Advanced Clinical Practitioner

Nottingham CityCare Partnership CIC

Information:

This job is now closed

Job summary

This is an exciting time to join the team as we are recruiting to expand the service.

The Nottingham CityCare Urgent Treatment Centre is a Clinician-led service that provides assessment and treatment to people with urgent but not life-threatening health problems.

This post will suit an enthusiastic, driven, motivated and flexible Registered Health Care Professional with demonstrable experience from working as an Advanced Clinical Practitioner in an unplanned/urgent care environment.

There is a requirement for flexible 365 day working with shift work covering 06:45am to 10pm daily. Full time and part time hours will be considered.

The Urgent Treatment Centre is a training environment where employed practitioners will support the development of all disciplines of health care professionals including student nurses, pharmacists, GP SpR, medical students and paramedics.

The service is located at Seaton House which has recently undergone modernisation and has X ray facilities on site.

Informal visits to the Urgent Treatment Centre are most welcome.

Main duties of the job

The post holder will

  • Practice autonomously within the Advanced Practitioner level of competence to assess, diagnose and treat patients presenting to the Urgent Treatment Centre with undifferentiated conditions (illness and injury).
  • Provide Clinical Leadership for the Urgent Treatment Centre team and support and mentorship to other primary care staff where appropriate.
  • Support and deliver training to Urgent Treatment Centre staff, staff within CityCare and the wider healthcare community.
  • Provide mentorship and support to Urgent Treatment Centre staff, staff within CityCare and the wider healthcare community.
  • Will take operational charge of a shift on a planned rota basis in the absence of the Urgent Treatment Centre Coordinator.
  • Deputise for member of the management team when required to do so.
  • To provide line management to a team of UTC staff members.

About us

We are a provider of NHS Community Health Services, Nottingham CityCare Partnership CIC exists to support the health and wellbeing of all local people, working alongside other health and care partners to achieve this. We are a values driven, people business with a passion for excellence. Our vision and social purpose is to build healthier communities and our values of integrity, expertise, unity and enterprise lie at the heart of everything we do, guiding how we work together with partners and each other to consistently deliver high quality compassionate care. As a social enterprise we aim to add social value by investing in the future of our local communities and helping to make a difference in peoples lives.

CityCare value the benefits of a diverse and inclusive workforce. Our primary objective during the recruitment process is to ensure we recruit the best candidate for the position and we strive to reflect the community we serve. Therefore, we encourage applications from candidates who identify as disabled, LGBT+ or from a Black, Asian or Minority Ethnic (BAME) background, as they are currently under-represented within our organisation.

CityCare is an equal opportunities employer. We are positive about employing people with disabilities. If you require your application in a different format please contact Human Resources on 0115 8839418. CityCare is committed to the protection of vulnerable adults and children.

Date posted

03 May 2024

Pay scheme

Agenda for change

Band

Band 8a

Salary

£50,952 to £57,349 a year Pro rata for part time

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

B9826-PANH-6022

Job locations

Nhs Urgent Treatment Centre

City Link

Nottingham

NG2 4LA


Job description

Job responsibilities

As an autonomous practitioner/prescriber, you will assess patients who present with urgent but not life-threatening illness and injury, plan their care, administer treatment on site and discharge supporting junior colleagues where required. Where on site treatment is not appropriate you will refer to other healthcare professionals / external agencies. You will be a line manager for a small clinical team.

Applications will be considered from those looking for a full or part time position.

The post holder will practice autonomously within the Advanced Practitioner level of competence working within the Urgent Treatment Centre.

They will assess, diagnose, treat or refer patients of all ages presenting with undifferentiated and undiagnosed problems.

They will provide Clinical Leadership for the Urgent Treatment Centre team and support and mentorship to other primary care staff where appropriate.

The post holder will work alongside clinicians with acute and primary care experience, Nurses, Health Care Support Workers, Emergency Care Practitioners, Radiographers that make up the team of the day working collectively in the assessment of undifferentiated urgent care patient presentations.

