Detailed job description
and main responsibilities Develop and implement the highest quality innovative clinical practice. Be proactive in clinical decision making, underpinned by the highest level of theoretical and practical knowledge and be able to demonstrate improved patient care outcomes. To undertake comprehensive specialist holistic assessment of patients and carers where needs are highly complex. This will involve planning, implementing and evaluating the care delivery according to changing healthcare needs and varying degrees of clinical risk. Authorise the decision to admit service users and / or proactively initiate discharge (where applicable to profession). To work autonomously using advanced levels of history taking and examination skills within multidisciplinary team, guidelines and protocols. Utilise advanced clinical skills in assessment and/or formulate a diagnosis and/or treatment plan. Demonstrate a high level of knowledge in relation to pattern of disease / disorder, markers of condition progression and range of treatment available at each stage of disease or condition. Be able to assess critically and re-evaluate the clinical situation as the patient’s condition or needs changes including effective management of risk. Anticipate likely potential physical and psychological problems caused either by the condition or by treatment. Where appropriate to profession, Independent Non-Medical / Supplementary prescriber, able to take a history, assess, examine, diagnose and prescribe and develop a management plan including medication and monitor response to medication. Advise and communicate as appropriate with acute hospitals, primary and social care and community teams thus ensuring seamless continuity and transfer (if appropriate) of care for patients between other relevant health, social and third sector agencies, professionals and other care settings. To act at all times as an advocate for service users, carers and relatives. Take a lead in empowering and facilitating all other professions to meet the care needs of service users and their carers by the promotion of principles and philosophy such as Care Closer to Home, rehabilitation and optimal self-care. Establish, maintain and effectively manage barriers to advanced, highly skilled and effective communication with service users, carers and professionals across health and social care, in order to develop a therapeutic relationship within which highly sensitive, distressing health conditions and highly complex issues are often addressed. This includes imparting information regarding diagnosis, prognosis and treatment and referring to other teams as appropriate to promote integrated working and to improve patient outcomes. Provide appropriate support and advice to carers and refer for carer’s assessment if appropriate. Collect, collate, evaluate, and report information, maintaining accurate confidential patient records to a very high standard reflective of Advanced Clinical Practice. Develop, implement and audit protocols, guidelines and policies for the service. These will be shared with the multi-professional teams in all care settings. Maintain a professional portfolio and demonstrate that practice is up to date and evidence based. Maintain competency and ensure own compliance with mandatory training and revalidation requirements. Identify own personal developmental and educational needs to work at an advanced level ensuring appropriate action is taken to maintain and further develop such skills. Receive clinical supervision in order to clinically improve knowledge and the quality of care to service users. Establish and maintain a regional and national network of contacts relevant to the service.
Person specification
KNOWLEDGE, SKILLS AND TRAINING
Essential criteria
1. Demonstrable knowledge of legislation, guidelines and best practice in relevant to area of clinical practice and application of these to practice
2. Effective leadership skills relevant to role (i.e demonstrated ability to provide clinical professional leadership and mentorship)
3. Evidence of knowledge and application of national work and standards in relation to advanced clinical practice and the relevant specialty
4. Demonstrable experience of working in a provider organisation and within a relevant specialty as Registered Practitioner Band 7 level
5. Demonstrates highly developed expertise and knowledge underpinned by theory acquired through CPD in relation to clinical assessment, treatment and evaluation
6. Evidence of effective leadership and risk management skills Evidence of relevant leadership in meeting clinical governance objectives
7. Able to demonstrate wide knowledge of health policy and its application in practice and evidence of developing involvement in influencing local and national standards
8. Able to demonstrate advanced skills for assessing and interpreting complex client conditions, comparing a range of options and taking appropriate action
