Advanced Clinical Practitioners enhance A&E service
24 January 2019
The Emergency Department at Southend University Hospital has welcomed the support from a team of Advanced Clinical Practitioners (ACPs).
ACPs come from a range of professional backgrounds such as
nursing, pharmacy, paramedics and occupational therapy. They are
healthcare professionals educated to Masters level and have
developed the skills and knowledge to allow them to take on
expanded roles and scope of practice caring for patients.
The team at Southend consists of Sam Elden-Lee (Senior ACP),
former nurse Marc Brant and former paramedic Ashley Reed (both
trainee ACPs). The team enhance capacity and capability within the
Emergency Department by supporting existing and more established
roles. They help to improve clinical continuity, provide more
patient-focused care, enhance the multi-professional team and help
to provide safe, accessible and high quality care for patients.
Sam said: "As nurses and paramedics we tend to look at things
from a slightly difference approach and we see the bigger picture
rather than just focussing on the medical condition. We are
actually looking at the patients' wellbeing, the environment and
what's going on around them, what's the right thing for them rather
than just being condition focussed - it's very much - because of
our backgrounds - a more holistic approach."
ACPs are also providing some stability and continuity to the
Emergency Department workforce as Marc explains: "We've got a lot
of experience in RAT in Majors and I think we will take our
experience of that into the new area. With new junior staff,
we can show them the ropes quite quickly and make that environment
work as best as it can."
Ashley added: "We are comparable to doctors and we do the same
sort of job and we see the same amount of patients but we are here
to enhance the team, bringing a different range of skills in to
make the service better. We see everything from paediatrics minor
illness and injury, resuscitation, major illness, injury - the full
remit the same as doctors do."
Consultant Dr Caroline Howard, Clinical Director for Emergency
Directorate and Medicine Directorate at Southend University
Hospital, said: "The ACP team have been a very positive addition to
the ED workforce and something we plan to expand in the future.
They bring a wealth of experience with them from their previous
other roles and are eager to learn and improve patient care. The
Royal College of Emergency medicine runs a detailed accreditation
programme so we can be assured they have all the knowledge and
skills to work in the department, the same as a doctor having gone
through a training programme. I think they are fantastic."
PICTURED (l-r): Ashley Reed, Sam Elden-Lee, Marc
ACPs can be identified by their scrubs - the trainees
wear the same as F2s and Sam wears the same as ST3s.