The post holder will work alongside the medical and management team to lead the way with innovation, testing out pilot services and bringing new business into CityCare.

The post holder will:

  • Provide clinical assessment and deliver treatments to service users who have undifferentiated health care requirements in order to support the services delivered by the primary care team and prevent unnecessary acute hospital attendances.
  • Utilise advanced clinical skills and competencies in clinical health assessment, medicines management, leadership and case management.
  • Maximise patients health and reduce risks that contribute to ill health, thereby reducing unnecessary admissions to acute services.
  • Lead the development of a specific clinical area e.g. Paediatrics, Sexual health, Safeguarding and be an autonomous practitioner who is open to the flexibility required for the role.
  • Participate in training opportunities for self and others within the Urgent Treatment Centre.
  • Support and deliver training to Urgent Treatment Centre staff, staff within CityCare and the wider healthcare community.
  • Provide mentorship and support to Urgent Treatment Centre staff, staff within CityCare and the wider healthcare community.
  • Provider mentorship, support and training to students (including medical, nursing and allied health professionals).
  • Will take operational charge of a shift on a planned rota basis in the absence of the Urgent Treatment Centre Coordinator.
  • Deputise for member of the management team when required to do so.
  • To provide line management to a team of UTC staff members.

Dimensions

To work with the CityCare multidisciplinary team in provision of primary healthcare to residents and visitors to Nottinghamshire.

To represent Nottingham City Care Partnership locally, regionally and nationally if required doing so.

Key Responsibilities

Clinical Responsibilities

  • Comprehensively assess, review and evaluate the needs of service users with undifferentiated healthcare needs to improve their physical, psychological and mental health wellbeing to promote self-care and reduce the need for hospitalisation.
  • Accurately prioritise patients within the service, undertaking clinical assessment and providing the necessary treatment including the use of Non-Medical Prescribing and/or Patient Group Directions in line with local/national policies, procedures and guidelines as appropriate
  • Request diagnostic tests only where clinically indicated in line with organisational, local and national guidelines and appropriate to the Urgent Treatment Centre setting.
  • Develop plan of care in conjunction with the service user through: application of clinical knowledge and, analysis of symptoms and data, identification of risk factors associated with those conditions, recognition of early signs of acute illness, involving the patients and the carers in the care plan and ensuring it is understood, documenting safety netting plans and processes
  • To utilise effective communication to aid onward referrals to specialists as appropriate. Facilitating a coordinated primary healthcare response to service users needs
  • To work in an autonomous manner without direct supervision whilst recognising limitation of the practitioner role
  • To carry out enhanced clinical skills as required- this may include, suturing and/or fracture management
  • To keep accurate and immediate records of all interventions fully utilising software systems in place
  • To encourage clients to carry out self-care as appropriate through effective communication of health care using written information as appropriate
  • To advise client on the most appropriate use of Primary, Secondary and Emergency services
  • To maintain patient confidentiality as per Urgent Treatment Centre and CityCares clinical guidelines

Professional

  • To work within the NMC Code of Professional Conduct
  • To act in accordance with and promote the CityCare values at all times
  • To act as an ambassador for CityCare and the Urgent Treatment Centre at all times building professional relationship with primary care partners, voluntary organisations and other outside agencies
  • To be committed to working flexibly within a dynamic environment, responding positively to the changing needs of the service
  • To promote and facilitate evidence-based practice
  • To be committed to providing a high level of customer service and patient experience
  • Maintain professional awareness and attend appropriate training as necessary
  • To participate in the appraisal process and development of own Personal Development Plan to include clinical supervision and Revalidation
  • To develop a culture within the Urgent Treatment Centre team of continuing professional development, supporting nursing staff in meeting the requirements for Post registration Education and Training.
  • To provide clinical support and mentorship to other nurses, primary care assistants to meet the requirements of their own personal/professional development plans. This may include, where appropriate, mentoring nurses through work-based learning programmes.
  • To support/facilitate the provision of Clinical Supervision in accordance with organisational policy.
  • To liaise with other Agencies as appropriate to ensure comprehensive and collaborative care for service users.

