Post: Advanced Clinical Practitioner - MorecambePay: £27.49 - £30.63 per hour depending on experiencePLUS, a Golden Hello of £2.5k paid in two instalments over 6 months(pro rota this applies to EXTERNAL APPLICANTS ONLY)Hours: Full time 35 hours per week, Part time hours availableAccountable to: Head of ServiceReports to: Lancashire Clinical Managers (2)
Base: The post will be based at Morecambe Urgent Treatment Centre (UTC). The UTC aims to deliver services between 8am 8pm 7 days a week, 365 days per year. Evening and weekend work will be required as part of this post.About: Come and join our lively and vibrant Urgent Care team in Morecambe with a highly skilled team of clinicians who autonomously assess, treat, and manage minor injury and illness, across the full spectrum of ages. Patients can access our service via 111, 0300, NWAS and walk in. We form part of a larger Urgent Care system, mainly, working closely with our Out of Hours GP Service FCMS colleagues in Morecambe. Integration of teams and services is important for our continued success.
RoleIt will be the responsibility of the post holder to, exercise clinical expertise, levels of judgment, discretion and decision making in clinical care, as demonstrated under agreed parameters. Provide a high standard of care for patients presenting with undifferentiated and undiagnosed minor illness & injury needs. There are development opportunities with training and mentorship in order to extend clinical competencies (illness or injury) for the right candidate.
The post holder will:Work with and champion the unit in conjunction with Senior Managerial colleaguesSupport the Management team and Clinical manager to ensure all service KPIs/Targets all are met, and looking for improvement over and above the set commissioned targetsEnsure mandatory training is kept up to date and receive suitable training/CPD for their ongoing development needsPractice autonomously, as an independent practitioner, participating in the care of and undertaking assessment, diagnosis, treatment / referral and discharge of patients presenting with minor injury and illness within agreed parametersProvide advanced clinical skills and advice demonstrating a sound understanding of the issues related to identification, assessment, diagnosis, treatment and management of a client group whilst working autonomouslyIdentify the need for and initiate and interpret relevant diagnostic investigations and resultsTo safely and competently undertake invasive and non-invasive procedures to establish a diagnosisBe able to independently undertake telephone triageTo work within the parameters of current nurse prescribing legislationMonitor and lead improvements to standards of care through supervision of practice, clinical audit, and evidence-based practice, teaching and supporting professional colleagues and the provision of skilled professional leadershipContribute to the Clinical Governance agenda within the service by leading audit and research as part of the multi-disciplinary team within the area of expertiseAct in accordance with the NMC Code of Professional Conduct or other relevant professional bodyProvide professional and clinical advice within the multi-disciplinary team
Our key expectations are:
Self-awareness Living authenticallyAdaptability- Being ready to adjust depending on the situationOpenness What you see is what you getPositivity with a real sense of being able to strive for the impossibleGenerosity of spirit- Everyday should be an opportunity to act with kindnessAbility to have fun Taking the role seriously, whilst being yourself
Our Why: To nurture an environment of inspiration, innovation and disruption so this people in our world receive exceptional healthcare for this generation, and the next.
