Advanced Clinical Practitioner

Fuse Health is an innovative and rapidly growing healthcare provider, delivering exceptional patient care across GP surgeries, Acute clinics, and Home Visiting Services in Derby. Our mission is to make high-quality healthcare more accessible while fostering a collaborative and forward-thinking environment for our clinicians.

We are seeking a confident and dedicated Advanced Clinical Practitioner (ACP) to join our team in a dynamic, blended role across our Acute Clinic, Urgent Care and Home Visiting Services. This is a unique opportunity for an experienced practitioner to deliver autonomous, high-quality patient care in both clinic and community settings, with the added benefit of structured development and support.

The Role:

• Deliver autonomous assessment, diagnosis, and treatment for undifferentiated patients in the Acute clinic, Urgent Care and Home Visiting Service.
• Collaborate with GP and secondary care teams to provide urgent and ongoing care for patients.
• Manage a diverse and complex caseload.
• Alternate between clinic-based and community-based working days.
• Act as a clinical leader, providing mentorship and support to colleagues.

At Fuse Health, we dedicate regular time to your ongoing professional development, research interests, and service improvement activities. We offer:

• Funded training and CPD opportunities, including monthly training days, incorporating teaching sessions, team away days, and time for statutory and mandatory training.
• Support with research and publication.
• Opportunities to contribute to service development projects, helping shape the future of primary and urgent care.

• Registered healthcare professional (Nurse, Paramedic, Physiotherapist, or Allied Health Professional).
• MSc-level study in Advanced Practice, including patient assessment and examination modules.
• Experience in urgent, primary, or emergency care settings.
• Advanced Life Support (ALS) certification.
• Extensive primary, urgent or emergency care experience.
• Interest in research, service improvement, and digital healthcare solutions.

Why Join Fuse Health?

• Protected non-clinical time for development and CPD.
• Flexible working pattern (Monday to Friday, flexitime available).
• Bonus scheme and company pension.
• Supportive team culture with regular clinical supervision.
• Clinician focused leadership team.

"Never worked somewhere so accommodating genuine care for staff welfare. It's lovely to work somewhere where suggestions are taken on board to make improvements." ACP

"I certainly feel I can approach my colleagues when needing to analyse clinical problems or resolve issues." ACP, Acute Clinic

"I'm looking forward to growing professionally and helping to grow the company. My contribution feels recognised and rewarded." Advanced Paramedic

The postholder will be practicing autonomously as an Advanced Clinical Practitioner within the designated service area to provide clinical care. This will encompass the skills of advanced clinical assessment, examination, diagnosis and treatment within an agreed scope of practice throughout the directorate.

• Work autonomously as an Advanced Practitioner within urgent, community and primary care settings managing a caseload of patients delivering individualised, direct patient care.
• Direct responsibility for assessment, examination, investigation and diagnosis of patients within their area of work.
• Appropriately treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations.
• Receive referrals via a variety of sources, including direct patient referral. Manage own caseload and clinical priorities according to agreed protocols and working practices.
• Undertake a variety of clinical skills and provide treatment/advice as per speciality and scope of practice.
• Within scope of practice and clinical competence; request and/or undertake diagnostic procedures and clinical investigations related to plans of care.
• Utilise scope of practice to undertake Independent Prescribing (if licensed to do so) and provide advice on medicine management issues.

Clinical:

• Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review, referring to specialities as required.
• Lead in the development and updating of referral guidelines and policies for the service.
• Use highly developed communication skills to effectively communicate with colleagues, patients and their relatives/carers, making reports and liaising as required with medical staff and other members of the multidisciplinary team both verbally and in writing.
• Use professional judgement to act as an advocate for patients to ensure a patient focused approach to the delivery of care.
• Support and enable patients and carers to make informed decisions relating to their treatment and management.
• Escalate any concerns via the medical/professional structures as required.
• Report and raise concerns related to Safeguarding, accessing advice and support as required.
• Be conversant with company policies for safeguarding including the assessment of mental capacity and consideration of Deprivation of Liberty Safeguards (DOLS) and the application of the principles of Prevent (counter terrorism awareness).

• Ensure effective and accurate verbal or written handover of patients between healthcare professionals.
• Ensure that high standards of documentation are maintained, with accurate, complete, contemporaneous and up-to-date information regarding patient care are kept.
• Monitor the quality and standard of care provided by all members of the team and all staff in clinical areas.
• Identifying any skills or training gaps and escalating to the appropriate senior member of Fuse Health Ltd.
• Undertake training to develop further advanced clinical practice roles required by the service in order to provide a high standard of patient care.
• Practice within the scope of professional registration (i.e. HCPC, NMC etc).

