Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.
Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.
We have recently launched our new vision and values to mark the LGT10 - the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.
To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here.
Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as "good" or "outstanding" in over three-quarters of the services inspected by the Care Quality Commission.
Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.
LGT is a centre for the education and training of medical students enrolled with King's College London's GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.
We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.
Job overview
An exciting substantive opportunity has arisen for an enthusiastic, highly motivated Trainee Advanced Clinical Practitioner (ACP) who is willing to work towards an MSc in Advanced Practice. We currently have a vacancy for a substantive, full-time Trainee ACP within our Urgent Community Response Team (UCR). UCR is part of the NHS Long Term Plan and Ageing Well Programme to support England's ageing population and those with complex needs.
The role will work beyond normal professional boundaries as a Registered Nurse or Allied Health Professional and therefore be working at an advanced clinical level. The post holder will be identified as a clinical expert and required to have a high clinical profile ensuring the provision of effective and efficient care.
Please note that you will initially be employed as a band 7 ACP until you have completed the MSc and Trust competencies have been completed and signed off.
Main duties of the job
The main duties of the Trainee ACP will be to work independently and autonomously, visiting patients in their own homes in and around the Lewisham area. Working alongside other professionals from the multi-disciplinary team to provide an urgent or same day response. Visits are unplanned, in response to assisting with the prevention of hospital admissions.
Additional duties include:
1. Liaising with and assisting with the safe transfer of patients that require higher levels of care, as per protocol.
2. Undertake investigations and procedures within scope of individual practice (specific add-ons for specific ACP role).
3. Teaching and clinically supervising HCA, student nurses, RN by example, demonstration, explanation, and evaluation.
4. Facilitate the sharing of information and the development of knowledge amongst nursing and non-nursing staff.
5. Regularly re-evaluate the service and develop according to need, within the limitation of resource.
6. Advise on the promotion of health and prevention of illness to all client/carer groups and empower individuals to make informed health choices.
7. Interpretation of X-rays and other diagnostic investigations in line with a competency framework.
8. Liaison with appropriate members of the multidisciplinary team.
9. Initiation of appropriate services (i.e. health screening and health promotion).
10. Clinical examination and assessment.
11. Maintenance of records and databases.
Working for our organisation
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivating a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development.
2. Widening access (anchor institution) and employability.
3. Improving the experience of staff with disability.
4. Improving the EDI literacy and confidence of trust staff through training and development.
5. Making equalities mainstream.
Detailed job description and main responsibilities
Key Responsibilities
To be competent in the assessment and treatment of patients presenting with a range of undifferentiated and undiagnosed illnesses underpinned by extensive knowledge of a range of chronic and acute conditions.
To be competent in providing an initial clinical diagnosis and in the decision to refer to an appropriate specialty.
To be competent in the ability to discharge patients following appropriate assessment and treatment.
To be competent in the initial immediate assessment and treatment of patients with a range of life-threatening presentations such as cardiac arrest and acute major illness.
If not already an Independent Prescriber, will be expected to successfully complete the programme within a timely manner, in order to continue in the role. To be undertaken and completed within 1 year of qualifying.
To be able to see, treat and refer appropriately, a broad range of patients with acute and chronic illnesses as an autonomous practitioner.
Administration of medicines, e.g. in line with NMC Guidance and Trust Policy.
Demonstrate own personal development with self-directed learning and identifying and accessing internal and external development opportunities, as per individual advanced practice portfolio.
Autonomous decision making including judgments involving complex facts or situations which require the analysis, interpretation, and comparison of a range of options in relation to the care/ management needs of the patients on a day to day basis within the clinical environment.
Conduct physical assessments, examinations, and investigations to identify abnormalities and make diagnoses and administer a comprehensive and appropriate level of care.
Use of advanced clinical skills and autonomous judgement to prescribe drug treatments for patients following interpretation of clinical findings through requested bloods and investigations across several broad and varied clinical fields.
Use best practice, analyse evidence based practice, use of benchmarking to inform clinical practice.
Provide detailed and transparent reports of workload, outcomes, and recommendations for future developments; demonstrated in advanced practice portfolio this should include case-based discussions, multi-source feedback, etc.
Be accountable for the direct delivery and implementation of clinical care on a day to day basis across the full spectrum of illnesses and therapy management.
Provide personal care plans to patients and develop, implement and evaluate care including independently prescribed medications, monitoring therapeutic programmes and providing health education and promotion.
Be proactive in developing new ways of working, such as ACP led initiatives to increase the quality of the patient journey and the ward efficiency.
Be a safe and competent non-Medical Prescriber-providing responsible prescribing and adapting medication therapies to meet the needs of patients.
Person specification
Attainments
Essential criteria
* NMC registered Nurse / Other allied health care professional (HCPC) ILS or ALS.
* Teaching / assessment / Mentorship Qualification Non-medical Prescribing course Master's/DiP in advanced practice (willing to undertake) or equivalent* Leadership qualification*
Desirable criteria
* Lewisham & Greenwich Trust approval as independent practitioner ALS Accredited autonomous practitioner qualification Master's/DiP in advanced practice or equivalent Leadership qualification.
Work Experience
Essential criteria
* Significant experience post HCP qualification (5 years generally).
* Teaching and assessment experience in clinical practice.
* Experience of leadership.
Desirable criteria
* Minimum 6 years' experience as HCP.
* Minimum of 1 year's experience as ACP.
* Experience of service / practice development.
* Experience in a range of care settings.
Skills, Knowledge and Ability
Essential criteria
* Advanced clinical assessment and documentation skills.
* Evidence of radiology requesting.
* Critical decision-making skills.
* Experience of appraisals.
* Experience of non-medical prescribing.
* Autonomous clinical assessment skills.
* Full driving license with access to car.
Desirable criteria
* Competence in radiology requesting and interpretation.
* Clinical Audit and interest in research.
* Publication.
Personal Characteristics / Disposition
Essential criteria
* Evidence of multi-disciplinary-team working.
* Self-motivated towards own practice and development.
* Confident and competent in approach to practice.
* Supportive, friendly, adaptable and patient focused.
* Effective interpersonal skills with colleagues, patients and public.
* Demonstrate commitment to support national and Trust strategies and objectives for clinical care and advanced clinical practice.
We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.
As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women's staff networks to bring staff together and celebrate diversity across our whole workforce.
Please note, not all roles will meet the criteria for a skilled worker visa.
Employer certification / accreditation badges
Applicant requirements
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
* Job description /Person specification (PDF, 189.1KB)
* Working at LGT (PDF, 4.2MB)
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