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Becoming a trainee advanced clinical practitoner - Darran Miller
1. My Journey into becoming a Trainee
Advanced Clinical Practitioner
(ACP)
Darran Miller
Harrogate District Hospital
2. Aims
• What is an Advanced Clinical Practitioner?
• What positives do the ACP roles bring to an NHS
setting?
• What led me to apply for and become successful
in gaining this role?
• Why physiotherapists should be applying for
these roles?
3. What is an Advanced
Clinical Practitioner?
(ACP)
4.
5. In all seriousness….
• HIGHLY SKILLED health care professionals
• Well established core competencies
• Essentially we are being trained to become a
hybrid between an AHP and a doctor
6. What positives do the ACP roles bring
to an NHS setting?
• ↑ Patient & staff satisfaction
• ↓ Length of stay
• ↑ Patient care
• ↓ Costs
• ↑ Efficiency of services – waiting times
(Shapiro 2009, Neville and Swift 2012, Millar et al 2009, Skills for Health 2012)
7. Why me?
• Qualified in 2004 and reached a band 6 at 18/12
• Completed junior rotations - MSK physio
• London to the North – career stagnated
• Despite ambition the job opportunities weren’t
available and I hit my glass ceiling early on
8. Ambition & Drive
• Avid sports fan
• Exciting and dynamic atmosphere
• Keep progressing
• External courses
9.
10.
11. What made me want to apply?
• Drew upon parallels with my existing skill set
• excellent clinical reasoning skills
• highly skilled
• Drew upon my love of developing and learning
• A&E exciting environment
13. What the training post involves?
• 2 years on the ground, hands on and an MSc
in Advanced Clinical Practice
• Completing a portfolio (Clinical Supervision
Framework)
• Unpredictable environment
• I am supernumerary
14. Where will the role lead me?
• Independent ACP in A&E
• Assessing, diagnosing and managing patients appropriately
• Managing acute ill patient
• Independent prescriber
• Multitude of clinical skills
• MSc
• 8a post + future opportunities…
15.
16. Challenges
• Heavy workload
• Initially felt a bit useless
• Initial resistance from drs
• Nurses who already have a solid foundation of clinical skills e.g.
ECG’s, ABG taking etc..
• Remember old rotational skills
• Having to identify courses that I needed to undertake
• Time managment
17. Why you should apply as an AHP
• So few ACPs are AHPs
• 2 AHP out of 7 HDFT
• 1 AHP out of ? 12York
• 8% applicants at HDFT AHP
• 3% of AHP’s applicants considered
• You ALL have the skill set – DO NOT hesitate to
apply
18. Coming to a place near you….
• HDFT
– Community
– New roles…?
• Other organisations
Good afternoon everyone. My name is Darran Miller and I am here to talk to you today about my journey to becoming an advanced clinical practitioner.
During the course of this presentation, I will tell you what an Advanced Clinical Practitioner is, the positives of the role for the NHS, why I applied for an ACP role and why we should be encouraging AHPs to apply for these roles.
So firstly, what is an ACP?
My most favourite interpretation of what an ACP is, was recently described by one of the consultants in our A&E department when he described us as….
I guess there are worst things to be called!
In all seriousness, ACPS are highly skilled health care professionals
We all have our core competencies which we are excellent at in our original field of practice in my case physiotherapy.
We have a strong foundation of knowledge that is now able to be built upon to mould us in a hybrid between an AHP and a Doctor
Before I get into the hows and whys and what the training involves, I firstly want to share the positives of an ACP role in an NHS setting.
Then go through the slide.
Obviously it would be my
Charm
Wit
Intelligence
Good looks
My obvious cheekiness!
Why me - Background
Qualified in 2004 and reached a band 6 at 18/12
Completed junior rotations + then became an MSK physio
I moved from a busy London hospital to the North where it would seem advancements in career are less achievable
Despite ambition the job opportunities weren’t available and I hit my glass ceiling early on
Outside of my role in a hospital setting, I am an avid sports fan and have continued utilising my physio skills in a different setting – at the side of a pitch (PICTURE)
The environment of the sporting world is an exciting and dynamic atmosphere and I constantly enjoyed the continual learning
I took an opportunity to attend funded courses and self funded part my self, but still no opportunity arose
Working within sport, I became trauma trained and undertook a Sports Physiotherapy masters funded by myself so I could keep evolving and learning so I felt I was progressing. I feel my experience within these various clubs and arenas have all furthered my skill set along with my years of MSK NHS work and additional courses.
Here are some of the clubs and medical arenas I have worked for. Includuing west ham united football and HEMs – going out in the doctor cars in my own time as I enjoyed trauma medicine so much
Drew upon parallels with my existing skill set
excellent clinical reasoning skills
highly skilled
Drew upon my love of developing and learning
Honestly the thought of working in A&E was exciting having had a taste of emergency medicine in London and on the field of play
Went to speak to the lead to see if it really was something I was capable of doing
I met the integral managers
I tried to put myself across in a positive light before the interview process
I got an Interview – all day and a bit gruelling!!! Maths test….live patient…. = whole day
I have gotten to this point in my presentation where I am sure you are itching to know…
First point followed by - Much to my wife’s dismay as one Masters finished another one started with the ACP role!
Completing a portfolio (Clinical Supervision Framework)
Working in an unpredictable environment where no two days are the same
At present I am supernumerary (so I can practice my newly acquired skills without impacting on patient care)
History taking + Teaching skills
Challenges
Heavy workload – volume of study can be overwhelming (18 months only)
Initially felt a bit useless
Met with some initial resistance from Doctors + doctor hierarchy
Working with nurses who already have a solid foundation of clinical skills such as ABGs, catheterisation, vennepuncture etc
Remember old rotational skills (not easy when your grey matter is 34 years old!)
Having to identify courses that I needed to undertake
Time managment
We/you all have the necessary skill set to do these roles and we should be competing for these roles
Hopefully you will be like I was and excited at the prospect of ACP roles and will be applying for the next set of roles coming up
HDFT
Vanguard Project
Within organisation
Awaiting outcome of business meetings
I often feel like that, but I am learning and enjoying the ride –
As someone very close to me very oftern you wont get we
