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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
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. Digital badge or equivalent competencies
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
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