Job Description

The Advanced Clinical Practitioner works in all care settings as an autonomous practitioner and clinical leader, providing complete care of patients with undifferentiated needs, ensuring appropriate prioritisation, diagnosis and clinical management, prescribing independently and performing clinical procedures without direct supervision, and supervising and supporting other clinical staff.We are pleased to invite informal visits to our department.At the Urgent Treatment Unit (QMC), we work collaboratively to support the Accident and Emergency Department at Queen's Medical Centre. Patients are carefully streamed from the A&E front door to our department, where we triage and review cases based on our established inclusion and exclusion criteria.Our team has access to a range of specialised services, including Same Day Emergency Care, the Gynaecology Advice Line, the Hyper Acute Neurology Unit, the Surgical Triage Unit, and Acute Medical (AMRA), all of which enable us to effectively manage patient conditions.We take pride in our departments low staff turnover, which reflects our commitment to creating a supportive and efficient environment, even in a busy setting.As we continue to expand our services, we are excited to align with NHS England and the Integrated Care Board in developing the Urgent Treatment Centre, operated by NEMS at QMC. This is a thrilling opportunity for both NEMS and our dedicated clinical team!Main duties of the jobProfessional:Works within the relevant Code of Professional ConductBe committed to working flexibly within a dynamic environment, responding positively to the changing needs of the servicePromote and facilitate evidence-based practiceDemonstrates competence and development within the 4 pillars of advanced practice as defined by Health Education England in their Multi-Professional framework for advanced clinical practice in England : Clinical Practice, Leadership & Management, Education, ResearchMaintain professional knowledge and practice to meet revalidation requirementsDemonstrate continual professional (CPD) development through organised or self-directed study/learning and participation in clinical supervisionClinical:Always practice within own scope of competence, recognising limitations of clinical practiceAssess and prioritise patients clinical needs in accordance with NEMS policies and guidelinesWithout supervision undertakes consultations with patients presenting with undifferentiated, undiagnosed problems, practising autonomous skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management planMakes professionally autonomous decisions for which she/he is accountableAbout usNEMS CBS is a high quality, high performing; not-for-profit organisation which delivers integrated urgent care and urgent primary care services to over 1 million patients. Responsive, adaptable and continually evolving, we have a reputation for delivering locally tailored, safe, effective and cost-efficient services with high levels of patient satisfaction.We are committed to investing in our people and have an established programme of learning and development, successfully developing our own Urgent Care Practitioners and Advanced Clinical Practitioners.NEMS currently operates 3 main services: (1) Integrated Urgent Care across Nottinghamshire serving a patient population of over 1 million, including home visiting, remote consultation and clinical assessment services; (2) Urgent Primary care provision located within the A&E Department at QMC, (3) A 24-hour walk-in urgent primary care service adjacent to Kings Mill Hospital A&E, Mansfield.NEMS CBS is a registered society under the Co-operative and Community Benefit Societies Act 2014.Core Benefits for the NEMS Workforce

• 25 days of holiday entitlement + bank holidays (pro rata)
• NHS Pension
• Access ongoing continuous professional development
• Compassionate Leave
• Regular clinical supervision
• Flexible working options
• Employee Assistance Programme
• Opportunity to participate in service development and improvement
• Free refreshments
• Eye Care Vouchers

Date posted23 April 2025Pay schemeOtherSalaryxc2xa334.03 to xc2xa345.20 an hour Plus Unsocial EnhancementsContractPermanentWorking patternFull-time, Part-time, Flexible workingReference numberU9183-25-0027Job locationsNottingham University HospitalDerby RoadNottinghamNG7 2UHJob descriptionJob responsibilitiesClinical Responsibilities:

