Advanced Clinical Practitioner in Rossendale

Post: Advanced Clinical Practitioner

Pay:£27.49 – £30.63 Depending on experience

PLUS, a Golden Hello of £2500 paid in two instalments over 6 months (External applicant only)

Hours:34.5 hrs per week on a rolling rota basis (3 x 12-hour shifts per week)

Accountable to:Head of Service

Reports to:Lancashire Clinical Manager

Base:The post will be based at the Rossendale Minor Injuries Unit (RMIU). RMIU aims to deliver services between 8am 8pm 7 days a week, 365 days per year. Evening and weekend work will be required as part of this post.

About:Come and join our lively and vibrant team! Nestled in the lovely town of Rawtenstall, in East Lancashire, we are a walk-in service with a highly skilled team, who deal with all ages, ranging from babies to the elderly. We are a high-performance team with complimentary talents and skills, who consistently show high levels of innovation, focusing on the best quality of care for our patients. We pride ourselves on an open and honest culture and show dedication towards peer support, maximizing individual strength and personality, valuing new ideas to help strengthen and celebrate what a great service we offer! Come and be a part of our amazing team!

Role

It will be the responsibility of the post holder to, exercise clinical expertise, levels of judgment, discretion and decision making in clinical care, as demonstrated under agreed parameters within the 4 pillars of advanced practice. To provide a high standard of care for patients presenting with undifferentiated and undiagnosed minor injury needs. Please note, we see injury only at this service and those patients who present with illness are offered a triage service.

The post holder will:

• Work with and champion the unit in conjunction with Senior Managerial colleagues
• Support the Management team and Clinical manager to ensure all service KPIs/Targets all are met and looking for improvement over and above the set commissioned targets.
• Ensure mandatory training is kept up to date and receive suitable training/CPD for their ongoing development needs.
• Practice autonomously, as an independent practitioner and non-medical prescriber, participating in the care of and undertaking assessment, diagnosis, treatment / referral and discharge of patients presenting with minor injury.
• Identify the need for and initiate and interpret relevant diagnostic investigations and results (X-Ray).
• To safely and competently undertake invasive and non-invasive procedures to establish a diagnosis.
• Be able to independently undertake telephone triage.
• To work within the parameters of current non-medical prescribing legislation
• Monitor and lead improvements to standards of care through supervision of practice, clinical audit, and evidence-based practice, teaching and supporting professional colleagues and the provision of skilled professional leadership.
• Contribute to the Clinical Governance agenda within the service by leading audit and research as part of the multi-disciplinary team within the area of expertise.
• Act in accordance with ones own Governing professional body
• Provide professional and clinical advice within the multi-disciplinary team.
• There may be occasions where Practitioners are asked to work across various sites in our Lancashire team within FCMS.

Knowledge, skills and experience required:

• Relevant professional qualification
• Experience of working independently as an unsupervised practitioner in the primary or urgent care setting.
• Experienced in undertaking telephone triage and remote prescribing.
• Teaching and mentorship
• Up to date CPD Portfolio
• Demonstrate the ability to work in highly demanding environment.
• Maintained development of clinical leadership skills
• Evidence of diplomacy and negotiation skills
• Able to demonstrate imaginative and effective use of resources
• Able to articulate personal development needs
• Implementation of audit/research recommendations and demonstrates ability and knowledge on how to undertake audit and feedback to clinicians.
• Excellent communication and leadership skills
• Evidence of significant involvement in change
• Competent in use of IT packages such as Microsoft Word and PowerPoint
• Knowledge of current clinical and professional issues
• Awareness of impact of evidence-based practice within unscheduled care
• Ability to work collaboratively with an appropriate range of multi-agency and inter-professional resources, maintaining and evaluating links to manage risk across organisation and setting.
• Ability to identify risk assessment and act accordingly.

Key results areas

Clinical

The post holder will:

• Assess, treat, and advise patients presenting with minor injury needs.
• Lead the shift within a small team
• Provide supervision of the clinical team, assisting and developing their team and individuals
• When required ensure patients are referred on to other members of the primary health care team or secondary care as necessary and support and guide others as required.
• Ensure all practice is safe and effective and remains within boundaries and scope of competence of individuals and to acknowledge limitations.
• Work at an advanced level of practice reflected under the 4 pillars of advanced practice of the HEE.
• Perform investigatory procedures, including assessing patients with minor injuries, request, and review x-rays, treat minor injuries /implement expanded roles in practice.
• In general, the post-holder will be expected to undertake all the duties and responsibilities associated with an expert practitioner working within Unscheduled Primary Care and out of hours.
• Develop and maintain clinical policies, procedures, and protocols.
• Ensure any patient information is up-to-date and produced in appropriate formats.

