Advanced Clinical Practitioner

Job responsibilities

The post holder will have responsibilities in four main areas of work

Clinical Practice

Leadership, ConsultancyManagement

Evidence Based Practice and supporting research initiatives

Education and Development

Clinical Practice

Works as part of the Hospice Palliative Care Team, carrying out a high standard of holistic clinical assessment, determining and providing plans treatmentinterventions advice or support as appropriate

As an independent prescriber prescribes medicines for patients in accordance with local policies national standards and formularies relating to independent prescribing

Undertakes medication reviews with patients and takes a proactive approach in ensuring patients understanding of their medication

Participates fully as part of the 24 hour team as 1st on call accountable to 2nd on call medical consultant to ensure effective co-ordination of care and appropriate and timely responses for patients

When on call on SatSunBH will complete a ward round to assess, reassess and review patients instigating treatment for symptom control and psychological support

Admit patients with reference to 2nd on call at weekends, out of hours as appropriate

Provide a source of expertise to all health care practitioners including undertaking joint assessments as required

Identify clinical issues and incidents within the specialty that may affect the quality of palliative care services raising concerns with the Head or Clinical Services Director of Clinical Services Lead Hospice Doctor or Medical consultant as appropriate to ensure the delivery of safe effective services

Liaise daily with the clinical team and ensure they are briefed on the changing needs of their palliative patients activity

Work as part of the multidisciplinary team to support and identify patients who may require referral to protection services such as adult safeguarding support or deprivation of Liberty assessment and referral

Maintain clinical records in line with hospice and NMC guidance Health and Care Professions Council standards

Use advanced clinical skills and judgment to diagnose plan implement and evaluate the needs for patients with complex palliative symptoms anticipating problems and risks and act before crisis arise

NON-MEDICAL PRESCRIBING

Duties and Responsibilities

Communication & Working Relationships

To maintain effective verbal and written communication with the clinical team and to keep staff informed of changes to prescribing intervention or treatment provided to service-users Following the RPS guidance and using the EPMA system, reporting any changes to the nursing and medical teams and ensuring information is communicated efficiently and effectively in relation to medication safety

Planning and Organisation

• To be aware of the current legislation and prescribing developments that may impact on the delivery of services to service users
• Have a good knowledge of, and apply current Hospice Medicine Controlled Drug and Non-Medical prescribing Policies and associated Standard Operating Procedures

Responsibility for Patient Client Care, Treatment And Therapy

• Comply with the Nursing and Midwifery Council Professional Code of Conduct Royal Pharmaceutical Society Code of Ethics relevant legislation procedures and policies
• To attend and contribute effectively to relevant professional forums minimum of 6 per year
• To review and make changes to prescribed medication, in collaboration with the service-user wherever this is possible
• To prescribe and change medications as clinically appropriate within the scope of the independent practitioners clinical expertise

Responsibility for Finance Equipment And Other Resources

• To contribute to financial governance through knowledge and appropriate resource management of allocated prescribing budget for the service in collaboration with clinical leads and medical colleagues

Responsibility for Supervision Leadership Management

• To develop strategies for continued professional development as a Non-Medical Prescriber, ensuring attendance to the Southwest NMP Forum quarterly meetings

Information Resources and Administrative Duties

• Ensure accurate electronic record keeping and e-prescribing compliance as detailed in Hospice Medicines Management Policy

• Demonstrate leadership behaviours in line with Hospices Leadership Code
• Demonstrate leadership skills when undertaking the clinical assessment process and when planning and delivering care
• Actively promote the rehabilitative and therapeutic approaches of palliative care
• Motivate all staff and others through providing training supervision and mentorship.
• Apply a range of interpersonal skills in response to the different needs of patients families staff and colleagues
• Encourage proactivity, innovation and can-do attitude amongst the MDT demonstrating flexibility within the parameters of hospice policies
• Act as role model accountable for your own professional actions and decisions
• Work with the medical team Heads of Departments Clinical Director and senior clinicians to ensure the development of progressive professional practice

3. Evidenced Based Practice and Quality Improvement.

• Be a learning event facilitator and lead on teaching events to ensure lessons are learned and cascaded throughout the clinical teams
• Be an active participant of clinical audit and quality improvement, working closely with the Ward Mangers and Clinical Governance Team to ensure the delivery of high quality, clinically safe and effective care, which is evidence based in research and audit
• Support quality improvement initiatives participating in projects wherever possible
• Critically evaluate research findings to develop practice
• Represent Cornwall Hospice Care and the work of the hospice at local, regional and national level as required

4. Education and Development

• Meet your own continuous professional development needs and maintain an annual personal development plan detailing hours of CPD learning and reflection
• Maintain professional NMC / Health and Care Professions Council requirements for non-medical prescribing and log these activities on LMS eg yearly updates
• Actively contribute to the delivery of the hospice education programme
• Actively participate in clinical supervision
• Support the learning of medical students and other professionals who come to the hospice on work-based placements

Qualifications

Essential

• Person Specification:
• CriteriaEssential Desirable
• Qualifications
• Current registration on Part 1 of NMC register or AHP HCPCX
• 1st Degree in healthcare related subjectX
• Educated at Masters level in Advance Clinical Practice (or working towards/willingness to undertake)X
• Non-Medical Prescriber (NMP)X
• Advanced Communication Skills Training and ability to confidently have complex or sensitive conversationsX
• Competencies
• Able to demonstrate previous successful ability of working at advanced practice levelX
• Proven track record in management of change.X
• Demonstrable evidence of delivering formal and informal teaching.X
• Evidence of ability to undertake clinical auditX
• Capable and skilled in working independently, able to plan and prioritise with advanced decision-making skills.X
• Management of clinical issues related to Palliative Care.X
• Previously worked within specialist palliative care setting or long term conditions.X
• Skills Knowledge and Attributes
• Excellent communication skills. Multi agency communications. Multi-disciplinary communicationsX
• Comprehensive physical assessment, history taking, diagnostic and clinical decision-making skills.X
• Applied pharmacology and evidence-based prescribingX
• Leadership and team working abilities. X
• Motivational skills both for self and others. X
• Effective IT skills, competence in Microsoft office programmes, including MS Teams. X
• Critical evaluation skills. X
• Clear understanding of clinical governance, specifically related to advanced practice. X
• Awareness and understanding of the systems of palliative care delivery.
• Up to date knowledge of all aspects of Palliative Care. X
• Personal Attributes (Demonstrable)
• Ability to direct and co-ordinate programmes of care working collaboratively and autonomously.X
• Enthusiastic team player.X
• Commitment to equal opportunitiesX
• Ability to work flexibly.X
• Other Relevant Requirements
• Ability to travel across the community to review patients in their homes, in hospital and care homesX
• Available to be on call and work flexibly over a 24/7/365 day per year service as services and patients needs dictate. X
• Ability to manage time, self and own workloadX
• Full clean UK Driving licence and access to vehicle for work purposes, business insurance required X

Desirable

• Graduate/ Post graduate qualifications in palliative care X
• Partnership working across sectors.X
• Clinical leadership in a multi-professional serviceX
• Experience in care of the older person and/or Frailty. X
• Experience in oncology and/or Long-Term Conditions. X

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).