Job Description

Are you a highly motivated, experienced Advanced Clinical Practitioner, or wanting to train, and looking for a new challenge? If so Adult Mental Health Services are looking for someone who possess confidence, enthusiasm, initiative and a positive approach to teamwork but most importantly have a genuine passion for patient care.



AMH have exciting plans to modernise our workforce to meet current and future challenges and provide a new career pathway for non-medical practitioners through the introduction of Advanced Clinical Practitioners into our community services. This role will be based within the City East Community Mental Health Service, based at Lavender House.



It is anticipated that this role will develop over time in response to changes in service delivery and therefore we need clinicians who are energetic, eager to develop and are forward thinking with the potential to adapt to change and meet new challenges. We will ensure we support you at every level to enable you to develop the role within AMH services.



We would welcome appointing a Trainee Advanced Clinical Practitioner (tACP) to develop specialist knowledge and skills to provide healthcare autonomously to patients in their speciality through an established ACP training pathway.



The post holder will be an experienced Nurse/Allied Health Professional/Paramedic, qualified to ACP Masters Level or someone who would like to undergo the training to become an Advanced Clinical Practitioner. They will:



Demonstrate safe , senior clinical decision-making by autonomously assessing patients presenting to the inpatient service including initial history taking, clinical assessment, diagnosis, treatment and evaluation of care



Demonstrate critical thinking in the clinical decision making process and work collaboratively with the MDT to meet the needs of patients.



Be instrumental in guiding junior medical staff and nursing staff in relation to relevant protocols, procedures and clinical pathways.



Be fundamental in the development of this new role.



Initiate, manage and drive innovative change in practice for the benefit of patient care in line with Trust and local procedures.



Alternatively, we would consider appointing a Trainee Advanced Clinical Practitioner (tACP) to develop specialist knowledge and skills through the MSc in Advanced Clinical Practice as an apprentice; included in the curriculum are work-based learning modules. As well as the academic pathway the tACP will follow the three-year supervisor-supported ACP training program mapped against established national and regional competencies.



The ACP may provide mentorship to trainee ACP's within the directorate. 1st on call duties on a 3 month rota basis, will form part of this role.



#TeamNottsHC comprises over 11,000 dedicated colleagues who #MakeADifference every day. We deliver intellectual disability, mental health, community health, forensic, and offender healthcare services across Nottinghamshire, Leicestershire, Lincolnshire, and South Yorkshire. Our care is provided from over 200 sites, spanning community locations, acute settings, and secure environments, including prisons.



We are one of the largest mental health and community Trusts in the East Midlands and one of Nottinghamshire's biggest employers. We also host national and regional services, such as the National High Secure Deaf Service and the Nottingham Centre for Transgender Health.



We offer a variety of employee-led staff networks, including Equality, Diversity, and Inclusion (EDI) groups, the Green Champions network, the Freedom to Speak Up network, the Health and Wellbeing Champions network, and the Menopause Champions network. These networks play a vital role in supporting our diverse workforce and promoting a culture of inclusivity.



The health and wellbeing of colleagues is a top priority. We invest significantly in this through our in-house occupational health and staff counselling services, supported by a dedicated Health and Wellbeing team.



The Trust is committed to reducing its carbon emissions, with a specialised Energy and Environmental team working to ensure compliance with environmental legislation, enhance our environmental performance, and achieve our net-zero commitment.

A fully qualified ACP must be able to:

Complete a full system and physical or psychological/psychiatric exam



Take a systemic and/or psychosocial patient / prisoner or service user history



Make diagnostic decisions based on consultation, history, presentation, pathology and/ or imaging results



Initiate, prescribe and monitor the impact and outcome of treatments and medication including efficacy, side effects, contraindications and risk



Devise an individual clinical management plan that includes all aspects of multi-disciplinary care



Screen patients for early signs of disease and risk factors and relapse indicators



Carry out where appropriate, invasive and non-invasive diagnostic and therapeutic procedures with due regard to mental capacity and advance decisions



Refer to other health professionals as appropriate



Discharge from hospital or services as required



Run independent out-patient clinics seeing new and review individuals as required

For trainee ACP the requirements include:

To undertake appropriate training in order that the following clinical skills can be achieved.



The ACP is accountable for independent clinical assessment, formulation, diagnosis and treatment of these individuals with undiagnosed and undifferentiated conditions. They will provide expert professional and independent clinical care which enables the coordination of a multi professional seamless service.



Practise in compliance with respective code of professional conduct and within scope of practice, being responsible and accountable for their decisions, actions and omissions



Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.



Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.



Work in partnership with individuals, families and carers, using a range of assessment methods (e.g. of history-taking; holistic assessment; identifying risk factors; mental health assessments; requesting, undertaking and/or interpreting diagnostic tests and conducting health needs assessments).



Demonstrate effective communication skills supporting people in making decisions, planning care or seeking to make positive changes, through person-centred approaches in health and care



Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.



Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care.



Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers.



Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.



Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.



Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope.



Please note applicants will be required to pay for their DBS check. Costs are deducted from salary following appointment. The cost of the DBS application is 26.40 (standard) or 54.40 (enhanced), this cost will be deducted from your salary over the first 2 months of employment.



You are encouraged to enrol for the DBS Update Service. An annual fee of 16 per year applies.