Values: Our organisational culture is very important to us, so it is vital that the successful candidate lives and breathes complimentary values and behaviours.Our behaviours should be in line with our values which form part of our Company DNA:
Fun: People rarely succeed unless they are having fun. Happiness is healthy!Awesome: We arent here to be average, were here to be awesome!Humble: Were here to make a difference to the lives of others, NOT to see how important we can becomeBrave: We challenge the norm. We have the courage to get the difficult jobs doneOompf: We have natural oompf! Its infectious!Go-getting: We are intuitive to changing needs and respond quickly which we do with energy, ideas, and positivity
Come and be a part of our amazing team!We offer NHS PensionCycle to Work SchemeCareer Development OpportunitiesAttendance BonusStaff Benefit SchemeFree Tea & CoffeeEye Care Contributions
Knowledge, skills and experience required:Relevant professional qualificationExperience of working independently as an unsupervised practitioner in the primary or urgent care setting.Experienced in undertaking telephone triage and remote prescribingTeaching and mentorshipUp to date CPD PortfolioDemonstrate the ability to work in highly demanding environment.Maintained development of clinical leadership skillsEvidence of diplomacy and negotiation skillsAble to demonstrate imaginative and effective use of resourcesAble to articulate personal development needsImplementation of audit/research recommendations and demonstrates ability and knowledge on how to undertake audit and feedback to cliniciansExcellent communication and leadership skillsEvidence of significant involvement in changeCompetent in use of IT packages such as Microsoft Word and PowerPointKnowledge of current clinical and professional issuesAwareness of impact of evidence-based practice within unscheduled careAbility to work collaboratively with an appropriate range of multi-agency and inter-professional resources, maintaining and evaluating links to manage risk across organisation and settingAbility to identify risk assessment and act accordingly
Key results areas:
ClinicalThe post holder will:Assess, treat, and advise patients presenting with health care needs.Provide supervision of the clinical team, assisting and developing their team and individualsWhen required ensure patients are referred on to other members of the primary health care team or secondary care as necessary and support and guide others as required.Ensure all practice is safe and effective and remains within boundaries and scope of competence of individuals and to acknowledge limitations.Work at an advanced level of practice reflected under the 4 pillars of advanced practice of the HEEPerform investigatory procedures, including assessing patients with minor injuries, request, and review x-rays, treat minor injuries /implement expanded roles in practiceIn general, the post-holder will be expected to undertake all the duties and responsibilities associated with an expert practitioner working within Unscheduled Primary Care. Develop and maintain clinical/nursing policies, procedures, and protocols.Ensure any patient information is up-to-date and produced in appropriate formats
ProfessionalThe post holder will:Role model standards of care and behaviour through clinical practice.Act as a role model for standards of behaviour and professionalism, through commitment to the integration of policies and procedures within the role and workplaceAnalyse relevant local and national policy, within their area of expertise and advise on the impact for service, leading the implementation of changes and evaluation of processesMaintain professional registration and practice through CPDMaintain a professional portfolio to demonstrate competency in line with NMC competency framework or other professional bodyMaintain their personal standards of conduct and behaviour consistent within FCMS, NMC guidelines or other professional bodyAllocate, coordinate, monitor and assess own workload within an accepted time frameEnsure appropriate use of resources to meet service needsRecognise and act as an advocate for patients, carers, service, and the organisationCarry out annual review of best practice/national standards and implement recommended changesPromote workforce integrity (empower professional accountability within the clinical team, ensure accreditation process followed, complaints management, competency assessment, ensuring mandatory training requirements fulfilled, robust clinical induction)Maintain a sound knowledge of NHS policy and NICE guidance in relation to scheduled and unscheduled care
Education and trainingThe post holder will:Identify own development needs in line with service requirements within a personal development planDevelop and distribute educational leaflets in relevant formats, for patients relating to services and patient pathwaysEnsure personal, peer support and clinical supervision needs are metContribute to clinical governance outcomesUnderstand and apply professional and national guidelines on confidentialityBe fully involved in the progress and development of clinicians and provide constructive and relevant feedbackAssist in the implementation of training and development in your locality
Research and developmentThe post holder will:Evaluate clinical practise through audit of service and develop and manage strategies to address any shortfallsUndertake audits as required by the service working with the clinical managerDemonstrate knowledge of current research in all aspects of their work and advise others on the implementation of relevant research findingsInitiate and/or become involved in research projects in response to identified needsDisseminate results/research/ audit findings via local teams and/or national/international publicationsImplement research findings appropriate to practicePromote the shared objectives of the multidisciplinary team by working closely to ensure that best practice is achieved utilising both Clinical Benchmarking and Essence of Care processes
Communication and working relationshipsCommunicates effectively with other team membersCommunicates effectively with patients and carersCommunicates effectively with other healthcare professionalsTake all appropriate steps to minimise conflict
Health and safetyThe post holder will:Comply with safety policies, procedures and guidelines for self and othersComply with the Organisations Business continuity PlanRefrain from the wilful misuse or interference with equipment provided in the interest of Health and SafetyReport as soon as is practically possible any hazards or defectsReport as soon as practically possible accidents or untoward incidents and ensure appropriate incident reporting documentation is completedBe actively involved as an appropriate departmental representativeMaking effective use of training to maintain knowledge and skills
Physical effort and working conditions.The post holder will:Be responsible to ensure all aspects of the Manual Handling guidelines are followed, providing appropriate risk assessmentsBe responsible to manage clinical care following required Policies and Procedures pertaining to bodily fluids, infection control and COSHH regulations resulting in frequent exposure to highly unpleasant working conditionsBe responsible to manage challenging situations and people with some exposure to hazards, e.g. violent and abusive patients, child abuse, critically ill patientsManage own time effectively within variable shift patterns
Most challenging part of the role.Ability to work under pressure in an ever changing, challenging specialist environment whilst maintaining excellent standards of patient careDealing with difficult situations and people by demonstrating and exercising critical thinking skills when faced with incomplete or lack of information or complexity.Seeing, treating, referring, or discharging patients independently without direct supervisionTriaging, referring, or discharging patients independently without direct supervisionManage patient and public expectations of the service within set national targets and time constraintsManage effective change and development within clinical areas, maintaining highly specialised knowledge and competences
Any other duties considered relevant to the post and commensurate with the post holders grade and as agreed by their manager.
