Choose Well - Choose WWL
Job overview
Are you an experienced Advanced Clinical Practitioner (ACP)? If so, then we want to hear from you!
We’re looking for an ambitious, enthusiastic, motivated and experienced ACP to join our team, someone who will drive clinical quality and provide outstanding clinical leadership. The applicant will be required to work as an autonomous practitioner identifying, assessing, diagnosing and treating older adults with frailty needs while taking the next steps in developing community services. Exciting changes are underway within our Community Assessment Unit focussing on the clinical pathways and clinical care provided to our older frail patients, expanding on our current frailty assessment offer to a 7 day service aiming to build upon this to a 24 hour/7 day model. If you have a strong interest in reablement, working with patients' strengths and promoting their autonomy by enabling safe discharge to place of residence to maintain their independence in the community, this could be for you.
NHS experience is essential.
This full time role (37.5 hours) will support the service delivery across a 7 day 8am-8pm offer, with a view to moving to a 24/7 model as part of our future improvement works.
An Enhanced DBS (with Adults Barred List check) will be obtained for the successful candidate during pre-employment checks. Applicants must hold professional registration from a Nursing or Allied Health professional background.
PREVIOUS APPLICANTS NEED NOT APPLY
Main duties of the job
The Community Assessment Unit (CAU) consists of 21 beds including 9 single rooms. Its primary function is to operate as an older persons assessment unit, accepting patients for step up/step down care and safe discharge into the community. The role is to assess, diagnose and treat patients independently referred from Accident and Emergency, North West Ambulance and the Community React Team and step down patients from the acute site, in providing the right care in the right place and ensure a safe and timely discharge for this cohort of patients in our six chair Frailty SDEC and to take an active role in the management of the 21 bedded ward area alongside the wider MDT.
The role will require work across all areas of the Trust, including those designated as positive, asymptomatic and negative COVID areas.
This is an exciting time for the Community Assessment Unit as we continue to evolve, working closely with our key stakeholders. The expectation is to work within a changing environment and to drive the transformation agenda.
Working for our organisation
Choose Well – Choose WWL
Wrightington, Wigan and Leigh NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that ‘happy staff, makes for happy patients’. We have a recognised track record in staff engagement and living our values ‘the WWL Way’.
WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.
COVID-19 vaccination remains the best way to protect yourself, your family, your colleagues and of course our patients from the virus when working in our healthcare settings. Whilst COVID-19 vaccination is not a condition of employment, we do encourage our staff to get vaccinated. If you are unvaccinated there is helpful advice and information available by contacting covid-19.vaccine@wwl.nhs.uk where you can also ask about how to access vaccinations.
On-Call
Please note that senior positions (AFC band 8A or above) may be expected to participate in an on-call rota, if the role is predominantly operational.
Detailed job description and main responsibilities
Duties and Responsibilities
Key results from the job holder
1. The post holder will be professionally and legally responsible and accountable for all aspects of your own work including the management of patients in your care
2. The post holder will be responsible for providing face to face consultations for patients in the Community Assessment Unit and Frailty SDEC
3. The post holder will provide clinical leadership and support for members of the multidisciplinary team
4. The post holder will be able to take a comprehensive patient history, carry out physical examinations and use expert knowledge and clinical judgement to identify the potential diagnosis
Planning and Organisational Duties
5. Work within the Trust's Policies and Procedures and the parameters set down in agreed local clinical protocols and guidelines and national guidelines such as those published by NICE.
6. Organise the clinical management of individual patients, utilising clinical knowledge and advanced skills to assess, diagnose, plan, implement and initiate changes where required. This will include monitoring and evaluating the responses to treatment through analysis and interpretation of clinical tests and investigations and the discharge of the patient.
7. Apply appropriate advanced clinical and technological skills in response to the changing needs of care and the dynamic state of healthcare services.
8. Facilitate the development of clinical practice through research and education of the multidisciplinary team, by integrating theory with practice.
9. Evaluate care through quality assurance initiative and assessment of clinical outcomes.
10. Be an expert clinical resource for other health care practitioners.
11. Take every opportunity to promote the health of patients and initiate health education strategies as necessary.
12. Participate in risk management and risk assessment working closely with other members of the clinical team.
13. Continually develop own professional practice as indicated by the changing needs of services / patients
14. Participate in the development of the quality and audit strategy, which includes standard setting and development of audit tools.
