About this role
Job summary
The SAS Advanced Clinical Practitioner (ACP) works at advanced practitioner level in Bevan Community Benefit Societys Special Allocation Scheme (SAS), a specialist primary care service supporting some of the most complex and high-risk patients across West Yorkshire.
These patients face extreme barriers to accessing mainstream general practice, often due to aggressive or challenging behaviours, complex safeguarding issues, significant mental health needs, neurodiversity, substance misuse, homelessness and social exclusion.
As an autonomous practitioner, the SAS ACP provides first-contact clinical assessment, diagnosis and treatment for this cohort, delivering trauma-informed, neurodiversity-affirming, firm-but-compassionate care to stabilise health conditions, reduce acute crises, and facilitate safe patient engagement with services.
The SAS ACP works closely with the SAS GPs, and interfaces regularly with services and partner organisations to ensure holistic and coordinated care for this high-risk population.
Main duties of the job
Works in partnership with General Practitioners, Consultants, Nursing and Social Care colleagues to diagnose and treat patients with a range of acute, non-acute and chronic medical conditions. Orders diagnostic tests (including plan film Xray and ultrasound), plan, implement and evaluate care and initiate follow up reviews.
Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations.
Undertake advanced assessments (physical, mental health and social), formulate diagnoses, and implement evidence-based treatment plans across acute and long-term conditions.
Provide comprehensive, autonomous clinical care to SAS patients, acting as a first point of contact for urgent and routine primary care needs.
Undertakes and interprets a range of diagnostic tests and clinical procedures including cytology, pathology and radiology.
Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g. first contact with patients presenting acutely and manages care in the presence and absence of protocols.
Makes decisions where precedents do not exist where appropriate without recourse to others e.g. direct referral of patients to hospital consultants without prior reference to other medical colleagues.
Provides and promotes evidence-based care in line with appropriate clinical guidelines and works within clinical protocols, professional guidelines and codes of conduct
About us
Bevan is an award-winning, employee-owned, profit-for-purpose social enterprise delivering inclusive health and wellbeing services to some of the most marginalised individuals and communities across Yorkshire. We believe no one should be denied healthcare due to their means or circumstances.
Our services covers Bradford, Leeds, Wakefield, Calderdale, and North Yorkshire, providing trauma-informed care to people experiencing homelessness, refugees, asylum seekers, sex workers, and other excluded groups. Rated Outstanding by the Care Quality Commission (CQC), we are national leaders in inclusion health, offering innovative, person-led services addressing clinical and social needs.
Our team includes GPs, Public Health Doctors, ANPs, Practice Nurses, Mental Health Nurses, Healthcare Assistants, Paramedics, Occupational Therapists, Wellbeing Mentors and Support Workers, all dedicated to delivering compassionate, person-centred care. A skilled business administration team ensures smooth service operations.
Together, we work collaboratively to address the complex needs of our patients, many with trauma, mental health issues, homelessness or addiction. Our holistic approach is informed by the social determinants of health model, enables responsive, effective care benefitting individuals and the wider system.
Operating as a Community Benefit Society (CBS), we reinvest all profits into services delivering our vision: Health, Hope, and Humanity for All.
https://wearebevan.co.uk/
Job description Job responsibilities
Bevans contract to deliver Special Allocation Scheme primary care provision has been extended and enhanced and we are looking to provide more than double the amount of GP/ACP appointments for this complex cohort previously offered. We are interested to hear from experienced ACPs who have an interest in working with an often-complex cohort with the full ongoing support provided by a specialist inclusion health GP provider.Contact with us would be encouraged if you would like to discuss the role further. We would consider any request for hours up to and including full-time.
Key Responsibilities - Clinical
Works in partnership with General Practitioners, Consultants, Nursing and Social Care colleagues to diagnose and treat patients with a range of acute, non-acute and chronic medical conditions. Orders diagnostic tests (including plan film Xray and ultrasound), plan, implement and evaluate care and initiate follow up reviews.
Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations.
Undertake advanced assessments (physical, mental health and social), formulate diagnoses, and implement evidence-based treatment plans across acute and long-term conditions.
Provide comprehensive, autonomous clinical care to SAS patients, acting as a first point of contact for urgent and routine primary care needs.
Undertakes and interprets a range of diagnostic tests and clinical procedures including cytology, pathology and radiology.
Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g. first contact with patients presenting acutely and manages care in the presence and absence of protocols.
Makes decisions where precedents do not exist where appropriate without recourse to others e.g. direct referral of patients to hospital consultants without prior reference to other medical colleagues.
