Job Description

The Trust has two Same Day Emergency Care Units (SDEC) one based at Lewisham Hospital (UHL) and the other at the Queen Elizabeth Hospital (QEH). The successful candidate will be based at the QEH site.



The team on both sites is made up of a range of both senior nursing and medical roles, each supportive of the role of the ACP. There is a dedicated Trust ACP Lead working cross-site.



The post holder will be practising autonomously as an advanced clinical practitioner (ACP) within the Same Day Emergency Care Unit (SDEC) to provide patient-centred quality care. This will encompass the skills of assessment, examination, diagnosis and treatment within an agreed scope of practice. The post holder will support a new way of working that emphasises a more efficient and patient focused service, and will ensure the safe referral and discharge of patients with undifferentiated and undiagnosed presentations in any area of the ED.



The post holder will deliver an 80% clinical component to their role and 20% related to appraisal, clinical audit, teaching, self-development and research.



To deliver and participate in the clinical care of patients attending the SDEC Unit.



Provide a level of advanced and comprehensive nursing assessment based on a specialist body of knowledge.



Direct responsibility for the management of patients within own case load and supervision /development of junior members of the multidisciplinary team.



To appropriately assess, examine, investigate, diagnose and treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations.



Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:



Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development



Widening access (anchor institution) and employability



Improving the experience of staff with disability



Improving the EDI literacy and confidence of trust staff through training and development



Making equalities mainstream



Order & interpret investigations, laboratory tests, x-rays and act on results as appropriate, with supervision as required as a trainee.



Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with present legislation supply and prescribing of medicines, in line with non-medical prescribing qualification.



To contribute to the development and improvement of systems and processes that facilitates patient flow.



Maintain own clinical development by keeping abreast of new treatments and technologies within emergency and unscheduled care.



To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients.



To rigorously review all aspects of the patient's plan of care and identify and address issues that may result in a sub-standard service.



Contribute to the review and development of integrated care pathways and clinical guidelines to ensure a standardised approach to emergency care.



Practice with confidence and competence within professional Guidelines (E.g. NMC, HCPC).



To ensure that accurate documentation and records of patient care are kept.



To provide specialist advice on patient care to the healthcare team taking into account all aspects of clinical governance, and act as a specialist resource within the ED other assessment areas and the Trust.



To lead the implementation and development of assessment systems, processes and tools within the SDEC Unit and adjacent clinical/assessment areas.



Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care.



Actively implement effective systems and processes for infection control management and relevant audit within their clinical area.



Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.



Communicate patient's conditions verbally and in writing to other members of the health care team and contribute to the decision-making processes in patient management. Acting as an advocate for patients and colleagues.



Ensure awareness of sources of support and guidance e.g., patient liaison service, and provide information in an accurate format to all patients.



Be able to anticipate barriers to effective communication and take action to improve communication.