Job summary Advanced Clinical Practitioner (ACP) within Same Day Emergency Care (SDEC) at Cumberland Infirmary, Carlisle (CIC). We are looking to appoint dynamic and forward-thinking Qualified Advanced Clinical Practitioner (ACP)s with a special interest in Same Day Emergency Care to support the current Acute Medicine ACP, nursing and medical team. The successful candidate will work as part of an established multi-disciplinary team. This is an opportunity to join an organisation in which Clinicians are at the forefront of service management, patient care and transformational projects. Applications are welcome from colleagues wishing to enrol on a Trainee ACP program, with salary commencing at AfC Band 7 prior to qualifying as an ACP. Please contact our Lead ACP to discuss this further. Main duties of the job Medical SDEC provides same day emergency care. This means that patients are assessed, diagnosed, treated and able to go home the same day without having to stay in hospital overnight. Medical SDEC is a developing service within a newly formed Urgent & Emergency Care Collaborative. The Service at CIC has recently extended opening hours to cover weekends and is continuing to look at service development and transformational opportunities. As an ACP, your main duty would be to work with the medical team to provide a high standard of care while following local guidelines and policies. About us At NCIC, we have an ambition to deliver outstanding healthcare services to the population of North Cumbria.The Trust is committed to creating a centre of excellence in providing rural and remote healthcare and provides a wide range of community and acute services throughout our county. Our 5 key principles demonstrate our belief in the delivery of 'safe, high quality care every time': Being a clinically led organisation Quality and safety at the heart of our Trust A positive patient experience every time A great place to work Managing our money well As an organisation we are serious about supporting a diverse workforce that reflects our local community and are very much focused on being an inclusive and compassionate place to work. Across the North East and North Cumbria we are working together to deliver our ambition to be the greenest region in England by 2030. All staff are expected to support sustainability. Date posted 19 February 2025 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £60,504 a year Per Annum Pro Rata- B8a/B7 if Trainee Dependent Upon Experience Contract Permanent Working pattern Full-time, Part-time Reference number 262-A-24-6797854 Job locations Cumberland Infirmary Carlisle CA2 7HY Job description Job responsibilities Please see attached job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants. Please note, due to changes implemented by the Government to the UK immigration policy, individuals who require a Health and Care Visa or a Skilled Worker Visa may no longer be eligible for sponsorship where the UKVI salary threshold is not met or if the occupation is not included in the updated Immigration Salary List (ISL). Applicants must check their eligibility to be employed in any role they are interested in applying for, prior to completing an application for employment.Any applicants who do not meet the eligibility criteria will not be progressed. If you are applying under the Disability Confident Scheme or Armed Forces Covenant and you meet all the essential criteria for a post, you will be guaranteed an interview. Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies. Please ensure that you document evidence of meeting all the essential criteria in the supporting information. If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered. Important Information Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date. For candidates applying using a Hotmail account or have strict firewall settings please ensure the following: Junk Mail is checked regularly Disclosure and Barring Service: On 28 November 2020, the new Disclosure and Barring Service filtering rules will come into effect. The changes mean that: youth cautions, reprimands and final warnings will no longer be subject to automatic disclosure the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than being automatically disclosed. If you are unsure about whether you need to disclose certain criminal record information, free confidential advice may be sought from one of the charity bodies listed below. These bodies can advise you on what you are legally required to declare and may also be able to advise you on how you can disclose criminal record information to a prospective employer and your legal rights when doing so. Nacro Tel: 0300 123 1999, or email: helplinenacro.org.uk Unlock Tel: 01634 247350, email adviceunlock.org.uk or complete the online form on the Unlock website Please note the cost of the DBS check is increasing from 2nd December and the new cost will be Standard DBS check £21.50, Enhanced DBS check £49.50 any admin costs. The Trust is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post: Standard Check: £18 Administration cost of £3.85 £21.85. Deducted at £6.85 from 1st month salary and £5 deducted from salary over following 3 months. Enhanced Check: £38 administration cost of £3.90 £41.90. Deducted at £11.90 from 1st month salary and £10 deducted from salary over following 3 months. As part of the one of the largest employers in the UK NCIC future employees will have also access to the following benefits. A lease car may be available for this position; further details will be provided upon appointment if applicable. 