Advanced Clinical Practitioner Rossendale Bank
FCMS
The closing date is 06 June 2024
Job summary
Rossendale Minor Injury Unit -Bank ANP/ACP
Pay: Up to £29.03 per hour for an ACP with either a Masters, credentialed or HEE portfolio. Enhancements for weekend work.
Hours:Zero Hrs contract
Base:The post will be based at the Rossendale Minor Injuries Unit in Rawtenstall which aims to deliver services between 8am 8pm 7 days a week, 365 days per year
Come and join our lively and vibrant team! Nestled in the lovely town of Rawtenstall, we are a walk-in Minor Injuries unit, with a highly skilled team, who deal with all ages, ranging from babies to the elderly. We are a high-performance team with complimentary talents and skills, who consistently show high levels of innovation, focusing on the best quality of care for our patients. We pride ourselves on an open and honest culture and show dedication towards peer support, maximizing individual strength and personality, valuing new ideas to help strengthen and celebrate what a great service we offer! Come and be a part of our amazing team!
Main duties of the job
It is essential that applicants for this role have a depth of understanding and relevant experience in the assessment and management of minor injuries of both children and adults. Expanded roles such as infiltration of local anaesthesia and suturing/plastering are desirable. The post holder will be able to pick up available shifts to cover vacancies, sickness, annual leave, or unplanned absences and a short induction programme will be offered to help settle in successful applicants. Rotas are planned several months in advance, so bank shifts can be allocated well in advance, or where there is prior knowledge of shortfalls covering the service.
It will be the responsibility of the post holder, to clinically assess, diagnose and treat all aspects of minor injury presentations, exercising clinical expertise, levels of judgment, discretion and clinical decision making as demonstrated under agreed parameters and provide a high standard of autonomous care for patients of all ages.
Post holders will be expected to triage and signpost patients who arrive at the Minor injury unit, with illness presentations. It is expected however, for those patients who present as very unwell, emergency interventions are implemented until an ambulance arrives. There will also be opportunity to be able to remotely triage for other sites across FCMS on weekend shifts.
About us
The ethos of FCMS as a social enterprise, health and wellbeing services provider is to be passionate in its drive to ensure that patients and callers remain the central focus of all that it does. Coupled with excellent and well established clinical governance systems and extremely effective operational expertise, it has meant that the company has the ability to strategically visualise, develop, and implement award winning services.
Over many years we have invested in our staff so that we have a core team of highly trained individuals who can manage the needs of our patients and callers. Our staff are able to significantly improve the service delivery and user experience due to their considerable experience and commitment to what they do.
Date posted
06 December 2023
Pay scheme
Other
Salary
Depending on experience £26.06 - £29.03
Contract
Bank
Working pattern
Part-time
Reference number
U0051-23-0128
Job locations
Rossendale MIU
Bacup Road
Rawtenstall
BB4 7PL
Job description
Job responsibilities
The post holder will:
Work with and champion the unit in conjunction with Senior Managerial colleagues
Support the Management team and Clinical manager to ensure all service KPIs/Targets all are met, and looking for improvement over and above the set commissioned targets
Ensure mandatory training is kept up to date and receive suitable training/CPD for their ongoing development needs
Practice autonomously, as an independent practitioner, participating in the care of and undertaking assessment, diagnosis, treatment / referral, and discharge of patients.
Characteristics:
Provide clinical skills and advice in the assessment, diagnosis, treatment, and management of a client group whilst working autonomously
Identify the need for and initiate relevant diagnostic investigations (Xray) within existing protocols. Successful candidates will undertake full IRMER training with the opportunity to spend time with a consulting radiographer. Radiology interpretation will be part of this role and will be facilitated by a hot reporting process as an educational tool.
To work within the parameters of current non-medical prescribing legislation for those clinicians who currently prescribe.