The main duties and responsibility shown above are not an exhaustive and should merely be regarded as a guide. The job holder will be expected to conduct any reasonable activities according to the service needs at that time. These are subject to periodic review and may be amended to meet the changing needs of the service. The job holder will be expected to participate in this process and the company would aim to reach agreement to changes.
Disability Confident Employer - As users of the disability confident scheme, we guarantee to interview all disabled applicants who meet the minimum criteria for the vacancy.DBS - The role is subject to a DBS check which will require three forms of valid ID to be produced and verified. The onboarding process is also subject to an Occupational Health check, suitable professional references and eligibility to work in the UK (with the requirement to provide relevant documentation as evidence).
Person SpecificationVaccinations - Essential
* Hepatitis B vaccination (we can provide this)
* BCG (for tuberculosis) vaccination (we can provide this)
Teamwork, Management and Communication -Essential
* Commitment to working with multiple organisations to manage patient flows
* Commitment to multi-disciplinary team approach to care
* Excellent oral, aural, and written communication skills
* Excellent interpersonal skills and the ability to deal with difficult situations
* The ability to demonstrate an understanding of the current issues affecting Primary Care services
* Time management of work productivity
* Ability to challenge the norm and get the best out of team members
* Evidence of good organisational and leadership skills
* Information governance understanding and awareness
Desirable
* Evidence of leadership experience
* Evidence of project management
Experience -Essential
* Minimum 5 years post registration experience and a passion for working in an integrated urgent care system and working with partner organisations
* Experience of expert autonomous practice within an unscheduled care setting managing minor injuries of all ages
* Health Promotion experience
* Experience using clinical computer systems including Adastra
* Understanding of current Urgent Health care issues and initiatives
* Ability to work effectively under pressure, intense conditions and within time constraints
* Understanding and awareness of CQC compliance and essential standards of quality and safety
* Teaching experience/clinical supervision experience
Desirable
* Experience of working within a community Urgent Care setting or ED or an appreciation of the nature of primary care prescribing, and strategies for improving prescribing practice
* Innovative practice to deliver patient centred care
* Evidence of clinical competence in a wide range of relevant clinical skills, local anaesthesia infiltration, suturing, x-ray interpretation, fracture management
Qualifications -Essential
* Registered Practitioner (NMC / HCPC)
* First Contact Practitioner /Advanced Practice qualification or RCN Credentialled practitioner with experience dealing with both children and adults.
* Clinical experience within an unscheduled care setting
Desirable
* Recognised training in minor injury / illness, consultation, and examination skills
* IRMER trained
* Practice assessor certificate
* Telephone triage qualification
* Non- medical prescribing qualification
Teaching -Essential
* Willing / able to attend appropriate training
* Experience of training and development of staff
* Commitment to own personal development
Desirable
* Teaching Qualification
Personal Qualities -Essential
* Must have a positive can-do attitude
* Leadership qualities
* Commitment to personal and professional development
* Willing to work unsociable hours
* Able to deal with difficult and sensitive situations with tact and diplomacy
* Committed to service development
* Adaptable to the changing needs of the service
The organisation is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all staff to share this commitment. You will be expected to fulfil your mandatory safeguarding training at the level applicable to this role.
We reserve the right to close this vacancy early if we receive sufficient applications for the role. Therefore, if you are interested, please submit your application as early as possible.
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