• Assess and prioritise patients clinical needs in accordance with NEMS policies and guidelines.
• Without supervision undertakes consultations with patients presenting with undifferentiated, undiagnosed problems, practising autonomous skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.
• Makes professionally autonomous decisions for which she/he is accountable.
• Encourage patients to carry out self-care where appropriate, supported by direction to other sources of health and social care information.
• Acts as a second opinion senior clinical colleague to others within the team.
• Prescribes independently in a safe and effective manner in accordance with the appropriate policy and guidance including the current antimicrobial guidance.
• Directs others in the clinical team to provide care in a safe effective manner in accordance with the appropriate policy and guidance.
• Liaise directly with GPs and consultants regarding medicines outside of the individuals normal sphere of competence and medicine-related uncertainties.
• Provide advice and support to other clinical staff.
• Liaise and communicate clinical information verbally and via technical links with NEMS and health system partners to ensure continuity of care for the patient.
• Maintain accurate, contemporaneous record keeping of all interventions with patients, fully utilising computer software systems in place and/or other mediums.
• Maintain confidentiality at all times in accordance with legislative and policy requirements.
• Act as the patients advocate when required to.
• Participate and assist in service evaluation, clinical audit and research as required.
• Participate in developing and delivering teaching to colleagues within the service.
• Participate in the investigation of complaints, incidents and accidents.
• Be aware of the impact your decisions may have upon the patient and their General Practitioner.
• Liaise with other professionals to facilitate direct referrals to other health care providers within the policies of the organisation.
• Participate in the mentorship of visiting health professionals and students on recognised training programmes.
• Recognise and act upon opportunities through consultation to promote public health.

Please see the attached job description / person specification for a more comprehensive description of the role.Job descriptionJob responsibilitiesClinical Responsibilities:

• Assess and prioritise patients clinical needs in accordance with NEMS policies and guidelines.
• Without supervision undertakes consultations with patients presenting with undifferentiated, undiagnosed problems, practising autonomous skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.
• Makes professionally autonomous decisions for which she/he is accountable.
• Encourage patients to carry out self-care where appropriate, supported by direction to other sources of health and social care information.
• Acts as a second opinion senior clinical colleague to others within the team.
• Prescribes independently in a safe and effective manner in accordance with the appropriate policy and guidance including the current antimicrobial guidance.
• Directs others in the clinical team to provide care in a safe effective manner in accordance with the appropriate policy and guidance.
• Liaise directly with GPs and consultants regarding medicines outside of the individuals normal sphere of competence and medicine-related uncertainties.
• Provide advice and support to other clinical staff.
• Liaise and communicate clinical information verbally and via technical links with NEMS and health system partners to ensure continuity of care for the patient.
• Maintain accurate, contemporaneous record keeping of all interventions with patients, fully utilising computer software systems in place and/or other mediums.
• Maintain confidentiality at all times in accordance with legislative and policy requirements.
• Act as the patients advocate when required to.
• Participate and assist in service evaluation, clinical audit and research as required.
• Participate in developing and delivering teaching to colleagues within the service.
• Participate in the investigation of complaints, incidents and accidents.
• Be aware of the impact your decisions may have upon the patient and their General Practitioner.
• Liaise with other professionals to facilitate direct referrals to other health care providers within the policies of the organisation.
• Participate in the mentorship of visiting health professionals and students on recognised training programmes.
• Recognise and act upon opportunities through consultation to promote public health.

Please see the attached job description / person specification for a more comprehensive description of the role.Person SpecificationQualificationsEssential

• Registered Healthcare Professional. Masters level qualification in Advanced Clinical Practice to include non-medical prescribing.

Desirable

• Masters level qualification in relevant continuous professional development.

ExperienceEssential

• Supervising clinical colleagues. Leading quality improvement. Delivering against competing priorities and deadlines while also directing the work of teams/individuals. Working in a diverse and complex organisation.

Person SpecificationQualificationsEssential

• Registered Healthcare Professional. Masters level qualification in Advanced Clinical Practice to include non-medical prescribing.

Desirable

• Masters level qualification in relevant continuous professional development.

ExperienceEssential

• Supervising clinical colleagues. Leading quality improvement. Delivering against competing priorities and deadlines while also directing the work of teams/individuals. Working in a diverse and complex organisation.

NHS