As part of Advanced Practice Week (10-16 November 2019) we’re highlighting the work Advanced Practitioners do in leading the delivery of care for patients and service uses by managing that care independently. Selecting, undertaking or requesting a range of appropriate investigations, clinical tests and or assessments to aid in the formulation of a diagnosis and then initiating and evaluating a range of interventions which leads to analysing, interpreting and acting on results to formulate a plan of care.
Advanced Clinical Practice is delivered by experienced registered healthcare practitioners that are able to manage episodes of clinical care independently, providing care and treatment from beginning to end, which may include admission avoidance through management at home and where appropriate, admission referral. Practitioners have a high level of autonomy and complex decision making with experience that is underpinned by a Masters level award, or equivalent, that encompasses the four pillars of clinical practice, management and leadership, education and research, with demonstration of core and area specific clinical competence.
For our patients and service users, Advanced Clinical Practice embodies the ability to manage complete clinical care in partnership with patients and carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance patient experience and improve outcomes.
Patients can have multiple complex issues, physical, mental health and social care issues combined. The Advanced Practitioner considers all issues in combination and works with the wider multidisciplinary team to ensure the care delivery is as seamless and organised as possible.
Throughout the organisation we have 140 Advanced Clinical Practitioners delivering this level of care within each service area.
Advanced practitioners are working across all divisions:
Career development - within ICRAS there are five trainees who are enrolled on a university programme funded by Health Education England. Each trainee has 15 hours formal education at the university with the remaining hours taken up in clinical practice. Trainees are made up of nurses and allied health professionals, which is a first for Mersey Care as historically this was dominated by nursing staff.
To support the trainees within the Urgent and Intermediate Care service a unique programme of rotation has been developed in partnership with acute care providers. The trainees spend three months in different locations to support their education and training whilst completing an MSc education programme. This ensures that each trainee has maximum exposure to a range of clinical experiences. Placements include frailty and emergency departments in addition to the community setting.
Mersey Care is in the process of developing a strategy in relation to Advanced Practice. This will provide a strategic approach to Advanced Clinical Practice together with a competency framework that will allow practitioners to measure and evidence their skills, knowledge and service provision. The strategy will support the education and training of Advanced Practitioners within the career pathway.
This week we are holding our third ACP forum, which is an educational and supervision forum for Advanced Practitioners if you wish to attend you can email Tracy.Hutson@merseycare.nhs.uk. You can also follow messages about Advanced Practitioner Week on Twitter using the hashtag #AdvPractWeek2019
Another first for Advanced Practice is our Spotlight Conference on the 14 November at Liverpool John Moores University - there are limited spaces available. Click the link below to find out more and book a place.