Monitor improvements to standards of care through supervision of practice, clinical audit, and evidence-based practice, teaching and supporting professional colleagues and the provision of skilled professional leadership
Contribute to the Clinical Governance agenda within the service by leading audit and research as part of the multi-disciplinary team within the area of expertise
Act in accordance with their code of conduct of their relevant professional body.
Provide professional and clinical advice within the multi-disciplinary team
Knowledge, skills, and experience required / desirable
Relevant professional qualification / Minor injury assessment and management essential for this role
Experience of working independently as an unsupervised practitioner in a primary or urgent care setting
Teaching and mentorship
Up to date CPD Portfolio
Demonstrate the ability to work in highly demanding environment.
Diplomacy and negotiation skills
Able to demonstrate imaginative and effective use of resources
Able to articulate personal development needs
Implementation of audit/research recommendations and demonstrates ability and knowledge on how to undertake audit and feedback to clinicians
Excellent communication and leadership skills
Evidence of significant involvement in change
Competent in use of IT packages such as Microsoft Word, Excel, and PowerPoint
Knowledge of current clinical and professional issues
Awareness of impact of evidence-based practice within unscheduled care
Ability to work collaboratively with an appropriate range of multi-agency and inter-professional resources, maintaining and evaluating links to manage risk across organisation and setting
Ability to identify risk assessment and act accordingly.
Key results areas
Clinical -The post holder will:
Have a probationary period of 6 months with a review of performance at 3, and 6 months
Have a 12-month review after commencement date and annual appraisal thereafter
Have mentor support
Assess, treat, and advise patients presenting with minor injuries.
Offer health promotion to patients
Seek specialist support and referral where patients care falls out of their scope of practice
Manage patient flow affectively and safely
Triage illness presenting to the MIU and signpost as necessary
Ensure all practice is safe and effective and remains within boundaries and scope of competence of individuals and to acknowledge limitations.
Perform investigatory procedures, such as referral for x-ray and interpret results accordingly.
Implement expanded roles in minor injury practice (suturing, infiltration of L.A, wound care, complex wound management, FB removal etc).
Manage burns effectively and adhere to local and national policy
Ensure any patient information is up-to-date and produced in appropriate formats
Provide supervision of the clinical team, assisting and developing their team and individuals
Work at an advanced level of practice reflected under the 4 pillars of advanced practice of the HEE.
In general, the post-holder will be expected to undertake all the duties and responsibilities associated with an expert practitioner working within Unscheduled Primary Care.
Develop and maintain clinical/nursing policies, procedures, and protocols.
Professional -The post holder will:
Demonstrate role model standards of care through clinical practice.
Act as a role model for standards of behaviour and professionalism
Maintain and show evidence of professional registration and practice through CPD
Maintain their personal standards of conduct and behaviour consistent within FCMS, NMC/HCPC guidelines or other professional body
Coordinate, monitor and assess own workload within an accepted time frame
Ensure appropriate use of resources in order to meet service needs
Recognise and act as an advocate for patients, carers, service and the organisation
Maintain a sound knowledge of NHS policy and evidence-based practice
Understand and apply professional and national guidelines on confidentiality, Information governance and data protection
Engage in Clinical Guardian feedback
Education and training -The post holder will:
Identify own development needs in line with service requirements
Assist in the implementation of training and development
Research and development -The post holder will:
Evaluate clinical practise through audit of service and develop and manage strategies to address any shortfalls
Undertake audits as required by the service working with the clinical manager
Demonstrate knowledge of current research in all aspects of their work and advise others on the implementation of relevant research findings
Initiate and/or become involved in research projects in response to identified needs
Disseminate results/research/ audit findings via local teams and/or national/international publications
Implement research findings appropriate to practice
Promote the shared objectives of the multidisciplinary team by working closely to ensure that best practice is achieved utilising both Clinical Benchmarking and Essence of Care processes
Communication and working relationships
Communicates effectively with other team members
Communicates effectively with patients and carers
Communicates effectively with other healthcare professionals
Take all appropriate steps to minimise conflict
Communicate and collaborates effectively with external healthcare and other providers
Have a sense of humour and has fun
Health and safety
The post holder will:
Comply with safety policies, procedures and guidelines for self and others
Comply with the Organisations Business continuity Plan
Refrain from the wilful misuse or interference with equipment provided in the interest of Health and Safety
Report as soon as is practically possible any hazards or defects
Report as soon as practically possible accidents or untoward incidents and ensure appropriate incident reporting documentation is completed
Be actively involved as an appropriate departmental representative
Physical effort and working conditions.