27-day holiday scheme rising to 33 after 10 years Flexible working Scheme Excellent opportunities for development Competitive NHS Pension scheme Access to NHS discounts with retailers and leisure companies EAP (Employee Assistance Programme) a free, confidential counselling and information service to assist with personal or work-related problems These schemes are subject to availability Job description Job responsibilities Please see attached job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants. Please note, due to changes implemented by the Government to the UK immigration policy, individuals who require a Health and Care Visa or a Skilled Worker Visa may no longer be eligible for sponsorship where the UKVI salary threshold is not met or if the occupation is not included in the updated Immigration Salary List (ISL). Applicants must check their eligibility to be employed in any role they are interested in applying for, prior to completing an application for employment.Any applicants who do not meet the eligibility criteria will not be progressed. If you are applying under the Disability Confident Scheme or Armed Forces Covenant and you meet all the essential criteria for a post, you will be guaranteed an interview. Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies. Please ensure that you document evidence of meeting all the essential criteria in the supporting information. If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered. Important Information Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date. For candidates applying using a Hotmail account or have strict firewall settings please ensure the following: Junk Mail is checked regularly Disclosure and Barring Service: On 28 November 2020, the new Disclosure and Barring Service filtering rules will come into effect. The changes mean that: youth cautions, reprimands and final warnings will no longer be subject to automatic disclosure the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than being automatically disclosed. If you are unsure about whether you need to disclose certain criminal record information, free confidential advice may be sought from one of the charity bodies listed below. These bodies can advise you on what you are legally required to declare and may also be able to advise you on how you can disclose criminal record information to a prospective employer and your legal rights when doing so. Nacro Tel: 0300 123 1999, or email: helplinenacro.org.uk Unlock Tel: 01634 247350, email adviceunlock.org.uk or complete the online form on the Unlock website Please note the cost of the DBS check is increasing from 2nd December and the new cost will be Standard DBS check £21.50, Enhanced DBS check £49.50 any admin costs. The Trust is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post: Standard Check: £18 Administration cost of £3.85 £21.85. Deducted at £6.85 from 1st month salary and £5 deducted from salary over following 3 months. Enhanced Check: £38 administration cost of £3.90 £41.90. Deducted at £11.90 from 1st month salary and £10 deducted from salary over following 3 months. As part of the one of the largest employers in the UK NCIC future employees will have also access to the following benefits. A lease car may be available for this position; further details will be provided upon appointment if applicable. 27-day holiday scheme rising to 33 after 10 years Flexible working Scheme Excellent opportunities for development Competitive NHS Pension scheme Access to NHS discounts with retailers and leisure companies EAP (Employee Assistance Programme) a free, confidential counselling and information service to assist with personal or work-related problems These schemes are subject to availability Person Specification Education, Training and Qualifications Essential Registered healthcare practitioner Substantial broad experience relevant to area of practice Completed Master's degree qualification (or above) ILS provider Advanced clinical practice skills and clinical treatment skills Independent prescriber Clinical diagnostic skills including the ability to interpret CXR and laboratory investigations Mentor/teaching qualification Evidence of substantial clinical practice at advanced level Evidence of competence within all core ACP competencies (as per DHFT ACP framework) Desirable Master's degree in "Advanced clinical practice" ALS