Lead Advanced Clinical Practitioner - Older Persons Services (SDEC)

Job overview

An exciting opportunity for the Lead Advanced Clinical  Practitioner in our Older Persons SDEC Service has arisen,  this is a new post.

UHD is currently undergoing huge transformation following investment from the new hospital programme.  this will see Poole hospital becoming a planned care site, the largest in the country and the Royal Bournemouth Hospital becoming the emergency /acute care site.

With this investment will see a new OPS SDEC facility being built on the Bournemouth site, enabling the expansion of the existing OPS SDEC service.  Promoting an SDEC 1st Philosophy which the successful candidate will lead on the development of, as well as continuously developing the service to  so it remains fit for purpose, ensuring timely access, safe quality care for all our patients.

Main duties of the job

To be responsible for the rapid assessment, diagnostics, and treatment of individuals within  service using an advanced level of professional accountability, autonomy, and judgement, underpinned by Masters level theory and experience.  This includes highly complex decision-making across a broad range of differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.

To provide clinical leadership to the ACP & ECP team and work with others within the directorate to determine the priority workload of the team across the directorate.

To plan and manage complete episodes of care, working in collaboration with the consultants and others, delegating and referring as appropriate, to ensure timely, effective management and optimise health outcomes, in line with the evidence base and nationally recognised best practice.

To play a key operational role and maintain a pro-active approach to managing and leading clinical pathways and flow.

Working closely with a multi-professional team, lead the ACP service in delivery of high quality, performance, and financial frameworks.

To promote and implement service and policy development and redesign, impacting beyond own area and other disciplines, informed by current best practice and evidence-base, in accordance with values-based care of the trust.

Detailed job description and main responsibilities

The post holder will undertake the following in OPS:

• Responsible for the leadership, of all enhanced and advanced practice staff, both trainees and qualified within OPS SDEC, as well as supporting educational supervisors and engaging with Higher Education Institutes (HEI’s) for the delivery of academic modules.
• Oversight of training and development of the ACP team within UHD OPS SDEC.
• Maintain appraisals and mandatory training of staff within UHD OPS SDEC via delegated teams.
• Responsible for monitoring of risk and governance within UHD OPS SDEC and implementation of any actions
• Responsible for local complaints and LERN within OPS SDEC related to the Advancing Practice team.
• Use their expert knowledge and complex decision-making skills in unpredictable situations and making a differential diagnosis.
• Complete a full system physical examination.
• Take a systematic patient history.
• Screen patients for early signs of disease and risk factors.
• Carry out where appropriate a range of invasive and non-invasive diagnostic and therapeutic procedures to agreed levels of competence.
• Order a range of diagnostic’s tests and procedures.
• Make diagnostic decisions based on pathology or imaging results.
• Initiate prescribed treatments and medication.
• Devise an individual care plan that includes all aspects of multidisciplinary care.
• Refer to other health professionals as appropriate.
• Discharge patients from hospital / service or arrange for their transfer of care to another health care setting.

Key Working Relationships -

Internal:

• Line manager- Head of Nursing and professions
• Clinical - OPS Clinical Lead
• Consultants
• SLT
• Senior Matron / Matrons
• Clinical Leaders

External:

• Members of the public
• GP surgeries / community nurses/practitioners
• Community Admission Avoidance Services
• Higher Education Institutes and colleges including Bournemouth University
• Regional Advanced Practice Faculty & networks

National Centre for Advancing Practice