Job summary

Advanced Clinical Practitioner – Urgent Treatment Centre Band 8a – Full Time, hours

NMC & AHP professional registrants can apply.

The Urgent Treatment Centre is expanding its service. The post is for a qualified Advanced Care Practitioner, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision making and expert care for patients within the Urgent Treatment Centre – experience required in Urgent and Emergency care or primary care.

Main duties of the job

The post holder will work in partnership with primary and secondary care to provide advanced clinical case management for patients with complex care and ensure that case management plans are agreed, implemented and reviewed as part of the Multi-Disciplinary Team (MDT) case management process. This is achieved by working alongside the Extensivist Consultants, GP practices and key stakeholders within Tameside and Glossop and ensuring that practices are fully engaged with the multi-disciplinary approach to care. The role will work at both practice and Integrated Team level across the T& Glossop CCG area

About us

Tameside and Glossop Integrated Care NHS Foundation Trust serves a community of 250,000 people across Tameside & Glossop. We provide a range of services both within the hospital and across our community for both adults and children. Our vision is to improve health outcomes for our population and influence wider determinants of health through collaboration with our health & care partners.

We have a clear set of values & behaviours which we expect all of our staff to demonstrate:

  • Safety
  • Care
  • Respect
  • Communication
  • Learning

We believe that the best organisations are those that reflect the communities they serve. We are therefore seeking to improve the diversity of our workforce to make it truly representative of our local population.

We actively encourage applications irrespective of race, age, disability, sex, gender reassignment, gender identity or expression, sexual orientation, religion or belief, marriage & civil partnership, or pregnancy or maternity. Recognising those communities that are underrepresented within our workforce, we would particularly welcome applications from Black, Asian & minority ethnic candidates, LGBTQ+& Disabled people.

Benefits include; flexible working, 27-33 days annual leave plus bank holidays, sick pay, NHS Pension Scheme, free eye tests and health checks, gym discount, free bicycle loan scheme, salary sacrifice car scheme, support with stress, bereavement, relationships, finance, and much more.

Date posted

03 April 2023

Pay scheme

Agenda for change

Band

Band 8a

Salary

£48,526 to £54,619 a year per annum

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

245-NAM8AE-04-23

Job locations

Crickets Lane Clinic

Crickets lane

Ashton-Under-Lyne

OL6 6NG

Job description

Job responsibilities

SECTION 1- MAIN RESPONSIBILITIES :

PROFESSIONAL / CLINICAL:

The priority outcomes for Integrated Teams are:

  • Promotion of self-management and self-care
  • Reduction in delayed discharges
  • The maintenance of independence
  • Improved communication between professionals and carers
  • A reduction in A&E attendances
  • A reduction in emergency admissions
  • A reduction in re-admissions
  • A high level of patient and professional satisfactio

The Post Holder will:

  • Work as an Advanced Practitioner making independent clinical judgements/decisions based on patients clinical need
  • Act as lead for the development of advanced and specialist practice
  • Undertake independent comprehensive assessment and management of patients to incorporate physiological and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes.
  • Demonstrate a high level of competence in clinical, diagnostic and examination skills
  • Management of patients / and carers within the community with complex care needs.
  • Provide counselling and advocacy for patients with acute and chronic conditions Undertake research and service development.
  • Establish close liaison and communication between all stakeholders across health and social care, community, primary care and third sector disciplines involved in the care of patients and their families and work in partnership with other practitioners.
  • Monitor and evaluate the role of the Advanced Practitioner in liaison with appropriate managers and general practitioners, and demonstrate and respond to changing needs
  • Develop and sustain close working relationships, partnerships and networks and draw upon multiagency/inter-professional resources where appropriate in order to improve health

PROFESSIONAL RESPONSIBILITIES:

  • Keep up to date with developments in the role of the Advanced Practitioner through personal professional development, in service training and education, professional conferences, courses and seminars as appropriate
  • Keep accurate records and compile reports as necessary
  • Maintain high professional standards of care and expertis

Communications:

