Job summary CLCH Hertfordshire Adult Community Services - CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting West Herts Falls, Frailty, and Complex Case Management - Advanced Clinical Practitioner We are looking for an Advanced Clinical Practitioner who is passionate about delivering high quality and effective care to frail patients to work as part of our Planned Care service. Under the umbrella of Complex Case Management, Falls and Frailty, we provide a range of proactive and preventative interventions with some of the most vulnerable and complex patients living in our communities. These services facilitate multi agency coordination and shared decision making via MDT meetings, as well as completing in person comprehensive geriatric assessment of people who are frail, in their homes and in clinic based settings. The service aims to optimise long term conditions management, prevent falls, maximise independence, and enable frail patients to live well and avoid unnecessary hospital admissions This role is working across the South and West Herts. Clinically, you will be undertaking autonomous assessment and optimisation of frail patients in clinics or in their usual place of residence. You will be making recommendation for diagnostics and differential diagnosis, undertaking prescribing/deprescribing, completing anticipatory care planning, and implementing strategies which will avoid unnecessary hospital admission in the long term. Main duties of the job You will use the four pillars of advanced clinical practice to support your own development, the development of others, and the evolution of the service. You will have the opportunity to work closely with the Advanced Clinical Practitioners and Consultant Nurse in our Frailty Hospital at Home service as well as other senior clinicians working across our specialist service portfolio. You will need to demonstrate effective and proven clinical leadership and advanced clinical decision making skills alongside an ability to build positive, productive relationships with teams and external stakeholders. You will be familiar with the current evidence base in assessment and management of frailty as a long term condition. This is a great opportunity to be join a supportive team who work closely together and to help shape the future of adult services in South and West Herts. The service operates across multiple sites and so for the right candidate there is some flexibility on allocation of a main base at any of our main sites - in Watford, Potters Bar, and Harpenden. There will be a requirement to travel across the West Herts geography on a daily basis. We are looking forward to receiving your application Please note: We are seeking applications from those who have either already completed their Advanced Clinical Practice degree, or who are in the last year of study. Car driver and owner will be essential. About us Just as we care about our patients' wellbeing, we care about yours We can offer you: A comprehensive induction into the community service followed by a local induction to introduce you to the role Car lease scheme T&C's apply Flexible working options Annual travel card loan Training, support and development in your career To have a full look at our benefits and what it's like working for us please go here: https://www.clch.nhs.uk/job/pay-and-benefits Date posted 07 February 2025 Pay scheme Agenda for change Band Band 8a Salary £55,877 to £62,626 a year Per Annum, inclusive of HCAS Contract Permanent Working pattern Full-time Reference number 824-HERTS-6975345 Job locations Building Research Establishment OR Potters Bar Community Hospital Bucknalls Lane Watford WD259XX Job description Job responsibilities The post holder will be practising autonomously as an Advanced Clinical Practitioner (ACP) to provide patient centred quality care. This will encompass the skills of assessment, examination, diagnosis, and treatment within an agreed scope of practice throughout the Planned Care services. The post holder will support a way of working that emphasises a more efficient and patient focused service and will ensure the proactive care of frail patients with undifferentiated and undiagnosed presentations across Planned Care pathways. The post holder will deliver both a clinical and leadership role with a focus on development of the service and research, along with management responsibilities. Please refer to job description, person specification and trust values, for outline of skills, knowledge and experience required. Job description Job responsibilities The post holder will be practising autonomously as an Advanced Clinical Practitioner (ACP) to provide patient centred quality care. This will encompass the skills of assessment, examination, diagnosis, and treatment within an agreed scope of practice throughout the Planned Care services. The post holder will support a way of working that emphasises a more efficient and patient focused service and will ensure the proactive care of frail patients with undifferentiated and undiagnosed presentations across Planned Care pathways. The post holder will deliver both a clinical and leadership role with a focus on development of the service and research, along with management responsibilities. Please refer to job description, person specification and trust values, for outline of skills, knowledge and experience required. Person Specification Education/Qualification Essential Registered Nurse with current NMC registration or Physiotherapist or Paramedic with HCPC registration MSc / PGdip Advanced Clinical Practice Independent Non-Medical Prescriber Evidence of Management/ Leadership training Desirable Evidence of continuing professional education and training at master's level. Further desirable qualifications in Primary Care/ Frailty/Long Term Conditions Management/Falls Prevention Evidence of teaching demonstrated by a suitable qualification or accredited experience Experience Essential Extensive experience in Community Care and/or Primary Care Experience in a clinical leadership/ management role within a complex healthcare environment Extensive theoretical & practical knowledge relating to assessment & treatment of long term conditions and frailty syndromes Proven experience of utilising expert diagnostic and clinical skills to provide autonomous, unscheduled medical care and management of patients presenting with undifferentiated and undiagnosed conditions Experience of assessing and providing quality care to people with Long Term Conditions Proven ability to prioritise and manage own workload with minimal supervision. Experience of team / service/ staff management including HR processes Experience of implementing evidence-based care and developing others to do so Experience of conducting research projects and audit Experience of change management and implementing change in practice Evidence of innovation in practice Desirable Experience in Community services / falls prevention services Skills and Knowledge Essential Ability to analyse complex problems and to develop practical and workable solutions to address them Ability to lead, enthuse, motivate, and involve individuals and the clinical team and