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Job summary

Main area
Same Day Emergency Care
Grade
Band 8a
Contract
Permanent
Hours
Full time - 37.5 hours per week
Job ref
197-HF6828
Employer
Lewisham and Greenwich NHS Trust
Employer type
NHS
Site
Queen Elizabeth Hospital
Town
Woolwich
Salary
£53,755 - £60,504 per annum plus HCA
Salary period
Yearly
Closing
03/06/2025 23:59

Employer heading

Lewisham and Greenwich NHS Trust logo

Advanced Clinical Practitioner Same Day Emergency Care

Band 8a

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

To achieve this we value Respect, Compassion, and Inclusion; Being accountable over  staying comfortable; Listening  over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview

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.

Main duties of the job

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.

Working for our organisation

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:

  1. 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
  2. Widening access (anchor institution) and employability
  3. Improving the experience of staff with disability
  4. Improving the EDI literacy and confidence of trust staff through training and development
  5. Making equalities mainstream

Detailed job description and main responsibilities

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.

Person specification

Education, Registration, Qualifications

Essential criteria
  • NMC registered Nurse / Other allied health care professional (HCPC)
  • Degree in relevant health subject
  • Post-registration qualification in autonomous / specialist / advanced assessment practice
  • ILS or ALS
  • Teaching / assessment / Mentorship Qualification
Desirable criteria
  • Teaching / assessment / Mentorship Qualification
  • Accredited autonomous practitioner qualification
  • Master’s in advanced practice *
  • ATNC or equivalent*
  • Leadership qualification*

Skills, Knowledge and Ability

Essential criteria
  • Advanced clinical assessment and documentation skills
  • Evidence of radiology requesting
  • Fundamental emergency skills (such as plastering, cannulation, wound closure etc)
  • Critical decision-making skills
  • Medicines Management: Experience at working with Patient Group Directives (PGDs)
  • Experience of appraisals
Desirable criteria
  • Autonomous clinical assessment skills
  • Competence in radiology requesting and interpretation
  • Clinical Audit and interest in research
  • Knowledge of pathophysiology and clinical diagnostics*
  • Research skills*
  • Publication*

Personal Qualities

Essential criteria
  • Evidence of multi-disciplinary-team working
Desirable criteria
  • Demonstrate commitment to support national, Trust and SDEC/ED strategies and objectives for emergency care

Experience

Essential criteria
  • Significant acute care experience (5 years, as defined by the Royal College of Emergency medicine)
  • Teaching and assessment experience in clinical practice
  • Experience of leadership experience
Desirable criteria
  • Minimum 6 years acute care experience
  • Minimum of 1 year’s-experience at trainee level or in an autonomous practitioner role
  • Experience of service / practice development*
  • Experience in a range of acute care settings*

Employer certification / accreditation badges

Trust IDCapital Nurse, LondonVeteran AwareApprenticeships logoTimewise helps businesses to attract and develop the best talent through flexible working.No smoking policyLondon Living Wage is a voluntary commitment made by employers, who can become accredited with the Living Wage FoundationAge positiveDisability confident leaderArmed Forces Covenant (Silver Award)We offer Wagestream - A financial wellbeing benefit which lets you access your pay as you earn it.NHS Rainbow badgePrince's Trust - Proud to support the Prince's trust - Youth can do itStep into healthHappy to Talk Flexible WorkingArmed Forces Covenant

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.

Documents to download

Apply online now

Further details / informal visits contact

Name
Cathy Francis
Job title
Clinical Service Manager
Email address
[email protected]
Telephone number
02088365805
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