Advanced Clinical Practitioner, Surgical Dermatology

Job responsibilities

Key Tasks & Responsibilities:

1. Communication:

• Communicate effectively with patients, carers, colleagues, and others using appropriate communication styles. Ensure timely, accurate and complete documentation reflective of Advanced Clinical Practice, consistent with legislation and adhering to local and national
• Discusses and agrees assessment outcomes with patients, carers, and other health care professionals to enable patients to make an informed decision regarding their treatment.

• Communicates highly complex information to patients, carers, and families during the consent process prior to commencement of treatment plans and invasive procedures including explaining treatment options.

• Actively supports patients and their families through communicating difficult and highly complex sensitive information using a variety of methods to ensure effective understanding in a timely

• Anticipate barriers to communication and ensure patients and significant others are kept fully informed and consent to treatment.

• Diffuses potential complaints and hostile situations with staff, patients and carers using highly developed negotiation and interprofessional skills.

• Provides empathy and reassurance through understanding the quality-of-life issues associated with their illness/conditions and treatment related side effects.

• Ensures that accurate, essential, and appropriate written and verbal information is conveyed to the wider MDT to ensure effective management of patients.

• Work towards health promotion and a comprehensively assess patients for risk factors and early signs of illness.

• Ensures effective communication is maintained between members of the multidisciplinary team to ensure appropriate individuals are informed of changes in patient conditions or treatment plan.

• Work in partnership with patients, families and carers and support the individual to proactively manage their wellbeing and life.

• Develops formal and informal links outside the organisation, sharing good practice, innovative ideas, and promotes staff and service development.

• Establishes and maintains a regional and national network of contacts relevant to the

• Promotes the service through formal and informal presentations within and outside the organisation through study days, conferences and written papers.

• Be a core member of the multidisciplinary team providing specialist knowledge and
• Establishes and maintains excellent communication with individuals and groups exploring complex issues relating to care options and decisions.

• Promotes collaborative working relationships and effective communication between all members of the team.

1. Planning and organisational Skills

• Possesses excellent time management and personal organisation skills, effectively manages own diary and workload.
• Carries out training needs analysis, using the results to design, develop/contribute and deliver a teaching programme promoting practice development for those staff caring for patients within the speciality. This will include the development of links with other organisations and innovative approaches to staff development.

• Plans, delivers, and implements programmes of education and training for trainee ACPs, nurses, medical and other disciplines ensuring that all patient care within the multi-disciplinary team is based on research and best practice.

• Works with the MDT to further develop appropriate clinical pathways and care approaches. Disseminates their own learning and good practice to other team members.

1. Clinical Duties

• TO WORK IN LINE WITH WSFTS ADVANCED PRACTICE ETHOS

• Demonstrate and promote the Trusts values and behaviours to the highest

• Be a registered healthcare professional and hold a MSc in Advanced Clinical Practice or recognised equivalent by HEE Centre for Advancing Practice.

• Be an independent Non-Medical Prescriber registered with the NMC, HCPC, RCoP (or equivalent professional body), if appropriate to the profession and role.

• Practice at an advanced level that is underpinned and demonstrates the four pillars, Clinical Practice, Leadership and Management, Education and Research.

• Demonstrate in depth knowledge and competence in all aspects of Dermatology surgery and lesion recognition encompassing advanced clinical assessment, critical thinking and clinical management skills that are evidence based and deliver high quality patient centred care.

• Provide expert professional and independent clinical care which enables the coordination of a multi professional seamless service for patients.

• Draw on a diverse range of knowledge in their decision-making to determine evidence based therapeutic interventions, which will include prescribing medication as per the Royal Pharmaceutical Competency Framework, trust non-medical prescribing policy, national and local formularies. Alongside providing mechanisms to actively monitor the effectiveness of therapeutic interventions.

• Plan and manage complete episodes of care, working in partnership with others, delegating and referring as appropriate to optimise health outcomes and resource use, and provide direct support to patients and clients.

• Have a Trust-wide responsibility to promote clinical excellence in the care of patients presenting to their area by providing clinical advice and support to nursing staff and other health care

• Uses specialist knowledge and specific training to act autonomously in assessing, planning, and implementing a comprehensive management plan for undifferentiated presentations within their defined scope of practice.

• Elicits a patient history appropriate to the clinical situation, which will demonstrate a holistic review of the patients physical and emotional wellbeing and needs.

• Undertakes physical examinations as indicated by the patients condition; autonomously analysing complex clinical signs and investigation of results to consider differential diagnoses and diagnose conditions, initiating treatment as required.

• Performs clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision.

• Demonstrates continual evaluation of the patient and use expertise to recommend adjustments/amendments to treatment plans, in consultation with the patient and members of the multi-professional

• Analyses multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgements and evaluating care provided; presenting this information, to speciality /senior medical staff for advice when scope of practice is exceeded.

• Prescribes and reviews medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the roles scope of practice and legal If appropriate to the role.

• Integrates both pharmacological and non-pharmacological treatment in patient care/management

• Prioritises health problems and intervenes appropriately in complex, urgent and emergency

• Proactively supports patients, carers, and families in coming to terms with their illness/ condition.

• Ensures dignity, privacy and cultural and religious beliefs are respected at all

• Adheres to professional code of conduct, works within the boundaries of their own scope of practice and always manages associated clinical risk effectively.

• Directed by national guidance as well as local protocols and guidelines, is able to analyse each clinical situation and formulate a management plan.

• Practitioners are accountable for their own professional actions within a locally agreed scope of

• Responsible for ensuring accurate interpretation and dissemination of local and national policies within speciality.

• Practitioners are responsible for managing and prioritising own workload against the needs of patients and service requirements.

• Uses own initiative, acts independently, and takes appropriate

Education and Qualifications

Essential

• Professional Registration with either NMC, GPhC or HCPC.
• Possession of 1st degree in a clinical field Nursing NMC.
• Possession of MSc in Advanced Practice or recognised equivalent by HEE Centre.
• Advancing Practice Non-Medical Prescribing (v300) if appropriate to registered profession /role.
• Significant post qualification experience [minimum 4 years] in a relevant clinical field.
• Evidence of continuing education

Desirable

• Leadership/management course.

Experience and Knowledge

Essential

• Completed portfolio of supervised practice in advanced clinical practice.
• Evidence of continued professional development following MSc completion.
• Evidence of recent teaching, mentorship, and supervision of staff
• Evidence of multi-professional working

Desirable

• Evidence of clinical work in an autonomous role.
• Evidence of quality improvement methodology and audit experience.
• Evidence of involvement in change management.

Skills and Abilities

Essential

• Evidence of both theoretical and practical skills and competency in patient management.
• Strong leadership skills.
• Effective communication both written and verbal.
• Presentation Skills.
• Works under own initiative with strong organisational skills and can work to deadlines.
• Able to use problem solving skills.
• Time management ~ able to prioritise.
• Computer skills (i.e. for radiology, pathology, microbiology ordering as per Trust protocols, utilising patient systems).
• Demonstrates a high degree of knowledge within specialty.
• Demonstrate an understanding of current developments in the relevant speciality.
• Demonstrate the ability to utilise current research finding in practice.
• Understand, encourage, and support clinical supervision.
• Knowledge of clinical governance and risk assessment/management.
• Knowledge of infection control issues.

Desirable

• Ability to develop protocols and guidelines.
• Ability to write reports for senior management.
• Knowledge of current NHS, professional and educational issues.

Personal Qualities

Essential

• Flexible approach to working hours and duties.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

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