The post holder will:Be responsible to ensure all aspects of the Manual Handling guidelines are followed, providing appropriate risk assessmentsBe responsible to manage clinical care following required Policies and Procedures pertaining to bodily fluids, infection control and COSHH regulations resulting in frequent exposure to highly unpleasant working conditionsBe responsible to manage challenging situations and people with some exposure to hazards, e.g. violent and abusive patients. Child abuse, critically ill patients
Manage own time effectively within variable shift patterns
Recognise overload/stress and seek help where necessary
Most challenging part of the role.
Ability to work under pressure in an ever changing, challenging specialist environment whilst maintaining excellent standards of patient care
Dealing with difficult situations and people by demonstrating and exercising critical thinking skills when faced with incomplete or lack of information or complexity.
Seeing, treating, referring, or discharging patients independently without direct supervision
Triaging, referring, or discharging patients independently without direct supervision
Manage patient and public expectations of the service within set national targets and time constraints
Manage effective change and development within clinical areas, maintaining highly specialised knowledge and competences
The main duties and responsibility shown above are not an exhaustive and should merely be regarded as a guide. The job holder will be expected to conduct any reasonable activities according to the service needs at that time. These are subject to periodic review and may be amended to meet the changing needs of the service. The job holder will be expected to participate in this process and the company would aim to reach agreement to changes.
This post is subject to the Rehabilitation of Offenders Act (Exemption 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. This will require three forms of valid ID to be produced and verified. The onboarding process is also subject to an Occupational Health check, suitable professional references and eligibility to work in the UK (with the requirement to provide relevant documentation as evidence).
Job description
Job responsibilities
The post holder will:
Work with and champion the unit in conjunction with Senior Managerial colleagues
Support the Management team and Clinical manager to ensure all service KPIs/Targets all are met, and looking for improvement over and above the set commissioned targets
Ensure mandatory training is kept up to date and receive suitable training/CPD for their ongoing development needs
Practice autonomously, as an independent practitioner, participating in the care of and undertaking assessment, diagnosis, treatment / referral, and discharge of patients.
Characteristics:
Provide clinical skills and advice in the assessment, diagnosis, treatment, and management of a client group whilst working autonomously
Identify the need for and initiate relevant diagnostic investigations (Xray) within existing protocols. Successful candidates will undertake full IRMER training with the opportunity to spend time with a consulting radiographer. Radiology interpretation will be part of this role and will be facilitated by a hot reporting process as an educational tool.
To work within the parameters of current non-medical prescribing legislation for those clinicians who currently prescribe.
Monitor improvements to standards of care through supervision of practice, clinical audit, and evidence-based practice, teaching and supporting professional colleagues and the provision of skilled professional leadership
Contribute to the Clinical Governance agenda within the service by leading audit and research as part of the multi-disciplinary team within the area of expertise
Act in accordance with their code of conduct of their relevant professional body.
Provide professional and clinical advice within the multi-disciplinary team
Knowledge, skills, and experience required / desirable
Relevant professional qualification / Minor injury assessment and management essential for this role
Experience of working independently as an unsupervised practitioner in a primary or urgent care setting
Teaching and mentorship
Up to date CPD Portfolio
Demonstrate the ability to work in highly demanding environment.
