{
  "abstract": "Introduction The role of the Advanced Clinical Practitioner (ACP) is becoming more frequent, particularly at Sheffield Children’s Hospital NHS Foundation Trust where new roles have been developed in Haematology/Oncology, PICU, surgery and ophthalmology.The role of the ACP in gastroenterology is the first of its kind at SCH and has been in development for nearly 2 years, commencing in January 2022. Although these types of roles can offer a wide scope of practice, it is important to recognise the difficulties establishing and developing them, however once done can lead to enhanced patient care, ability to progress the speciality and offer role fulfilment.Early Stages of the RoleAt the beginning of this role there were no defined objectives, job plan or targeted training – which led to confusion between the ACP and other members of the team. This resulted in a difficult introduction period followed by a pressurised clinical workload which continued for 4 months until it was no longer sustainable and clearly not working in its current format. Therefore, changes were made moving forward;Abstract OC37 Table 1 Changes made to role after review: Specific study days (conferences, study days related to area of practice, clinical skills training) Allocated clinic and theatre time (discussion about running ACP led clinic, possible endoscopy practice in future) More active responsibility in the team (prescribing is a big element of this, particularly homecare prescriptions due to staff unavailability) Research involvement and audits (cross centre study completed, ongoing research project involvement) Education (conference posters, participating in departmental teaching sessions, teaching junior members of staff) Ideas for future role development: ACP follow up clinic for discharges post-acute admission; to promote and ensure continued progress of health for patients following difficult inpatient stay. Work more closely with organisations such as BSPGHAN to create ACP working group and deliver targeted training and learning pathways. Continue research projects, especially leading on a research question of personal interest. Upper GI endoscopy; aiming to achieve competencies in upper GI endoscopy and assist other specialities in procedures or lead own list (currently ongoing) Develop more specialty specific practice to make the role more unique, for example wireless capsule reading, PH impedance studies and reading of results. Conclusion Over a further 12 months the role successfully developed into something beneficial for the ACP and the service. Ensuring continual development is now a central focus as retrospectively more emphasis and a targeted induction/teaching/role development package would have been beneficial, with its importance being demonstrated in the early days however due to this being a new role there was a constant learning curve.Once recognised and acted upon the role flourished and the ACP is considered an integral part of the team and positively involved in different aspects of the service.",
  "authors": [
    {
      "affiliations": [
        "Sheffield Children’s Hospital NHS Foundation Trust"
      ],
      "name": "Shaun Emmitt"
    }
  ],
  "title": "OC37 Developing the advanced clinical practitioner role in paediatric gastroenterology",
  "uid": "3cb45e57-59e7-5150-a05d-d55fda428365"
}