ACP/ENP Lead - Urgent and Emergency Care Department

Job overview

We are looking to recruit a motivated and driven Lead Advanced Clinical Practitioner (ACP)to join the urgent and emergency care directorate. They will be a senior advanced clinical practitioner who will play a lead role in the development, management and governance of ACP roles across department.

The role has designated 40% direct clinical time working in the Emergency Department and 60% non-clinical time. The Emergency Department is a busy department comprising of an Emergency Department and Urgent treatment centre. The team are a busy and dynamic speciality who excel in delivering high quality patient-centred care across the footprint. The footprint is in the process of further development and there will be opportunities be involved in service development, audit and research.

The successful applicant will be a Registered Nurse with Valid NMC registration or Health Care Professional and registered with HCPC.

They will already possess a Relevant Masters’ qualification in Advanced Practice  also having evidence of extensive professional and clinical knowledge of the undifferentiated emergency presentations. supplemented by specialist clinical training and continuing professional development, RCEM  accreditation.

This is a non-medical prescribing, fulltime post (37.5hrs/week).

Main duties of the job

The ACP Lead is key member of the Urgent Care Management Team. They are a senior advanced clinical practitioner who exercises expert levels of clinical judgement, decision-making and leadership, and plays a key role in the delivery of the Trusts strategic vision. As an expert in their clinical area, the post holder will practice at a highly specialised and skilled level and will influence improvements in care and patient outcomes. The ACP Lead will be an expert resource, playing a lead role in the development, management and governance of ACP & ENP roles in the emergency department.

This is a designated non-medical prescribing role

Detailed job description and main responsibilities

The post holder will:

• Have a relevant Masters’ degree in Advanced Practice
• Have a valid NMC registration or be a Health Care Professional and registered with HCPC with relevant clinical experience.
• Have a highly visible clinical profile in Emergency and urgent care , providing both advisory and direct clinical input into patient care.
• Manage a defined caseload of patients, including transfer and/or discharge from care with distant supervision from the Medical Consultant body.
• Be able to analyse, synthesise and action highly complex clinical information and situations to benefit the patients and families.
• Demonstrate clinical leadership, guidance and judgement in making challenging patient centred decisions, identifying clinical situations that need escalating to the Consultant team.
• Recognise, understand and accept the requirement to act as an advocate for patients, carers/relatives, the service and the organisation.
• Develop and maintain expertise in advanced clinical skills and competencies in line with Trust and NMC or HCPC regulatory frameworks.
• Demonstrates expert interpersonal skills in caring for patients and their families.
• Work collaboratively with multidisciplinary teams to optimise patient care.
• Lead on audit processes in Emergency Medicine that will facilitate and improve patient flow including integrated care pathways and clinical guidelines.
• Identify and implement new developments, treatments and technologies into clinical practice Trust wide.
• Promote the translation of evidence based research findings and best practice guidance into clinical practice to improve the health of the local population.
• Maintains accurate and concise clinical records.

Leadership and Consultancy:

The post holder will be expected to:

• Act as a role model in delivery of patient care that reflects the Trusts strategic vision, values and behaviours.
• To professionally lead the ACP/ENP workforce. This will include supporting their personal development as well as helping guide and develop their roles within their specialities.

• Be influential and innovative in shaping the development of the Emergency and Urgent Care  services, leading and engaging where appropriate with external agencies and commissioners.

• Be an active member of relevant Trust forums and committees to provide expert clinical advice and contribute to the development of multi-professional policy and strategy.
• Work with partner organisations, agencies, forums, voluntary sector and integrated health care to contribute to policy and strategy.
• Adhere to professional standards of care and promote a professional image of health care professionals that inspires confidence in service users, their carers’ and relatives.
• Participate in Trust Wide Divisional reviews, serious untoward incidents, Structured Judgement reviews and HR reviews; producing the written accounts/reports where required.
• Work collaboratively and strategically with other clinical areas in promoting patient satisfaction to provide a seamless pathway of care.
• Interpret, adapts and implements national policy and standards to enhance patient safety and good quality care.
• Lead in the development of documentation that is consistent with legislation, policies and procedures.
• Lead on change management and the impact of change.
• Maintains awareness of budgetary constraints within the department, ensuring appropriate use of resources in order to meet service/patient needs.

Learning, developing, improving across the system

The post holder will be expected to:

• Act as a coordinating/associate supervisor for trainee and qualified ACP/ENPs in Emergency Medicine.
• Lead on the development of ACP/ENP roles within emergency medicine,  with centre endorsed competency frameworks.
• Act as an expert source of clinical and theoretical knowledge for junior members of the acute medical team.

• Develop methods of peer support and clinical supervision in line with NHSE guidance.

• Works with the MDT to further develop clinical pathways and care approaches.
• Develop health promotion and education in collaboration with other health care professionals to ensure that care and resources reflect current and best practice.

• Ensure the clinical learning environment is conducive to supporting the education and learning of qualified staff and trainees.

• Work closely with colleagues in local higher education facilities in developing, planning and delivering educational programmes for staff to improve knowledge and skills in caring for patients.
• Take responsibility for their own learning and performance including participation in clinical supervision and annual performance review.

• Maintain professional registration and CPD requirements in line with professional body guidelines.

• Leads or participates in educational events at local, regional and national level to share best practice and collaborative working.