The Role of the Advanced Clinical Practitioner. Sarah Henry Trainee Advanced Clinical Practitioner Harrogate and District NHS Foundation Trust

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2 The Role of the Advanced Clinical Practitioner Sarah Henry Trainee Advanced Clinical Practitioner Harrogate and District NHS Foundation Trust

3 Overview What is an ACP? Why do we need ACP s? About Me Trainee ACP Competencies Training Role Qualified ACP Questions

4 Introduction What is an Advanced Clinical Practitioner (ACP)? An ACP is a professional who has acquired the expert knowledge base, complex decision making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or country in which s/he is credentialed to practice. A Masters degree is essential for entry level.

5 Pillars of Advanced Practice Clinical Skills Education Research Leadership and collaborative working

6 Why do we need ACP s? Service drivers for change: Five Year Forward View New Care Models 7 Day Working Urgent & Emergency Care Service Development Sustainability and Transformation Plans

7 Calderdale Framework scoping project at HDFT identified drivers for change: Increased pressure on Acute Services Developments in treatment Changing disease nature Increasingly ageing population Increased levels of expectations from patients and carers

8 Alan

9 Trainee ACP Fast track MSc Advanced Practice Clinical Competencies 6 months supernumary

10 Yorkshire & Humber SHA Advanced Practitioner Competencies. Improving the quality of health outcomes Synthesise and critically evaluate information from diverse sources to make informed judgements about the quality of practice. Challenge the effectiveness of therapeutic programmes and associated risk and reflect upon their impact. Continuously assess and monitor risk in their own and others practice and challenge others about wider risk factors. Evaluation and research Critically appraise and synthesise the outcomes of relevant research, evaluation and audits and apply them to improve practice and alert appropriate individuals and organisations to the evidence base.

11 Yorkshire & Humber SHA Advanced Practitioner Competencies. Leading and developing practice Proactively lead and develop practice through negotiation, collaboration in partnership with service users and carers to generate new solutions to improve practice and health outcomes. Developing self and others Analyse the accountability issues and complex decision making processes in care delivery. Proactively develop and improve own competence in structured ways through lifelong learning.

12 Yorkshire & Humber SHA Advanced Practitioner Competencies. Working across professional and organisational boundaries Develop and sustain appropriate relationships, partnerships and networks to influence and ensure best outcomes for the patient/client interventions. Challenge professional and organisational boundaries by working in collaboration to provide seamless care and improve health outcomes in the interests of individuals, groups and communities. Critically evaluate the knowledge and skills required for advanced practice across organisational and professional boundaries.

13 Yorkshire & Humber SHA Advanced Practitioner Competencies. Innovation and changing practice Enhance practice and health outcomes by taking into account international, national and local policies and professional responsibilities in managing and facilitating change. Influence the wider development of their practice through publicising and disseminating their development in the interests of service users and carers

14 The Training Role AMU Ambulatory Care Clinic Assessment of patients Treatment of patients Management of patients Clinical Skills Independent Non-Medical Prescribing

15 The Future: Qualified ACP NOT on Junior doctors rota Medical Registrar in hours Patient assessment Patient Triage Sick patient assessment Core clinical Skills Facilitate education and learning Research

16 Any questions?