Diplomacy and negotiation skills
Able to demonstrate imaginative and effective use of resources
Able to articulate personal development needs
Implementation of audit/research recommendations and demonstrates ability and knowledge on how to undertake audit and feedback to clinicians
Excellent communication and leadership skills
Evidence of significant involvement in change
Competent in use of IT packages such as Microsoft Word, Excel, and PowerPoint
Knowledge of current clinical and professional issues
Awareness of impact of evidence-based practice within unscheduled care
Ability to work collaboratively with an appropriate range of multi-agency and inter-professional resources, maintaining and evaluating links to manage risk across organisation and setting
Ability to identify risk assessment and act accordingly.
Key results areas
Clinical -The post holder will:
Have a probationary period of 6 months with a review of performance at 3, and 6 months
Have a 12-month review after commencement date and annual appraisal thereafter
Have mentor support
Assess, treat, and advise patients presenting with minor injuries.
Offer health promotion to patients
Seek specialist support and referral where patients care falls out of their scope of practice
Manage patient flow affectively and safely
Triage illness presenting to the MIU and signpost as necessary
Ensure all practice is safe and effective and remains within boundaries and scope of competence of individuals and to acknowledge limitations.
Perform investigatory procedures, such as referral for x-ray and interpret results accordingly.
Implement expanded roles in minor injury practice (suturing, infiltration of L.A, wound care, complex wound management, FB removal etc).
Manage burns effectively and adhere to local and national policy
Ensure any patient information is up-to-date and produced in appropriate formats
Provide supervision of the clinical team, assisting and developing their team and individuals
Work at an advanced level of practice reflected under the 4 pillars of advanced practice of the HEE.
In general, the post-holder will be expected to undertake all the duties and responsibilities associated with an expert practitioner working within Unscheduled Primary Care.
Develop and maintain clinical/nursing policies, procedures, and protocols.
Professional -The post holder will:
Demonstrate role model standards of care through clinical practice.
Act as a role model for standards of behaviour and professionalism
Maintain and show evidence of professional registration and practice through CPD
Maintain their personal standards of conduct and behaviour consistent within FCMS, NMC/HCPC guidelines or other professional body
Coordinate, monitor and assess own workload within an accepted time frame
Ensure appropriate use of resources in order to meet service needs
Recognise and act as an advocate for patients, carers, service and the organisation
Maintain a sound knowledge of NHS policy and evidence-based practice
Understand and apply professional and national guidelines on confidentiality, Information governance and data protection
Engage in Clinical Guardian feedback
Education and training -The post holder will:
Identify own development needs in line with service requirements
Assist in the implementation of training and development
Research and development -The post holder will:
Evaluate clinical practise through audit of service and develop and manage strategies to address any shortfalls
Undertake audits as required by the service working with the clinical manager
Demonstrate knowledge of current research in all aspects of their work and advise others on the implementation of relevant research findings
Initiate and/or become involved in research projects in response to identified needs
Disseminate results/research/ audit findings via local teams and/or national/international publications
Implement research findings appropriate to practice
Promote the shared objectives of the multidisciplinary team by working closely to ensure that best practice is achieved utilising both Clinical Benchmarking and Essence of Care processes
Communication and working relationships
Communicates effectively with other team members
Communicates effectively with patients and carers
Communicates effectively with other healthcare professionals
Take all appropriate steps to minimise conflict
Communicate and collaborates effectively with external healthcare and other providers
Have a sense of humour and has fun
Health and safety
The post holder will:
Comply with safety policies, procedures and guidelines for self and others
Comply with the Organisations Business continuity Plan
Refrain from the wilful misuse or interference with equipment provided in the interest of Health and Safety
Report as soon as is practically possible any hazards or defects
Report as soon as practically possible accidents or untoward incidents and ensure appropriate incident reporting documentation is completed
Be actively involved as an appropriate departmental representative
Physical effort and working conditions.
The post holder will:Be responsible to ensure all aspects of the Manual Handling guidelines are followed, providing appropriate risk assessmentsBe responsible to manage clinical care following required Policies and Procedures pertaining to bodily fluids, infection control and COSHH regulations resulting in frequent exposure to highly unpleasant working conditionsBe responsible to manage challenging situations and people with some exposure to hazards, e.g. violent and abusive patients. Child abuse, critically ill patients
Manage own time effectively within variable shift patterns
Recognise overload/stress and seek help where necessary
Most challenging part of the role.
