Advanced Clinical Practitioner

Job Purpose The post holder will practice autonomously within the Advanced Practitioner level of competence working within the Integrated Reablement Team (IRT)/Virtual Ward (VW) They will assess, diagnose, treat or refer patients aged 18+, presenting with undifferentiated and undiagnosed problems. They will provide Clinical Leadership for the IRT/VW and support and mentorship to other primary care staff where appropriate. The post holder will work alongside Clinicians, Assistant Practitioners and Health Care Support Workers, that make up the team of the day working collectively in the assessment of undifferentiated urgent care/VW patient presentations in the community. The post holder will work alongside management team to lead the way with innovation, testing out pilot services and bringing new business into CityCare. The post holder will: • Provide clinical assessment and deliver treatments to service users who have undifferentiated health care requirements in order to support the services delivered by the IRT/VW and prevent unnecessary acute hospital attendances and support early discharge. • Utilise advanced clinical skills and competencies in clinical health assessment, medicines management, leadership and case management. • Maximise patients health and reduce risks that contribute to ill health, thereby reducing unnecessary admissions to acute services. • Be an autonomous practitioner who is open to the flexibility required for the role. • Participate in training opportunities for self and others within the Urgent Treatment Centre. • Support and deliver training to IRT/VW, staff within CityCare and the wider healthcare community. • Provide mentorship and support to IRT/VW staff, staff within CityCare and the wider healthcare community. • Provider mentorship, support and training to students (including medical, nursing and allied health professionals). • Able to take operational charge of a shift on a planned rota basis • Deputise for member of the management team when required to do so. • To provide clinical line management to IRT staff members. Dimensions • To work with the CityCare multidisciplinary team in provision of Urgent Care Services for Nottingham City • To represent Nottingham CityCare Partnership locally, regionally and nationally if required. Key Dimensions • Population Served • Staff • Staff Directly Managed Key Responsibilities Clinical Responsibilities • Comprehensively assess, review and evaluate the needs of service users with undifferentiated healthcare needs to improve their physical, psychological and mental health wellbeing to promote self-care and reduce the need for hospitalisation. • Accurately prioritise patients within the service, undertaking clinical assessment and providing the necessary treatment including the use of Non-Medical Prescribing and/or Patient Group Directions in line with local/national policies, procedures and guidelines as appropriate • Request diagnostic tests only where clinically indicated in line with organisational, local and national guidelines and appropriate to the community setting. • Develop plan of care in conjunction with the service user through; application of clinical knowledge and, analysis of symptoms and data, identification of risk factors associated with those conditions, recognition of early signs of acute illness, involving the patients and the carers in the care plan and ensuring it is understood, documenting safety netting plans and processes • To utilise effective communication to aid onward referrals to specialists as appropriate. Facilitating a coordinated primary healthcare response to service users needs • To work in an autonomous manner without direct supervision whilst recognising limitation of the practitioner role • To carry out enhanced clinical skills as required • To keep accurate and immediate records of all interventions fully utilising software systems in place • To encourage clients to carry out self-care as appropriate through effective communication of health care using written information as appropriate • To advise client on the most appropriate use of Primary, Secondary and Emergency services • To maintain patient confidentiality as per CityCares clinical guidelines Professional • To work within the AHP/NMC Code of Professional Conduct • To act in accordance with and promote CityCares values at all times • To act as an ambassador for CityCare and the IRT at all times building professional relationship with primary care partners, voluntary organisations and other outside agencies • To be committed to working flexibly within a dynamic environment, responding positively to the changing needs of the service • To promote and facilitate evidence based practice • To be committed to providing a high level of customer service and patient experience • Maintain professional awareness and attend appropriate training as necessary • To participate in the appraisal process and development of own Personal Development Plan to include clinical supervision and Revalidation • To develop a culture within the IRT of continuing professional development, supporting nursing staff in meeting the requirements for Post registration Education and Training. • To provide clinical support and mentorship to other nurses, primary care assistants to meet the requirements of their own personal/professional development plans. This may include, where appropriate, mentoring nurses through work-based learning programmes. • To support/facilitate the provision of Clinical Supervision in accordance with organisational policy. • To liaise with other Agencies as appropriate to ensure comprehensive and collaborative care for service users. Continuous Personal Development • To maintain current professional registration and to ensure that all personal responsibilities in relation to this and to the revalidation process are met, including maintenance of a professional portfolio, evidence of practice hours, professional development planning and reflective writing. • To meet the organisational requirements for mandatory training appropriate to the role. • To recognise his/her own professional limitations, practising accordingly, seeking advice and support as appropriate. • To take an active role in the organisational appraisal process and develop an appropriate and relevant personal development plan and work-based objectives. • To have awareness of the relevant organisational and professional Safeguarding policies and guidance and to act in accordance with their direction, attending update training as required. Management/Leadership • To clinically lead a team consisting of Clinical Practitioners, Health Care Support workers and non-clinical support staff • To participate and assist in evaluation, audit and research as required • To participate in the investigation of any complaints, incidents and accidents • To participate in the training and induction of new members of staff to the Care Centre Team • To participate in the mentorship, support and training of visiting nurses on recognised training programmes such as Student Nurses and Practice Nurses