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Clinical

Practice in compliance with their respective professional bodies (NMC) Code of Professional Conduct being responsible and accountable for their decisions, actions, or omissions.

Be able to demonstrate a critical understanding of their broadened level of responsibility and autonomy. This includes being critically aware of their limits of their own competence, including when working with complexity, uncertainty and incomplete information.

Independently prioritise, organise and manage a highly complex patient caseload.

Demonstrate a high degree of proficiency and clinical acumen in relation to decision making skills, to inform clinical reasoning approaches when dealing with differentiated and undifferentiated presentations and complex situations; synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses, treating, discharging, referring to alternative specialities or escalating cares as required.

Use own professional judgement to manage risk appropriately, prioritising the safety and wellbeing of individuals, families and carers.

To deliver an advanced level of clinical practice within the field of Critical Care Outreach and Hospital Out of Hours (HOOH) services as part of the 24/7 team. This autonomous role will exercise independent judgement to assess, investigate, plan, implement and evaluate clinical care of the deteriorating patient.

Commit to a culture of life-long learning, maintaining a professional portfolio of evidence relating to scope of practice, service specific capabilities and competencies, relevant to the role’s clinical setting, in line with National Outreach Forum (NOrF) Critical Care Outreach curriculum frameworks or credentials (including with HEE or equivalent) to be evidenced during personal development plan / appraisal.

Leadership

Promote team working, build rapport and collaborative working practices within the multidisciplinary team. Liaise with inter-hospital departments and personnel across organisational and professional boundaries ensuring effective communication with other disciplines and organisations.

Provide highly visible and accessible professional leadership and demonstrate expert knowledge and standards of clinical practice.

Act with integrity applying sound personal judgement in all interactions. Encouraging teamwork, co- operation, supporting both junior colleagues and or peers in their growth and development.

Recognise and initiate appropriate action when own and others behaviours / practices is not acceptable and or in line with organisational CARE values. Deliver feedback that is positive and constructive, approaching unacceptable behaviours, errors / mistakes as opportunities to learn and develop from.

Act as a role model demonstrating high standards of holistic care. Actively support the development of clinical leadership across the Trust.

Actively participate and or facilitates the clinical supervision and wellbeing support of peers, trainee ACP/ANPs, and other members of the MDT or students as required within services.

Support team members from a managerial perspective including direct line management responsibilities (where required), such as supporting wellbeing, team member professional development, appraisals and conduct or performance management, or absence management and support (department specific).

Education

Develop a culture of organisational learning to inspire future and existing staff. Act as a role model, educator, supervisor, coach and or mentor, seeking to instil and develop the confidence in others.

Actively participate in departmental & Advanced Clinical Practice Grand Round to promote multi- professional and disciplinary learning.

Supporting the wider team to build capacity and capability through work-based and inter-professional learning, and the application of learning to practice.

Critically assess and address own CPD learning needs as an established ANP/ACP, working to a personal development plan that reflects the breadth of professional development across the four pillars of advanced clinical practice, relevant to own clinical service.

Delivers education for trainees, peers, external courses, conferences, or via HEIs, within own scope of capability and competence; utilising teaching skills to facilitate education and learning through a variety of methods (face to face /virtual / lectures / simulations / publications etc) and seeking to instil confidence in others and share best practices.

Engage with, appraise and respond to individuals’ motivation, development stage and capacity, working collaboratively to support health literary and empower individuals to participate in decisions about their care and to maximise their health and well-being.

Research

Develop a “knowledge rich enquire culture” where research values are promoted and encouraged.

Identify gaps in own knowledge or evidence bases, explores how these may be addressed via safe and pragmatic solutions, seeking to understand needs for further research to strengthen evidence.

Evaluate and audit own clinical practice, selecting and applying valid, reliable methods, then sharing and acting on the findings as appropriate with support as required, measuring value and impact of their Advanced Nurse (Clinical) Practice role.

Critically appraise and synthesise the outcome of new and or relevant research, using the results to underpin own practice and to inform that of others.

Take a critical approach to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and the organisation to these and how they might be addressed in a safe and pragmatic way.

Actively engage in research activities, upholding good research practice guidelines, in order to develop evidence-based strategies that can be applied to enhance quality, safety, productivity, value or wellbeing. This includes being involved as an educator, recruiter, investigator, and/or developing bids to apply for research funding.