Advanced Clinical Practitioner, UCCH Lead
The CAS / UCCH is a 24-hour telephoneadvice service, which incorporates calls from East Midlands Ambulance Service(EMAS) / 111 / Care homes. There is a day service that then follows into theOut of Hours (OOH) period. Some calls that 111 have advised patients to attendED, transfer onto the NEMS telephone service as an ED disposition call to seeif the patient does clinically need to be in ED or can be offered analternative service such as a Walk-In Centre (WIC), Minor Injury Unit (MIU)Urgent Care Centre (UCC) or own GP service or closing the call with self careadvice. The EMAS calls are identified cat 3 and cat 5 calls which meet theagreed NEMS criteria, they are usually primary care calls that the generalpublic have rang 999 instead of 111 or their own GP services. These calls aretransferred to NEMS for triage to see what is the best disposition for thepatient, this may be closed as self-care, ambulance required, own GP service,ED or a local UCC/WIC /MIU/Urgent Care Response Team (UCR) / District Nurse(DN)
The ACP will carry out clinicaltelephone consultations providing advice and information in line with policies,procedures, and guidelines, whilst utilising professional judgement andreferring to other agencies where appropriate.
Main duties of the job
The ACP will carry out clinicaltelephone consultations providing advice and information in line with policies,procedures, and guidelines, whilst utilising professional judgement andreferring to other agencies where appropriate.
The ACP will provide clinical supportto other clinical staff members during the operating hours of the ClinicalAssessment Service, providing senior expertise and a broad knowledge of urgentcare experience.
The ACP will utilise their skillsthrough the 4 pillars of advance clinical practice, leadership and management,education and research.
There is an expectation of the ACP tobe able to step up in times of service demand, UCCH is forever evolving withadditional services so there is an expectation for the ACP to upskill ourtelephone triage, promote change, be prepared to work across into the OOHperiod when service demand requires it and to work across site at Platform Oneand PC24.
About us
NEMS CBS is a highquality, high performing; not-for-profit organisation which delivers integratedurgent care and urgent primary care services to over 1 million patients.Responsive, adaptable and continually evolving, we have a reputation fordelivering locally tailored, safe, effective and cost-efficient services withhigh levels of patient satisfaction.
We are committed toinvesting in our people and have an established programme of learning anddevelopment, successfully developing our own Urgent Care Practitioners andAdvanced Clinical Practitioners.
NEMS currently operates 3main services: (1) Integrated Urgent Care across Nottinghamshire serving apatient population of over 1 million, including home visiting, remoteconsultation and clinical assessment services; (2) Urgent Primary careprovision located within the A&E Department at QMC, (3) A 24-hour walk-inurgent primary care service adjacent to Kings Mill Hospital A&E, Mansfield.
NEMS is committed to theNHS Values (as set out in the NHS Constitution March 2015).
NEMS CBS is a registeredsociety under the Co-operative and Community Benefit Societies Act 2014.
Job responsibilities
Main Duties of The Job:
The Expectation of the ACP role in CAS/ UCCH is to be a leader, provide expert knowledge, be adaptable to change, tohave the ability to upskill / teach / train new and existing telephone staff,audit and to work closely with the Multi-Disciplinary Team (MDT).
Professional:
1. NEMSrequires all staff to safeguard children, young people and adults. All staffare required to access the organisational policies, also the Local SafeguardingChildren Board and the Local Safeguarding Adults Board policies and proceduresthat underpin the safeguarding agenda. The safeguarding policies to be followedare found on the Nems Shared Drive.
2. NEMSpolicies, procedures and guidelines - It is a condition of your employment thatas an employee you are expected to adhere to our policies, procedures andguidelines. These can all be found on the NEMS share point
3. Receiveand respond to requests for assistance, treatment or care. The requests may befrom members of the public, healthcare practitioners or other professionals.
4. Workswithin the relevant Code of Professional Conduct.
5. Becommitted to working flexibly within a dynamic environment, respondingpositively to the changing needs of the service.
6. Promote and facilitate evidence-basedpractice.
7. Demonstrates competence and development withinthe 4 pillars of advanced practice as defined by Health Education England intheir Multi-Professional framework for advanced clinical practice in England:Clinical Practice, Leadership & Management, Education, Research.
