Kent Community Health NHS Foundation Trust
Based in East Kent, the Urgent Care Service / Frailty Home Treatment Service is an innovative team working across various services and locations. We are a blended service with diverse clinical backgrounds working together for the benefit of frail patients.
We are seeking Advanced Practitioners (AP) with NHSE digital badges or those willing to work towards this qualification in a trainee capacity. Candidates will complete an MSc in Advanced Clinical Practice as apprentices, developing their clinical portfolio over three years. We have two positions available, with a preference for those already holding AP digital badges and appropriate clinical experience.
The AP role is undertaken by experienced registered health or social care practitioners, characterized by complex decision-making and a high degree of autonomy. Advanced practice posts include 10% non-clinical time to contribute to all four pillars of advanced practice and are underpinned by a master's level award or NHS England accreditation. APs will function effectively across the four pillars of advanced practice: clinical practice, leadership and management, education and training, and research, quality improvement, and service development. We deliver services seven days a week, 8am-8pm, across various locations. Candidates must be able to drive and have access to a vehicle, often working alone.
Main duties of the job
Our diverse, talented team includes frailty consultants, a consultant advanced practitioner (AP), GPs, consultants-in-training, and trainee APs. We support activities including:
1. Home Treatment Service: People prefer receiving care closer to home. During the pandemic, we established a service to meet this need. The seven-day service offers expert frailty advice across East Kent. We aim to provide alternatives to hospital admission for those in frailty crisis. Near-patient testing and hospital-at-home capabilities offer robust alternatives to ED attendance, treating over 200 patients with COVID and hypoxia.
2. Community Hospitals: We support five hospitals in East Kent, offering step-up/step-down services, complex assessments, rehabilitation, and end-of-life care. Learning from the COVID pandemic, we provide intravenous therapies as an alternative to acute hospital admission.
3. Primary Care Network (PCN) Hubs: Each PCN holds virtual multi-disciplinary team meetings for complex case management. Our participation identifies those who would benefit from a CGA or care planning.
4. Proactive Comprehensive Geriatric Assessment (CGA): We provide domiciliary assessments for frail individuals at risk of crisis, incorporating CGA, and anticipatory and advance care planning.
About us
Rated 'outstanding' by the CQC, we've got a passion for delivering high standards of patient care and excellent services to improve the health of our communities. To do this we need outstanding people who share our values: compassionate, aspirational, responsive, and excellent.
We know a commitment to equity, diversity, and inclusion leads to better patient care and a happier workforce. We pride ourselves in being diverse and welcome applications from people with varied backgrounds, perspectives, and experiences.
As a flexible working friendly organisation, we want you to be able to work in a way that is best for us, for our patients, and for you. Talk to us about a flexible working arrangement that won't involve sacrificing time for personal interests or family commitments. We'll support you to work flexibly in a way that will suit us both.
Job responsibilities
The job description and person specification give you all the information you need about this role. Please look carefully at the criteria in the person specification and tell us what you have done that shows you meet this in your application.
Person Specification
Qualifications
* Registered Professional Educated to Masters' degree level in relevant specialty.
* Evidence of post-registration development in autonomous practice/clinical skills (e.g., Masters/ACP Masters/PG Cert/PGradDip), NHSE Digital Staff badge demonstrating ACP accreditation with The Centre for Advancing Practice.
* Non-medical prescribing qualification & evidence of qualification in prescribing specialist equipment, care, therapies, lifestyle advice, and care.
* Completion of relevant extended role scope competencies.
* Teaching or supervision qualification (e.g., ENB998 or equivalent).
* Relevant research qualification - Good clinical Practice.
* Leadership and management qualification or equivalent.
Experience
* Experience of advanced clinical practice at 7/8 level in relevant clinical specialty.
* Experience of a senior professional role in relevant clinical specialty.
* Experience of working in partnership with multi-disciplinary teams.
* Experience of research and implementation of EBP in relevant clinical specialty.
* Experience of teaching at postgraduate level/HEI.
* Experience of analysis and reporting of data.
* Experience of developing and implementing evidence-based practice.
* Experience of implementing complex change in a clinical setting.
* Experience of inter-agency working and system delivery.
* Clinical experience of leading health care services within specialty.
* Experience in undertaking research projects and publishing articles.
* Experience in influencing internal/external activities.
* Experience in developing and delivering programmes of clinical practice.
Skills
* Excellent communication skills, written and verbal, to enable communication with a wide range of stakeholders.
* Highly developed interpersonal skills, with meticulous attention to detail.
* Complex planning and organisational skills.
* Ability to work with a high degree of autonomy and professional accountability.
* Highly developed analytical skills to diagnose problems and formulate solutions.
* Evidence of practice innovation and quality improvement.
* Excellent IT skills for data management, reporting, presentation, and communication.
* Highly developed problem-solving skills including the ability to de-escalate difficult situations and achieve resolution.
* Ability to manage resources; this includes involvement in workforce planning and staff budgeting.
* Ability to identify and optimise learning opportunities.
* Ability to work as part of a team and command respect of the multi-disciplinary team.
* Self-motivated and able to prioritise within a large and varied workload.
* Flexible and adaptable at work in order to meet competing priorities.
* Able to respond and prioritise and analyse highly complex and unpredictable health presentations.
* Able to work in unpleasant working conditions on occasions, i.e., bodily fluids.
Knowledge
* Highly specialised knowledge relevant to the position.
* Knowledge of Quality Improvement methodologies and experience of successful delivery in practice.
* Advanced knowledge of government strategies and policies relating to service and clinical leadership role.
* Working knowledge of safety and governance frameworks and standards.
Equality
* Be able to demonstrate an understanding of the principles of equality, diversity, and inclusion and how they apply to staff and patients in a healthcare setting.
Other
* Is able to work legally in the UK.
* Is able to work with children and vulnerable adults.
* Ability to travel daily for meetings across a range of sites in East Kent.
* Flexible around working times and commitments.
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.
Kent Community Health NHS Foundation Trust
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