provider/instructor Ability to perform basic interpretation of CT brain and Skeletal X-Rays Experience Essential Previous experience at managing/ leading a team Desirable Experience within acute care Knowledge Essential Broad and advanced knowledge of clinical pathophysiology Has a sound level of knowledge in relation to invasive and non-invasive diagnostic and therapeutic procedures Ability to take a full systematic focused history Ability to make a diagnosis based on interpretation of imaging and pathology results Has the knowledge to support safe clinical decision making in relation to discharge Desirable Knowledge of more than one area of clinical practice - i.e. surgery, medicine, orthopaedics, ITU Skills and Ability Essential Advanced Clinical Assessment skills Clinical audit experience Evidence of proven leadership ability Willingness to perform and or learn advanced clinical skills appropriate to area of practice Ability to manage a team of patients and prioritise workload Ability to demonstrate the compassionate values and behaviours needed for dignified care Desirable Research Skills Previous publication(s) Leadership qualification/ course Behaviours Essential oDemonstrates excellent interpersonal skills oDemonstrates effective team management oUnderstands and overcomes barriers to effective communication Desirable oNegotiating skills oInnovative Communications & Relationship skills Essential oAble to effectively communicate highly complex, sensitive or contentious information using highly developed interpersonal skills to overcome barriers to acceptance oUtilises above skills to communicate information to patients and relatives including delivering unwelcome news oExcellent communication skills, written and oral, including highly effective interpersonal skills oWell-developed facilitation and influencing skills, effective negotiation and conflict management skills oAbility to manage conflict oAble to present information to a wide audience using a variety of methods to suit audience type Knowledge, Training & Experience Essential oRegistered with an appropriate regulatory body (i.e. NMC, HPCC) oCompleted Master's degree oEvidence of continual CPD (review of portfolio) oAdvanced clinical assessment and diagnostic skills oHighly motivated and experienced practitioner oExperience in managing acute problems oClinical diagnostic skills including the ability to interpret as a minimum CXR, AXR and laboratory investigations (as per DHFT ACP Framework) oEvidence of a teaching/coaching/ mentoring course oSubstantial broad experience relevant to clinical area oExperience in leadership and/or management oEvidence of competence within all core ACP competencies oHas the ability to use basic IT systems including Word, Excel and PowerPoint, as well as ability to learn Trust specific IT systems Desirable oExperience in managing chronic health issues oAbility to perform basic interpretation of CT brain and Skeletal X-Ray oALS provider Analytical & Judgemental Skills Essential oHas the ability to work as an independent practitioner through completion of Master's level clinical practice programme and/or completion of competencies oPortfolio evidence of assessment of competent advanced clinical decision making (i.e. ACAT, Mini - cex, DOPS) oHas ability to formulate a diagnosis and differential diagnosis, initiate appropriate treatment and evaluate effectiveness oAbility to manage a team of patients and prioritise work oAble to present and receive complex information from the MDT oDemonstrate experience with the audit process and audit tools Desirable oCompetent to verify death oCompetent to interpret Arterial Blood Gases (ABG) Planning & Organisational Skills Essential oDemonstrate proactive performance oManage own workload and support junior medical staff in managing theirs oPlan and organise work as a senior member of the team according to clinical situation oHas the ability to plan and implement strategies which may impact across the Trust and healthcare community oPrioritise balance of work to support flow of patients through Trust Physical Skills Essential oPhysically able to perform all requirements of the ACP role where highly developed skills and accuracy are required i.e. ABG, IVIs drug administration, inserting catheters, specialist procedures relevant to area of practice oWilling to be adaptable and flexible to meet service requirements oIs willing to develop and maintain competence in the variety of skills as listed within DHFT ACP core competency document as appropriate to area of practice Person Specification Education, Training and Qualifications Essential Registered healthcare practitioner Substantial broad experience relevant to area of practice Completed Master's degree qualification (or above) ILS provider Advanced clinical practice skills and clinical treatment skills Independent prescriber Clinical diagnostic skills including the ability to interpret CXR and laboratory investigations Mentor/teaching