Trainee Advanced Clinical Practitioner (Band 7)

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DUTIES AND RESPONSIBILITIES

The post holder will be an experienced registered health or social care practitioner qualified to at least Level 6 Degree in a relevant specialty area or equivalent.  Individual training needs will be met by undertaking a master’s in advanced practice and completing a clinical portfolio, relevant to the specialty area, to achieve the level of competence and capability required for the post.  They will be expected to gain accreditation and obtain a digital badge with National Health Service England (NHSE) via The Centre for Advancing Practice.   

The post holder will act as a role model to develop the knowledge to deliver advanced practice skills within their area, promoting patient centred clinical effectiveness in care, developing the skills to work autonomously in delivering independent assessment of undiagnosed presentations. This will include developing the skills to perform clinical examination, diagnosis, clinical decision making and planning of care and treatment, diagnosis, prescribing, health promotion and safe discharge of patients as required for the role. The post holder will work closely with all members of the multidisciplinary team to develop the skills to play an integral role in the operational/strategic leadership and development of the service.  
 
The Trainee Advanced Practitioner is service driven and will be developing skills during their training across the four pillars of advanced practice as outlined in the multi-professional framework for Advanced Practice in England (2025); clinical practice; leadership and management; education and training; research, quality improvement and service development.

Communication

•    Produce accurate and complete documentation and patient records consistent with legislation, policies, and procedures. These should develop to demonstrate the use of expertise in decision making skill which have informed advanced clinical reasoning.
•    Communicate effectively, often about complex, sensitive and potentially distressing information – such as prognostic indication for poor clinical outcome based on diagnostic markers, or on multi-professional case reviews. 
•    Anticipate barriers to communication and establish methods of overcoming these, ensuring patients and significant others are kept fully informed and consent to treatment is maintained.

Knowledge Training and Experience
 
•    The post holder will develop highly specialist knowledge through the MSc Advanced Practice apprenticeship program. This will be underpinned by theoretical knowledge and extensive relevant practical experience, acquired through a combination of in-depth experience and postgraduate post-registration study, such as that obtained through a master’s degree. They will have significant formal training in, or experience with their clinical specialty.
•    They will maintain and develop this expertise and competence to enable collaboration with senior colleagues and medical staff, and to facilitate the management of patients.
•    Develop the knowledge, skills, and experience to allow them to act as an expert resource and provide advice and support to ward/departmental areas and to The Christie’s local, and regional partners.
•    The post holder will practice in compliance with relevant code of professional conduct and maintain professional registration and practice through CPD including maintaining a professional portfolio to demonstrate competency in line with the trust Advanced Practice competency framework to ensure that skills remain optimal and new elements can be added to the skills portfolio and presented at annual appraisal.
•    They will identify their own development needs in line with service requirements and participate in setting a personal development plan. To support this, they will work with a named mentor from within the medical team or a more senior Advanced Practitioner.
•    Through supervision and mentorship identify personal learning needs, participating in personal continuing education and other activities to promote one’s own personal growth across the four pillars.  
•    Develop the skills to interpret and evaluate information from diverse sources to make informed judgements about its quality, appropriateness for practice and service delivery. 
•    Develop and further clinical knowledge and professional skills through relevant training and study. 
•    Identify and support the development and implementation of advanced practice within services. 
•    Assist in maintaining and disseminating knowledge and expertise within their specialist field. 
•    Seize opportunities to apply new knowledge to their own and others practice in structured ways, which are capable of evaluation.
•    Develop the skills to request and interpret appropriate clinical investigations such as radiology and attend IRMER training to enable the formulation of clinical management plans.

Analytical and Judgement Skills

•    The post holder will assess complex facts and situations, using analytical skill, interpretation, and comparison of a range of options using a wide variety of assessment methods. In the clinical management of patients, competing, contradictory or unclear inputs are expected.   Owing to the nature of the post following the whole patient pathway, they may have competing expected outcomes from the patient, the Trust, and other healthcare partners.
•    The post holder will continually review and evaluate their own role and clinical practice informing the annual appraisal review process. They will practice evidence-based health care and by assessing clinical evidence, best practice guidelines and national policy statements will be responsible for defining developing, monitoring, and updating Trust clinical policies in relation to their own area of practice. 

Planning and Organisational Skills

•    Develop as an autonomous practitioner in their specialist field using highly specialist clinical knowledge ensuring patient centred care and family involvement, including health promotion and disease prevention. 
•    Be directly responsible for the management of patients within own caseload under the supervision of an appropriately trained professional. 
•    Develop advanced theoretical and practical knowledge to the clinical care of people, their families and partner agencies involved when delivering and shaping services in line with national guidelines, best practice, and the national personalised care agenda. 
•    Support the development and implementation of advanced practice within services.

Physical Skills and Effort

•    Will be required to examine patients, during and after treatment. 
•    Perform clinical procedures safely according to defined protocols, adhering to manual handling policy.
•    There is a frequent requirement for light physical effort for several short periods during a shift.

Responsibility for Patient Care

•    Practice in compliance with relevant code of professional conduct, delivering and participating in the clinical care of patients within scope of practice; being accountable for decisions, actions, and omissions at this level of practice. 
•    Develop advanced clinical decision making based on complex facts and situations and encourage critical thinking regarding both ethical and legal issues related to high quality care delivery.  
•    Develop and maintain expertise, skills and appropriate competencies in their clinical area ensuring the highest level of precision to ensure patient safety. 
•    Develop the ability to initiate, evaluate and modify a range of interventions which may include equipment, prescribing medicine, care plans, exercise, lifestyle advice, social prescribing, therapies, and self-management in accordance with evidence-based practice and national and local policy and protocols.
•    Understands and applies the legal safeguarding framework that supports the identification of vulnerable and abused adults/children and is aware of statutory vulnerable patients’ health procedures and The Christie NHS Foundation Trust guidance. 
•    Consent patients for treatment procedures in line with Trust policy and role.
•    Prescribe licensed and non-licensed drugs within the capacity of non-medical prescribing, adhering to Trust policy and existing frameworks. 
•    Prescribe appropriate blood products as per Trust policy.

Responsibility for Policy/Service Development

•    Uphold and display The Christie NHS Foundation Trust values.
•    Identifies situations of clinical risk and takes appropriate action to ensure a safe environment for patients/clients/families and staff. 
•    Develop the skills to identify and implement evidence-based practice, new developments, treatments, and technologies into clinical practice. 
•    Implements policies for own work area and proposes policy or service changes which impact beyond own area of activity as mandated by course work to achieve MSc in advanced practice.
•    Develop and sustain appropriate relationships, partnerships, and networks to influence and improve health, outcomes, and healthcare delivery systems.
•    Develop skills in the use of quality improvement methodology to assist in changes in practice and service delivery in accordance with evidence-based standards and policy, challenging traditional boundaries and current thinking; and overcoming resistance and conflict at the Trust, system, and national level. 
•    Work with the senior leadership and advanced practice team to develop service specific pathways and place-based care. .
•    Participate in the recruitment, selection and retention of staff and manage, develop, and support others within the team to support resilience and build confidence in all team members.