The Advanced Clinical Practitioner works in all care settings as an autonomous practitioner and clinical leader, providing complete care of patients with undifferentiated needs, ensuring appropriate prioritisation, diagnosis and clinical management, prescribing independently and performing clinical procedures without direct supervision, and supervising and supporting other clinical staff.
We are pleased to invite informal visits to our department.
At the Urgent Treatment Unit (QMC), we work collaboratively to support the Accident and Emergency Department at Queen's Medical Centre. Patients are carefully streamed from the A&E front door to our department, where we triage and review cases based on our established inclusion and exclusion criteria.
Our team has access to a range of specialised services, including Same Day Emergency Care, the Gynaecology Advice Line, the Hyper Acute Neurology Unit, the Surgical Triage Unit, and Acute Medical (AMRA), all of which enable us to effectively manage patient conditions.
We take pride in our departments low staff turnover, which reflects our commitment to creating a supportive and efficient environment, even in a busy setting.
As we continue to expand our services, we are excited to align with NHS England and the Integrated Care Board in developing the Urgent Treatment Centre, operated by NEMS at QMC. This is a thrilling opportunity for both NEMS and our dedicated clinical team!
Main duties of the job
Professional:
Works within the relevant Code of Professional Conduct
Be committed to working flexibly within a dynamic environment, responding positively to the changing needs of the service
Promote and facilitate evidence-based practice
Demonstrates competence and development within the 4 pillars of advanced practice as defined by Health Education England in their Multi-Professional framework for advanced clinical practice in England : Clinical Practice, Leadership & Management, Education, Research
Maintain professional knowledge and practice to meet revalidation requirements
Demonstrate continual professional (CPD) development through organised or self-directed study/learning and participation in clinical supervision
Clinical:
Always practice within own scope of competence, recognising limitations of clinical practice
Assess and prioritise patients clinical needs in accordance with NEMS policies and guidelines
Without supervision undertakes consultations with patients presenting with undifferentiated, undiagnosed problems, practising autonomous skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan
Makes professionally autonomous decisions for which she/he is accountable
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 CBS is a registeredsociety under the Co-operative and Community Benefit Societies Act 2014.
Core Benefits for the NEMS Workforce
* 25 days of holiday entitlement + bank holidays (pro rata)
* Access ongoing continuous professional development
* Compassionate Leave
* Regular clinical supervision
* Flexible working options
* Employee Assistance Programme
* Opportunity to participate in service development and improvement
* Free refreshments
* Eye Care Vouchers
Job responsibilities
Clinical Responsibilities:
* Assessand prioritise patients clinical needs in accordance with NEMS policiesand guidelines.
* Withoutsupervision undertakes consultations with patients presenting withundifferentiated, undiagnosed problems, practising autonomous skills inhistory taking, physical examination, problem-solving and clinicaldecision-making, to establish a diagnosis and management plan.
* Makesprofessionally autonomous decisions for which she/he is accountable.
* Encouragepatients to carry out self-care where appropriate, supported by directionto other sources of health and social care information.
* Actsas a second opinion senior clinical colleague to others within the team.
* Prescribesindependently in a safe and effective manner in accordance with theappropriate policy and guidance including the current antimicrobialguidance.
* Directsothers in the clinical team to provide care in a safe effective manner inaccordance with the appropriate policy and guidance.
* Liaisedirectly with GPs and consultants regarding medicines outside of theindividuals normal sphere of competence and medicine-related uncertainties.
* Provideadvice and support to other clinical staff.
* Liaiseand communicate clinical information verbally and via technical links withNEMS and health system partners to ensure continuity of care for the patient.
* Maintainaccurate, contemporaneous record keeping of all interventions withpatients, fully utilising computer software systems in place and/or othermediums.
* Maintainconfidentiality at all times in accordance with legislative and policyrequirements.
* Actas the patients advocate when required to.
* Participateand assist in service evaluation, clinical audit and research as required.
* Participatein developing and delivering teaching to colleagues within the service.
* Participatein the investigation of complaints, incidents and accidents.
* Beaware of the impact your decisions may have upon the patient and theirGeneral Practitioner.
* Liaisewith other professionals to facilitate direct referrals to other healthcare providers within the policies of the organisation.
* Participatein the mentorship of visiting health professionals and students onrecognised training programmes.
* Recogniseand act upon opportunities through consultation to promote public health.
Please see the attached job description / person specification for a more comprehensive description of the role.
Person Specification
Qualifications
* Registered Healthcare Professional. Masters level qualification in Advanced Clinical Practice to include non-medical prescribing.
Experience
* Supervising clinical colleagues. Leading quality improvement. Delivering against competing priorities and deadlines while also directing the work of teams/individuals. Working in a diverse and complex organisation.
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.
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