Advanced Clinical Practitioner (ACP)

The Advanced Clinical Practitioner will provide autonomous clinical care across NEMS urgent care services. The role is designed to provide a true mix of telephone and face-to-face consultations, supporting patients across Integrated Urgent Care Services, urgent treatment centres and other agreed service models.

The post holder will be an experienced registered clinician, able to assess, diagnose, treat, refer and discharge patients with undifferentiated urgent care presentations. They will work within their professional registration, agreed scope of practice, NEMS policies and local clinical pathways.

Telephone consultations will usually be undertaken within Integrated Urgent Care Services. Following induction, and where agreed by the service, some telephone consultation work may be undertaken remotely from home, provided that the post holder is meeting agreed KPIs, quality standards, governance requirements and information governance expectations.

Face-to-face work will include assessment and management of patients presenting to NEMS urgent treatment services. The post holder will be expected to recognise serious illness, clinical deterioration, safeguarding concerns, mental health risk and presentations requiring escalation or transfer to another service.

Main duties of the job

Clinical Practice and Service Delivery

Work as an autonomous Advanced Clinical Practitioner across NEMS urgent care services, providing both telephone and face-to-face consultations.

Assess, examine, diagnose, treat and safely discharge or refer patients with undifferentiated urgent care presentations.

Make safe decisions around admission, transfer, referral, follow-up and safety-netting, working within professional competence and agreed local pathways.

Recognise and act on serious illness, clinical deterioration, safeguarding concerns, mental health risk and presentations that require escalation to another service.

Request and interpret appropriate investigations, including blood tests, urine tests, ECGs and imaging, in line with local policy, competence and relevant regulations.

Prescribe, review and advise on medicines where qualified to do so, or use agreed local medicines mechanisms within scope.

Maintain clear, accurate and timely clinical records, including assessment findings, clinical reasoning, advice given, decisions made and onward plans., 2. Clinical Assessment and Care Navigation
3. Support to Primary Care including General Practice Out-of-Hours and Urgent Treatment Centres
4. Outbreak Management

The Board of Directors comprises non-executive Member directors and executive directors and is responsible for overall strategy and governance of the organisation. The Board of Directors is supported by two sub-committees Quality and People Committee and Finance and Performance Committee. An Operational Executive Team, comprising Executive Board Directors, together with other senior leaders, is being established to oversee the smooth running of the day-to-day activities of NEMS.

NEMS Community Benefit Services (NEMS) is a not-for-profit social enterprise and a Company Limited by Guarantee. It has been operating in Nottinghamshire for over 25 years, now providing a population of more than 1.2 million with urgent primary health care services. It operates out of 2 registered locations and four bases and deploys a team of more than 370 healthcare professionals, including 150+ sessional GPs, 90+ substantive staff, 30+ agency workers, and 140+ non-healthcare staff.

NEMS provides services to a population of circa 1.2 million under the following service portfolio headings