Professional

The post holder will:

• Role model standards of care and behaviour through clinical practice.
• Act as a role model for standards of behaviour and professionalism, through commitment to the integration of policies and procedures within the role and workplace
• Analyse relevant local and national policy, within their area of expertise and advise on the impact for service, leading the implementation of changes and evaluation of processes.
• Maintain professional registration and practice through CPD
• Maintain a professional portfolio to demonstrate competency in line with NMC competency framework or other professional body.
• Maintain their personal standards of conduct and behaviour consistent within FCMS, NMC guidelines or other professional body.
• Allocate, coordinate, monitor and assess own workload within an accepted time frame.
• Ensure appropriate use of resources to meet service needs.
• Recognise and act as an advocate for patients, carers, service, and the organisation.
• Carry out annual review of best practice/national standards and implement recommended changes.
• Promote workforce integrity (empower professional accountability within the clinical team, ensure accreditation process followed, complaints management, competency assessment, ensuring mandatory training requirements fulfilled, robust clinical induction)
• Maintain a sound knowledge of NHS policy and NICE guidance in relation to scheduled and unscheduled care.

Our key expectations are:

Self-awareness Living authentically

Adaptability- Being ready to adjust depending on the situation

Openness What you see is what you get

Positivity with a real sense of being able to strive for the impossible

Generosity of spirit- Everyday should be an opportunity to act with kindness

Ability to have fun Taking the role seriously, whilst being yourself

Our Why: To nurture an environment of inspiration, innovation and disruption so this people in our world receive exceptional healthcare for this generation, and the next.

Values:Our organisational culture is very important to us, so it is vital that the successful candidate lives and breathes complimentary values and behaviours. Our behaviours should be in line with our values which form part of our Company DNA:

Fun: People rarely succeed unless they are having fun. Happiness is healthy!

Awesome: We arent here to be average, were here to be awesome!

Humble: Were here to make a difference to the lives of others, NOT to see how important we can become

Brave: We challenge the norm. We have the courage to get the difficult jobs done

Oompf: We have natural oompf! Its infectious!

Go-getting: We are intuitive to changing needs and respond quickly which we do with energy, ideas, and positivity

Come and be a part of our amazing team!

We offer NHS Pension

Cycle to Work Scheme

Career Development Opportunities

Attendance Bonus

Staff Benefit Scheme

Free Tea & Coffee

Eye Care Contributions

Education and training

The post holder will:

• Identify own development needs in line with service requirements within a personal development plan.
• Develop and distribute educational leaflets in relevant formats, for patients relating to services and patient pathways.
• Ensure personal, peer support and clinical supervision needs are met.
• Contribute to clinical governance outcomes.
• Understand and apply professional and national guidelines on confidentiality.
• Be fully involved in the progress and development of clinicians and provide constructive and relevant feedback.
• Assist in the implementation of training and development in your locality.
• Research and development

The post holder will:

• Evaluate clinical practise through audit of service and develop and manage strategies to address any shortfalls.
• Undertake audits as required by the service working with the clinical manager.
• Demonstrate knowledge of current research in all aspects of their work and advise others on the implementation of relevant research findings.
• Initiate and/or become involved in research projects in response to identified needs.
• Disseminate results/research/ audit findings via local teams and/or national/international publications.
• Implement research findings appropriate to practice.
• Promote the shared objectives of the multidisciplinary team by working closely to ensure that best practice is achieved utilising both Clinical Benchmarking and Essence of Care processes.

Communication and working relationships

• Communicates effectively with other team members.
• Communicates effectively with patients and carers.
• Communicates effectively with other healthcare professionals.
• Take all appropriate steps to minimise conflict.

Health and safety

The post holder will:

• Comply with safety policies, procedures and guidelines for self and others.
• Comply with the Organisations Business continuity Plan.
• Refrain from the wilful misuse or interference with equipment provided in the interest of Health and Safety
• Report as soon as is practically possible any hazards or defects.
• Report as soon as practically possible accidents or untoward incidents and ensure appropriate incident reporting documentation is completed.
• Be actively involved as an appropriate departmental representative.
• Making effective use of training to maintain knowledge and skills.