have them understand the organisations and your performance expectations Ability to adapt leadership style to differing situations Ability to manage and deliver deadlines within resources A strong sense of personal and team accountability coupled to a clear understanding of the boundaries around delegated authority, responsibility, and accountability Excellent inter- personal and communication skills Ability to communicate effectively both verbally and in writing Good working understanding of the changing NHS environment Evidence of comprehensive range of clinical skills and expertise relevant to the role Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment Clinical knowledge across a range of acute and chronic conditions Highly competent in the physical examination of patients presenting with: a range of clinical conditions depth knowledge of pharmacology Knowledge of and experience in the provision of care to vulnerable adults and children in line with best practice of safeguarding Able to work autonomously, planning and prioritising own workload and that of others Able to delegate work effectively and safely Able to deal with conflict and manage appropriately Able to manage difficult situations and address poor practice Able to identify own and other's learning and development needs and actively seek ways to meeting those needs Competent IT skills including use of Microsoft Office package, System One and email In depth knowledge of relevant Code of Professional Conduct Knowledge of Personal Development Planning Knowledge of risk management and incident reporting Detailed knowledge of Primary Health Care and collaborative working with other care providers, e.g. social care and voluntary services Knowledge of the audit process and able to implement in practice Knowledge of evidence-based practice and able to implement in practice Knowledge of clinical governance processes, assessing and managing risk Knowledge of clinical supervision Knowledge of how to implement equal opportunities in practice Desirable Experience on leading in a Research project Been involved in a quality improvement project or transformation project Key Attributes Essential Able to carry out the duties of the post Health cleared by Employee Health for the role specified. Cross cover at other sites within the division Able to provide evidence of where you have demonstrated the Trust's Values and Behaviors Able to demonstrate excellence in Customer Service Able to meet the required IT Skills for the post Person Specification Education/Qualification Essential Registered Nurse with current NMC registration or Physiotherapist or Paramedic with HCPC registration MSc / PGdip Advanced Clinical Practice Independent Non-Medical Prescriber Evidence of Management/ Leadership training Desirable Evidence of continuing professional education and training at master's level. Further desirable qualifications in Primary Care/ Frailty/Long Term Conditions Management/Falls Prevention Evidence of teaching demonstrated by a suitable qualification or accredited experience Experience Essential Extensive experience in Community Care and/or Primary Care Experience in a clinical leadership/ management role within a complex healthcare environment Extensive theoretical & practical knowledge relating to assessment & treatment of long term conditions and frailty syndromes Proven experience of utilising expert diagnostic and clinical skills to provide autonomous, unscheduled medical care and management of patients presenting with undifferentiated and undiagnosed conditions Experience of assessing and providing quality care to people with Long Term Conditions Proven ability to prioritise and manage own workload with minimal supervision. Experience of team / service/ staff management including HR processes Experience of implementing evidence-based care and developing others to do so Experience of conducting research projects and audit Experience of change management and implementing change in practice Evidence of innovation in practice Desirable Experience in Community services / falls prevention services Skills and Knowledge Essential Ability to analyse complex problems and to develop practical and workable solutions to address them Ability to lead, enthuse, motivate, and involve individuals and the clinical team and have them understand the organisations and your performance expectations Ability to adapt leadership style to differing situations Ability to manage and deliver deadlines within resources A strong sense of personal and team accountability coupled to a clear understanding of the boundaries around delegated authority, responsibility, and accountability Excellent inter- personal and communication skills Ability to communicate effectively both verbally and in writing Good working understanding of the changing NHS environment Evidence of comprehensive range of clinical skills and expertise relevant to the role Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment Clinical knowledge across a range of acute and chronic conditions Highly competent in the physical examination of patients presenting with: a range of clinical conditions depth knowledge of pharmacology Knowledge of and experience in the provision of care to vulnerable adults and children in line with best practice of safeguarding Able to work autonomously, planning and prioritising own workload and that of others Able to delegate work effectively and safely Able to deal with conflict and manage appropriately Able to manage difficult situations and address poor practice Able to identify own and other's learning and development needs and actively seek ways to meeting those needs Competent IT skills including use of Microsoft Office package, System One and email In depth knowledge of relevant Code of Professional Conduct Knowledge of Personal Development Planning Knowledge of risk management and incident reporting Detailed knowledge of Primary Health Care and collaborative working with other care providers, e.g. social care and voluntary services Knowledge of the audit process and able to implement in practice Knowledge of evidence-based practice and able to implement in practice Knowledge of clinical governance processes, assessing and managing risk Knowledge of clinical supervision Knowledge of how to implement equal opportunities in practice Desirable Experience on leading in a Research project Been involved in a quality improvement project or transformation project Key Attributes Essential Able to carry out the duties of the post Health cleared by Employee Health for the role specified. Cross cover at other sites within the division Able to provide evidence of where you have demonstrated the Trust's Values and Behaviors Able to demonstrate excellence in Customer Service Able to meet the required IT Skills for the post 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. 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. 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 Central London Community Health Trust Address Building Research Establishment OR Potters Bar Community Hospital Bucknalls Lane Watford WD259XX Employer's website https://clch.nhs.uk/ (Opens in a new tab)