Continuous Personal Development

  • To maintain current professional registration and to ensure that all personal responsibilities in relation to this and to the revalidation process are met, including maintenance of a professional portfolio, evidence of practice hours, professional development planning and reflective writing.
  • To meet the organisational requirements for mandatory training appropriate to the role.
  • To recognise his/her own professional limitations, practising accordingly, seeking advice and support as appropriate.
  • To take an active role in the organisational appraisal process, and develop an appropriate and relevant personal development plan and work-based objectives.
  • To have awareness of the relevant organisational and professional Safeguarding policies and guidance and to act in accordance with their direction, attending update training as required.

Management/Leadership

  • To line manage a team consisting of Clinical Practitioners, Health Care Support workers and non-clinical support staff
  • To participate and assist in evaluation, audit and research as required
  • To participate in the investigation of any complaints, incidents and accidents
  • To participate in the training and induction of new members of staff to the Care Centre Team
  • To participate in the mentorship, support and training of visiting nurses on recognised training programmes such as Student Nurses and Practice Nurses

Job description

Job responsibilities

As an autonomous practitioner/prescriber, you will assess patients who present with urgent but not life-threatening illness and injury, plan their care, administer treatment on site and discharge supporting junior colleagues where required. Where on site treatment is not appropriate you will refer to other healthcare professionals / external agencies. You will be a line manager for a small clinical team.

Applications will be considered from those looking for a full or part time position.

The post holder will practice autonomously within the Advanced Practitioner level of competence working within the Urgent Treatment Centre.

They will assess, diagnose, treat or refer patients of all ages presenting with undifferentiated and undiagnosed problems.

They will provide Clinical Leadership for the Urgent Treatment Centre team and support and mentorship to other primary care staff where appropriate.

The post holder will work alongside clinicians with acute and primary care experience, Nurses, Health Care Support Workers, Emergency Care Practitioners, Radiographers that make up the team of the day working collectively in the assessment of undifferentiated urgent care patient presentations.

The post holder will work alongside the medical and management team to lead the way with innovation, testing out pilot services and bringing new business into CityCare.

The post holder will:

  • Provide clinical assessment and deliver treatments to service users who have undifferentiated health care requirements in order to support the services delivered by the primary care team and prevent unnecessary acute hospital attendances.
  • Utilise advanced clinical skills and competencies in clinical health assessment, medicines management, leadership and case management.
  • Maximise patients health and reduce risks that contribute to ill health, thereby reducing unnecessary admissions to acute services.
  • Lead the development of a specific clinical area e.g. Paediatrics, Sexual health, Safeguarding and be an autonomous practitioner who is open to the flexibility required for the role.
  • Participate in training opportunities for self and others within the Urgent Treatment Centre.
  • Support and deliver training to Urgent Treatment Centre staff, staff within CityCare and the wider healthcare community.
  • Provide mentorship and support to Urgent Treatment Centre staff, staff within CityCare and the wider healthcare community.
  • Provider mentorship, support and training to students (including medical, nursing and allied health professionals).
  • Will take operational charge of a shift on a planned rota basis in the absence of the Urgent Treatment Centre Coordinator.
  • Deputise for member of the management team when required to do so.
  • To provide line management to a team of UTC staff members.

Dimensions

To work with the CityCare multidisciplinary team in provision of primary healthcare to residents and visitors to Nottinghamshire.

To represent Nottingham City Care Partnership locally, regionally and nationally if required doing so.

