Advanced Clinical Practitioner Job at Nottingham CityCare Partnership CIC (Nottingham)

Job Description

An exciting opportunity has arisen for an experienced Advanced Clinical Practitioner to join our Urgent Community Response, Virtual Ward and Reablement Team within Nottingham CityCare Partnership. The Advanced Clinical Practitioner plays a pivotal role in delivering rapid, high-quality clinical assessment and intervention for adults experiencing an acute health or functional crisis in the community. The ACP provides expert autonomous practice to prevent avoidable hospital admissions, support safe and timely discharge, and enable effective reablement, ensuring people can remain safely at home wherever possible. The postholder leads clinical decision-making within a multidisciplinary team, provides advanced assessment and treatment planning, prescribes medication where appropriate, and contributes to service development, staff training, and integrated working across health and social care partners. The ACP carries clinical responsibility for a complex caseload, applying advanced investigative and analytical skills to lead safe, evidence based practice, support timely discharge planning across community settings, and provide specialist advice to colleagues across the multidisciplinary team. The post holder will have a Trust-wide responsibility to promote clinical excellence in the care of patients presenting to their area by providing clinical advice and support to nursing staff and other health care professionals.

Job Responsibility

Provide clinical assessment and deliver treatments to service users who have undifferentiated health care requirements in order to support the services delivered by the IRT/VW and prevent unnecessary acute hospital attendances and support early discharge.
Utilise advanced clinical skills and competencies in clinical health assessment, medicines management, leadership and case management.
Maximise patients health and reduce risks that contribute to ill health, thereby reducing unnecessary admissions to acute services.
Be an autonomous practitioner who is open to the flexibility required for the role.
Participate in training opportunities for self and others within the Urgent Treatment Centre.
Support and deliver training to IRT/VW, staff within CityCare and the wider healthcare community.
Provide mentorship and support to IRT/VW staff, staff within CityCare and the wider healthcare community.
Provider mentorship, support and training to students (including medical, nursing and allied health professionals).
Able to take operational charge of a shift on a planned rota basis
Deputise for member of the management team when required to do so.
To provide clinical line management to IRT staff members.
Comprehensively assess, review and evaluate the needs of service users with undifferentiated healthcare needs to improve their physical, psychological and mental health wellbeing to promote self-care and reduce the need for hospitalisation.
Accurately prioritise patients within the service, undertaking clinical assessment and providing the necessary treatment including the use of Non-Medical Prescribing and/or Patient Group Directions in line with local/national policies, procedures and guidelines as appropriate
Request diagnostic tests only where clinically indicated in line with organisational, local and national guidelines and appropriate to the community setting.
Develop plan of care in conjunction with the service user through
application of clinical knowledge and, analysis of symptoms and data, identification of risk factors associated with those conditions, recognition of early signs of acute illness, involving the patients and the carers in the care plan and ensuring it is understood, documenting safety netting plans and processes
To utilise effective communication to aid onward referrals to specialists as appropriate. Facilitating a coordinated primary healthcare response to service users needs
To work in an autonomous manner without direct supervision whilst recognising limitation of the practitioner role
To carry out enhanced clinical skills as required
To keep accurate and immediate records of all interventions fully utilising software systems in place
To encourage clients to carry out self-care as appropriate through effective communication of health care using written information as appropriate
To advise client on the most appropriate use of Primary, Secondary and Emergency services
To maintain patient confidentiality as per CityCares clinical guidelines
To work within the AHP/NMC Code of Professional Conduct
To act in accordance with and promote CityCares values at all times
To act as an ambassador for CityCare and the IRT at all times building professional relationship with primary care partners, voluntary organisations and other outside agencies
To be committed to working flexibly within a dynamic environment, responding positively to the changing needs of the service
To promote and facilitate evidence based practice
To be committed to providing a high level of customer service and patient experience
Maintain professional awareness and attend appropriate training as necessary
To participate in the appraisal process and development of own Personal Development Plan to include clinical supervision and Revalidation
To develop a culture within the IRT of continuing professional development, supporting nursing staff in meeting the requirements for Post registration Education and Training.
To provide clinical support and mentorship to other nurses, primary care assistants to meet the requirements of their own personal/professional development plans. This may include, where appropriate, mentoring nurses through work-based learning programmes.
To support/facilitate the provision of Clinical Supervision in accordance with organisational policy.
To liaise with other Agencies as appropriate to ensure comprehensive and collaborative care for service users.
To maintain current professional registration and to ensure that all personal responsibilities in relation to this and to the revalidation process are met, including maintenance of a professional portfolio, evidence of practice hours, professional development planning and reflective writing.
To meet the organisational requirements for mandatory training appropriate to the role.
To recognise his/her own professional limitations, practising accordingly, seeking advice and support as appropriate.
To take an active role in the organisational appraisal process and develop an appropriate and relevant personal development plan and work-based objectives.
To have awareness of the relevant organisational and professional Safeguarding policies and guidance and to act in accordance with their direction, attending update training as required.
To clinically lead a team consisting of Clinical Practitioners, Health Care Support workers and non-clinical support staff
To participate and assist in evaluation, audit and research as required
To participate in the investigation of any complaints, incidents and accidents
To participate in the training and induction of new members of staff to the Care Centre Team
To participate in the mentorship, support and training of visiting nurses on recognised training programmes such as Student Nurses and Practice Nurses

Requirements

Registered healthcare professional, e.g. Nurse, part 1 of current NMC register, ECP, Clinical Pharmacist, Physiotherapist.
Recognised full Masters level qualification in Advanced Clinical Practice.
Independent Non-medical Prescriber (V300)
Evidence of ability to apply theory to practice
Recognised teaching/mentorship/Supervision Qualification
In depth knowledge of contemporary clinical issues, legislation relating to healthcare and clinical practice, and relevant Standards and Codes (eg NMC/HCPC)
Understanding of the principles and practice of clinical governance
IT skills, including use of MS Word and Excel
Demonstrates effective communication and interpersonal skills
Negotiating and influencing skills
Use of a range of communication techniques
Demonstrable/proven leadership skills
Able to use internet as an information resource, including searching clinical and academic databases
All appointments are subject to satisfactory medical clearance and the ability to cope with the demands of the role
Proof of vaccination & immunisation status in accordance to Department of Health guidelines
Ability to be flexible over hours worked within contracted hours to meet the needs of the service. Ability to work in a 7 day service from 8am to 10 pm on a rota basis
Confident and self-aware
Openness to leading and testing innovative projects in a variety of primary care settings with mufti agency participation
Able to fulfil physical demands of post, this may involve moving and handling, fine motor skills are required for clinical activities such as suturing
Full driving licence with business insurance and the ability to travel
Experience of working at an Advanced Practice level with patients presenting with undifferentiated illness some of which should be in community or Primary Care
Knowledge and experience of multi-agency working
Experience of leading and working with an MDT with the ability to motivate others
Evidence of leading innovation and change in a clinical environment
Current UK professional registration

Nice to have

Clinical Leadership experience/qualification.
Management qualification or demonstrable relevant experience
Experience/qualification in a specialist area e.g. mental health, Emergency/respiratory/acute medicine, -primary care or mental health.
Evidence of formal teaching.
Participation in research.
Familiarity with accredited clinical systems for recording patient data e.g. SystmOne.
Experience of policy development and implementation
Management experience and skills
Experience of working in a Mental Health environment.

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Advanced Clinical Practitioner

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