  • To contribute to the development of information/health promotion/leaflets for users and carers and other health professionals
  • To demonstrate excellent communication skills with colleagues and patients and to be able to deliver teaching programmes
  • To work in a professional manner with all agencies and to promote good working relationships
  • Communicate in a positive and effective manner with all disciplines and across agencies
  • Build relationships with clinical and non-clinical staff to obtain support for the INT project and to achieve project objectives
  • Explain complex and / or contentious information to others in a manner appropriate to them.
  • Use effective therapeutic communication skills at an advanced level and manage communication in potentially antagonistic and difficult circumstances where individuals have conflicting interests / interests which conflict with organisational objectives.
  • Provide effective communication with regards the management of patients within the community.
  • Provide regular written and verbal reports to the patients, GP, and wider multi-disciplinary team.
  • Manufacture and distribute patient information literature and other educational materials and ongoing monitoring of their effectiveness.
  • Use of technology such as web-based systems to provide patient information.
  • Communicate with patients in an open, supportive and empathetic manner.
  • Act as a patient advocat

Responsibility for Patient Care :

  • Management of patients to incorporate physiological, psychological and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes.
  • Independently adjust treatment plans according to need assessing appropriate management options, and initiate treatment or referral to an appropriate professional where necessary
  • Request haematological and radiological investigations appropriately, and act upon the results of these investigations and adjusting the patients management plan accordingly
  • Request therapeutic procedures/interventions and evaluate the outcome of these interventions
  • Provide education and counselling regarding the range of treatment options available to the patient
  • Provide the patient with comprehensive information regarding clinical procedures, ensuring informed consent
  • Obtain written consent for medical procedures.
  • Manage complete programmes of care in a manner which provides appropriate support for patients and their families
  • Demonstrate the ability to make sound decisions regarding patient management in the absence of specific protocols
  • Promote clinical awareness of the need for constant review and development of professional practice
  • Take action where unsatisfactory practice is identified
  • Secure agreed changes or development in practice.
  • Provide clinical support to primary, community and secondary care professionals in the delivery and development of a multi-disciplinary approach to care across Tameside and Glossop
  • Undertake clinical assessment and interventions within the Community (clinical and community based) and make appropriate referrals
  • Maintain and evaluate the use of the documentation within the Integrated Teams
  • Provide advice, support and consultation to primary and secondary healthcare staff in relation to the management of patients with complex care needs.
  • Maintain and develop the scope of your own professional and clinical practice
  • To maintain accurate records in line with organisational and professional policies
  • Adhere to the NMC Standards: – Professional Code of Conduct; Scope of Professional Practice; Records and Record Keeping.
  • Contribute to the development of innovation, creativity and improvement.
  • Actively give and receive constructive criticism and feedback.
  • Be adaptable, flexible, and trustworthy and work with integrity.
  • Analyse various sources of information to assess risks and make judgements on the potential impact
  • Produce and manage appropriate risk logs.

Planning and organising:

  • Co-ordinate and manage meetings across organisations within one of five localities. Proactively track the creation, allocation and monitoring of complex case management plans
  • Ensure that practices are actively engaged in Integrated Neighbourhood Teams
  • Provide clinical support to primary, community and secondary care professionals in the delivery and development of a multi-disciplinary approach to care across Tameside and Glossop
  • Support staff in practices to undertake regular risk stratification of their patients and provide appropriate support if required
  • Ensure that practices undertake a consistent approach in identifying patients suitable for an MDT approach to their care
  • Ensure that agreed operational targets are delivered (KPIs and CQUIN targets)
  • Provide cross Locality cover for other Advanced Practitioners as required.
  • Provide specialist advice concerning patients with acute/chronic conditions for primary and secondary care
  • Ensure effective use of physical and financial resources Use physical and financial resources and technology effectively and in the best interests of the patient.
  • Contribute to the strategic and operational development of service in line within current national guidelines.
  • Participate in the development of care pathways, protocols and clinical guidelines
  • Ongoing review and development of existing protocols relating to specialist nursing roles within the directorate
  • Liaise with appropriate departments within the Trust regarding the modification of traditional role boundaries, with a view to facilitating the ongoing development of the Advanced Practitioner role
  • Develop standards by which the ongoing development of the Advanced Practitioner role can be monitored
  • Acting as a role model to others wishing to develop professional roles and providing appropriate information and support
  • Promotion of the Advanced Practitioner role within and outside the Trust

Responsibilities for Physical and / or Financial Resources

  • Non budget holder

Responsibility for Policy and Service Development and Implementation

  • In conjunction with Locality Advanced Practitioner colleagues, review the Standard Operating Procedure every 6 months
  • To work with key stakeholders across Tameside and Glossop to develop the model of care. Key stakeholders include patients and their families, primary and secondary care providers the third sector and private sector as appropriate
  • Support the on-going development of a risk stratification tool which can be used across practices and services
  • Provide support to other Advanced Practitioners

