Lead HASCU Advanced Clinical Practitioner (ACP)

Lewisham and Greenwich NHS Trust

Information:

This job is now closed

Job summary

An exciting opportunity has arisen in the haematology department for a fixed term (12 months).

The role involves implementing and lead the innovative - Emergency Department bypass, a unique chance to be at the forefront of healthcare advancement.

It is expected that 50% of the postholder's time will be spent supporting the clinical component of direct patient care and supervising members of the team. This role is integral to our patient care and also involves a combination of professional consultancy, service development, clinical supervision, sector-wide work and continuous professional development, education and training, service development, research, and audit.The post holder will have an operational focus and support the development of the ACP service. The Lead ACP will also be part of the haematology team, supporting the consultants in delivering care to patients admitted to the hospital. A multidisciplinary team approach will be essential, especially at night, to support the medical team when the HASCU workload allows. In addition, they will support the head of nursing in strengthening and leading the haematology nursing service within and across the Trust.

The post holder will be an experienced haematology nurse with an MSc in Advance Clinical Practice.We welcome applications from practitioners with experience in other medical disciplines, such as emergency or general medicine.

Interview date: 30th September 2024

Main duties of the job

The post holder will be expected to lead the services, ensuring an effective and safe service aligned with the recommended guidelines. Support the ACP in the daily management and auditing processes and interact frequently with external and internal stakeholders. They will play a lead role in service development within the designated area, across the Trust and community.

The lead Advanced Clinical Practitioner will exercise a high degree of personal professional autonomy and make clinical judgements of the highest order to satisfy the job's expectations and demands.

The post holder will provide key clinical management in the facilitation and expansion of the haematology service. And will be responsible for the contribution to nursing policy and clinical service development within haematology service in line with the Trust's strategic.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

  1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
  2. Widening access (anchor institution) and employability
  3. Improving the experience of staff with disability
  4. Improving the EDI literacy and confidence of trust staff through training and development
  5. Making equalities mainstream

Date posted

12 September 2024

Pay scheme

Agenda for change

Band

Band 8b

Salary

£62,215 to £72,293 a year per annum plus HCAS

Contract

Fixed term

Duration

12 months

Working pattern

Full-time, Part-time

Reference number

197-UT5784

Job locations

University Hospital Lewisham

Lewisham High Streat

London

SE13 6LH


Job description

Job responsibilities

1. Clinical

Work autonomously across professional, organisational and system boundaries

To independently assess, order investigations, diagnose and discharge patients from their caseload. Assess patients with undifferentiated and undiagnosed problems and assess their health care needs.

To be responsible for ordering necessary investigations and provide treatment and care individually, as part of a team, and through referral to other agencies.

Case-find at-risk patients including emergency admissions and post operative complications to identify and manage medical and multidisciplinary complications promptly.

Use expert theoretical and practical knowledge to refer on to other departments/services within or outside the Trust.

Interpret and analyse complex clinical and non-clinical facts to improve quality of care for older people and facilitate discharge planning.

Apply prevention strategies for adverse outcomes such as readmissions and prolonged inpatient stay.

To provide a consultancy and clinical leadership function as required.

To undertake a wide range of advanced clinical interventions, which include Advanced Life Support Skills and Independent Nurse Prescribing.

Support and enable patients and carers to make informed decisions relating to their treatment and management.

Review and update the documentation to improve the quality, accuracy and consistency of information recorded ensuring that the Trust is CNST compliant.

Negotiate and facilitate the management of change in practices to achieve best practice in services.

To develop and implement with nursing and consultant staff new policies and clinical guidance for new procedures.

To support and facilitate the development of clinical skills for trainee advanced practitioners and nurses.

Line manages the members of the haematology Advanced Clinical Practice team and support team as appropriate including clinical nurse specialists.

Coordinate, lead and manage the activities of clinical environment on a day-to-day basis.

Establish regular dialogue with local and tertiary referral centres sharing good practice.

Participate in professional nursing initiatives as an invited member to the Directorate and trust nursing groups.

Provide a high documentation standard according to the trust's documentation policy and the NMC guidance on standards for good record-keeping and information governance standards.