8. Maintainprofessional knowledge and practice to meet revalidation requirements.
9. Demonstratecontinual professional (CPD) development through organised or self-directedstudy/learning and participation in clinical supervision.
10. Contributeto the effectiveness of teams, working as part of a multidisciplinary team,assisting new members of staff, and actively contribute to service improvementswhere appropriate.
11. Recognise and report adverse events,incidents, errors and near misses. 8. Ensure personal fitness for workpresenting a positive image of self and the organisation, maintainingprofessional conduct including appearance.
12. Work flexibly across sites as required by theservice, providing cover for sickness, bank holidays, and annual leave of othercolleagues.
13. Toensure that high standards of care are given and maintained. To act and raiseconcerns when standards are not being maintained following local policy andprocedures. To be involved in Trust Initiatives to improve patient safety andcare.
14. Toact as an advocate for the patient and the family, including promoting andprotecting their interests, privacy and rights, equality and inclusion.
Clinical:
1. Alwayspractice within own scope of competence, recognising limitations of clinicalpractice.
2. Undertake telephoneclinical assessments of patients healthcare needs and provide clinical advicein accordance with relevant policies and guidance and facilitate onwardreferral to other professionals if required.
3. Assessand prioritise patients clinical needs in accordance with NEMS policies andguidelines.
4. Makesprofessionally autonomous decisions for which she/he is accountable.
5. Encouragepatients to carry out self-care where appropriate, supported by direction toother sources of health and social care information.
6. Toact as a second opinion senior clinical colleague to others within the team.
7. Prescribesindependently in a safe and effective manner in accordance with the appropriatepolicy and guidance including the current antimicrobial guidance.
8. Assistsothers in the clinical team to provide care in a safe effective manner inaccordance with the appropriate policy and guidance.
9. Liaisedirectly with GPs and consultants regarding medicines outside of theindividuals normal sphere of competence and medicine-related uncertainties.
10. Provideadvice and support to other clinical staff within own sphere of competence.
11. Liaiseand communicate clinical information verbally and via technical links with NEMSand health system partners to ensure continuity of care for the patient.
12. Maintainaccurate, contemporaneous record keeping of all interventions with patients,fully utilising computer software systems in place and/or other mediums.
13. Always maintain confidentiality in accordancewith legislative and policy requirements.
14. Actas the patients advocate when required to.
15. Participateand assist in service evaluation, clinical audit and research as required.
16. Participatein developing and delivering teaching to colleagues within the service.
17. Undertakesafe clinical practice within health and safety guidelines.
18. Workwithin and be aware of the organisations clinical policies and guidelines.
19. Maintainown awareness of current health policy relevant to practice.
20. Beaware of the impact your decisions may have upon the patient and their GeneralPractitioner.
21. Liaisewith other professionals to facilitate direct referrals to other health careproviders within the policies of the organisation.
22. Recogniseand act upon opportunities through consultation to promote public health.
Person Specification
Qualifications
* Registered Health Care Professional with the NMC or HCPC with at least 5 years experience
* MSc in Advanced Clinical Practice (RCN credentialing/Digital badge)
* To hold Non-Medical Prescribing qualification
* In good standing with their relevant regulator (NMC, HCPC, GPC) and meet requirements of revalidation.
* Mentorship and/or clinical supervision training.
* Evidence of relevant post-registration study
Experience
* Experience of working independently in a healthcare role at an advanced practice level.
* Out of Hours working
* Evidence of Telephone triage experience OOH calls, ED Disposition / EMAS calls
* At least 5 years post registration experience.
* Working in a multi-disciplinary team.
* Working with clinical computer systems.
* People and workforce development.
* Delivering against competing priorities and deadlines while also directing the work of teams/individuals.
* Working in a diverse and complex organisation
* Working in a team environment
* Working to set protocols and procedures.
* Working to deadlines.
* Safeguarding experience
* Knowledge of Adastra
* Able to use clinical decision software tools I.E. Odyssey, pathways etc
* Experience of clinical leadership. Proven track record of teaching and assessing. Experience of service specific advanced clinical skills.
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.
£66,537.16 to £73,048.14 a yearDepending on Experience
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