Job overview

St Caradog Adult Mental Health Inpatient Ward are looking to welcome an Advanced Clinical Practitioner to their Multi Disciplinary Team. 

The post holder will hold an independent prescribing qualification and  advanced specialist knowledge of Mental Health patient pathways is essential.

This Band 8b post is is open to applicants who have Approved Clinician Status or open as a development Band 8b Annex 21 post to a qualified Advanced Practitioner who has a  willingness and commitment to achieve Approved Clinician Status within an agreed timeframe. The successful development candidate will be appointed under the All Wales Annex 21 rules.   

This means they will be supported by a development plan. (During the first year payment will be 60% of the top rate of band 8b pay, during the second year 65%, during the third year 70% and during the fourth year 75%) and following successful completion the post holder will then be paid at Band 8b (minimum point on the scale). Support and supervision will be provided in order to develop the successful applicant to the Band 8b role. Failure to achieve the qualification and required competencies in the designated timeframe could result in re-deployment.

As part of the Annex 21 process, there is no financial penalty to those who apply for this role where the percentage will cause a reduction in pay, subsequently a local protection would be put in place until the pay has caught up.

Main duties of the job

The post holder will:

• Provide clinical assessment and direct the management of patients
• Be autonomous in decision making, including judgments involving highly complex facts/situations that require the analysis, interpretation, and comparison of a range of options in relation to the care/management needs of the patients on a day-to-day basis within the clinical environment
• Identify need for change, leading innovation, and managing change including service development, developing a case for change, and negotiate and influence change
• Carry out complex patient clinical reviews, and feedback complex clinical information relating to physical and mental health to enable decisions in care management to be agreed upon and/or changed which may involve differences of opinion
• Lead and chair ward reviews, including initiating and titrating treatment plans
• Prepare medical reports
• Support doctors’ development by arranging opportunities in other clinical areas for them
• Review formal patients and work in collaboration and joint decision making with RCs in respect of ongoing detention and least restrictive principles
• Provide clinical assessment using advanced knowledge and clinical skills, to provide diagnoses both differentiated and undifferentiated
  patients, and develop management plans for optimal care
• Provide Advanced Clinical Practitioner Strategic Service clinical leadership
• Responsible for policy and service development

Working for our organisation

Hywel Dda University Health Board plans and provides NHS healthcare services for people living in Carmarthenshire, Ceredigion, Pembrokeshire, and bordering counties.

We have over 13,000 staff and together we provide primary, community, in-hospital, mental health and learning disabilities services.

We work in partnership with the three local authorities, as well as public, private and third sector colleagues, including our valued team of volunteers.

Our services are provided in:

• Four main hospitals: Bronglais Hospital in Aberystwyth; Glangwili Hospital in Carmarthen; Prince Philip Hospital in Llanelli; and Withybush Hospital in Haverfordwest
• Five community hospitals: Amman Valley and Llandovery hospitals in Carmarthenshire; Tregaron Hospital in Ceredigion; and Tenby and South Pembrokeshire hospitals in Pembrokeshire
• Two integrated care centres: Aberaeron and Cardigan in Ceredigion, and several other community settings
• 47 general practices (six of which are health board managed practices); dental practices (including four orthodontic); 97 community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers
• Numerous mental health and learning disabilities services