Provides and promotes evidence-based care in line with appropriate clinical guidelines and works within clinical protocols, professional guidelines and codes of conduct.
Works within all relevant policies and procedural guidelines.
Prescribes, administers and supplies medication without own competence as an independent prescriber.
Challenge professional and organisational boundaries, identify areas for skill/knowledge development and apply these to practice providing continuity and high-quality patient health care.
Develops and manages highly specialised programmes of care/care packages and provides highly specialised advice concerning care including establishing differential diagnoses, management/treatment plans and making referrals as appropriate.
Communicates highly sensitive condition related information to patients, relatives and carers.
Maintains disease registers.
Audits outcomes of care against standards and initiates changes as necessary.
Proactively works with the community and other statutory and voluntary agencies empowering, enabling, encouraging and supporting individuals, families and groups to address issues which affect their health and social well-being.
Initiates and carries out programmes of health screening.
Identify and manage clinical risk in a high-risk environment, including patients presenting with aggressive or unpredictable behaviour.
Use advanced skills to de-escalate crises, while maintaining clear professional boundaries.
Proactively apply trauma-informed approaches in all interactions, understanding the impact of trauma and severe mental illness on patient behaviour.
Escalate complex or high-risk cases to an SAS GP promptly when senior medical input or team decision-making is needed, to ensure safe practice.
Communication
Uses developed communication, negotiation, conflict management skills which require empathy, reassurance and persuasive skills where there can be significant barriers to acceptance which need to be overcome.
Develop effective communication links with other professionals and agencies across all boundaries, at all levels of the organisation including users, carers, social care and the voluntary sector to ensure effective delivery of care that provides the best outcome possible for patients.
Work effectively with interpreters.
Training
To maintain competency and professional development by attending appropriate training, workshops, etc.
Ensure engagement with NHS annual appraisal and GMC revalidation.
Management
Contribute to service development, audit and quality improvement activity within SAS, drawing on operational data and incident learning to improve safety, continuity and patient outcomes.
Lead reflective practice discussions and support clinical supervision within the SAS team to enhance workforce stability and well-being in this challenging area.
Investigate and facilitate change in practice designed to improve clinical outcomes and meet the needs of patients and care givers that are consistent with local/national standards and current evidence.
Act as a mentor for learners.
Support innovation in inclusion health, ensuring the service remains responsive and evidence-based.
Act with honesty and integrity at all times and acts as a positive ambassador for Bevan. Understands the social enterprise model and ethos.
Use of Data and Information
Continually improve the quality of data entered for audit purposes.
Utilise data and information to drive continual service improvement.
Promote evidenced based practice and the dissemination of good practice amongst colleagues and peers.
Person Specification
Education and Training Essential
NMC/HCPC Registered Nurse, Paramedic or Pharmacist MSc in Advanced Clinical Practice (or equivalent HEE-approved advanced practice training) Independent prescriber Evidence of ongoing CPD
Desirable
Formal training in trauma-informed care, substance misuse or mental health Chronic Disease Management certificates (e.g. COPD/asthma/diabetes/CVD Cervical cytology qualification Wound management experience Immunisation and vaccination experience
Experience Essential
Proved ability to assess, diagnose and manage complex clinical conditions autonomously in primary or urgent care settings Experience of working with vulnerable or excluded patient groups Evidence of trauma-informed and neurodiversity-affirming practice Experience of managing complex safeguarding cases Experience handling challenging or high-risk patient behaviour with appropriate professional boundaries, de-escalation techniques and resilience
Desirable
Experience of providing primary care in challenging settings Experience within a Special Allocation Scheme, forensic/offender health or inclusion health service Evidence of contribution to service development, clinical governance or quality improvement initiatives
Knowledge and Skills Essential
Excellent clinical skills across the range of general practice, including ability to manage co-morbid physical and mental health conditions, and to make safe, autonomous clinical decisions under pressure. Strong communication and interpersonal skills, with the ability to engage and build therapeutic relationships with patients who may present with mistrust, complex trauma or aggressive behaviour.
Values Essential
Emotionally resilient, reflective and able to work safely under pressure Professional, compassionate and values driven, with a commitment to reducing health inequalities Confident decisionmaker with appropriate insight into scope of practice Commitment to Bevans values of Health, Hope and Humanity
Other Essential
Flexible and adaptable, with willingness to travel across West Yorkshire
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 Bevan Community Benefit Society
Address 14 Piccadilly
Bradford
West Yorkshire
BD1 3LS
United Kingdom
Employer's website https://wearebevan.co.uk/ (Opens in a new tab)