Job summary
Band 8a Advanced Nurse Practitioner - Palliative and End of Life Care
We are looking for a forward thinking senior nurse who has excellent clinical, interpersonal and leadership skills to lead, develop and support our recently expanded Palliative and End of Life Care teams. You must have a proven track record of progressive leadership and development, be an effective role model and be self-motivated with the passion, drive and adaptability to cope with continuously changing services.
We provide fully integrated 24/7 clinically effective, efficient and high-quality care to people with complex specialist palliative and end of life care needs, based on current evidence and best practice across inpatient and community settings. Our 24/7 service also includes a dedicated End of Life Care team providing rapid response to patients in the dying phase and an overnight service (Pall@Home) to support people to remain in their preferred place of care.
You must be able to provide evidence of a strong commitment to the provision of high quality, evidence based practice in order to enhance the patient and family experience. Visible clinically credible leadership is key in this role and the successful candidate will be someone who encompasses our Trust values and will work with patients, carers and staff to ensure that our services are safe, effective and of high quality.
Closing date: Monday 11th September 2023
Interview date: 19th September 2023
Main duties of the job
The Advanced Nurse Practitioner is an experienced registered nurse with specialist skills to assess and treat patients and manage the clinical environment, in liaison with the management and consultant team. The nurse will act as an autonomous practitioner in forming clinical decisions and complex management plans in the diagnosis, assessment and treatment of patients. In conjunction with senior nursing and consultant staff formulate the development of clinical guidance for all aspects of clinical practice within the clinical specialty.
The post holder will develop new areas of practice, with nursing and consultant staff ensuring quality standards are met. The post holder will work closely with the interdisciplinary team and collaborate with colleagues to ensure that high quality patient care is maintained.
About us
Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
Integrated Local Services provides a range of community and inpatient health services for adults within the communities of Lambeth and Southwark, with some services also provided in Lewisham. The services provided by the directorate include Neighbourhood Nursing, Specialist Rehabilitation and Reablement (bed and home based), Palliative and End of Life Care, Vulnerable Adults and Prevention Services, GSTT@Home, and site administration services.
The Palliative Care team provides specialist information and supportive care to people facing serious illness. This includes symptom control and advance care planning. We recognise that emotional, spiritual, family and financial worries can be just as important as physical problems and we support with these aspects of care as well. Our Palliative and End of Life Care team includes specialist nurses and doctors, pharmacists, social workers, psychological support staff and administrative staff to helpwith the consequences of serious illnesses such as cancer and long-term health conditions. We are able to see patients in hospital, in their own home, and in our outpatient clinics.
Job description
Job responsibilities
As an Advanced Nurse Practitioner you will play a key role in maintaining clinical quality and ensuring that clinical governance standards are upheld. The post holder will ensure that all patients are treated with compassion, dignity and respect placing value on the diversity of the local community and beyond. He/she will promote best practice in the prevention of infection through ensuring a clean and safe environment.
The successful candidate will be an experienced registered nurse with well established specialist skills to assess and treat Palliative and end of life patients within both the clinical and home environment, in partnership with the management and consultant team.
The nurse will act as an autonomous practitioner in forming clinical decisions and complex management plans in the diagnosis, assessment and treatment of patients. In conjunction with senior nursing and consultant staff formulate the development of clinical guidance for all aspects of clinical practice within the clinical specialty.
The post holder will develop new areas of practice, with nursing and consultant staff ensuring quality standards are met. The post holder will work closely with the interdisciplinary team and collaborate with colleagues to ensure that high quality patient care is maintained.
Job description
Job responsibilities
As an Advanced Nurse Practitioner you will play a key role in maintaining clinical quality and ensuring that clinical governance standards are upheld. The post holder will ensure that all patients are treated with compassion, dignity and respect placing value on the diversity of the local community and beyond. He/she will promote best practice in the prevention of infection through ensuring a clean and safe environment.
The successful candidate will be an experienced registered nurse with well established specialist skills to assess and treat Palliative and end of life patients within both the clinical and home environment, in partnership with the management and consultant team.
The nurse will act as an autonomous practitioner in forming clinical decisions and complex management plans in the diagnosis, assessment and treatment of patients. In conjunction with senior nursing and consultant staff formulate the development of clinical guidance for all aspects of clinical practice within the clinical specialty.
The post holder will develop new areas of practice, with nursing and consultant staff ensuring quality standards are met. The post holder will work closely with the interdisciplinary team and collaborate with colleagues to ensure that high quality patient care is maintained.
Person Specification
Professional/ Statutory Registration
Essential
- Professional/ Statutory Registration
Qualifications/ Education
Essential
- Registered General Nurse - Adult
- V300 independent prescriber qualification
- Advanced Clinical Assessment qualification
- Teaching / Mentorship qualifications
- A Masters level qualification/in progress or equivalent experience
Desirable
- Certificated speciality courses
Previous experience
Essential
- Broad clinical experience relevant to the post, including specialist skills and experience in speciality.