Responsibilities for Human Resources and Leadership

  • Lead for service development and liaison with key stakeholders
  • Contribute to the strategic and operational development of specialist Services
  • Ensure the effective use of physical and financial resources
  • Act as a resource, providing clinical leadership and facilitating professional development amongst the multidisciplinary team both within and outside the organisation.
  • Promote best practice, utilising local and regional benchmarking groups for the generation and promotion of standards, nursing and clinical guidelines.
  • Contribute to clinical governance arrangements by providing expert input and securing quality improvement, including influencing other disciplines, to help deliver quality

Job description

Job responsibilities

SECTION 1- MAIN RESPONSIBILITIES :

PROFESSIONAL / CLINICAL:

The priority outcomes for Integrated Teams are:

  • Promotion of self-management and self-care
  • Reduction in delayed discharges
  • The maintenance of independence
  • Improved communication between professionals and carers
  • A reduction in A&E attendances
  • A reduction in emergency admissions
  • A reduction in re-admissions
  • A high level of patient and professional satisfactio

The Post Holder will:

  • Work as an Advanced Practitioner making independent clinical judgements/decisions based on patients clinical need
  • Act as lead for the development of advanced and specialist practice
  • Undertake independent comprehensive assessment and management of patients to incorporate physiological and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes.
  • Demonstrate a high level of competence in clinical, diagnostic and examination skills
  • Management of patients / and carers within the community with complex care needs.
  • Provide counselling and advocacy for patients with acute and chronic conditions Undertake research and service development.
  • Establish close liaison and communication between all stakeholders across health and social care, community, primary care and third sector disciplines involved in the care of patients and their families and work in partnership with other practitioners.
  • Monitor and evaluate the role of the Advanced Practitioner in liaison with appropriate managers and general practitioners, and demonstrate and respond to changing needs
  • Develop and sustain close working relationships, partnerships and networks and draw upon multiagency/inter-professional resources where appropriate in order to improve health

PROFESSIONAL RESPONSIBILITIES:

  • Keep up to date with developments in the role of the Advanced Practitioner through personal professional development, in service training and education, professional conferences, courses and seminars as appropriate
  • Keep accurate records and compile reports as necessary
  • Maintain high professional standards of care and expertis

Communications:

  • To contribute to the development of information/health promotion/leaflets for users and carers and other health professionals
  • To demonstrate excellent communication skills with colleagues and patients and to be able to deliver teaching programmes
  • To work in a professional manner with all agencies and to promote good working relationships
  • Communicate in a positive and effective manner with all disciplines and across agencies
  • Build relationships with clinical and non-clinical staff to obtain support for the INT project and to achieve project objectives
  • Explain complex and / or contentious information to others in a manner appropriate to them.
  • Use effective therapeutic communication skills at an advanced level and manage communication in potentially antagonistic and difficult circumstances where individuals have conflicting interests / interests which conflict with organisational objectives.
  • Provide effective communication with regards the management of patients within the community.
  • Provide regular written and verbal reports to the patients, GP, and wider multi-disciplinary team.
  • Manufacture and distribute patient information literature and other educational materials and ongoing monitoring of their effectiveness.
  • Use of technology such as web-based systems to provide patient information.
  • Communicate with patients in an open, supportive and empathetic manner.
  • Act as a patient advocat

Responsibility for Patient Care :

  • Management of patients to incorporate physiological, psychological and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes.
  • Independently adjust treatment plans according to need assessing appropriate management options, and initiate treatment or referral to an appropriate professional where necessary
  • Request haematological and radiological investigations appropriately, and act upon the results of these investigations and adjusting the patients management plan accordingly
  • Request therapeutic procedures/interventions and evaluate the outcome of these interventions
  • Provide education and counselling regarding the range of treatment options available to the patient
  • Provide the patient with comprehensive information regarding clinical procedures, ensuring informed consent
  • Obtain written consent for medical procedures.
  • Manage complete programmes of care in a manner which provides appropriate support for patients and their families
  • Demonstrate the ability to make sound decisions regarding patient management in the absence of specific protocols
  • Promote clinical awareness of the need for constant review and development of professional practice
  • Take action where unsatisfactory practice is identified
  • Secure agreed changes or development in practice.
  • Provide clinical support to primary, community and secondary care professionals in the delivery and development of a multi-disciplinary approach to care across Tameside and Glossop
  • Undertake clinical assessment and interventions within the Community (clinical and community based) and make appropriate referrals
  • Maintain and evaluate the use of the documentation within the Integrated Teams
  • Provide advice, support and consultation to primary and secondary healthcare staff in relation to the management of patients with complex care needs.
  • Maintain and develop the scope of your own professional and clinical practice
  • To maintain accurate records in line with organisational and professional policies
  • Adhere to the NMC Standards: – Professional Code of Conduct; Scope of Professional Practice; Records and Record Keeping.
  • Contribute to the development of innovation, creativity and improvement.
  • Actively give and receive constructive criticism and feedback.
  • Be adaptable, flexible, and trustworthy and work with integrity.
  • Analyse various sources of information to assess risks and make judgements on the potential impact
  • Produce and manage appropriate risk logs.

