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Job summary

Main area
Nursing and Midwifery
Grade
Band 7
Contract
Permanent
Hours
  • Full time
  • Flexible working
37.5 hours per week
Job ref
360-B-6659-B
Employer
West Hertfordshire Teaching Hospitals NHS Trust
Employer type
NHS
Site
Watford General Hospital
Town
Watford
Salary
£48,270 - £54,931 pa inc HCA
Salary period
Yearly
Closing
08/06/2025 23:59

Employer heading

West Hertfordshire Teaching Hospitals NHS Trust logo

Band 7- Acute Care Response Team: Enhanced Practitioner

Band 7

Job overview

We are excited to be recruiting to our new Acute Care Response Team which is an integral part of the Deteriorating Patient Team. 

The role as ACRT Enhanced Practitioner is underpinned by the Critical Care Outreach Practitioner Framework. and supports a 24/7 service across the Watford site and currently Mon-Fri Night at St Albans which aims to prevent, identify, escalate and respond to patient deterioration along with supporting successful transition of patient care from the critical care environment. The Enhanced Practitioner (Band 6/7 depending on experience) will be able to assess and treat patients in a variety of clinical scenarios.

The post holder will demonstrate enhanced skills and competence in areas such as advanced physical assessment and ensure that evidence-based practice underpins all aspects of care and treatment. They will have developed enhanced skills in critical thinking and problem-solving to support safe clinical decision making. They will deliver a high level of specialist care to patients outside of the Critical Care Department working within a defined scope of practice that is underpinned by both local and nationally agreed guidelines.

Main duties of the job

The Acute Care Response Team Enhanced Practitioner will be required to:

Have an Enhanced level of knowledge in the prevention and management of the deteriorating patient utilising the NORF Enhanced Practitioner Framework.Appendix-1-Enhanced-Critical-Care-Outreach-Competencies.pdf

This autonomous role will exercise independent judgement to assess, investigate, plan, implement, evaluate and escalate clinical care of the deteriorating patient.

Provide patient centred care to a high standard usually within complex and evolving clinical scenarios utilising their enhanced clinical knowledge and expertise.

Make complex clinical decisions and work collaboratively with the multidisciplinary team to support the care of patients including discussions surrounding treatment and escalation plans and DNACPR discussions.

Support clinical teams across the organisation including Medicine, Surgery, Maternity, Emergency Medicine and Paediatrics by providing enhanced clinical advice, demonstrating leadership and support to ensure effective and safe provision of care to the “deteriorating patient”.

Support, deliver and evaluate education, research and audit activities to elevate and improve standards associated with the ACRT service.

 

Working for our organisation

With a new hospital planned for Watford and work underway to update theatres at St Albans City Hospital, this is an exciting time to join us.

We are building on the success of our award-winning virtual hospital and re-imaging models of care, working ever more closely with partners and making the most of advances in digital healthcare.

Staff wellbeing and development are a priority at our Trust, as is the role of innovation in improving clinical care, outcomes and patient experience.
Our vision is Excellent patient care, together and our values are to be empowered, compassionate, professional and inclusive. They capture an important balance across what we must all do as individuals and to support others.

At West Herts we offer a variety of flexible working options as we recognise the importance of a good work life balance and the ability to work flexibly.

https://www.westhertshospitals.nhs.uk/flexibleworking/

We kindly invite you to consider submitting an application.

If you have a disability or long-term health condition and should you require support or guidance please contact [email protected]

If you are a Service Leaver, Veteran, Military Reserve, Cadet Force Adult Volunteer, or partner/spouse of those serving please tick "Member of the Armed Forces Community" on the application form.

If you do not hear back within 3 weeks of your application, please assume you have been unsuccessful on this occasion.

Detailed job description and main responsibilities

You will be required to take responsibility for triaging, coordinating and overseeing the organisation of patient care for acutely ill ward-based patients on a day-to-day basis.

You will work within own scope of practice and in collaboration with the multi-professional team to instigate, evaluate and modify a range of diagnostic testing /interventions within the Acute Care Response Team. You will also directly refer to relevant Clinical specialities where appropriate.

You will work closely with the Critical Care Team to facilitate early and timely admission to critical care and safe discharge from critical care.

You will be required to respond to medical emergencies and demonstrate clinical leadership and expertise as required.

You will support the Deteriorating patient team in developing and delivering robust teaching and education programs to ward teams to manage acutely ill/deteriorating patients, and support the development and integration of Martha’s Rule across the organisation.

Person specification

Knowledge

Essential criteria
  • Evidence of continuing professional development in the form of a professional portfolio.
  • Developed specialist knowledge within the management of the acutely ill patient.
  • Able to work within complex scenarios analysing various sources of information interpreting this to underpin enhanced level decision making.
  • Awareness of current developments in the relevant speciality and implications for clinical practice.
Desirable criteria
  • Non-Medical Referrals Ionising Radiation Medical Exposure Regulations (IRMER) trained

Experience

Essential criteria
  • Previous experience working at band 6/7 level within Critical Care, Critical Care Outreach, Emergency Medicine, Acute speciality.
  • Experience of working within complex scenarios requiring communicating highly sensitive information to service users and the MDT.
  • Experience of developing protocols and SOP’s which have an organisational wide impact.
  • Experience of supervising junior colleagues including nurses, HCSW, students providing training and development opportunities.
  • Experience of evaluating, developing and responding to service needs using audit, research and education.
  • Experience of developing and delivering education to a wide audience including but not limited to Service users, Nurses, AHPs and Doctors.
Desirable criteria
  • Evidence of research activity.
  • Evidence of publication or National presentation

Education and qualifications

Essential criteria
  • Registered Healthcare Professional (NMC/HCPC) – must be eligible to undertake NMP/V300
  • First Level degree (HEI Level 6) or equivalent, in undergraduate base profession
  • Specialist post-graduate education / qualifications, or training relevant to Critical Care / Critical Care Outreach (or equivalent e.g. Acute/Emergency Medicine) or equivalent experience
  • Advanced Physical Assessment post graduate qualification or equivalent experience.
  • Non-medical Prescriber of willingness to complete
Desirable criteria
  • PGDiP/MSc or working towards
  • Education or clinical supervision qualification
  • Leadership course
  • Advanced Life Support Provider
  • Paediatric Intermediate Life Support Provider or willingness to complete

Employer certification / accreditation badges

Committed to being an Inclusive EmployerVeteran AwareApprenticeships logoNo smoking policyDisability confident employerStep into healthArmed Forces Covenant Bronze Award

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Application numbers

This vacancy may close early if it receives a high number of applications. Please complete and submit your application in good time to avoid disappointment.

Documents to download

Apply online now

Further details / informal visits contact

Name
Louise Bradbury
Job title
Advanced Practitioner, Acute Care Response Team Lead
Email address
[email protected]
Telephone number
07388 996108
Additional information

Louise Bradbury
Acute Care Response Team Lead
07388 996 108
[email protected]

If you have problems applying, contact

Address
Watford General Hospital
Vicarage Road
Watford
Hertfordshire
WD18 0HB
Telephone
01442 365234
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