Bank Advanced Clinical Practitioner - Sefton

Are you an enthusiastic and dedicated Advanced Clinical Practitioner and a registered Nurse or AHP or Pharmacist? An exciting opportunity has arisen for an Advanced Clinical Practitioner to join our Sefton Acute Visiting Service (AVS) on a bank basis. The AVS responds to both own home and care homes. Our service has two elements, a same day GP booked acute visiting service and a two hour community response. AVS operates Monday to Friday between 09.00 and 18.00 and our community response service operates Monday to Sunday between 08.00 and 20.00.

The successful candidate will hold an MSc in Advanced Clinical Practice or Credentialing qualification and a Non-Medical Prescribing qualification. You will be able to work within the four pillars of practice. As an Advanced Clinical Practitioner you will act as a positive role model supporting junior staff whilst working flexibly between urgent care and primary care, where appropriate and within a job plan, to provide safe, clinical and expert care. Our population is diverse and multi-cultural with a strong community spirit. A high percentage of our patients face deprivation and multi morbidity, this makes for a varied role as well as an opportunity to make a real difference to individuals, families and the wider community.

Main duties of the job

• Consult via telephone, video or face to face, according to patient needs. (Full training and support for remote consultations will be available if required).
• Supported by the non-clinical team who have a good knowledge of our extensive local hospital and community services.
• Possess leadership qualities and provide support to the wider team, act as a positive role model and proactively identify areas for quality improvement.
• You will proactively contribute to improving health outcomes for patients by identifying new initiatives / ways of working and as such promote health improvement and disease prevention.
• Assist to further improve standards of care and achieve QoF targets as well as KLOE objectives, as outlined by CQC.
• Have full access to our gtd learning academy and clinical forums, including the NMP monthly forum, which is available to all our staff.
• This provides a great opportunity to grow and expand your clinician skills/knowledge and to excel as an ACP.
• The extensive footprint of the organisation provides you with an opportunity to be exposed to a wide variety of different services such as urgent care, specialist services and out of hours working, where shared learning is encouraged.
• The organisation has a family friendly approach and promotes flexible working according to the service / organisational demands.

Benefits package

• Working for a values-led organisation.
• Real living wage employer.
• Supporter of the Greater Manchester Good Employment Charter.
• Access to Stream, which provides flexible, on-demand access to stream your pay during the month.
• Salary sacrifice car benefit scheme.
• 30 days annual leave, rising to 32 after five years of continuous service.
• Flexible working hours and policies.
• Family friendly and carer policies.
• Opportunities to apply for innovation and quality awards.
• Access to gtd healthcare wellbeing initiatives.
• Opportunity to become part of an employee owned organisation.
• gtd healthcare social and fun activities.
• Cycle to work scheme.
• NHS staff discounts, a free Blue Light Card and Health Service Discounts.
• Access to an employee assistance programme.

Job responsibilities

Clinical Practice

• Assess and holistically clinically examine patients with both minor and complex needs through history taking, physical examination and appropriate use of investigations to confirm diagnosis.
• Plan, implement and evaluate an effective management plan for the patient, ensuring safe discharge/referral and/or transfer to an appropriate health care service.
• Provide information and advice on prescribed or over‑the‑counter medication on medication regimens, side‑effects and interactions.
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
• Refer and discharge safely ensuring that safety‑netting advice is offered.
• Triage telephone referrals, calls from external clinicians, patients and others into a range of services appropriately as required.

Communication

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
• Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
• Anticipate barriers to communication and take action to improve communication.
• Maintain effective communication within the organisation and with external stakeholders.
• Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Non-Medical Prescribing

• If you are employed in a prescribing capacity, you must only prescribe within your scope of practice and comply with the gtd healthcare NMP governance registration processes.
• You must maintain your knowledge and skills and prescribe within your scope of clinical competencies.
• The non‑medical prescriber is required to comply with organisational NMP governance processes and adhere to local and national prescribing guidance.

Delivering a Quality Service

• Recognise and work within own competence and professional code of conduct as regulated by the NMC/HPC etc.
• Understand own role and scope and identify how this may develop over time.
• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
• Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
• Ensure professional revalidation requirements are met.
• Deliver care according to NSF, NICE guidelines and evidence‑based care.
• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
• Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
• In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
• Support and participate in shared learning across the organisation and wider organisation.
• Understand and apply guidance that supports the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patient health procedures and local guidance.

Leadership Personal and People Development

• Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model.
• Support staff development in order to maximise potential.
• Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
• Encourage others to make realistic self‑assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services.
• Critically evaluate and review innovations and developments that are relevant areas of work.
• Take a lead role in planning and implementing changes within the area of care and responsibility.
• Work with senior clinical and management teams to ensure sufficient staff of appropriate ability, quality and skill‑mix is available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes.
• Contribute to the development of local guidelines, protocols and standards.
• Maintain effective communication with those responsible for the overall commissioning and procurement process.
• To attend and be proactively involved in professional meetings at base and corporately.
• Take the lead/develop a special interest within certain areas to allow the sharing of clinical knowledge and expertise.

Corporate Responsibility

• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
• Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
• Prioritise own workload and ensure effective time‑management.
• Work effectively with others to clearly define values, direction and policies impacting upon care delivery.
• Discuss, highlight and work with the team to create opportunities to improve patient care.

Managing Information

• Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information.
• Review and process data in order to ensure easy and accurate information retrieval for monitoring and audit processes.

Learning and Development

• Undertake mentorship where appropriate.
• Undertake appropriate supervisor and assessor training, such as Greater Manchester Training Hub (GMTH) Standards for Supervision and Assessment (SSSA) or NHS Enabling Effective Learning Environments in order to act as a qualified assessor and supervisor for internal and external learners and trainees.
• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences).
• Assess own learning needs and undertake learning as appropriate.
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.

Person Specification

Skills and attributes

• Advanced clinical practice skills and competence.
• Management of patients with complex needs.
• Clinical examination skills and competence.
• Clinical leadership skills and competence.
• Communication skills, both written and verbal.
• Negotiation and conflict management skills.
• Change management experience and evidence.
• Highly motivated.
• Flexibility.
• Team Player.
• Teaching and mentorship in a clinical setting.
• Resource Management.

Qualifications

• Registered health care professional, including first level nurse, paramedic, pharmacist or other AHP with MSc Advanced Clinical Practice or credentialing qualification or equivalent.
• V300 Non‑Medical Prescriber (gateway dependent) dependent on professional eligibility.
• Clinical supervision training and experience.

Experience

• Experience of working as senior clinician.
• Experience of autonomous practice.
• Experience of leading/managing quality improvement.
• Experience of having worked in Primary and Urgent Care.
• Experience in leading/managing a team.
• Experience of working in an unscheduled care service/primary care.

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.