Key Responsibilities

Clinical Responsibilities

  • Comprehensively assess, review and evaluate the needs of service users with undifferentiated healthcare needs to improve their physical, psychological and mental health wellbeing to promote self-care and reduce the need for hospitalisation.
  • Accurately prioritise patients within the service, undertaking clinical assessment and providing the necessary treatment including the use of Non-Medical Prescribing and/or Patient Group Directions in line with local/national policies, procedures and guidelines as appropriate
  • Request diagnostic tests only where clinically indicated in line with organisational, local and national guidelines and appropriate to the Urgent Treatment Centre setting.
  • Develop plan of care in conjunction with the service user through: application of clinical knowledge and, analysis of symptoms and data, identification of risk factors associated with those conditions, recognition of early signs of acute illness, involving the patients and the carers in the care plan and ensuring it is understood, documenting safety netting plans and processes
  • To utilise effective communication to aid onward referrals to specialists as appropriate. Facilitating a coordinated primary healthcare response to service users needs
  • To work in an autonomous manner without direct supervision whilst recognising limitation of the practitioner role
  • To carry out enhanced clinical skills as required- this may include, suturing and/or fracture management
  • To keep accurate and immediate records of all interventions fully utilising software systems in place
  • To encourage clients to carry out self-care as appropriate through effective communication of health care using written information as appropriate
  • To advise client on the most appropriate use of Primary, Secondary and Emergency services
  • To maintain patient confidentiality as per Urgent Treatment Centre and CityCares clinical guidelines

Professional

  • To work within the NMC Code of Professional Conduct
  • To act in accordance with and promote the CityCare values at all times
  • To act as an ambassador for CityCare and the Urgent Treatment Centre at all times building professional relationship with primary care partners, voluntary organisations and other outside agencies
  • To be committed to working flexibly within a dynamic environment, responding positively to the changing needs of the service
  • To promote and facilitate evidence-based practice
  • To be committed to providing a high level of customer service and patient experience
  • Maintain professional awareness and attend appropriate training as necessary
  • To participate in the appraisal process and development of own Personal Development Plan to include clinical supervision and Revalidation
  • To develop a culture within the Urgent Treatment Centre team of continuing professional development, supporting nursing staff in meeting the requirements for Post registration Education and Training.
  • To provide clinical support and mentorship to other nurses, primary care assistants to meet the requirements of their own personal/professional development plans. This may include, where appropriate, mentoring nurses through work-based learning programmes.
  • To support/facilitate the provision of Clinical Supervision in accordance with organisational policy.
  • To liaise with other Agencies as appropriate to ensure comprehensive and collaborative care for service users.

Continuous Personal Development

  • To maintain current professional registration and to ensure that all personal responsibilities in relation to this and to the revalidation process are met, including maintenance of a professional portfolio, evidence of practice hours, professional development planning and reflective writing.
  • To meet the organisational requirements for mandatory training appropriate to the role.
  • To recognise his/her own professional limitations, practising accordingly, seeking advice and support as appropriate.
  • To take an active role in the organisational appraisal process, and develop an appropriate and relevant personal development plan and work-based objectives.
  • To have awareness of the relevant organisational and professional Safeguarding policies and guidance and to act in accordance with their direction, attending update training as required.

Management/Leadership

  • To line manage a team consisting of Clinical Practitioners, Health Care Support workers and non-clinical support staff
  • To participate and assist in evaluation, audit and research as required
  • To participate in the investigation of any complaints, incidents and accidents
  • To participate in the training and induction of new members of staff to the Care Centre Team
  • To participate in the mentorship, support and training of visiting nurses on recognised training programmes such as Student Nurses and Practice Nurses

Person Specification

Qualifications

Essential

  • Registered healthcare professional, e.g. Nurse, part 1 of current NMC register, ECP, Clinical Pharmacist, Physiotherapist.
  • Recognised full Masters level qualification in Advanced Clinical Practice.
  • Non-medical Prescriber (V300)
  • Recognised teaching/mentorship/Supervision Qualification

Desirable

  • Clinical Leadership experience/qualification.
  • Management qualification or demonstrable relevant experience
  • Experience/qualification in a specialist area e.g. mental health, Emergency medicine, primary care midwifery.

