Qualified Advanced Clinical Practitioner - Adult Emergency Department

Qualified Advanced Clinical Practitioner - Adult Emergency Department

We are seeking an enthusiastic and dynamic individual for a qualified ACP post within the Emergency Department at Whittington Health, based at the main hospital site in Archway.

This post is based in the adult ED and applicants must demonstrate significant ED experience as an ACP. We welcome applications from ACPs who also have paediatric ED experience and can work across both areas. The successful candidate will be able to demonstrate competency in all areas of the adult ED (Urgent Treatment Centre, Majors, Resuscitation, Rapid Assessment) and will have completed the academic aspects of ACP training including an MSc in Advanced Clinical Practice and non-medical prescribing.They should be preparing to submit their portfolio for credentialling as an Emergency Medicine ACP by the Royal College of Emergency Medicine within 12 months of appointment.

Our qualified ACPs work on a rolling rota incorporating day, late and night shifts. The shift length is currently 10.5 hours. We offer an 80:20 split between clinical and non-clinical work, providing ACPs with the opportunity to undertake other relevant activities related to advanced clinical practice. These include service improvement, audit, teaching, patient safety, responding to complaints, report writing and participation in research. We are keen for the team to be active participants throughout the department, developing special interests and continuing their professional and clinical development post-credentialling.

Main duties of the job

Please see the Job Description and the Persons Specification for further details about the job role. If you are unable to access the PDF, the details of the job description can also be found in the 'Detailed Job Description and Main responsibilities' section.

About us

Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trustbelieves that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.

Job responsibilities

Demonstrate competency in all areas of the adult ED.

Demonstrate the ability to look after patients with a wide range of pathologies from the life-threatening to the self-limiting

Be able to identify the critically ill and injured, providing safe and effective immediate care

Demonstrate expertise in resuscitation and be skilled in the practical procedures needed

Demonstrate the skills to stablish the diagnosis and differential diagnosis rapidly, and initiate or plan for definitive care

Work with all the in-patient and supporting specialties as well as primary care and prehospital services

Demonstrate the skills to correctly identify who needs admission and who can be safely discharged.

Undertake relevant additional activities across the four pillars of advanced practice (clinical practice, research, leadership & management, and education).

Act in accordance with relevant professional regulators code of conduct

• Leadership and Consultancy
• The post holder will be expected to:

Role model standards of care and behaviour through clinical practice.

Be highly visible in the clinical area

Act as a role model of standards of behaviour and professionalism

Maintain professional registration and practice through CPD

Maintain personal standards of conduct and behaviour consistent with Trust and NMC/HCPC guidelines

Allocate, coordinate, monitor and assess own workload

Advocate for patients, carers, service and organisation.

Be aware of, and proactively work towards meeting national targets for ED performance.

• Clinical Practice
• The post holder will be expected to:

Have been awarded an MSc in Advanced Clinical practice, incorporating non-medical prescribing qualification.

Assess diagnosis, plan and implement programmes of evidenced based care for patients in the ED.

Ensure interventions are undertaken in line with best practice guidance.

Undertake advanced skills appropriate to role, ensuring clinical competencies are maintained.

Undertake non-medical prescribing in adherence to agreed Trust policy.

Ensure that safeguarding children and adults legislation and local policy is adhered to within own practice and service.

Lead on the development and evaluate policies/guidelines/protocols for advanced clinical practice.

Continually review and evaluate own role and clinical practice

Be an active member of relevant Trust committees and groups contributing to developing/implementing local/national strategy.

Plan and manage own workload in a flexible manner, ensuring that service provision meets the needs of clients.

Keep relevant records and submit reports in a professionally acceptable manner.

Promote a positive relationship with all stakeholders within the service.

Contribute to the clinical governance process, including adverse incident reporting/investigation and the management of complaints, as appropriate.

Be involved in peer review of own practice and that of others.

• Education, Training and Development Functions
• The post holder will be expected to:

Develop and deliver specific and relevant teaching programmes for all disciplines and grades of staff within the Trust in relation to their area of expertise.

Review and evaluate teaching programmes and lead on the development of new programmes when a need is identified.

Identify own development needs in line with service requirements within personal development plan.

Act as mentor/preceptor and resource person for all nursing and support staff, as appropriate to the role.

Ensure the clinical environment is conducive to supporting the education and learning of all staff and students.

Contribute to clinical governance outcomes.

• Practice and Services Development, Research, and Evaluation
• The post holder will be expected to:

Evaluate clinical practice through audit of service and quality improvement activities

Demonstrate knowledge of current research in all aspects of their work and to advise others on the implementation of relevant research findings.

Implement research findings appropriate to practice.

Person Specification Education & Qualifications

• Current registration with NMC/HCPC as a nurse or paramedic
• MSc in Advanced Clinical Practice
• ALS (as a candidate, not observer)
• ATLS (as a candidate, not observer)
• RCEM Credentialled EC-ACP
• CORE (Level 1) ultrasound course
• Teaching or mentoring qualification

Skills & Abilities

• Demonstrate the ability to work in a highly demanding environment
• Excellent verbal and written communication skills
• Competent in use of IT packages and electronic patient care records
• Able to articulate personal development needs
• Ability and knowledge to undertake audit
• Experience of providing supervision and feedback
• Competent in databases and spreadsheets
• Evidence of participation in research projects
• Evidence of continued leadership development

Knowledge & Experience

• Evidence of excellent clinical record and wide-ranging clinical experience with demonstrable experience working as a trainee ACP or ACP in the adult ED
• Able to demonstrate competency in, and work across, all areas of the adult ED (Urgent Treatment Centre, Majors, Resuscitation, Rapid Assessment, ED)
• Evidence of undertaking a trainee EC-ACP post
• Evidence of participation in audit and quality improvement
• Evidence of preparation to submit ePortfolio for credentialling as an EC-ACP by RCEM
• Extensive demonstrable experience working as an ACP in the paediatric ED
• Evidence of presentations at local, regional, or national level

Personal attributes

• Highly motivated
• Flexible and dynamic working
• Understanding of ACP role in the ED setting and wider NHS
• Associate member of RCEM with access to Kaizen ePortfolio
• Familiarity with the RCEM ACP curriculum and programme structure.

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.

Lead ACP, Emergency & Integrated Medicine

£64,156 to £71,148 a yearPer Annum Including HCAS