Job summary An exciting position has arisen at Mid Yorkshire Teaching NHS Trust for an Advanced Clinical Practitioner. Do you want to be part of a team who will be delivering novel and innovative ways of working ?Do you want to help make a real difference to the health and wellbeing of the local community? This post is for a qualified ACP with a passion for delivering care within the community. You will bring your clinical expertise to a wider multidisciplinary team. You will be an experienced, registered health and care practitioner and have a high degree of autonomy and complex decision-making skills. This is underpinned by a masters level that encompasses the four pillars of clinical practice, leadership and management, education, and research, with demonstration of core capabilities and area specific clinical competence. Clinical support and supervision are available for all staff. Advanced clinical practice embodies the ability to manage clinical care in partnership with individuals, families, and carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance peoples experience and improve outcomes. If you would like any further information please contact Kelly Haigh, via kelly.haigh7nhs.net who can arrange a convenient time for a conversation with Andrea Parkin, Assistant Director of Nursing and Quality MYTT. Previous applicants need not apply. Main duties of the job You will be able to expertly manage urgent community referrals, from our GPs, Hospital and Home and community nurse colleagues. You will manage these cohort(s) of patients and presenting complaints, providing care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment, and evaluation of care, demonstrating safe, competent clinical decision-making and expert care evidence-based care. To be a clinical expert and senior clinician in the field of Adult Community Care. To work with the senior leadership, ACPs and wider team to continually improve the quality of care provided including the continuation of service improvement to demonstrate better outcomes for our patients. The successful applicant will need to share the values of Mid Yorkshire Teaching Trust and work as part of a large multi-disciplinary team including GPs, Hospital specialty teams, Community Nurses, Clinical Pharmacists, Allied Health Professionals and Administrators. You will be passionate about making a difference for people, and working with them in the communities where they live. You will need to have an exceptional understanding of the positive impact of effective teamwork across the Division and organisation. About us We are an acute trust caring for over half a million people in Wakefield and Kirklees. Our 10,000 staff work in patients homes, the community, and our three hospitals in Pontefract, Dewsbury, and Pinderfields (Wakefield). We prioritise our people and values so we can deliver the best possible care to patients. Our team is friendly, passionate, and innovative, always seeking better ways to work. We support work-life balance and foster a diverse, inclusive environment where everyone belongs. Our staff networks offer safe spaces to share ideas and concerns so we can increase awareness and appreciation of equality, diversity, and inclusion. We welcome applicants from all backgrounds and especially encourage members of the LGBTQ community, ethnic minority groups, and people with disabilities or neurodivergence to apply, as they are currently underrepresented in the Trust. If you value caring, high standards, improvement, and respect, join the MY team to make a difference every day. Application guidance: We understand that more applicants are using AI technology to help with their applications. While these tools can be useful, they cannot fully capture your skills, knowledge, and experience. Its important that you personalise your application. Relying solely on AI is not recommended, as it may reduce your chances of success. Our screening process is thorough, so if you have used AI, please make sure to disclose this on your application form. Date posted 14 January 2025 Pay scheme Agenda for change Band Band 8a Salary £53,755 to £60,504 a year Contract Permanent Working pattern Full-time, Flexible working Reference number C9377-ACS0178a Job locations Pinderfields Hospital Aberford Road Wakefield West Yorkshire WF1 4DG Nhs Wakefield Europort Castleford West Yorkshire WF10 5QS Job description Job responsibilities The Advanced Clinical Practitioner will : Manage their own caseload of patients who present with undifferentiated and undiagnosed illness. Undertake audit within the clinical setting to develop services. Provide formal and informal teaching, support, and clinical supervision to nursing staff and junior medical staff. Ensure maintenance of clinical excellence. Support the wider multidisciplinary team, undertaking independent comprehensive assessment and management of patients to incorporate physiological, psychological, and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes, including, where appropriate, the discharging patients from the service when treatment is complete/optimum outcome is achieved. Key Responsibilities To be competent in the assessment and treatment of patients presenting with a range of undifferentiated and undiagnosed conditions 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 speciality. 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. V300 programme Supplementary and Independent Prescriber, you will be a safe and competent independent and supplementary (non-medical) prescriber of medicines (from the British National Formulary). 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 all system clinical 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. Provide health education and advice to patients. Be a safe and competent non-Medical Prescriber-providing responsible prescribing and adapting medication therapies to meet the needs of patients. Job description Job responsibilities The Advanced Clinical Practitioner will : Manage their own caseload of patients who present with undifferentiated and undiagnosed illness. Undertake audit within the clinical setting to develop services. Provide formal and informal teaching, support, and clinical supervision to nursing staff and junior medical staff. Ensure maintenance of clinical excellence. Support the wider multidisciplinary team, undertaking independent comprehensive assessment and management of patients to incorporate physiological, psychological, and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes, including, where appropriate, the discharging patients from the service when treatment is complete/optimum outcome is achieved. Key Responsibilities To be competent in the assessment and treatment of patients presenting with a range of undifferentiated and undiagnosed conditions 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 speciality. 