Planning and organising:

  • Co-ordinate and manage meetings across organisations within one of five localities. Proactively track the creation, allocation and monitoring of complex case management plans
  • Ensure that practices are actively engaged in Integrated Neighbourhood Teams
  • Provide clinical support to primary, community and secondary care professionals in the delivery and development of a multi-disciplinary approach to care across Tameside and Glossop
  • Support staff in practices to undertake regular risk stratification of their patients and provide appropriate support if required
  • Ensure that practices undertake a consistent approach in identifying patients suitable for an MDT approach to their care
  • Ensure that agreed operational targets are delivered (KPIs and CQUIN targets)
  • Provide cross Locality cover for other Advanced Practitioners as required.
  • Provide specialist advice concerning patients with acute/chronic conditions for primary and secondary care
  • Ensure effective use of physical and financial resources Use physical and financial resources and technology effectively and in the best interests of the patient.
  • Contribute to the strategic and operational development of service in line within current national guidelines.
  • Participate in the development of care pathways, protocols and clinical guidelines
  • Ongoing review and development of existing protocols relating to specialist nursing roles within the directorate
  • Liaise with appropriate departments within the Trust regarding the modification of traditional role boundaries, with a view to facilitating the ongoing development of the Advanced Practitioner role
  • Develop standards by which the ongoing development of the Advanced Practitioner role can be monitored
  • Acting as a role model to others wishing to develop professional roles and providing appropriate information and support
  • Promotion of the Advanced Practitioner role within and outside the Trust

Responsibilities for Physical and / or Financial Resources

  • Non budget holder

Responsibility for Policy and Service Development and Implementation

  • In conjunction with Locality Advanced Practitioner colleagues, review the Standard Operating Procedure every 6 months
  • To work with key stakeholders across Tameside and Glossop to develop the model of care. Key stakeholders include patients and their families, primary and secondary care providers the third sector and private sector as appropriate
  • Support the on-going development of a risk stratification tool which can be used across practices and services
  • Provide support to other Advanced Practitioners

Responsibilities for Human Resources and Leadership

  • Lead for service development and liaison with key stakeholders
  • Contribute to the strategic and operational development of specialist Services
  • Ensure the effective use of physical and financial resources
  • Act as a resource, providing clinical leadership and facilitating professional development amongst the multidisciplinary team both within and outside the organisation.
  • Promote best practice, utilising local and regional benchmarking groups for the generation and promotion of standards, nursing and clinical guidelines.
  • Contribute to clinical governance arrangements by providing expert input and securing quality improvement, including influencing other disciplines, to help deliver quality

Person Specification

Qualifications

Essential

  • Registered Nurse / Therapist with current registration working at an Advanced Practitioner level
  • Independent non-medical prescriber
  • MSc in Advanced Practice or Equivalent
  • Basic Life Support
  • NMC Approved mentor preparation course or equivalent

Experience & Knowledge

Essential

  • Clinical expertise relevant to area of practice
  • Ability to build effective working relationships across a range of healthcare and other organisations
  • Post registration experience in a community setting.
  • Evidence of relevant experience working within a people centered health, social or customer care environment demonstrating an ability to work with a variety of individuals with varying needs and /or in varying environments.
  • Experience of working as part of a team and in isolation.
  • Working as part of / with a multi-disciplinary team.
  • Demonstrate IT literacy and competency with e-mail, word, intranet etc.
  • Knowledge of health and safety in the workplace.

