Trainee Advanced Critical Care Practitioner | Oxford University Hospitals NHS Foundation Trust

Posting date:	23 April 2025
Salary:	Not specified
Additional salary information:	£46,148 - £52,809 Per annum
Hours:	Full time
Closing date:	23 May 2025
Location:	Oxford, OX3 9DU
Company:	Oxford University Hospitals NHS Foundation Trust
Job type:	Permanent
Job reference:	7113306/321-MRC-7113306-B7-PUB

Summary

The Trainee ACCP will work in the Cardiothoracic Critical Care Unit (CTCCU) undertaking practical assessments in the workplace and theoretical work at University. The two years supernumerary training would include a study day per week.

On completion of training, you will apply to become an ACCP Member of the Faculty of Intensive Care Medicine (FICM), and work as part of the medical workforce in the CTCCU. It is expected that the full MSc will be completed in the third year alongside clinical practice.

The trainee ACCP will follow the FICM curriculum and develop proficiency across the four pillars of Advanced Clinical Practice, namely Clinical, Leadership and Management, Education and Research.

The training curriculum is available at:

https://www.ficm.ac.uk/accp-curriculum-2023-published

This trainee post is dependent on successful bidding for a NHSE training grant to cover University fees. Confirmation will not be available until April 2025. The successful applicant will commence September 2025 in line with the academic year. They will undertake the academic training at Southampton University. The Trainee ACCP will be required to regularly commute to Southampton during term time.

Continued employment and transition into a qualified ACCP post is dependent on successful completion of training. The post holder will transition to Band 8a when FICM membership and full MSc ACCP is achieved, usually 3-years from initiation of training.

The Trainee ACCP will provide clinical management and care to patients requiring level 1-3 care in a role traditionally performed by medical staff. During training a high level of clinical judgement and decision making needs to be developed and achieved. The Trainee ACCP must acknowledge any limitations in their knowledge and skills and must not perform clinical activities they do not feel skilled or competent to perform. The trainee ACCP must act within the formal code of conduct of their present statutory regulator.

The scope of practice for the Trainee ACCP is defined by FICM, addressing both clinical skills and the underpinning knowledge that must be attained, prior to functioning as an Advanced Critical Care Practitioner. The Trainee ACCP will be supervised clinically by the ACCP Local Consultant Clinical Lead (LCL) until all competencies have been achieved to the standard set out by FICM, and as outlined within the curriculum.

Oxford University Hospitals NHS Foundation Trustis one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.

We call this Delivering Compassionate Excellence, and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.

These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via theOUH YouTube channel.

In 2023 NHS England launched its first sexual safety charter, and our Trust proudly signed it. We pledge zero tolerance for inappropriate sexual behaviour and commit to theten core principles

Oxford University Hospitalspromotes a safe, respectful hiring environment.

If you want to make a difference with us, come and join our team. Together, we will uphold the highest standards of care and professionalism.

The Trainee ACCP will be supported to develop the following advanced clinical skills, practices and behaviours across the four pillars of advanced practice to deliver expert care to critically ill patients as part of the multidisciplinary team.

Clinical Practice

· Practice in compliance with their respective code of professional conduct, being responsible and accountable for decisions, actions, or omissions at this level of advanced practice

· Work towards demonstrating a critical understanding of their broadened level of responsibility and autonomy, recognising limits of competence and scope of practice

· Develops own professional judgment skills, identifying when to escalate and seek help/guidance, critically reflecting on practice, self-awareness, emotional intelligence and their willingness to change or challenge thought processes

· To utilise up-to-date critical care resources and decision-making skills to inform clinical reasoning and act with consideration for best interests of the patient

· Perform history taking, physiological and holistic assessment of critically ill patients regardless of location and respond appropriately

· Ensure effective timely review and management of patient referrals within Oxford Heart Centre

· Perform advanced airway management skills with supervision

· Perform arterial blood sampling for analysis

· Initiate and subsequently manage mechanical ventilation, including monitoring of blood gases and altering ventilator settings to ensure optimal ventilation

· Assist with tracheostomy management and perform tube changes and de-cannulation

· Assess and retrieve patients requiring critical care from other areas within the hospital

· Undertake hospital transfer of the critically ill patient according to agreed protocols, as deemed appropriate based on risk assessment

· Initiate admission to, and discharge from the Critical Care Unit after discussion with the consultant in charge of the unit

· Establish vascular access. This will include insertion of peripheral cannulas, central lines, dialysis lines and arterial lines. Other forms of vascular access may also be required

· Develop expert hand/eye co-ordination to facilitate and complete clinical procedures

· Use ultrasound to facilitate procedures and undertake supervised point of care assessment to guide treatment decisions

· Recognise and take appropriate actions when complications arise using appropriate referral and reporting systems

· Interpret and utilise data obtained from invasive and non-invasive monitoring equipment to provide appropriate management

· Request laboratory and radiological tests as required

· Interpret laboratory and radiological results initiating appropriate management

