Job summary
South Warwickshire University NHS Trust has an exciting opportunity for a motivated and dynamic Emergency Medicine Advanced Clinical Practitioner to support our Lead EM ACP in the development of the Advanced Clinical Practice team within the Emergency Department. This is a fantastic opportunity to support in facilitating the standardisation of ACP roles within ED playing a lead role in the development of the team and trainee practitioners. Applicants are required to have completed RCEM credentialing or a minimum of 1-year ARCP (including FEGS).
Successful applicants will benefit from protected time to contribute towards clinical leadership, quality improvement, training and supervision and will be supported to pursue specific areas of interest across all four pillars of advanced practice. ACP's will be assigned a dedicated EM Consultant and Senior ACP supervisor to support their continued professional development and credentialing with the Royal College of Emergency Medicine. With a focus on continuous development all ACP's will benefit from in house Medical Education weekly as well as the ability to contribute and lead training for junior colleagues.
Our Emergency Department attends to over 100,000 patients annually and is nationally competitive in key performance indicators and remains nationally recognised for high patient satisfaction ratings, evidencing our commitment to exceptional clinical care and patient experience.
Main duties of the job
The post-holder will exercise advanced clinical skills, levels of judgement, discretion and decision-making in Emergency Medicine, demonstrated through, and supported by, professional portfolio evidence.
The post holder will work collaboratively with EM Consultants, ED General Manager and Lead EM ACP to demonstrate and support safe clinical decision making, including assessment and diagnostic skills whilst supporting the education and development of junior team members including trainee Advanced Clinical Practitioners.
About us
Come and join a Trust rated Outstanding by the CQC. South Warwickshire University NHS Foundation Trust have been rated as outstanding following our latest inspection by the CQC and we are recruiting new staff to come and help us improve even further. In addition our staff survey results have placed us 4th in the country for recommended place to work.
We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the county. We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity. Our values can be summed up in one sentence: We are 'Trusted to provide safe, inclusive, effective and compassionate care'. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn't matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core.
Job responsibilities
Expertise & excellence in clinical practice:
Deliver evidence-based personalised and compassionate care which places quality at the heart of specialist practice. Care will be responsive to individual patient needs and reflect current local protocols and national guidelines.
Utilise high levels of autonomy and advocacy, using analytical and judgemental skills in undertaking differential diagnosis to ensure the delivery of an expert level of care, developing their own and others knowledge within Emergency Medicine.
Manage their own caseload of patients including comprehensive review of patients, requesting diagnostics, reviewing results and creating and implementing management plans within the speciality and prioritise workload to meet patient and service need.
Independent and supplementary prescribing including discharge of patients, within current legislative and local frameworks.
Implement pathways of care, adapting to patients emerging needs by ensuring a planned and co-ordinated approach to care, supporting enhanced recovery and reducing inappropriate admissions to improve patient experience and safety.
Refer directly to other health care professionals and specialist departments as necessary, to ensure optimal efficiency and quality of care.
Act as a patient advocate to facilitate the process of shared decision-making in respect to health, choice of treatment and care. Use interpersonal and communication skills where there may be significant barriers in order to build confidence. Ensure that patients individual needs are expressed and valued and individual management plans are understood.
Act as a resource, providing clinical expertise, specialist advice and support across service boundaries to ensure optimum liaison and co-ordination of care.
Undertake clinical competencies relevant to this specialist service to develop autonomous expertise in an advanced role. Actively integrate theory and practice.
Advise on diagnosis and symptom management for patients within the speciality. Evaluate response to interventions and advise on the adaptation of management and assess the need for speciality referral or discharge from the Emergency Department.
Management and Leadership:
Provide clinical advice and leadership to others within the Emergency Department and across the organisation, acting as a role-model and demonstrating high standards of patient care.
* Support trainee practitioners including responsibility for annual appraisal where applicable.
* Contribute to budget planning and management as required.
* Contribute to annual improvement plans and continuously review their own performance against these plans, taking action or escalating where appropriate.