Ability to work under pressure in an ever changing, challenging specialist environment whilst maintaining excellent standards of patient care
Dealing with difficult situations and people by demonstrating and exercising critical thinking skills when faced with incomplete or lack of information or complexity.
Seeing, treating, referring, or discharging patients independently without direct supervision
Triaging, referring, or discharging patients independently without direct supervision
Manage patient and public expectations of the service within set national targets and time constraints
Manage effective change and development within clinical areas, maintaining highly specialised knowledge and competences
The main duties and responsibility shown above are not an exhaustive and should merely be regarded as a guide. The job holder will be expected to conduct any reasonable activities according to the service needs at that time. These are subject to periodic review and may be amended to meet the changing needs of the service. The job holder will be expected to participate in this process and the company would aim to reach agreement to changes.
This post is subject to the Rehabilitation of Offenders Act (Exemption 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. This will require three forms of valid ID to be produced and verified. The onboarding process is also subject to an Occupational Health check, suitable professional references and eligibility to work in the UK (with the requirement to provide relevant documentation as evidence).
Person Specification
Personal
Essential
- Must have a positive can-do attitude
- Leadership qualities
- Commitment to personal and professional development
- Willing to work unsociable hours
- Able to deal with difficult and sensitive situations with tact and diplomacy
- Committed to service development
- Adaptable to the changing needs of the service.
- Sense of fun and humour
- Motivation
Qualifications
Essential
- Registered Practitioner
- ANP/ACP qualification / Advanced Practice qualification or RCN Credentialled practitioner, or HEE accredited portfolio dealing with both children and adults.
- Extensive and substantial clinical experience within an unscheduled care setting, working at an Advanced level
- Non- medical prescribing qualification
Desirable
- Recognised qualification in minor injury management, consultation, and examination skills
- Mentorship qualification
- Teaching and assessing in clinical practice qualification
Communication
Essential
- Excellent oral, aural and written communication skills
- Excellent interpersonal skills and the ability to deal with difficult situations
- Good team spirit
Teamwork
Essential
- Commitment to working with multiple organisations to manage patient flows
- Commitment to multi-disciplinary team approach to care
- Commitment to collaboration and networking both internally and externally
Desirable
- Evidence of leadership experience
Experience
Essential
- Minimum 5 years post registration experience and a passion for working in an integrated urgent care system and working with partner organisations
- Experience of expert autonomous practice within an unscheduled care setting managing minor injuries of all ages
- Evidence of clinical competence in a wide range of relevant clinical skills, local anaesthesia infiltration, suturing, x-ray interpretation, fracture management
- Health Promotion experience
- Experience using clinical computer systems
- Understanding of current Urgent Health care issues and initiatives
- Ability to work effectively under pressure, intense conditions and within time constraints
- Understanding and awareness of CQC compliance and essential standards of quality and safety
- Teaching experience/clinical supervision experience
Desirable
- Experience of Adastra clinical system
- Experience of working within a community Urgent Care setting or ED or an appreciation of the nature of primary care prescribing, and strategies for improving prescribing practice
- Use of EPS
- Evidence of clinical competence in a wide range of relevant clinical skills, local anaesthesia infiltration, suturing, x-ray interpretation, fracture management, complex wounds and burns management
- Innovative practice to deliver patient centred care
- Telephone triage / remote working/ consultations
Management
Essential
- The ability to demonstrate an understanding of the current issues affecting Primary Care services
- Time management of work productivity
- Ability to challenge the norm and get the best out of team members
- Commitment to support, develop and manage change
- Evidence of good organisational and leadership skills
- Information governance understanding and awareness
Desirable
- Evidence of project management
Teaching and Learning
Essential
- Willing / able to attend appropriate training
- Commitment to own personal development
- Commitment to engage in clinical supervision
- Assessment of training needs
- Assist with training and supervision of other staff amongst the team
Desirable
- Teaching and assessing in clinical practice qualification / experience / mentorship
- Experience with conducting clinical supervision
- Experience of training and development of staff
Person Specification
Personal
Essential
- Must have a positive can-do attitude
- Leadership qualities
- Commitment to personal and professional development
- Willing to work unsociable hours
- Able to deal with difficult and sensitive situations with tact and diplomacy
- Committed to service development
- Adaptable to the changing needs of the service.