Additional criteria

Essential

  • Ability to be flexible over hours worked within contracted hours to meet the needs of the service
  • Able to fulfil physical demands of post, this may involve moving and handling
  • Proof of vaccination & immunisation status in accordance to Department of Health guidelines

Skills and Attributes

Essential

  • In depth knowledge of contemporary nursing/clinical issues, legislation relating to nursing/clinical practice, and relevant Standards and Codes (eg NMC/HCPC).
  • Understanding of the principles and practice of clinical governance.
  • Familiarity with accredited clinical systems for recording patient data e.g. SystmOne.
  • IT skills, including use of MS Word and Excel.
  • Demonstrates effective communication and interpersonal skills.
  • Negotiating skills
  • Use of a range of communication techniques.
  • Demonstrable/proven leadership skills.
  • Able to use internet as an information resource, including searching databases.

Desirable

  • Suturing.
  • Fracture management skills.
  • Requesting plain film X-Rays.
  • ECG recording.
  • Advanced physical examination skills.

Experience

Essential

  • Experience of working at an advanced level with patients presenting with undifferentiated illness and injury some of which should be in Primary care or Emergency Care.
  • Knowledge and experience of multi-agency working.
  • Experience of leading and working with an MDT with the ability to motivate others.

Desirable

  • Experience of policy development and implementation
  • Management experience and skills
  • Experience of working in a Mental Health environment.
Person Specification

Qualifications

Essential

  • Registered healthcare professional, e.g. Nurse, part 1 of current NMC register, ECP, Clinical Pharmacist, Physiotherapist.
  • Recognised full Masters level qualification in Advanced Clinical Practice.
  • Non-medical Prescriber (V300)
  • Recognised teaching/mentorship/Supervision Qualification

Desirable

  • Clinical Leadership experience/qualification.
  • Management qualification or demonstrable relevant experience
  • Experience/qualification in a specialist area e.g. mental health, Emergency medicine, primary care midwifery.

Additional criteria

Essential

  • Ability to be flexible over hours worked within contracted hours to meet the needs of the service
  • Able to fulfil physical demands of post, this may involve moving and handling
  • Proof of vaccination & immunisation status in accordance to Department of Health guidelines

Skills and Attributes

Essential

  • In depth knowledge of contemporary nursing/clinical issues, legislation relating to nursing/clinical practice, and relevant Standards and Codes (eg NMC/HCPC).
  • Understanding of the principles and practice of clinical governance.
  • Familiarity with accredited clinical systems for recording patient data e.g. SystmOne.
  • IT skills, including use of MS Word and Excel.
  • Demonstrates effective communication and interpersonal skills.
  • Negotiating skills
  • Use of a range of communication techniques.
  • Demonstrable/proven leadership skills.
  • Able to use internet as an information resource, including searching databases.

Desirable

  • Suturing.
  • Fracture management skills.
  • Requesting plain film X-Rays.
  • ECG recording.
  • Advanced physical examination skills.

Experience

Essential

  • Experience of working at an advanced level with patients presenting with undifferentiated illness and injury some of which should be in Primary care or Emergency Care.
  • Knowledge and experience of multi-agency working.
  • Experience of leading and working with an MDT with the ability to motivate others.

Desirable

  • Experience of policy development and implementation
  • Management experience and skills
  • Experience of working in a Mental Health environment.

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

Nottingham CityCare Partnership CIC

Address

Nhs Urgent Treatment Centre

City Link

Nottingham

NG2 4LA


Employer's website

https://www.nottinghamcitycare.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Nottingham CityCare Partnership CIC

Address

Nhs Urgent Treatment Centre

City Link

Nottingham

NG2 4LA


Employer's website

https://www.nottinghamcitycare.nhs.uk/ (Opens in a new tab)


For questions about the job, contact:

UTC Administrator

Karen Taberham

k.taberham@nhs.net

01158838517

Date posted

03 May 2024

Pay scheme

Agenda for change

Band

Band 8a

Salary

£50,952 to £57,349 a year Pro rata for part time

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

B9826-PANH-6022

Job locations

Nhs Urgent Treatment Centre

City Link

Nottingham

NG2 4LA


Supporting documents

Privacy notice

Nottingham CityCare Partnership CIC's privacy notice (opens in a new tab)