• Provide highly visible and accessible professional leadership and demonstrate expert knowledge and standards of clinical practice.
• Lead and develop a defined area of Advanced Clinical practice within the designated area of practice, promoting interdisciplinary team and collaborative working practices.
• Meet regularly with team members as a team and on an individual basis as required to support their personal and professional development.
• Promote team working, build rapport and collaborative working practices within the multidisciplinary team.
• Liaise with inter-hospital departments and personnel across organisational and professional groups.
• Ensuring effective communication and interpersonal skills with other disciplines and organisations.
• Act as a clinical role model demonstrating high standards of advanced practice and provide support or advice to other staff when necessary.
• Lead and support the development of the role according to changing patients needs, service requirements and evidence based practice.
• Lead and actively participate in service projects, quality initiatives and statutory accreditation processes.
• This will include the setting and monitoring of clinical standards of care.
• Ensure that all resources are managed in an efficient and cost-effective manner to achieve maximum effect for patients and staff.

Leadership:

• Adhere to all relevant company policies and procedures and to ensure that they are correctly implemented.
• Lead in the implementation of multidisciplinary service objectives that reflect company strategies for patient care.
• Demonstrate effective leadership skills, supporting the senior management team in service development and lead as delegated on the implementation of any of these changes.
• Monitor standards and maintain high quality care.
• Utilise the highest level of interpersonal and communication skills when dealing with complex, sensitive or emergency situations.
• Maintain an awareness of professional and ethical issues to ensure care is delivered in a professional, timely and courteous manner by all members of the team.
• Respecting the different spiritual and cultural backgrounds of colleagues, patients and relatives.
• Escalate any concerns or complaints promptly to the Fuse Health leadership team.
• Be accountable for your own practice, acting at all times within the Professional Code of Professional Conduct with your registering body.
• Maintain a working knowledge of local and national professional policy and strategy.

Leadership:

• Act as an expert educational resource for clinical staff, patients, and carers by providing formal and informal education.
• Promote and develop a positive learning environment throughout Fuse Health.
• Act as mentor/assessor to staff members and students as required, providing educational advice and support.
• Lead and actively participate in the delivery of educational programmes for all grades of staff within Fuse Health Ltd.
• Provide support and guidance to all levels of Fuse Health Ltd staff in their practice.
• Participate in provision and identification of in-service training needed for all staff.
• Participate in education and practice development on a company wide basis liaising with company wide educational leads to ensure overall company educational objectives are delivered.
• Recognise the limits of own professional practice and competence, undertake further training and academic qualifications as required to maintain own specialist knowledge.

Education and Training:

• Take responsibility for ensuring personal and completion of any statutory or mandatory training as required by Fuse Health.
• Adapt clinical knowledge and skills to different clinical settings.
• Participate in the annual appraisal process, delegating duties to team members as appropriate to ensure all staff within the team have personal development plans which support revalidation.
• Develop and maintain close links with local HEIs and participate in the development and delivery of new and established advanced practice programmes where appropriate.

Education:

• Participate and where required lead or assist in research projects as required, disseminating and ensuring utilisation of research results to change practice.
• Utilise research findings in the delivery of advanced clinical patient care, developing new ways of working.
• Be aware of research/trials being undertaken within the specialist field of practice.
• Participate and where required lead audit projects as required by the company, involving collating, analysing and reporting on results of the audit process.
• Provide support, encouragement and advice to all staff undertaking audit and research.
• Assist in the testing and evaluation of new equipment within the clinical area.
• Collate, analyse and present reports on varying aspects of the company activity as required by the senior Fuse Health Ltd team.
• Ensure the results of audit and research conducted by the team are disseminated appropriately.
• Share best practice through publications and attendance/presentation opportunities at conference level when the opportunity arises.

Research & Audit:

• Participate and where required lead or assist in research projects as required, disseminating and ensuring utilisation of research results to change practice.
• Utilise research findings in the delivery of advanced clinical patient care, developing new ways of working.
• Be aware of research/trials being undertaken within the specialist field of practice.
• Participate and where required lead audit projects as required by the company, involving collating, analysing and reporting on results of the audit process.
• Provide support, encouragement and advice to all staff undertaking audit and research.
• Assist in the testing and evaluation of new equipment within the clinical area.
• Collate, analyse and present reports on varying aspects of the company activity as required by the senior Fuse Health Ltd team.
• Ensure the results of audit and research conducted by the team are disseminated appropriately.
• Share best practice through publications and attendance/presentation opportunities at conference level when the opportunity arises.

• Registered healthcare professional (Nurse, Paramedic, Physiotherapist, or Allied Health Professional).
• 3-5 years post-registration experience.
• MSc-level study in Advanced Practice, including patient assessment and examination modules.
• Experience in urgent, primary, or emergency care settings.
• Up-to-date clinical portfolio.
• Advanced Life Support (ALS) certification.
• Extensive primary, urgent or emergency care experience.
• Interest in research, service improvement, and digital healthcare solutions.

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.