Gastroenterology Advanced Clinical Practitioner

Job overview

The Gastroenterology team at Mid Cheshire Hospitals NHS Foundation Trust is seeking an enthusiastic, motivated and experienced Advanced Clinical Practitioner (ACP) to join our developing Gastroenterology service.

This is an exciting opportunity for an established ACP to develop their specialist knowledge and skills within Gastroenterology, contributing to the delivery of high-quality, safe and effective patient care.

The successful candidate will work across a range of gastroenterology services, supporting outpatient clinics, including haemochromatosis and Inflammatory Bowel Disease (IBD), as well as providing clinical support to the Gastroenterology ward.

The role will offer opportunities to broaden clinical expertise in the assessment, diagnosis and management of patients presenting with a variety of gastroenterological conditions. As the service continues to develop, the role is likely to evolve into a position focused primarily on the Gastroenterology ward, supporting the delivery of high-quality inpatient care and contributing to the ongoing development of the service. If you are an established ACP looking for an opportunity to develop your specialist expertise, influence service development and make a meaningful difference to patient outcomes, we would welcome your application.

Main duties of the job

The post holder will work as an Advanced Clinical Practitioner. An ACP is an experienced practitioner with decision making autonomy, responsibility and accountability. They will demonstrate a high degree of clinical autonomy and complex clinical decisions within their specialist field utilising evidence-based practice. ACPs will contribute to the leadership, development and supervision of others. The post holder is expected to take responsibility, provide care and make clinical decisions is accordance with agreed clinical pathways of care and proficiency of own skill and speciality set.

The post holder will hold a master’s qualification or undertaken an ePortfolio to evidence working at an advanced level. You will have completed speciality specific competencies for the role.

The post holder must be able to work independently within the four pillars of advanced practice which include clinical practice, management and leadership, education and research.

Detailed job description and main responsibilities

CLINICAL PRACTICE

Works as an autonomous practitioner taking responsibility for assessment, diagnosis and treatment of patients presenting within their care. Evaluate response to treatments and initiate changes as required within scope of competence. Work within own competence and confidence to ensure safe practice for patients and where unsure seeking out senior colleagues or medical team for support. Communicate effectively with patients, supporting people in making decisions, planning care or

seeking to make positive changes. Communicate highly complex information to the Multi-Disciplinary Team (MDT). Work collaboratively with other professionals and refer to appropriate clinicians to ensure the needs of patients and services are met. Request and perform diagnostic procedures and support staff with patients who are unable to obtain these procedures. Request diagnostic interventions, including pathology and radiological tests within own speciality skill set whilst working within own remit of competency. Admit and discharge patients within own competence and utilising pathways, policies, and guidelines. Review of the deteriorating patient and initiation of management plans and escalation to medical team or senior colleagues where appropriate. Establish and maintain effective communication with patients, their families and other relevant agencies and professionals across health, education and social services. Promote clinical excellence and evidence-based approach to care by complying with the agreed policies and procedures. Provide support and advice to other specialities to ensure the correct patient pathway. Take an active role in Health promotion of individuals through appropriate support and education. Analyse and act on information to proactively manage and maintain NHS standards and targets. Maintain accurate patient records on trust documentation ensuring professional confidentiality is always maintained. Provide expert clinical knowledge to clinical staff, patients, carers, relatives and when applicable community and policy-making organisations/groups.

LEADERSHIP AND MANAGEMENT

Act as a role model by demonstrating effective leadership and expertise by maintaining credibility across the trust, the wider health care community and external agencies, ensuring a positive image of the trust is maintained. Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams to encourage productive working. Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements. Involved within recruitment, selection, induction and orientation of Trainee ACPs. Undertake trainee ACP appraisals and clinical supervision (3 years post qualification) and ensure time allocated within job plan to facilitate. Lead new practice and service redesign solutions in response to feedback, evaluation and need. Continually develop practice in response to changing population. Participate in sharing experience and knowledge to pre and post registered staff to contribute to the development of future advanced practitioners. Work with division and corporate nursing team to respond and feedback on complaints/reports where required and ensure lessons are learnt to enhance and change practice where required.

EDUCATION

Identify and take responsibility for individual learning and development to ensure ongoing professional development and advancement of the ACP role. Ensuring it reflects the breadth of ongoing development across the four pillars of advanced

clinical practise. Completion of speciality specific competencies. Support trainee Advanced Clinical Practitioners within their role and share skills, knowledge and experience in order to contribute to the development of future ACPs. Actively maintain a personal portfolio of learning to ensure compliancy with speciality specific competencies and evidence of working at an advanced level. Disseminate learning and information gathered to share good practice and inform relevant staff that provide the service about current and future developments. Act as a role model, educator, supervisor, coach and mentor, seeking to instil and develop the confidence of others. Ensure own compliance with regards to Trust mandatory training.

RESEARCH

Engage in research activity, adhering to good practice research guidance, so that evidence-based strategies are developed and applied to enhance quality, safety, productivity and value for money. Evaluate and audit own and others clinical practice. Develop and implement robust governance systems and systematic documentation processes. Participate in professional and policy-making activities that contribute to the development of the practitioner role. Liaise with other ACPs across the trust to achieve a corporate viewpoint on key professional issues. Support the development and implementation of policies, procedures and guidelines related to area of practice.

See Job Description

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.