Advanced Nurse Practitioner Critical Care Outreach
Posted 10 hours 43 minutes ago by Chelwest
Permanent
Full Time
Laboratory Jobs
London, United Kingdom
Job Description
We are an award winning organisation providing care at two main hospital sites-Chelsea and Westminster Hospital and West Middlesex University Hospital-and a number of community-based services across London, such as sexual health and HIV clinics.
With 6,700 members of staff, we are proud to care for a diverse population of one million people. We are committed to ensuring that our workforce is just as diverse with a strong mix of skills and abilities.
Our staff are at the very heart of our organisation and we recognise the valuable contribution that each and every person working at the Trust makes. One of our Trust priorities is to be an employer of choice-a place where people want to start their career and to grow with us through continued education, professional development and support .
Advanced Nurse Practitioner Critical Care Outreach NHS AfC: Band 8a Main area Critical Care Outreach Grade NHS AfC: Band 8a Contract 20 months (Fixed-term 20 months, full-time) Hours
Job overview The Advanced Clinical Practitioner (ACP) for Critical Care Outreach is a senior clinical and leadership position responsible for delivering expert autonomous assessment, diagnosis and management of acutely deteriorating adult patients across West Middlesex University Hospital. The post holder will provide advanced clinical practice within the Critical Care Outreach Team (CCOT), supporting the early recognition, treatment and escalation of deteriorating patients whilst improving patient safety and clinical outcomes.
Working as an experienced ACP, the post holder will provide clinical leadership across the deteriorating patient agenda, including development of escalation pathways, implementation of Martha's Rule, delivery of the Trust's deteriorating patient strategy and support of the NHS Sepsis Framework. The role combines 50% direct clinical practice with 50% leadership, education, workforce development, quality improvement and service transformation responsibilities.
The ACP will work collaboratively with Critical Care, Acute Medicine, Emergency Care and ward teams to ensure timely intervention for patients at risk of deterioration, reduce avoidable cardiac arrests and unplanned critical care admissions, optimise critical care capacity and improve patient flow across the organisation. The post holder will provide professional leadership for the CCOT workforce and contribute to strategic development of services aligned to Trust and national priorities.
Main duties of the job Main Duties
Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children's services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.
We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.
We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.
Detailed job description and main responsibilities Clinical Practice
The post holder will:
The post holder will:
The post holder will:
The post holder will:
With 6,700 members of staff, we are proud to care for a diverse population of one million people. We are committed to ensuring that our workforce is just as diverse with a strong mix of skills and abilities.
Our staff are at the very heart of our organisation and we recognise the valuable contribution that each and every person working at the Trust makes. One of our Trust priorities is to be an employer of choice-a place where people want to start their career and to grow with us through continued education, professional development and support .
Advanced Nurse Practitioner Critical Care Outreach NHS AfC: Band 8a Main area Critical Care Outreach Grade NHS AfC: Band 8a Contract 20 months (Fixed-term 20 months, full-time) Hours
- Full time
- Job share
- Flexible working
- Compressed hours
Job overview The Advanced Clinical Practitioner (ACP) for Critical Care Outreach is a senior clinical and leadership position responsible for delivering expert autonomous assessment, diagnosis and management of acutely deteriorating adult patients across West Middlesex University Hospital. The post holder will provide advanced clinical practice within the Critical Care Outreach Team (CCOT), supporting the early recognition, treatment and escalation of deteriorating patients whilst improving patient safety and clinical outcomes.
Working as an experienced ACP, the post holder will provide clinical leadership across the deteriorating patient agenda, including development of escalation pathways, implementation of Martha's Rule, delivery of the Trust's deteriorating patient strategy and support of the NHS Sepsis Framework. The role combines 50% direct clinical practice with 50% leadership, education, workforce development, quality improvement and service transformation responsibilities.
The ACP will work collaboratively with Critical Care, Acute Medicine, Emergency Care and ward teams to ensure timely intervention for patients at risk of deterioration, reduce avoidable cardiac arrests and unplanned critical care admissions, optimise critical care capacity and improve patient flow across the organisation. The post holder will provide professional leadership for the CCOT workforce and contribute to strategic development of services aligned to Trust and national priorities.