9. Experience of co-ordinating complex activities / programmes of care with other professionals and agencies.
10. Evidence of involvement in the development of programmes of care, protocols and audit
11. Experience of interdisciplinary working
12. Able to demonstrate innovation and effective use of resources
13. Able to actively research for the potential to improve quality and customer care, seeking new ideas and methods to improve health care
14. Evidence of involvement in policy and leading practice change
15. Demonstration of publications, presentations and research at national and international events, within the healthcare arena
16. Evidence of research involvement
17. Able to demonstrate highly developed physical skills where accuracy is important such as in the manipulation of fine tools and materials for patient interventions
18. See also Environmental section
19. Trained in PMVA techniques or willing to be trained (as per role requirements)
20. Evidence of proactive involvement in the supervision and development of members of the multi-disciplinary team and able to demonstrate changes of practice through these
21. Evidence of designing, delivering and evaluating education and training in practice
22. Able to undertake clinical supervision and systematic peer caseload review of colleagues on an individual or group basis and support aspiring and trainee Advanced Clinical Practitioners through supervisory roles
Desirable criteria
23. Ability to promote the best use of available resources in the pursuit of quality service provision ensuring a safe environment.
JOB SPECIFIC EXPERIENCE
Essential criteria
24. Demonstrable experience of working in a provider organisation and within a relevant specialty as Registered Practitioner Band 7 level
25. Demonstrates highly developed expertise and knowledge underpinned by theory acquired through CPD in relation to clinical assessment, treatment and evaluation
26. Evidence of effective leadership and risk management skills
27. Evidence of relevant leadership in meeting clinical governance objectives
28. Able to demonstrate wide knowledge of health policy and its application in practice and evidence of developing involvement in influencing local and national standards
29. Able to demonstrate advanced skills for assessing and interpreting complex client conditions, comparing a range of options and taking appropriate action
30. Experience of co-ordinating complex activities / programmes of care with other professionals and agencies
31. Evidence of involvement in the development of programmes of care, protocols and audit
32. Experience of interdisciplinary working
33. Able to demonstrate innovation and effective use of resources
34. Able to actively research for the potential to improve quality and customer care, seeking new ideas and methods to improve health care
35. Evidence of involvement in policy and leading practice change
36. Demonstration of publications, presentations and research at national and international events, within the healthcare arena
37. Evidence of research involvement
38. Able to demonstrate highly developed physical skills where accuracy is important such as in the manipulation of fine tools and materials for patient interventions
MANAGERIAL/SUPERVISORY EXPERIENCE
Essential criteria
39. Evidence of proactive involvement in the supervision and development of members of the multi-disciplinary team and able to demonstrate changes of practice through these
40. Evidence of designing, delivering and evaluating education and training in practice
41. Able to undertake clinical supervision and systematic peer caseload review of colleagues on an individual or group basis and support aspiring and trainee Advanced Clinical Practitioners through supervisory roles
PERSONAL QUALITIES/ATTRIBUTES
Essential criteria
42. Evidence of demonstrating the Trust’s values and behaviours.
43. Able to communicate effectively at different levels of the organisation, and where there may be barriers, with staff, patient/service users, visitors or external organisations both verbally and in writing in the exchange of highly complex, sensitive or contentious information which may require the use of negotiating and/or persuasive skills.
44. Able to analyse and assess situations and to interpret potentially conflicting situations and determine appropriate action, where there is a range of options and judgement is required.
45. Experience of planning and organising complex activities requiring the formulation and adjustment of plans .e.g. organising own time, co-ordination with other agencies and plans for sudden, unforeseen circumstances.
46. Experience of planning and organising complex activities requiring the formulation and adjustment of plans .e.g. organising own time, co-ordination with other agencies and plans for sudden, unforeseen circumstances.
47. Able to work independently and autonomously as role demands
48. Evidence of skills in diplomacy, negotiation and influencing. Inquisitive and eager to learn, asks questions and responds positively to change in practice/procedure
49. Seeks ways to improve self and others
50. Ability to evaluate care leading to improvement in quality standards and service improvement
51. Ability to adapt to a changing environment and changing priorities