15. Participate in developing and updating clinical protocols in care in responses to advances in clinical practice.
Communications and Key Working Relationships
16. Accept, make and receive referrals to and from other health care professionals.
17. Communicate patients' conditions, verbally and in writing, to other members of the healthcare team and contribute to decision-making processes in patient management.
18. Communicate on an on-going basis with the GP, Community Medical Lead, Senior Registrar / Consultant responsible for the patient - updating him / her on changes / progress.
19. Participate in ward rounds, perform case presentation and contribute to the decision making process in patient management.
20. Act as a resource, providing clinical leadership and facilitating professional development amongst the multidisciplinary team both within and outside the organisation.
21. Promote best practice, utilising local and regional benchmarking groups for the generation and promotion of standards and clinical guidelines.
22. Contribute to clinical governance arrangements by providing expert input and securing quality improvement, including influencing other disciplines, to help deliver quality services.
Responsibility for Finance
23. Ensuring the effective use of all financial resources in providing and delivering the service.
24. Identifying and implementing cost improvement programmes within the service
Responsibility for Human Resources
25. Involvement in staff engagement and patient feedback.
26. Participate in personal development review.
27. Undertake clinical audit and audit the evaluation of practice of self and others.
Responsibility for Health & Safety
Compliance with the Health & Safety at Work Act 1974 – the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.
Responsibility for Teaching
28. Facilitate research-based practice, assist in disseminating research findings and support changes in care.
29. Take part in/ lead research projects, as appropriate, in order to enhance knowledge of the role and / or patient outcomes.
30. Support and facilitate other staff who are undertaking research / audit projects.
31. Provides clinical leadership, acts as a resource and facilitate professional development amongst the multidisciplinary team both within and outside the organisation.
32. Promote best practice, utilising local and regional benchmarking groups for the generation and promotion of standards, nursing and clinical guidelines.
33. Contribute to clinical governance arrangements by providing expert input and securing quality improvement, including influencing other disciplines, to help deliver quality services.
34. Contribute to the Induction programme of staff as required.
35. Contribute to the development, supervision and training of other clinical staff.
36. Support healthcare practitioners, students and others, as required, to achieve appropriate levels of competence in practice.
37. Participate and provide clinical supervision for self and others.
Work Circumstances & on-call
The unit is open 7 days per week
Person specification
Qualifications
Essential criteria
38. Qualified nurse/AHP
39. Advanced Practice degree
40. Non medical prescribing
Experience
Essential criteria
41. Significant clinical experience where a degree of autonomous working has been required.
42. Demonstrable experience and involvement in clinical audit methods and quality initiatives related to clinical team activities
43. Experience of leadership and experience of implementing significant change or service development
44. Experience of undertaking expanded roles within the speciality
45. Evidence of working on own initiative, managing time effectively and prioritising appropriately.
46. Experience of supporting students and other clinical staff within the clinical areas.
47. Experience of critically analysing published research and applying theory to practice
48. UK NHS experience essential
Skills
Essential criteria
49. Excellent interpersonal, written and verbal communication.
50. Able to motivate and lead others.
51. Influential and persuasive.
52. Excellent team working skills.
53. Advanced clinical skills relevant to the speciality
54. Knowledge of Health Promotion and relevant educational issues
55. Advanced planning, organisational skills including the ability to prioritise competing tasks in a highly complex and dynamic environment.
56. Clinical judgement and decision making skills
Knowledge
Essential criteria
57. Evidence of recent CPD activities
58. Computer literate in IT systems and programs, Word, Excel and PowerPoint.
59. Willing to continue to professional develop and support the development of others
60. Evidence of contributing to research and audit activities related to own clinical practice.
61. Able to present information and teach to a wide range of personnel using audio visual equipment.
62. Good understanding of Health and Safety at Work Act and clinical governance and risk management frameworks.
Additional
Essential criteria
63. Demonstrate enthusiasm
64. Flexible approach to working hours
65. Able to travel across Trust independently
66. Speaks English to appropriate level