About this role
Job summary
We are looking for Advanced Clinical Practitioners to join our Urgent Community Response team working across South Warwickshire, Out of Hospital division.
South base is Royal Leamington Spa Rehabilitation Hospital, CV34 6SR or Stratford Hospital, CV37 6NX
The Urgent Community Response teams provide urgent care to deteriorating patients within their own home/care homes and the Virtual Ward, as well as working closely with the Medical Consultant led Frailty Assessment Unit in Warwick Hospital. The role will be an opportunity to work in a well-established dynamic team.
This is an exciting time to join our team as we continue to develop responsive services to assess, diagnose and treat unwell frail patients at home with the support of the Consultant ACP. The post would suit those from a range of backgrounds with experience in acute / emergency care, care of the elderly or community / primary care services. An understanding of Frailty and the need for admission avoidance is key.
Main duties of the job
The post-holders will exercise advanced clinical skills, levels of judgement, discretion and decision-making in clinical care, demonstrated through, and supported by, professional portfolio evidence.
They will work collaboratively with the multi-disciplinary team and allied specialties to ensure efficiency and effectiveness in the provision of accessible, high-quality clinical care at Warwick Hospital.
Clinical duties may include a combination of shifts with regular evening, weekend and bank holiday working. Cross site working for example at stratford, leamington or community sites may be required.
During winter months and at other times of high demand, the post-holder will provide care to and expedite the discharge of patients autonomously and by facilitating the nurse-led discharge process.
The post includes 20% of contracted hours dedicated to the 3 non-clinical pillars of Advanced Clinical Practice, leadership, education and research.
The post-holders will be expected to contribute significantly to clinical governance, audit, research, training and education, providing leadership to the clinical team in one or more of these areas.
About us
Come and join a Trust rated Outstanding by the CQC. South Warwickshire University NHS Foundation Trust have been rated as outstanding following our latest inspection by the CQC and we are recruiting new staff to come and help us improve even further. In addition our staff survey results have placed us 4th in the country for recommended place to work.
We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the county. We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity.Our values can be summed up in one sentence. We are 'Trusted to provide safe, inclusive, effective and compassionate care'. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn't matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core.
As part of our commitment to Equality, Diversity and Inclusion we encourage all applicants to complete a short survey. This can be accessed via the link below:
https://forms.office.com/e/ahWY3eAGM2
We appreciate you completing the survey.
Job description Job responsibilities
CLINICAL PRACTICE
Deliver evidence-based personalised and compassionate care which places quality at the heart of specialist practice in a range of clinical settings appropriate to the speciality. Care will be responsive to individual patient needs and reflect current local protocols and national guidelines.
Utilise highly developed clinical knowledge and advanced level physical examination skills as indicated by the patients condition to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the specialty with undifferentiated and complex presentations.
Requests and interprets appropriate investigations such as laboratory tests, electrocardiograms (ECGs), ultrasound scans, and radiological investigations in accordance with IR(ME)R regulations and local policies.
Analyses multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgements and evaluating care provided.
Manage their own caseload of patients including comprehensive review of patients, requesting diagnostics, reviewing results and creating and implementing management plans within the speciality and prioritise workload to meet patient and service need.
Prescribes and reviews medication for therapeutic effectiveness appropriate to patient need and in accordance with evidence based practice and national and local protocols and within the roles scope of practice and legal framework. This may not apply to selected ACP roles where prescribing is considered optional and the individual ACP is from an allied health profession that is legally unable to undertake an independent non-medical prescribing qualification.
Performs clinical procedures requiring highly developed skills and precision that are relevant to the speciality and appropriate to the history and physical examination of the patient.
Refer directly to senior medical colleagues, other health care professionals and specialities as required, to ensure optimal efficiency and quality of care with individual scope of practice.
Support development and implementation of personalised care pathways for the speciality through holistic needs assessment, planning, evaluation and a coordinated approach to care.
Act as a patient advocate to facilitate the process of shared decision-making in respect to health, choice of treatment and care. Use interpersonal and communication skills where there may be significant barriers in order to build confidence. Ensure that patients individual needs are expressed and valued and individual management plans are understood.
