Advanced Clinical Practitioner - Acute Medicine
South Warwickshire University NHS Foundation Trust
An exciting career opportunity has arisen in our Acute Medical Unit within the Emergency Division at South Warwickshire NHS Foundation Trust as an Advanced Clinical Practitioner (Band 8a).
The role provides specialist assessment and management of patients in acute medicine under the care of a dynamic and supportive Consultant body. This is a fantastic opportunity to develop new clinical skills and knowledge.
Successful candidates should have a friendly, compassionate and sensitive manner with a genuine desire and passion to help people. As this is a challenging role you must have the ability to demonstrate patience and empathy, with a good range of clinical skills, inspiring confidence and trust to all patients.
Main duties of the job
The post-holders will exercise advanced clinical skills, levels of judgement, discretion and decision-making in acute medical care, demonstrated through, and supported by, professional portfolio evidence.
You will work collaboratively with the multi-disciplinary Acute Medicine team and allied specialties to ensure efficiency and effectiveness in the provision of accessible, high-quality acute medical care at Warwick Hospital.
Clinical duties will include a combination of shifts in Ambulatory Emergency Care (AEC), ward rounds on the Acute Medical Unit (AMU), Medical Short Stay Unit (MSSU) and work alongside the medical on-call team in the Emergency Department (ED).
Regular evening work, weekend and bank holiday working is required.
During winter months and at other times of high demand, the post-holder will provide medical care to and expedite discharge of patients autonomously and through nurse-led discharge process.
Approximately 20% of the role will be designated to the 4 pillars of Advanced Clinical Practice including the ongoing development of innovative practice, service improvement and standards of care.
You will have a critical role in new processes to improve patient flow and rapid streaming of medical referrals to the most appropriate assessment area, including 7 day working.
About us
Come and join a Trust rated Outstanding by the CQC. South Warwickshire 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.
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, 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
Knowledge, Skills and Experience
The ACP will assess, diagnose, plan, implement and evaluate treatment and interventions, to ensure a high quality, evidence-based care is provided.
Following appropriate training undertake the role of an independent and supplementary Non-Medical prescriber, prescribing within their scope of practice.
The ACP will support, advise and guide the named nurse and work alongside multi-disciplinary teams to provide a seamless service.
Co-ordinate, plan, lead and take an active part in the on call/standby service, supporting all members of staff.
Provide ongoing support, briefing/debriefing sessions for all staff.
Measurable Result Areas
The post holder is accountable for the direct delivery of service as part of South Warwickshire NHS Foundation Trust Emergency Division, and as a part of this maybe required to support care in the acute setting.
The post holder will facilitate the development and practice of evidence-based care within Warwickshire in line with National guidance.
Contribute to the strategic development and direction of care within Warwickshire and the West Midlands in line with local and national targets.
Have an ambassadorial role outside of Warwickshire.
Delegation within the team to provide a safe service, taking account of skill mix, staffing levels and care needs.
The post holder will develop and implement policies and procedures and ensure standardised competency-based training for team members and other services.
The post holder will assume delegated budgetary management for the service. Act as an authorised signatory for the team.
To ensure the capability, conduct and performance of every member of staff is constantly assessed and appropriate action is taken to address short falls and to ensure that sickness absence is managed and appropriate action is taken to address both short and long term absence.
To ensure that the philosophy and best practice for Improving Working Lives are adopted, openly discussed, implemented and action taken.
To ensure that processes exist for effectively communicating and supporting all staff involved in care, irrespective of working pattern.
To be responsible for maintaining and improving own professional knowledge and competence in accordance with NMC Revalidation process.
To keep up to date with relevant developments, sharing and disseminating information.
To contribute to and participate in, clinical supervision of team members.
To act as an assessor/supervisor of pre/post registration of nursing and medical staff; including the development of resource materials related to care of CYP within a specialist caseload.
Communications and Working Relationships
Demonstrates effective use of advance communication skills when providing complex, sensitive information e.g.; breaking bad news.
Communicates effectively with a wide range of people consistent with their level of understanding, culture and background and their preferred ways of communication.
Demonstrate effective communication skills within the wider MDT including local and tertiary centres, to be able to participate in complex management plans and advocate on behalf of the patient and family.
Person Specification
Qualifications
* Masters level qualification in Advancing Clinical practice
* Non-Medical Prescribing qualification or willingness to work towards
* Recognised teaching qualification
* Leadership course
* Evidence of Advanced communication skills or willingness to undertake
* Post Registration community qualification
* Evidence of continuing professional development
Experience
* Extensive post registration experience in the care of patients with complex needs
* Experience of leading the care of children with respiratory, complex & palliative care needs
* Proven Leadership and Managerial experience
* Experience in delivering service improvement
* Evidence of planning and delivering teaching sessions to other professionals
* Experience of trainee supervision and teaching
* Experience in contributing to research, audit and evidence-based care
* Able to work with a diverse range of internal and external stakeholders and the multi-disciplinary team
Skills
* Demonstrate sound knowledge and application of NMC Code of Conduct and Scope of Professional Practice
* Demonstrate sound clinical skills
* Evidence of assessment skills and ability to plan care for patients
* Demonstrate sound management skills, planning and organisational skills including problem solving
* Excellent decision-making abilities and critical thinking skills
* Ability to manage own caseload
* Excellent verbal, written, interpersonal and communication skills
* Understands roles and responsibility in relation to vulnerable adults and children
* Demonstrate effective time and resource management
* Knowledge of commissioning
* Establish effective working relationships with patients, their families and carers, recognising and respecting their contribution to the care plan
* Evidence of influencing, motivating and negotiating with others to achieve change in relation to care
* Knowledge and understanding of the principles of conflict management
* Engage in clinical supervision and self-evaluation, using this to improve care and practice
* Demonstrate an understanding of audit and standard setting processes
* Must be able to demonstrate evidence of continued professional development and good awareness of recent research issues in specialist field
* Demonstrates a clear understanding of professional boundaries
* Knowledge and understands trust policies & procedures
* Must be able to work confidently within integrated partnerships at a strategic level
Personal Qualities
* Demonstrate the ability to work independently and as part of a team
* Demonstrate excellent communication and inter-personal skills, with the ability to be diplomatic
* Ability to prioritise, perform under pressure and be a creative thinker
* Must be self-motivated with the influence to motivate others
* Must be able to demonstrate an understanding of equal opportunities
* Must be able to demonstrate an understanding of the need for confidentiality in all aspects of work
Other
* Must be able to be a non-smoker whilst on duty
* Flexible shifts to cover 24 / 7 as required supporting on call and standby
* Must have access to independent transport
* Hold a current driving license and have daily access to a car
* To work across locality areas as required
* Must have basic IT skills or be prepared to undertake training
* Must be willing to undertake DBS to advanced level
* Must be legally entitled to work in this country
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.
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