Advanced Clinical Practitioner - Orthopaedics

We are looking for qualified Advanced Clinical Practitioners to join our Orthopaedics team in Planned Care.
We are very excited to be expanding our Advanced Clinical Practitioner workforce in our high achieving and friendly Trauma and Orthopaedics team. We are looking for a qualified ACP, who is looking for a new challenge and will be focused on the care of elective orthopaedics patients, both in the inpatient and outpatient settings.
With support of the senior medical team, the ACP is accountable for independent clinical assessment, diagnosis and treatment of patients with undiagnosed and undifferentiated conditions. In addition to this the ACP is also responsible for appropriately referring patients to relevant specialties for any necessary inpatient or outpatient investigations as well as facilitating safe patient discharge., The post holder will have a Trust-wide responsibility to promote clinical excellence in the care of patients presenting to their area by providing clinical advice and support to nursing staff and other health care professionals. They will provide expert professional and independent clinical care which enables the coordination of a multi professional seamless service for patients.
The role will include developing and supporting audit and research projects and participating in up-dating and implementing departmental policies, protocols and guidelines, in line with national guidance and contemporary evidence.
The ACP will have protected time to maintain and further develop their professional competence ensuring they are working on all 4 pillars. They will have annual appraisal/PDR from medical and nursing/AHP supervisors. The ACP will also provide ongoing supervision and support, participating in the induction and training of nursing and medical staff. As a senior member of the team, the ACP will also play a pivotal role in the operational development of their specialty. They will initiate, manage and drive change within the department, innovating changes in practice for the benefit of patient care in line with current trust and local programs.
The ACP will undertake the role in accordance with Trust and Departmental guidelines but have freedom to act within broad policies and protocols, in accordance with professional responsibilities and boundaries., + Uses highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the specialty with complex undifferentiated or undefined presentations.
+ Undertakes physical examination as indicated by the patient's condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required.
+ Performs clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, including (but not limited to) catheterisation, cannulation, peripheral arterial blood gas sampling.
+ Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations and as local policy allows.
+ Analyses multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgements and evaluating care provided; presenting this information, to speciality /senior medical staff for advice when scope of practice is exceeded.
+ Autonomously formulates appropriate management plans for patients, formulates clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission or discharge.
+ Continuously revaluates findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly.
+ Prioritises health problems and intervenes appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation.
+ Manages clinical events involving patients, often requiring unpredictable and high levels of mental and/or physical effort according to the patient's dependency and clinical need.
+ Provides clinical cover to the specialty wards according to patient and staffing needs.
+ Prescribes and reviews medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the role's scope of practice and legal framework.
+ Integrates both pharmacological and non-pharmacological treatment in patient care/management plans
+ Assesses patients with mental health needs using local policy and guidelines and refers to the appropriate services
+ Communicates effectively with patients, carers, colleagues and others using appropriate communication styles. Anticipates barriers to communication and ensures patients and significant others are kept fully informed and consent to treatment.
+ Acts as a resource for staff, advising on local, national and Trust policy, procedures and guidelines ensuring patient safety and clinical governance.
Clinical Leadership
+ Works in partnership with the existing senior medical, nursing and AHP teams in driving departmental development and change.
+ Manages conflicting views and liaises between groups where there may be conflict.
+ Highlights and addresses areas of witnessed poor practice and manages the situation appropriately.
+ Manages staff performance, training and supervision of trainee ACPs including annual appraisals.
+ Supports staff development to maximise their potential, encouraging everyone to learn from each other and from external good practice.
+ Supports patients, carers and staff during difficult situations arising in the clinical area e.g. breaking bad news or following an unexpected event
+ Produces accurate and complete documentation and patient records consistent with legislation, policies and procedures.
+ Possesses excellent time management and personal organisation skills.
+ Acts as a knowledge resource in how to initiate and manage the impact of change.
+ Develops and contributes to local guidelines, interpreting and adapting national protocols and standards to enhance patient care and safety.
+ Maintains awareness of budgetary constraints within the department, manages resources appropriately and encourages others to do likewise.
+ Ensures appropriate representation and participation in departmental meetings as appropriate for role.
+ Actively contributes and provides leadership with service development plans within the directorate.
+ Ensures optimization of preoperative investigations, ensure all appropriate imaging has been requested and updated in a timely manner.
+ Ensures optimal care is delivered for patients while in hospital and co-ordinates efficient discharge and postoperative care.
+ Reviews patients in clinic postoperatively and acts upon or escalates, concerning findings., + Takes responsibility for their own learning and performance including the participation in clinical supervision and maintaining an awareness of relevant research evidence.
+ Develops health promotion and education in conjunction with other health care professionals ensuring that all patient care within the multi-disciplinary team is based on research and best practice.
+ Acts as a constant source of clinical and theoretical knowledge for all grades and disciplines of staff as well as patients and their significant others, providing support and clinical advice in specialist areas, based on evidenced based research.
+ Possesses proficient typing, IT and computer skills. Uses audio/visual equipment to record and impart information and research.
+ Prepares and delivers presentations and participates in workshops on a local, regional and national level, to ensure the communication of good practice.
+ Works with the MDT to further develop appropriate clinical pathways and care approaches. Disseminates their own learning and good practice to other team members.
+ Designs, coordinates and undertakes collaborative audit, research and development into the specialty and related practices.
+ Plans, delivers and implements programmes of education and training for trainee ACP's, nurses, medical and other disciplines and continues to be involved in their ongoing support.
+ Supports the Trust's research and development plans with special focus in Enhanced Recovery After Surgery
+ Ensures PROMS data have been submitted in a timely manner and drives changes accordingly

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites-Chelsea and Westminster Hospital and West Middlesex University Hospital-along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.
We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.
The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

+ Please check your emails regularly as this is how we will communicate with you throughout the recruitment process.
+ If you have not heard from us within 3 weeks after the closing date, we regret that this usually means your application was not successful.
+ In submitting an application, you authorise the Trust to confirm any previous NHS service details via the Inter Authority Transfer (IAT) process, should you be appointed to the post.
+ During the recruitment process your identity documentation (ie passport, driving licence, visa etc) will be scanned using a device which recognises UV, infrared and machine-readable zone security features of the documents provided.
+ Employment at the Trust is offered subject to successful completion of a six month probationary period.