- Sense of fun and humour
- Motivation
Qualifications
Essential
- Registered Practitioner
- ANP/ACP qualification / Advanced Practice qualification or RCN Credentialled practitioner, or HEE accredited portfolio dealing with both children and adults.
- Extensive and substantial clinical experience within an unscheduled care setting, working at an Advanced level
- Non- medical prescribing qualification
Desirable
- Recognised qualification in minor injury management, consultation, and examination skills
- Mentorship qualification
- Teaching and assessing in clinical practice qualification
Communication
Essential
- Excellent oral, aural and written communication skills
- Excellent interpersonal skills and the ability to deal with difficult situations
- Good team spirit
Teamwork
Essential
- Commitment to working with multiple organisations to manage patient flows
- Commitment to multi-disciplinary team approach to care
- Commitment to collaboration and networking both internally and externally
Desirable
- Evidence of leadership experience
Experience
Essential
- Minimum 5 years post registration experience and a passion for working in an integrated urgent care system and working with partner organisations
- Experience of expert autonomous practice within an unscheduled care setting managing minor injuries of all ages
- Evidence of clinical competence in a wide range of relevant clinical skills, local anaesthesia infiltration, suturing, x-ray interpretation, fracture management
- Health Promotion experience
- Experience using clinical computer systems
- Understanding of current Urgent Health care issues and initiatives
- Ability to work effectively under pressure, intense conditions and within time constraints
- Understanding and awareness of CQC compliance and essential standards of quality and safety
- Teaching experience/clinical supervision experience
Desirable
- Experience of Adastra clinical system
- Experience of working within a community Urgent Care setting or ED or an appreciation of the nature of primary care prescribing, and strategies for improving prescribing practice
- Use of EPS
- Evidence of clinical competence in a wide range of relevant clinical skills, local anaesthesia infiltration, suturing, x-ray interpretation, fracture management, complex wounds and burns management
- Innovative practice to deliver patient centred care
- Telephone triage / remote working/ consultations
Management
Essential
- The ability to demonstrate an understanding of the current issues affecting Primary Care services
- Time management of work productivity
- Ability to challenge the norm and get the best out of team members
- Commitment to support, develop and manage change
- Evidence of good organisational and leadership skills
- Information governance understanding and awareness
Desirable
- Evidence of project management
Teaching and Learning
Essential
- Willing / able to attend appropriate training
- Commitment to own personal development
- Commitment to engage in clinical supervision
- Assessment of training needs
- Assist with training and supervision of other staff amongst the team
Desirable
- Teaching and assessing in clinical practice qualification / experience / mentorship
- Experience with conducting clinical supervision
- Experience of training and development of staff
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Additional information
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details
Employer name
FCMS
Address
Rossendale MIU
Bacup Road
Rawtenstall
BB4 7PL
Employer's website
http://www.fcms-nw.co.uk/ (Opens in a new tab)
Employer details
Employer name
FCMS
Address
Rossendale MIU
Bacup Road
Rawtenstall
BB4 7PL
Employer's website
http://www.fcms-nw.co.uk/ (Opens in a new tab)
For questions about the job, contact:
Amanda Fewtrell
Date posted
06 December 2023
Pay scheme
Other
Salary
Depending on experience £26.06 - £29.03
Contract
Bank
Working pattern
Part-time
Reference number
U0051-23-0128
Job locations
Rossendale MIU
Bacup Road
Rawtenstall
BB4 7PL