Advanced Clinical Practitioner

As our Clinical Streaming Hub and Integrated Urgent Community Care Teams continue to evolve and grow, we are seeking motivated, autonomous ACPs who thrive on clinical challenge, complex decision-making, and system-wide working., This is not a traditional community ACP post. You will make autonomous, high-level clinical decisions within your scope of practice, confidently managing risk to keep patients safely at home wherever appropriate. This role spans:

• Hospital at Home & Digital Ward - clinical responsibility for patients safely managed at home
• Urgent Outreach/ Crisis Response - undertaking assessments in patients' homes, care homes and community settings
• Clinical Streaming & ED Interface - working with acute physicians and ED teams to safely redirect and manage patients
• Ambulance Triage & Avoidance - identifying patients suitable for community-based assessment to prevent unnecessary conveyance, Undertake complex clinical decision-making across community, intermediate and acute care interfaces.
• Deliver care within the Clinical Streaming Hub, Hospital at Home, Digital Ward, Urgent Outreach/Crisis Response and associated urgent care services.
• Assess and manage patients within their own homes, care homes, community settings,clinical environments.
• Identify patients suitable for admission avoidance pathways and safely support care closer to home.
• Work collaboratively with Primary Care, ED, Acute Medicine, Welsh Ambulance Services, community teams to ensure patients receive care in the right place and time.
• Provide senior clinical advice, leadership and support to multidisciplinary colleagues.
• Contribute to service development, pathway redesign, quality improvement and innovation initiatives.
• Support education, supervision and professional development of colleagues and learners.
• Maintain advanced clinical competence, professional registration and prescribing practice in line with national and local requirements
  
  We are seeking ACPs who are:
• Confident autonomous practitioners
• Experienced in complex decision-making
• Comfortable working with clinical risk
• Energised by service development/ innovation
• Motivated to shape new ways of delivering urgent care
• Passionate about admission avoidance and improving patient flow
A prescribing qualification (or commitment to obtain) is essential in line with the attached JD.

Hywel Dda University Health Board is the planner and provider of NHS healthcare services for people in Carmarthenshire, Ceredigion,Pembrokeshireand its bordering counties. Our 13,000 members of staff provide primary, community, in-hospital, mentalhealthand learning disabilities services to almost 400,000 people across a quarter of the landmass of Wales. We do this in partnership with our three local authorities and public, private and third sector colleagues, including our volunteers, through

Four main hospitals:BronglaisGeneral in Aberystwyth,GlangwiliGeneral in Carmarthen, Prince Philip in Llanelli andWithybushGeneral in Haverfordwest. Five community hospitals: Amman Valley Hospital and Llandovery Hospital in Carmarthenshire, Tregaron Hospital in Ceredigion and Tenby and South Pembrokeshire Hospital Health and Social Care Resource Centre in Pembrokeshire. Two integrated care centres (Aberaeron and Cardigan, Ceredigion). Community facilities,including: 48 General Practices (GP surgeries), 49 Dental Practices, 98 Community Pharmacies (chemists), 44 General Ophthalmic Practices (including eye health and low vision services), 38 sites providing mental health and learning disability services, care within your own homes. Highly specialised and tertiary services commissioned by the Welsh Health Specialised Services Committee, a joint committeerepresentingseven health boards across Wales.