Main duties of the job Main Duties
- Provide expert autonomous clinical assessment, diagnosis and management of acutely deteriorating adult patients.
- Lead and support the delivery of the Trust's deteriorating patient strategy.
- Act as a senior clinical decision maker within the Critical Care Outreach Team.
- Lead implementation, monitoring and evaluation of Martha's Rule within clinical areas.
- Support the development and delivery of deteriorating patient escalation pathways for patients, families and staff.
- Lead improvements in sepsis recognition and management in line with national guidance.
- Provide expert advice and support regarding critical illness, escalation planning, treatment limitation decisions and end of life care.
- Independently prescribe and manage treatment plans within scope of practice.
- Support safe admission to and discharge from Critical Care services.
- Lead quality improvement, governance, audit and patient safety programmes relating to deterioration and critical illness.
- Provide line management, professional leadership and workforce development for CCOT staff.
- Deliver education, training and competency programmes for healthcare professionals across the Trust.
- Contribute to service development, policy development and implementation of evidence based practice.
- Participate in a 24/7 outreach service, including nights, weekends and bank holidays.
Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children's services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.
We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.
We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.
Detailed job description and main responsibilities Clinical Practice
The post holder will:
- Provide advanced autonomous clinical assessment, diagnosis and management of patients experiencing acute deterioration or recovering from critical illness.
- Undertake comprehensive patient assessments including physical, psychological, social and environmental factors influencing health outcomes.
- Interpret and act upon complex clinical information including diagnostic investigations, arterial blood gases, imaging and laboratory results.
- Develop and implement evidence based management plans for patients with complex and unpredictable healthcare needs.
- Independently manage a caseload of outreach patients within agreed Trust protocols and professional scope of practice.
- Prescribe medications and treatments as an Independent Prescriber.
- Support clinical teams with management of sepsis, respiratory failure, tracheostomy emergencies, non invasive ventilation and high flow oxygen therapies.
- Provide expert clinical advice regarding treatment escalation plans, DNACPR discussions and end of life decision making.
- Promote early recognition and timely escalation of clinical deterioration through NEWS2 and other deterioration pathways.
- Respond to and support Martha's Rule activations, ensuring timely senior clinical review and escalation where concerns are identified.
- Contribute to reducing avoidable cardiac arrests, unplanned ICU admissions and critical incidents associated with delayed recognition of deterioration.
- Maintain accurate, contemporaneous patient records and documentation.
The post holder will:
- Provide professional leadership for the Critical Care Outreach Team.
- Line manage Outreach Practitioners and support staff, undertaking appraisal, performance management, attendance management and development reviews.
- Lead workforce planning, succession planning and capability development within CCOT.
- Act as a visible clinical leader and role model for advanced practice across the organisation.
- Promote effective multidisciplinary working between Critical Care, ward teams, medical staff and allied health professionals.
- Lead service improvement initiatives that deliver measurable improvements in patient safety and clinical outcomes.
- Represent Critical Care Outreach at Trust, divisional and governance meetings.
- Support investigation of incidents, complaints and patient safety events in accordance with Trust policies.
- Contribute to strategic planning and future development of outreach services.
The post holder will:
- Lead implementation and ongoing development of the Trust's deteriorating patient strategy.
- Ensure delivery of robust pathways for recognition, escalation and management of deteriorating patients.
- Support organisational compliance with Martha's Rule and associated patient safety requirements.
- Develop escalation routes for patients, relatives and healthcare professionals who have concerns regarding deterioration.
- Monitor key performance indicators relating to deterioration, critical care referrals, cardiac arrests and emergency escalations.
- Support organisational learning from deterioration related incidents and reviews.
- Drive improvements in early intervention and patient centred escalation processes.
The post holder will:
- Lead and support competency based education programmes for nurses, medical staff and allied health professionals.
- Deliver education relating to recognition and management of deteriorating patients, sepsis and critical illness.
- Act as an expert resource and mentor for trainees, ACPs and clinical staff.
- Develop and facilitate outreach education programmes across the organisation. . click apply for full job details