Advanced Clinical Practitioner - 111 CAS

Job summary

Advanced Clinical Practitioner - 111 Out of Hours Clinical Assessment Service

Band 8a £57,528 - £64,750 per annum

Bank Contract - Minimum of 23 hours per month

Are you an experienced Advanced Clinical Practitioner looking to support the care provided following telephone assessments within our out of hours (OOHs NHS 111 Clinical Assessment Service?

South East Coast Ambulance Service NHS Foundation Trust as the commissioned provider of the NHS 111 and OOHs Clinical Assessment Service for Kent & Medway and Sussex regions is seeking an experienced Advanced Clinical Practitioner to join our team of GPs and prescribing Pharmacists as a senior clinical leader delivering expert autonomous practice within our 111 Clinical Assessment Service supporting patients in the out of hours period.

Working remotely within a highly skilled multidisciplinary team, you'll assess and manage patients presenting with complex, undifferentiated and potential high-risk presentations, making autonomous decisions that directly influence patient outcomes, urgent and emergency care utilisation and access to alternative care pathways.

Being a fully qualified advanced clinical practitioner with significant independent prescribing experience within the out of hours and urgent on the day primary care field, you would work within the team of senior clinicians that ensure patients presenting to the out of hours space are effectively managed through remote clinical assessment.

Main duties of the job

Main duties of the job

As an Advanced Clinical Practitioner (111 - Clinical Assessment Service), you'll work as a senior autonomous clinician within our Clinical Assessment Service, delivering expert clinical assessment, leadership and professional expertise.

Clinical Practice

You'll:

Deliver advanced clinical assessment, diagnosis and management to patients presenting with complex, undifferentiated and potential high-risk presentations.

Make autonomous clinical decisions in situations of complexity, uncertainty and clinical risk.

Determine the most appropriate care pathway, including remote consultation, referral, or escalation to an emergency response.

Prescribe and implement evidence-based treatment plans where appropriate.

Provide expert clinical advice and support to clinicians across Integrated Urgent Care, including care home and community based nursing teams as well as ambulance clinicians exploring alternative non-conveyance pathways.

Safeguard vulnerable patients while promoting person centred care and shared decision making.

Communicate highly complex or sensitive information with empathy and professionalism.

About us

At South East Coast Ambulance Service, every member of our team plays an important role in delivering exceptional care when people need us most.

As part of our Integrated Care team, you'll work alongside experienced clinicians across 111 and the OOHs Clinical Assessment Service, helping to shape innovation that improve outcomes for patients while supporting the wider NHS.

We're committed to supporting our people to thrive through learning, development and wellbeing, providing opportunities to continue developing your developed Advanced Practice career while working within a supportive and collaborative clinical environment.

Our benefits include:

• NHS Pension Scheme.
• Excellent learning and development opportunities.
• Occupational Health and Employee Assistance Programme.
• Award-winning wellbeing support.
• NHS staff discounts.

Other than in exceptional circumstances, the starting salary for staff new to the NHS will be the bottom point of the band.

Job responsibilities

As an Advanced Clinical Practitioner (111 Clinical Assessment Service), you'll operate with a high level of professional autonomy, accountability and clinical expertise. Your responsibilities will include:

Clinical Responsibilities

Undertake advanced holistic assessment across all age groups.

Apply expert clinical reasoning in complex, uncertain or rapidly changing situations.

Make autonomous clinical decisions that influence patient outcomes and system performance.

Initiate, evaluate and adapt treatment plans, including prescribing a range of prescription only (including controlled medication within your regulated framework) medicines.

Determine safe and appropriate patient pathways, balancing individual need with clinical risk and available resources.

Provide senior clinical advice and decision support to colleagues.

Lead on safeguarding, consent, mental capacity and patient safety considerations.

Utilise digital clinical systems, including Computer Aided Dispatch (CAD) and Clinical Consultation Support Software, to document effective decision-making and facilitate effective onward electronic referral.

Promote shared decision-making and person-centred care throughout every patient interaction.

Leadership Responsibilities

Act as a visible senior clinical leader across Integrated Care services.

Influence clinical practice, service development and operational performance.

Lead quality improvement, governance and patient safety initiatives.

Support the development of clinical pathways, policies and standard operating procedures.

Represent the service within multidisciplinary and system-wide forums.

Promote a culture of continuous learning, compassion and innovation.

Operational Responsibilities

Support demand management and effective utilisation of urgent and emergency healthcare resources.

Contribute to workforce deployment and service prioritisation.

Support the analyse of clinical and operational data to as part of service improvement opportunities.

Ensure effective stewardship of Trust resources.

Education Responsibilities

Supervise and mentor clinicians across the service.

Support education and professional development programmes.

Support appraisal, capability development and workforce planning.

Promote evidence-based practice and reflective learning.

Research Responsibilities

Lead or contribute to research, audit and evaluation projects.

Translate research findings into clinical practice and service improvement.

Support the development of an evidence-based culture across the service.

Maintain your own professional development across the four pillars of Advanced Practice.

Person specification

Experience

Essential

• Professional Registration with either the HCPC, NMC, GPhC.
• Significant Independent Non-Medical Prescribing with evidence of prescribing across a wide range of conditions
• Significant post-registration experience in urgent and/or emergency care, ambulance service, primary care, clinical assessment service to include significant experience in remote consultation.
• 2 years experience of prescribing within primary care using EPS systems

Knowledge

Essential

• Master's level award in Advanced Practice, or equivalent experiential learning evidenced through NHSE Advanced Practice ePortfolio (supported) route.
• Understanding of clinical governance, quality assurance and learning systems.