- A proven track record of clinical service management at a senior level in an acute hospital and / or community environment, including staff management, financial management and change management.
- Demonstrate use of financial acumen in patient/client, team, organisational and system level decision-making and demonstrate appropriate strategies to enhance quality, productivity and value
- Experience of teaching patients and staff and others including health promotion and prevention orientation,
- Demonstrate evidence of engaging stakeholders and influencing the development and improvement of practice, patient care and service delivery.
Desirable
- Experience of running own clinics
Skills/Knowledge/ Ability
Essential
- Advanced assessment and history taking skills
- Advanced theoretical and practical knowledge of specialty with a wide range of approaches to the management of patients, demonstrated by advanced clinical reasoning, critical thinking and be able to comprehensively assess patients for risk factors and early signs of illness
- Ability to lead within the nursing profession and multi-professional working; within an organisation and across organisation boundaries , being able to identify and implement systems to promote their contribution and demonstrate the impact of advanced level nursing to the healthcare team and the wider health and social care sector;
- Ability to draw on a diverse range of knowledge in their decision-making to determine evidence-based therapeutic interventions (which will usually include prescribing medication and actively monitoring the effectiveness of therapeutic interventions);
- Excellent written and advanced verbal communication skills demonstrating the use of a variety of media/IT skills
- Evidence of managing clinical services, service innovation and up-to-date knowledge of nursing policy and strategy, together with successful change management experience and a proven track record in launching new initiatives
- Ability to manage change and contain conflict ensuring resolution with positive outcomes, with use of negotiation skills
- Ability to develop working relationships locally, regionally and nationally
- Demonstrate strong leadership skills in contexts that are unfamiliar, complex, and unpredictable and provide consultancy services to their own and other professions on therapeutic interventions, practice and service development;
- Ability to critically appraise and synthesise the outcomes of relevant research evaluations and audits.
Additional Information
Essential
- igh level of work organisation, self motivation, drive for performance and improvement, and flexibility in approach and attitude;
- Strong sense of commitment to openness, honesty and integrity in undertaking the role.
Person Specification
Professional/ Statutory Registration
Essential
- Professional/ Statutory Registration
Qualifications/ Education
Essential
- Registered General Nurse - Adult
- V300 independent prescriber qualification
- Advanced Clinical Assessment qualification
- Teaching / Mentorship qualifications
- A Masters level qualification/in progress or equivalent experience
Desirable
- Certificated speciality courses
Previous experience
Essential
- Broad clinical experience relevant to the post, including specialist skills and experience in speciality.
- A proven track record of clinical service management at a senior level in an acute hospital and / or community environment, including staff management, financial management and change management.
- Demonstrate use of financial acumen in patient/client, team, organisational and system level decision-making and demonstrate appropriate strategies to enhance quality, productivity and value
- Experience of teaching patients and staff and others including health promotion and prevention orientation,
- Demonstrate evidence of engaging stakeholders and influencing the development and improvement of practice, patient care and service delivery.
Desirable
- Experience of running own clinics
Skills/Knowledge/ Ability
Essential
- Advanced assessment and history taking skills
- Advanced theoretical and practical knowledge of specialty with a wide range of approaches to the management of patients, demonstrated by advanced clinical reasoning, critical thinking and be able to comprehensively assess patients for risk factors and early signs of illness
- Ability to lead within the nursing profession and multi-professional working; within an organisation and across organisation boundaries , being able to identify and implement systems to promote their contribution and demonstrate the impact of advanced level nursing to the healthcare team and the wider health and social care sector;
- Ability to draw on a diverse range of knowledge in their decision-making to determine evidence-based therapeutic interventions (which will usually include prescribing medication and actively monitoring the effectiveness of therapeutic interventions);
- Excellent written and advanced verbal communication skills demonstrating the use of a variety of media/IT skills
- Evidence of managing clinical services, service innovation and up-to-date knowledge of nursing policy and strategy, together with successful change management experience and a proven track record in launching new initiatives
- Ability to manage change and contain conflict ensuring resolution with positive outcomes, with use of negotiation skills
- Ability to develop working relationships locally, regionally and nationally
- Demonstrate strong leadership skills in contexts that are unfamiliar, complex, and unpredictable and provide consultancy services to their own and other professions on therapeutic interventions, practice and service development;
- Ability to critically appraise and synthesise the outcomes of relevant research evaluations and audits.
Additional Information
Essential
- igh level of work organisation, self motivation, drive for performance and improvement, and flexibility in approach and attitude;
- Strong sense of commitment to openness, honesty and integrity in undertaking the role.
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.
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).
Additional information
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.
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).