Empower patients to self-manage their condition, undertaking risk stratification to determine those who can self-manage following education, those who will need guided support to self-manage and those who will need ongoing face-to-face support.
Act as a resource, providing clinical expertise, specialist advice and support across service boundaries to ensure optimum liaison and co-ordination of care.
Utilise a professional portfolio and relevant speciality credentialling (where appropriate) to evidence achievement and maintenance of clinical competencies and skills relevant to the speciality.
LEADERSHIP (AND MANAGEMENT)
Provide clinical advice and leadership to others across the organisation, acting as a role-model and demonstrating high standards of holistic care.
Support trainee practitioners including responsibility for annual appraisal where applicable.
Contribute to budget planning and management as required.
Contribute to the clinical governance agenda including risk assessment and audit.
Works in partnership with clinical and non-clinical teams in the department to drive service improvement and lead delegated projects, monitoring progress in terms of milestones and key measures of performance. Develops and contributes to local SOPs, policies and guidelines, interpreting and adapting national protocols and standards to enhance patient care and safety.
EDUCATION
Support the development of trainee ACPs within own speciality and provide development opportunities for trainee ACPs in other specialities to ensure their access to a wide variety of clinical presentations throughout their training.
Act as a clinical supervisor in line with local, national or course specific guidance for supervisors as required. Develop own skills and knolwedge relevant to multiprofessional supervision and evidence this in professional e-portfolio.
Deliver formal and informal teaching initiatives as part of the Trusts education strategy as agreed with the appropriate senior staff to ensure practice development, staff empowerment and improved care for patients.
Identify and use educational strategies to deliver complex information to patients and carers and support self-management and health promotion.
Influence the development of other professionals and promote a culture of learning by leading or contributing to relevant education and training locally or regionally.
Take personal responsibility for life-long learning and personal development through clinical supervision and appraisal. Actively engage with learning and development opportunities needed to work as an ACP and take appropriate action to ensure these needs are met and evidence in a professional portfolio e.g. trust e-portfolio.
Contribute to the Trust-wide advanced practice education agenda
Person Specification
Qualifications Essential
Registered professional, NMC, GPC or HPC registered Master's Level (MSc) Degree in Advanced Practice. An MSc in another relevant subject combined with a Post Graduate Certificate (PG cert) in Advanced Practice or credentialed portfolio is an acceptable alternative. Recognised level 7 History taking and clinical examination/Health assessment module Independent Prescriber Evidence of continued professional development within relevant clinical speciality equivalent to local e-portfolio curriculum/capabilities in practice (CiP)
Desirable
Recognised Teaching Qualification Leadership course
Experience Essential
Experience of working autonomously within relevant medical speciality. Experience of trainee supervision and teaching Experience in patient advocacy Experience in contributing to research, audit and evidence-based care Able to work with a diverse range of internal and external stakeholders
Desirable
Proven leadership skills Experience of delivering service improvement
Skills Essential
Demonstrable clinical and procedural skills relevant to the speciality and willingness to expand further to meet service needs. Advanced knowledge of the range of presentations, diagnoses and current management options within the speciality area Evidence of planning and organisational skills Proven listening and counselling skills with the ability to manage complex situations and appropriately deliver sensitive and difficult outcomes Ability to clinically lead and influence others Excellent verbal, written, interpersonal and communication skills Able to manage own caseload Able to use skills of history taking and physical assessment to direct patient care Excellent verbal, written, interpersonal and communication skills Able to conduct and evaluate own projects successfully Demonstrate an understanding of the current national issues relevant to medical specialities Knowledge of quality standards and relevant NICE guidelines, CQUINs etc Knowledge and use of governance and risk assessment to improve quality and service development Ability to carry out and evaluate audit and research
Personal Qualities Essential
Problem solver Team player Creative thinker Able to perform under pressure Diplomatic Highly self-motivated to develop across 4 pillars
Other Essential
Willingness to work weekends and evenings Flexible and positive approach to work Able to work across the whole health economy Maintain trust e-portfolio to demonstrate ongoing CPD and clinical competence
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.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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 South Warwickshire University NHS Foundation Trust
Address Warwick Hospital
Lakin road
CV34 5BW
United Kingdom
Employer's website https://www.swft.nhs.uk/ (Opens in a new tab)