* Promote an ethos of continual service improvement and lead delegated projects, monitoring progress in terms of milestones and key measures of performance.
* Strive to motivate and involve others in developments within Emergency Medicine.
* Contribute to the clinical governance agenda.
* Effectively and sensitively communicate highly complex and sensitive information to emotionally distressed patients and family/carers at key points with their episode of emergency care.
* Create, manage and maintain robust links with inpatient specialities and community services to ensure patients are identified and moved swiftly into optimal care pathways to improve flow and patient outcomes.
* Attend Emergency Department senior team meetings and contribute to the agenda and the strategic vision as required.
Education, Training and Development:
Support the development of trainee ACPs involved in the care of patients within all areas of the Emergency Department.
Influence the development of other professionals by leading or contributing to Trust-wide specialist education and training.
Deliver formal and informal teaching initiatives as part of the department and Trusts education strategy as agreed with the appropriate senior staff to ensure practice development, staff empowerment and improved care for patients.
Act as a mentor/clinical supervisor as appropriate.
Take personal responsibility for life-long learning and personal development through clinical supervision and appraisal. Actively engage with learning and development opportunities needed to work as an ACP and take appropriate action to ensure these needs are met.
Utilise a professional portfolio to develop enhanced clinical skills to deliver advanced service within Emergency Medicine.
Develop and monitor skills using best available evidence to support development.
Identify and use educational strategies to deliver complex information to patients and carers.
Contribute to Trust-wide advanced practice education agenda.
Quality, audit, innovation & research:
Work within their own professions code of professional conduct.
Contribute to the development of policies and clinical guidelines within the specialty.
Collaborate with other members of the multi-disciplinary team to develop and update multi-professional Trust operational policies and guidelines.
Maintain accurate patient records and ensure effective documentation.
Use creative reasoning, experience and vision to advance care.
Develop new skills in response to emerging knowledge and techniques.
Support the development of a research-based culture within the clinical area and act as a resource to others in relation to evidence-based emergency care.
Ensure research findings are utilised as a basis for best practice.
Contribute to the development of clinical audit in their own specialist area.
Participate in clinical research relevant to their practice area.
Attend local forums to network and debate issues to inform the Advanced Clinical Practice role and service delivery.
Person Specification
Qualifications
Essential
* Registered Health Care Professional
* RCEM EM-ACP credential
* Recognised Advanced Health Assessment qualification at Masters level
* Non-Medical Prescriber
* Evidence of continued professional development within Emergency Medicine
* ALS Provider
Desirable
* Relevant higher teaching qualification (e.g. PGCE, Cert.Ed)
Experience
Essential
* Experience of working autonomously within Emergency Medicine
* Experience of trainee supervision and teaching
* Experience in contributing to research, audit and evidence-based practice
* Able to work with a diverse range of internal and external stakeholders
Desirable
* Proven leadership skills
* Experience in delivering service improvement
Skills
Essential
* Demonstrate clinical and procedural skills relevant to Emergency Medicine
* Advanced knowledge of the range of presentations, diagnoses and current management options within the speciality area
* Evidence of planning and organisational skills
* Proven listening and counselling skills with the ability to manage complex situations and appropriately deliver sensitive and difficult outcomes
* Ability to clinically lead and influence others
* Able to manage own caseload
* Able to use skills of history taking and physical assessment to direct patient care
* Excellent decision-making abilities and critical thinking skills
* Able to conduct and evaluate own projects successfully
* Demonstrate an understanding of the current national issues relevant to Emergency Medicine
* Knowledge of quality standards and relevant NICE guidelines
* Knowledge and use of governance and risk assessment to improve quality and service development
* Ability to carry out and evaluate audit and research
* Ability to write reports and maintain accurate records
Personal Qualities
Essential
* Excellent interpersonal and communication skills
* Able to perform under pressure
* Diplomatic
* Creative thinker
* Able to support change management
Other Job Requirements
Essential
* Flexible and positive approach to work
* Willingness to work shifts covering a 24/7 service
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