Advanced Clinical Practitioner, Care of the Elderly

Job summary
A high profile, accessible and responsive leader with managerial and clinical responsibility for the delivery of Advanced Clinical Practice within Care of the Elderly and the Acute Frailty Service. Able to make informed decisions within their own speciality and scope of professional practice, involving patients and public to ensure agreed standards, targets and objectives are met. The post holder is an experienced healthcare professional qualified to Masters Level, who will act as a clinical leader within the older adult service. They will demonstrate safe, senior clinical decision-making and expert care, for patients providing appropriate clinical management plans and prescription of any medication required.

The post holder will be required to work within all areas where Care of the Elderly patients may be housed. This includes the acute medical unit (AMU), Emergency Department (ED), Care of the Elderly wards, outlying wards, rehabilitation wards and supporting department development with community working, undertaking primary and secondary assessments alongside medical colleagues, providing support and guidance to nursing and medical staff in the management of Care of the Elderly patients. They will be instrumental in guiding junior medical and nursing staff in relation to relevant protocols and procedures.

The post holder will assess the domains of a comprehensive geriatric assessment and order diagnostic investigations for patients presenting with frailty syndromes.

Main duties of the job

• Co-ordinate the care of patients throughout their pathway with the multidisciplinary team and clinical services to ensure the effective management of this group of patients.
• Accountable for own actions in accordance with their professional regulatory body requirements.
• Will contribute to corporate objectives, acting within local, Trust and statutory guidelines and policies at all times.
• Lead and deliver clinical care, across a variety of settings, according to national and local guidelines ensuring delivery of evidence-based care and working towards the Trust vision of providing a World Class Service.
• Undertake an initial assessment to determine differential diagnosis, utilising advanced critical thinking and decision-making skills, deciding when necessary to refer to senior clinical colleagues.

About us
University Hospitals Coventry and Warwickshire NHS Trust, rated as good by the Care Quality Commission, is one of the largest teaching Trusts in the UK.

We are extremely proud of our employees across our hospital sites, with high quality patient care at the heart of everything we do.

Boasting some of the most modern facilities in Western Europe, the Trust is renowned for being at the forefront of research and innovation as part of its blossoming reputation as a worldwide leader in healthcare.

We are proud to be recognised as a Pathway to Excellence designated organisation - please click the link for further details about this prestigious award. Pathway To Excellence - University Hospitals Coventry & Warwickshire (uhcw.nhs.uk)

By joining our exciting journey, you will form part of a passionate, talented team and will be able to access a wide range of learning and development opportunities. There has never been a better time to join our team.

The Trust is committed to building an organisation that makes full use of the talents, skills, experience, and different perspectives available in our diverse society. We want everyone to feel they are respected, valued, can achieve their potential and receive the most appropriate and relevant care. We will create an environment where the equality and human rights principles of fairness, respect, equality, dignity and autonomy are promoted and are part of the organisation's core values.

Job responsibilities

• Act autonomously to assess, prioritise and provide expert clinical care which contributes to the patients treatment plan to ensure that optimum physical, psychological, and social care needs are met and ensures quality care.
• Request and interpret relevant investigations to facilitate the development of the patients management plan.
• Initiate the management of patients who are critically ill or deteriorating within scope of practice.
• Proactively refer to other clinicians (own or other services) depending upon patients needs to deliver care beyond your limitations and scope of practice.
• Proactively initiate treatment plans for patients requiring intervention and treatment ensuring ethically based considerations.
• Proactively identify, diagnose, and manage treatment plans for patients at risk of developing long term conditions.
• Undertake relevant clinical procedures to facilitate patient care within the service, supported by the appropriate training and supervision.
• Autonomously assess, diagnose, and have the legal authority to independently prescribe. As an independent prescriber, the ACP is responsible and accountable for the assessment of patients with undiagnosed or diagnosed conditions and for clinical management decisions.

Person Specification
Qualifications
Essential

• Current UK healthcare professional registration
• MSc in ACP/Advance Practice or Healthcare or HEE/NHSE Advance Practice digital badge
• Evidence of continuous professional development
• Teaching and assessing qualification/equivalent.
• Independent Prescriber (annotated on professional register)
• IRMER regulation training (if required for role)

Desirable

• PhD or working towards
• Specialist relevant qualification
• ALS provider
• Good Clinical Practice (GCP) training

Experience
Essential

• Senior clinical experience at Band 7 or above.
• Significant clinical experience in relevant field.
• Experience in research and audit
• Proven record in change management and service development.
• Evidence of journal/ book publication/ webinar/oral/poster presentations/ project work
• Evidence of leading teams, staff development and teaching
• Demonstrate ability to embed evidence-based practice.
• Experience in collaborative working with a diverse range of internal/external stakeholders.
• Experience of case load management

Desirable

• Successful completion of speciality/service specific capabilities/ competencies
• Experience of patient/public involvement.
• Experience of successful resource and budget management.
• Experience of staff management - recruitment, selection, sickness

Knowledge
Essential

• A knowledgeable clinician with the ability to apply evidence-based practice.
• Knowledge of clinical governance
• Sound knowledge of national and local NHS agenda/policy/guidance/ integrated care boards and implications

Skills
Essential

• Advanced IT skills including data analysis and report writing.
• Good interpersonal skills
• Highly developed communication, influencing, negotiating skills and sharing of information.
• Ability to prioritize and meet deadlines.
• Excellent organisational and time management skills
• Ability to be an innovative and effective decision-maker.
• Demonstrate ability to assess, diagnose, interpret investigations and develop a clinical management plan for complex patients.
• Ability to deal with sensitive/challenging/complex and stressful situations.
• Skills in presenting at conferences/webinars.

Desirable

• Demonstrate resourcefulness.
• Delegated Consent training

Commitment to Trust Values and Behaviours
Essential

• Must be able to demonstrate behaviours consistent with the Trust's values. (As detailed in UHCW's Values in Action document below)
• Applicants applying for job roles with managerial responsibility will be required to demonstrate evidence of promoting equal opportunities through work experience

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.

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).

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).