Physical effort and working conditions.

The post holder will:

• Be responsible to ensure all aspects of the Manual Handling guidelines are followed, providing appropriate risk assessments.
• Be responsible to manage clinical care following required Policies and Procedures pertaining to bodily fluids, infection control and COSHH regulations resulting in frequent exposure to highly unpleasant working conditions.
• Be responsible to manage challenging situations and people with some exposure to hazards, e.g. violent and abusive patients, child abuse, critically ill patients
• Manage own time effectively within variable shift patterns.

Most challenging part of the role.

• Ability to work under pressure in an ever changing, challenging specialist environment whilst maintaining excellent standards of patient care.
• Dealing with difficult situations and people by demonstrating and exercising critical thinking skills when faced with incomplete or lack of information or complexity.
• Seeing, treating, referring, or discharging patients independently without direct supervision
• Triaging, referring, or discharging patients independently without direct supervision.
• Manage patient and public expectations of the service within set national targets and time constraints.
• Manage effective change and development within clinical areas, maintaining highly specialised knowledge and competences.

Any other duties considered relevant to the post and commensurate with the post holders grade and as agreed by their manager.

The main duties and responsibility shown above are not an exhaustive and should merely be regarded as a guide. The job holder will be expected to conduct any reasonable activities according to the service needs at that time. These are subject to periodic review and may be amended to meet the changing needs of the service. The job holder will be expected to participate in this process and the company would aim to reach agreement to changes.

Disability Confident Employer

As users of the disability confident scheme, we guarantee to interview all disabled applicants who meet the minimum criteria for the vacancy

DBS –The role is subject to a DBS check which will require three forms of valid ID to be produced and verified. The onboarding process is also subject to an Occupational Health check, suitable professional references and eligibility to work in the UK (with the requirement to provide relevant documentation as evidence).

Person Specification

Teaching – Essential

Willing / able to attend appropriate training

Experience of training and development of staff

Commitment to own personal development

Desirable

Teaching Qualification

Qualifications – Essential

Registered Practitioner

Advanced Practice qualification/ RCN Credentialled practitioner with experience dealing with both children and adults / HEE portfolio.

Substantial clinical experience within an unscheduled care setting, working at an Advanced level

Non- medical prescribing qualification

Desirable

Recognised training in minor injury management, consultation, and examination skills

IRMER trained

Practice assessor certificate

Telephone triage qualification

Communication – Essential

Excellent oral, aural, and written communication skills

Excellent interpersonal skills and the ability to deal with difficult situations

Experience – Essential

Minimum 5 years post registration experience and a passion for working in an integrated urgent care system and working with partner organisations

Experience of expert autonomous practice within an unscheduled care setting managing minor injuries of all ages

Evidence of clinical competence in a wide range of relevant clinical skills, local anaesthesia infiltration, suturing, x-ray interpretation, fracture management

Health Promotion experience

Experience using clinical computer systems

Understanding of current Urgent Health care issues and initiatives

Ability to work effectively under pressure, intense conditions and within time constraints

Understanding and awareness of CQC compliance and essential standards of quality and safety

Teaching experience/clinical supervision experience

Desirable

Experience of working within a community Urgent Care setting or ED or an appreciation of the nature of primary care prescribing, and strategies for improving prescribing practice

Innovative practice to deliver patient centred care

Use of Adastra IT

Teamwork – Essential

Commitment to working with multiple organisations to manage patient flows

Commitment to multi-disciplinary team approach to care

Desirable

Evidence of leadership experience

Management – Essential

The ability to demonstrate an understanding of the current issues affecting Primary Care services

Time management of work productivity

Ability to challenge the norm and get the best out of team members

Commitment to support, develop and manage change

Evidence of good organisational and leadership skills

Information governance understanding and awareness

Desirable

Evidence of project management

Personal – Essential

Must have a positive can-do attitude

Leadership qualities

Commitment to personal and professional development

Willing to work unsociable hours

Able to deal with difficult and sensitive situations with tact and diplomacy

Committed to service development

Adaptable to the changing needs of the service.

Kindness and empathy

The organisation is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all staffto share this commitment. You will be expected to fulfil your mandatory safeguarding training at the level applicable to this role.

Please note that our roles are not being considered for sponsorship at this time

We reserve the right to close this vacancy early if we receive sufficient applications for the role. Therefore, if you are interested, please submit your application as early as possible.