge. Leadership modules. ALS/ILS. Recognising the sick child. Chronic disease management. Recognised Teaching and Assessing course (e.g. Mentor Preparation, SLIP, Clinical Educator course, PGCE). Safeguarding-level 3 or willingness to undertake. Application/Interview Experience of working independently in a healthcare role at an advanced practice level. People management experience. Clinical supervision/coaching skills. General management experience. Evidence of higher level of practice within the specialist area. Experience of work using telephone triage Person Specification Qualifications Essential Regulated Health Care Professional with existing registration. Educated to degree level or equivalent. Minimum Level 6 qualification in History Taking and Clinical Assessment, and or Minor Injury Management and/ or Minor Illness Commitment to Continuous Professional Development (CPD) and lifelong learning with the ability and willingness to undertake competency-based training both internally and as an on-going requirement for the post to meet service requirements. Willing and able to undertake telephone triage course if required. Minimum 3 years qualified. Significant post registration experience where autonomous working at a senior level that has been acquired in the speciality area or a related area where advanced skills could be transferrable. Experience of clinical leadership. Experience of working within multi professional settings with consolidated clinical practice and contributing to effective team working. Experience of / involvement with evidenced service improvement and innovation through service/practice development initiatives, audit, or research. Desirable Currently working towards Masters module in Advanced Clinical Assessment and Management. To hold/working towards Non-Medical Prescribing qualification. or evidence of working to PGDs with advanced knowledge. Leadership modules. ALS/ILS. Recognising the sick child. Chronic disease management. Recognised Teaching and Assessing course (e.g. Mentor Preparation, SLIP, Clinical Educator course, PGCE). Safeguarding-level 3 or willingness to undertake. Application/Interview Experience of working independently in a healthcare role at an advanced practice level. People management experience. Clinical supervision/coaching skills. General management experience. Evidence of higher level of practice within the specialist area. Experience of work using telephone triage 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 NEMS Community Benefit Services Ltd Address Kings Mill Hospital Mansfield Road Sutton-in-ashfield Nottinghamshire NG17 4JL Employer's website https://nemscbs.net/ (Opens in a new tab)