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. V300 programme Supplementary and Independent Prescriber, you will be a safe and competent independent and supplementary (non-medical) prescriber of medicines (from the British National Formulary). 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 all system clinical 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. Provide health education and advice to patients. Be a safe and competent non-Medical Prescriber-providing responsible prescribing and adapting medication therapies to meet the needs of patients. Person Specification Personal Attributes Essential Ability to work independently and as part of a team. Be able to demonstrate tact, empathy, and reassurance. To practice with assertiveness and confidence To understand own limitations Skills and Abilities Essential Teaching, mentoring and assessment skills. Management and organisational skills. Excellent interpersonal and communication skills. Highly developed oral and written communication skills with patients and the MDT; confidence to discuss sensitive, complex patient management and to liaise and negotiate with other members of the MDT. Highly developed clinical assessment, analytical and problem-solving skills, including generic healthcare aspects to accurately manage complex patient presentations to an excellent professional standard. Evidence of ability to critique own practice. Ability to manage time and workload effectively and to work in a high-pressure environment. Self-aware reflective practitioner able to envisage the role and understand and manage inherent pressures of the role. Ability to demonstrate high emotional intelligence and leadership skills. Able to resolve conflict and overcome resistance. Report writing/presentation skills. IT skills ability to use Word/Excel/PowerPoint etc. Mentoring and counselling skills. Change management skills. Excellent time management and organisation skills. Ability to manage, motivate and empower others. Ability to analyse information/data and provide written reports. Ability to motivate individuals and teams. Evidence of consistently providing all aspects of care with compassion, empathy, and kindness, showing sensitivity to the needs of individuals. Apply transparency, honesty and candour behaviours in your practice and challenge non- compliance with these values in others. Experience Essential Extensive post registration nursing/therapy/paramedic/pharmacy experience in a community care setting Experience of working autonomously as an advanced clinical practitioner Evidence of audit and evidence-based care. Evidence of multi-disciplinary team working Desirable Urgent Community response Hospital at Home Intermediate Care Community Experience Palliative care experience Qualifications Essential RGN Level 1 or professional registered with HCPC Teaching Qualification Masters level qualification in Advanced Clinical Practice with completed dissertation to achieve Band 8a. Qualified Non-Medical Prescriber (V300) Recent and relevant continuous professional development Desirable ALS/APLS/NLS/ARNI provider Community Specialist Practitioners Qualification Other Essential Able to work rotational shifts including weekends and bank holidays. Commitment to achieving the best possible standards of care. Ability to demonstrate a flexible approach to working practice and changing situations across site. Access to a vehicle with the ability to travel around the Wakefield District in line with service requirements. Full UK driving license. Person Specification Personal Attributes Essential Ability to work independently and as part of a team. Be able to demonstrate tact, empathy, and reassurance. To practice with assertiveness and confidence To understand own limitations Skills and Abilities Essential Teaching, mentoring and assessment skills. Management and organisational skills. Excellent interpersonal and communication skills. Highly developed oral and written communication skills with patients and the MDT; confidence to discuss sensitive, complex patient management and to liaise and negotiate with other members of the MDT. Highly developed clinical assessment, analytical and problem-solving skills, including generic healthcare aspects to accurately manage complex patient presentations to an excellent professional standard. Evidence of ability to critique own practice. Ability to manage time and workload effectively and to work in a high-pressure environment. Self-aware reflective practitioner able to envisage the role and understand and manage inherent pressures of the role. Ability to demonstrate high emotional intelligence and leadership skills. Able to resolve conflict and overcome resistance. Report writing/presentation skills. IT skills ability to use Word/Excel/PowerPoint etc. Mentoring and counselling skills. Change management skills. Excellent time management and organisation skills. Ability to manage, motivate and empower others. Ability to analyse information/data and provide written reports. Ability to motivate individuals and teams. Evidence of consistently providing all aspects of care with compassion, empathy, and kindness, showing sensitivity to the needs of individuals. Apply transparency, honesty and candour behaviours in your practice and challenge non- compliance with these values in others. Experience Essential Extensive post registration nursing/therapy/paramedic/pharmacy experience in a community care setting Experience of working autonomously as an advanced clinical practitioner Evidence of audit and evidence-based care. Evidence of multi-disciplinary team working Desirable Urgent Community response Hospital at Home Intermediate Care Community Experience Palliative care experience Qualifications Essential RGN Level 1 or professional registered with HCPC Teaching Qualification Masters level qualification in Advanced Clinical Practice with completed dissertation to achieve Band 8a. Qualified Non-Medical Prescriber (V300) Recent and relevant continuous professional development Desirable ALS/APLS/NLS/ARNI provider Community Specialist Practitioners Qualification Other Essential Able to work rotational shifts including weekends and bank holidays. Commitment to achieving the best possible standards of care. Ability to demonstrate a flexible approach to working practice and changing situations across site. Access to a vehicle with the ability to travel around the Wakefield District in line with service requirements. Full UK driving license. 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 The Mid Yorkshire Teaching NHS Trust Address Pinderfields Hospital Aberford Road Wakefield West Yorkshire WF1 4DG Employer's website https://www.midyorks.nhs.uk/ (Opens in a new tab)