qualification Evidence of substantial clinical practice at advanced level Evidence of competence within all core ACP competencies (as per DHFT ACP framework) Desirable Master's degree in "Advanced clinical practice" ALS provider/instructor Ability to perform basic interpretation of CT brain and Skeletal X-Rays Experience Essential Previous experience at managing/ leading a team Desirable Experience within acute care Knowledge Essential Broad and advanced knowledge of clinical pathophysiology Has a sound level of knowledge in relation to invasive and non-invasive diagnostic and therapeutic procedures Ability to take a full systematic focused history Ability to make a diagnosis based on interpretation of imaging and pathology results Has the knowledge to support safe clinical decision making in relation to discharge Desirable Knowledge of more than one area of clinical practice - i.e. surgery, medicine, orthopaedics, ITU Skills and Ability Essential Advanced Clinical Assessment skills Clinical audit experience Evidence of proven leadership ability Willingness to perform and or learn advanced clinical skills appropriate to area of practice Ability to manage a team of patients and prioritise workload Ability to demonstrate the compassionate values and behaviours needed for dignified care Desirable Research Skills Previous publication(s) Leadership qualification/ course Behaviours Essential oDemonstrates excellent interpersonal skills oDemonstrates effective team management oUnderstands and overcomes barriers to effective communication Desirable oNegotiating skills oInnovative Communications & Relationship skills Essential oAble to effectively communicate highly complex, sensitive or contentious information using highly developed interpersonal skills to overcome barriers to acceptance oUtilises above skills to communicate information to patients and relatives including delivering unwelcome news oExcellent communication skills, written and oral, including highly effective interpersonal skills oWell-developed facilitation and influencing skills, effective negotiation and conflict management skills oAbility to manage conflict oAble to present information to a wide audience using a variety of methods to suit audience type Knowledge, Training & Experience Essential oRegistered with an appropriate regulatory body (i.e. NMC, HPCC) oCompleted Master's degree oEvidence of continual CPD (review of portfolio) oAdvanced clinical assessment and diagnostic skills oHighly motivated and experienced practitioner oExperience in managing acute problems oClinical diagnostic skills including the ability to interpret as a minimum CXR, AXR and laboratory investigations (as per DHFT ACP Framework) oEvidence of a teaching/coaching/ mentoring course oSubstantial broad experience relevant to clinical area oExperience in leadership and/or management oEvidence of competence within all core ACP competencies oHas the ability to use basic IT systems including Word, Excel and PowerPoint, as well as ability to learn Trust specific IT systems Desirable oExperience in managing chronic health issues oAbility to perform basic interpretation of CT brain and Skeletal X-Ray oALS provider Analytical & Judgemental Skills Essential oHas the ability to work as an independent practitioner through completion of Master's level clinical practice programme and/or completion of competencies oPortfolio evidence of assessment of competent advanced clinical decision making (i.e. ACAT, Mini - cex, DOPS) oHas ability to formulate a diagnosis and differential diagnosis, initiate appropriate treatment and evaluate effectiveness oAbility to manage a team of patients and prioritise work oAble to present and receive complex information from the MDT oDemonstrate experience with the audit process and audit tools Desirable oCompetent to verify death oCompetent to interpret Arterial Blood Gases (ABG) Planning & Organisational Skills Essential oDemonstrate proactive performance oManage own workload and support junior medical staff in managing theirs oPlan and organise work as a senior member of the team according to clinical situation oHas the ability to plan and implement strategies which may impact across the Trust and healthcare community oPrioritise balance of work to support flow of patients through Trust Physical Skills Essential oPhysically able to perform all requirements of the ACP role where highly developed skills and accuracy are required i.e. ABG, IVIs drug administration, inserting catheters, specialist procedures relevant to area of practice oWilling to be adaptable and flexible to meet service requirements oIs willing to develop and maintain competence in the variety of skills as listed within DHFT ACP core competency document as appropriate to area of practice 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 North Cumbria Integrated Care NHS Foundation Trust Address Cumberland Infirmary Carlisle CA2 7HY Employer's website https://www.ncic.nhs.uk/ (Opens in a new tab)