Job description Job responsibilities Job Purpose The post holder will practice autonomously within the Advanced Practitioner level of competence working within the Integrated Reablement Team (IRT)/Virtual Ward (VW) They will assess, diagnose, treat or refer patients aged 18+, presenting with undifferentiated and undiagnosed problems. They will provide Clinical Leadership for the IRT/VW and support and mentorship to other primary care staff where appropriate. The post holder will work alongside Clinicians, Assistant Practitioners and Health Care Support Workers, that make up the team of the day working collectively in the assessment of undifferentiated urgent care/VW patient presentations in the community. The post holder will work alongside management team to lead the way with innovation, testing out pilot services and bringing new business into CityCare. The post holder will: • Provide clinical assessment and deliver treatments to service users who have undifferentiated health care requirements in order to support the services delivered by the IRT/VW and prevent unnecessary acute hospital attendances and support early discharge. • Utilise advanced clinical skills and competencies in clinical health assessment, medicines management, leadership and case management. • Maximise patients health and reduce risks that contribute to ill health, thereby reducing unnecessary admissions to acute services. • Be an autonomous practitioner who is open to the flexibility required for the role. • Participate in training opportunities for self and others within the Urgent Treatment Centre. • Support and deliver training to IRT/VW, staff within CityCare and the wider healthcare community. • Provide mentorship and support to IRT/VW staff, staff within CityCare and the wider healthcare community. • Provider mentorship, support and training to students (including medical, nursing and allied health professionals). • Able to take operational charge of a shift on a planned rota basis • Deputise for member of the management team when required to do so. • To provide clinical line management to IRT staff members. Dimensions • To work with the CityCare multidisciplinary team in provision of Urgent Care Services for Nottingham City • To represent Nottingham CityCare Partnership locally, regionally and nationally if required. Key Dimensions • Population Served • Staff • Staff Directly Managed Key Responsibilities Clinical Responsibilities • Comprehensively assess, review and evaluate the needs of service users with undifferentiated healthcare needs to improve their physical, psychological and mental health wellbeing to promote self-care and reduce the need for hospitalisation. • Accurately prioritise patients within the service, undertaking clinical assessment and providing the necessary treatment including the use of Non-Medical Prescribing and/or Patient Group Directions in line with local/national policies, procedures and guidelines as appropriate • Request diagnostic tests only where clinically indicated in line with organisational, local and national guidelines and appropriate to the community setting. • Develop plan of care in conjunction with the service user through; application of clinical knowledge and, analysis of symptoms and data, identification of risk factors associated with those conditions, recognition of early signs of acute illness, involving the patients and the carers in the care plan and ensuring it is understood, documenting safety netting plans and processes • To utilise effective communication to aid onward referrals to specialists as appropriate. Facilitating a coordinated primary healthcare response to service users needs • To work in an autonomous manner without direct supervision whilst recognising limitation of the practitioner role • To carry out enhanced clinical skills as required • To keep accurate and immediate records of all interventions fully utilising software systems in place • To encourage clients to carry out self-care as appropriate through effective communication of health care using written information as appropriate • To advise client on the most appropriate use of Primary, Secondary and Emergency services • To maintain patient confidentiality as per CityCares clinical guidelines Professional • To work within the AHP/NMC Code of Professional Conduct • To act in accordance with and promote CityCares values at all times • To act as an ambassador for CityCare and the IRT at all times building professional relationship with primary care partners, voluntary organisations and other outside agencies • To be committed to working flexibly within a dynamic environment, responding positively to the changing needs of the service • To promote and facilitate evidence based practice • To be committed to providing a high level of customer service and patient experience • Maintain professional awareness and attend appropriate training as necessary • To participate in the appraisal process and development of own Personal Development Plan to include clinical supervision and Revalidation • To develop a culture within the IRT of continuing professional development, supporting nursing staff in meeting the requirements for Post registration Education and Training. • To provide clinical support and mentorship to other nurses, primary care assistants to meet the requirements of their own personal/professional development plans. This may include, where appropriate, mentoring nurses through work-based learning programmes. • To support/facilitate the provision of Clinical Supervision in accordance with organisational policy. • To liaise with other Agencies as appropriate to ensure comprehensive and collaborative care for service users. Continuous Personal Development • To maintain current professional registration and to ensure that all personal responsibilities in relation to this and to the revalidation process are met, including maintenance of a professional portfolio, evidence of practice hours, professional development planning and reflective writing. • To meet the organisational requirements for mandatory training appropriate to the role. • To recognise his/her own professional limitations, practising accordingly, seeking advice and support as appropriate. • To take an active role in the organisational appraisal process and develop an appropriate and relevant personal development plan and work-based objectives. • To have awareness of the relevant organisational and professional Safeguarding policies and guidance and to act in accordance with their direction, attending update training as required. Management/Leadership • To clinically lead a team consisting of Clinical Practitioners, Health Care Support workers and non-clinical support staff • To participate and assist in evaluation, audit and research as required • To participate in the investigation of any complaints, incidents and accidents • To participate in the training and induction of new members of staff to the Care Centre Team • To participate in the mentorship, support and training of visiting nurses on recognised training programmes such as Student Nurses and Practice Nurses