· After approval from the Trust’s Non-Medical Prescribing Lead, the trainee will undertake a Non-Medical Prescribing Module as part of the ACCP MSc pathway, where after the trainee will record the achievement on their regulatory body’s professional registration, and prescribe within their scope of practice, utilising local or organisational guidelines, national guidelines, and adhering to the Royal Pharmaceutical Society (RPS) Prescribing Standards, and those of their professional regulatory body (e.g. NMC, HCPC, GPhC or GOC)

· Undertake discharge documentation to support patient flow to the ward

· Participate in MDT meetings, ward rounds and case presentations which contribute to the decision-making process in the management of the cardiothoracic critical care patient

· Respond to emergency situations, providing clinical expertise and developing leadership within the team

· Develop effective communication skills, support people in making decisions, planning care or seeking to make positive health changes and promote person-centred approaches in health and care

· Develop effective communication skills with colleagues both internally and/or externally, in verbal, non-verbal and written communication methods, adapting to changing parameters as required; this includes thorough accurate documentation in patient records as required

· Work as a member of the medical team in a supernumerary capacity during training



Leadership and Management

· Initiate and develops relationships within the multi-professional team

Provide effective leadership and act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements

Excellent verbal, written and electronic communication skills so that professional advice and instructions are well understood by patients, their relatives and/or carers, and members of the multi-disciplinary team

· Maintain a professional portfolio in line with the requirements of FICM syllabus

· Participates in clinical governance reviews and the investigation of clinical incidents and serious incidents; leads and facilitates others to share lessons and adapt systems and processes accordingly

· Actively seeks feedback and involvement from individuals, families, carers and colleagues to inform own development and/or service developments in practice

· Recognises the importance of wellbeing in self and others, seeking to identify and manage stressors or pressures to promote health and wellbeing



Education

· Critically assess and address own learning needs as a Trainee ACCP for professional development across the four pillars of advanced clinical practice, relevant to own clinical service

· Engages with Higher Education Institution (HEI) and self-directed learning, meeting the academic requirements of the MSc ACCP course at the end of the agreed training time-period; this may include a range of both classroom-taught and blended learning approaches, and a range of assessments methods (e.g. Observed Structured Clinical Examinations, exams, written assignments or other methodologies as set by the HEI)

· Critically reflect to maximise own clinical skills and knowledge development, with evidence demonstrated in own professional portfolio of evidence

· The Trainee ACCP will need to undertake Continuing Professional Development (CPD) as defined by their current regulator to maintain and update professional registration

· Engage with performance reviews and appraisal processes in line with OUHFT requirements: Additionally, participating in Clinical Supervision and tripartite review meetings with both Clinical Supervisors, Academic Supervisors from the HEI and Line Managers, where the manager is not supervising the Trainee ACCP

· Advocate for, and contribute to, a culture of departmental, service, and organisational learning, to inspire future and existing staff

· Where appropriate act as an educator within own scope of capability and competence, to develop teaching skills (with supervision or support where required), and seeking to instil confidence in others and share best practices

· Participates in the supervision and mentorship of students and trainees

· Evaluates own teaching, supervision and mentorship activity and act on feedback to ensure delivery is appropriate to needs



Research

· Develop and support a ‘knowledge rich enquiry culture’ where research values are fostered, promoted and encouraged

· With support as required, engage in research activities, upholding good research practice guidelines, in order to develop evidence-based strategies that can be applied to enhance quality, safety, productivity, value or wellbeing

· Evaluate and audit own clinical practice, selecting and applying valid, reliable methods, then acting on the findings as appropriate with support as required

· Develop and assist in the implementation of robust local governance systems and systematic documentation processes, keeping the need for modifications under critical review

· Begin to critically appraise and synthesis the outcomes of relevant research and evaluations, using results to underpin own practice and inform that of others

· Begin to identify gaps in knowledge or evidence bases, and explore how these may be addressed via safe and pragmatic solutions, seeking to understand needs for further research to strengthen evidence

· Contribute to service or organisational research activities, which may include being involved as an educator, recruiter, investigator, and/or developing bids to apply for research funding

· Complete the Level 7 MSc academic research element in a topic area relevant to own clinical service and or professional practice (e.g. submitting an MSc Dissertation/Thesis linked to own clinical service), and present research evidence and findings to the Service and/or Organisation, in order to enhance learning and facilitate change

· Facilitate collaborative links between clinical practice and research, through proactive engagement, and networking with academic, clinical and other active researchers

· Disseminate best practice research findings and quality improvement projects

· Participates in service development. Writes protocols, guidelines and procedures for own remit. Develops and evaluates these protocols and guidelines and procedures using current literature and research

· Implement policies informing members of multi professional team of any changes

· Liaise with the Consultant Intensivist, and Senior Leaders in the development of Critical Care services, contributes ideas and makes recommendations for service improvements

· Complies with hospital policies and guidelines


This advert closes on Friday 2 May 2025

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