Desirable

  • Evidence of successful completion of relevant recent training in equality and diversity, disability awareness, safeguarding, moving and handling, management of violence and aggression.

skills

Essential

  • Desire to provide the best care possible
  • Ability to efficiently prioritise and allocate care
  • Evidence of excellent communication and listening skills
  • Able to participate in on job training in relation to a range of aspects of providing physical, emotional and social care for patients using a coaching approach.
  • Ability to work unsupervised on a day to day basis and to manage/ prioritise a delegated caseload independently
  • Ability to deal with emotionally difficult situations
  • Strong written, oral and presentation skills
  • Ability to problem solve within a defined set of likely problems and possible solutions
  • Excellent interpersonal skills
  • Ability to demonstrate empathy and compassion
  • Ability to demonstrate self-motivation skills and evidence of an ability to motivate others
  • Able to communicate effectively with the general public colleagues, clinicians and managers
  • To act as an effective member of the team, supporting other members where appropriate and contributing fully to the work of the whole department
  • Able to work under pressure and to demanding timescales, organising own workload to meet changing priorities
  • Able to work on own initiative and as an effective and responsible member of the team
  • Able to produce accurate, well presented documents to a high standard
  • Able to adapt to change
  • Accuracy and attention to detail, with a methodical approach
  • Maintain confidentiality at all times

Desirable

  • Undertaken a management programme2

Attributes & Behaviours

Essential

  • Flexibility in a changing environment
  • Flexibility to meet the demands of the service
  • Understands and can demonstrate Trust core values
  • Self-motivating, enthusiastic and self-disciplined
  • Calm and resolute under pressure
  • Courteous and professional attitude
  • Ability to demonstrate a positive “can do” approach, whatever the situation
  • Able to work flexibly around working hours, including occasional out of office core hours
  • Ability and willingness to travel in the course of performing duties, in a timely manner on a daily basis
  • Car driver / ability to travel
Person Specification

Qualifications

Essential

  • Registered Nurse / Therapist with current registration working at an Advanced Practitioner level
  • Independent non-medical prescriber
  • MSc in Advanced Practice or Equivalent
  • Basic Life Support
  • NMC Approved mentor preparation course or equivalent

Experience & Knowledge

Essential

  • Clinical expertise relevant to area of practice
  • Ability to build effective working relationships across a range of healthcare and other organisations
  • Post registration experience in a community setting.
  • Evidence of relevant experience working within a people centered health, social or customer care environment demonstrating an ability to work with a variety of individuals with varying needs and /or in varying environments.
  • Experience of working as part of a team and in isolation.
  • Working as part of / with a multi-disciplinary team.
  • Demonstrate IT literacy and competency with e-mail, word, intranet etc.
  • Knowledge of health and safety in the workplace.

Desirable

  • Evidence of successful completion of relevant recent training in equality and diversity, disability awareness, safeguarding, moving and handling, management of violence and aggression.

skills

Essential

  • Desire to provide the best care possible
  • Ability to efficiently prioritise and allocate care
  • Evidence of excellent communication and listening skills
  • Able to participate in on job training in relation to a range of aspects of providing physical, emotional and social care for patients using a coaching approach.
  • Ability to work unsupervised on a day to day basis and to manage/ prioritise a delegated caseload independently
  • Ability to deal with emotionally difficult situations
  • Strong written, oral and presentation skills
  • Ability to problem solve within a defined set of likely problems and possible solutions
  • Excellent interpersonal skills
  • Ability to demonstrate empathy and compassion
  • Ability to demonstrate self-motivation skills and evidence of an ability to motivate others
  • Able to communicate effectively with the general public colleagues, clinicians and managers
  • To act as an effective member of the team, supporting other members where appropriate and contributing fully to the work of the whole department
  • Able to work under pressure and to demanding timescales, organising own workload to meet changing priorities
  • Able to work on own initiative and as an effective and responsible member of the team
  • Able to produce accurate, well presented documents to a high standard
  • Able to adapt to change
  • Accuracy and attention to detail, with a methodical approach
  • Maintain confidentiality at all times

Desirable

  • Undertaken a management programme2

Attributes & Behaviours

Essential

  • Flexibility in a changing environment
  • Flexibility to meet the demands of the service
  • Understands and can demonstrate Trust core values
  • Self-motivating, enthusiastic and self-disciplined
  • Calm and resolute under pressure
  • Courteous and professional attitude
  • Ability to demonstrate a positive “can do” approach, whatever the situation
  • Able to work flexibly around working hours, including occasional out of office core hours
  • Ability and willingness to travel in the course of performing duties, in a timely manner on a daily basis
  • Car driver / ability to travel

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.

Certificate of Sponsorship

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) .

UK Registration

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

Additional information

Certificate of Sponsorship

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) .

UK Registration

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