To take a workload of the sickle cell clinic and work closely with the Lead Sickle Cell Consultant

2. Quality and Development

Work closely with the appropriate clinical leads and service managers to ensure all local, corporate, and national initiatives and targets related to speciality are met.

Leading a national working party across multiple disciplines to ensure the same researched and evidence-based treatment and care is given to complex patients at other centres throughout England.

Involved in leading the implementation of nursing developments/ initiatives introduced by the National Network or bodies.

To utilise information systems to aid regular clinical role audits and provide an activity analysis and specialist report every quarter.

To provide expert input to the Trusts quality strategy by expressing the patient's needs via a whole systems approach rather than a uni-professional view.

Experience facilitating change by collaborating with stakeholders within the specialist areas, across other professions, and intra- and inter-organisations to produce innovative practice and service development that shows improved patient outcomes. Perform and report on quality assurance measurements of the new initiatives relating to service within the Trust and relevant agencies.

Identify and take forward the specific contribution nurse Practitioners within the service can make to the future development of the service.

Lead in the development of nursing practice guidelines, policies

Coordinate ongoing data collection, audit and quality assurance, providing service feedback.

Provide a high documentation standard according to the trust's documentation policy and the NMC guidance on standards for good record-keeping and information governance standards.

3. Management and Leadership

Implement development programs for the specialist service, act as a change agent, and facilitate the change process while encouraging others to be innovative and adaptable in their approach to change.

Work across professional, organisational and system boundaries to develop and sustain new partnerships and networks to influence and improve health, outcomes, and healthcare delivery systems.

Review and update documentation and policies specially required by the team.

To be conversant with all the relevant Trust policies and procedures and ensure they are correctly implemented.

Lead the team in establishing and maintaining effective communication channels with the stakeholders, multi-disciplinary team, patients, their careers, and external agencies.

To collaborate with representatives of other clinical areas, disciplines and services to provide a seamless care pathway.

Coordinate, lead and manage the clinic activities on a day-to-day basis.

Assisting with the investigation of complaints and leading in developing action plans to address areas of concern.

To lead in the recruitment, selection and retention of staff in the haematology service.

To represent the Trust on National forums related to the role and Advanced Clinical Practice and Haematology.

Prioritise, organise and manage own workload in a manner that maintains and promotes safety and quality.

To work with the Head of Nursing in relation to governance in the service and other tasks delegated within the haematology service.

4. Information management

Adhere to confidentiality at all times with sensitive personal data.

Responsible for systematically monitoring investigations and appointments in collaboration with administration and managerial staff.

Ensure compliance with care pathways and service development.

Provide reports of the statistics, service and practice developments when required.

Provide high standards of documentation by the Trust documentation policy.

5. Education and training

Be a key stakeholder in developing and delivering national educational programs to support workforce development and staff retention.

Provide education and role modelling for medical and surgical teams as required, including professional development.

Enable patients/clients to learn by designing and coordinating the implementation of plans appropriate to their preferred approach to learning, motivation and developmental stage.

Develop robust governance systems by contributing to developing and implementing evidence-based protocols, documentation processes, standards, policies and clinical guidelines through interpreting and synthesising information from various sources and promoting their use in practice.

Work in collaboration with others to plan and deliver interventions to meet the learning and development needs of their own and other professions.

Advocate and contribute to developing an organisational culture that supports continuous learning and development, evidence-based practice and succession planning.

Embrace the current awareness of local regional, national and international perspectives in clinical speciality.

Provide training and education opportunities with the team, within the trust, local and national areas.

Maintain own professional development through annual/bi-annual appraisal of clinical performance and the production of a professional development plan.

Assess educational needs and take steps to keep up to date with clinical and nursing developments in line with requirements by the NMC.

6. Audit and research

Contribute/assist in the development of multidisciplinary research and clinical audit in the haemoglobinopathy and haematology service and, implementing effective and evidence-based practice.

To enhance research skills within the department and provide support and appropriate implementation strategies for changes in clinical practice.

Participate and contribute to any ongoing regional and national research to evaluate the effectiveness of care strategies related to the patient experience within emergency and unscheduled care.

To share best practices through publications and attendance/presentation opportunities at the conference level.

7. Resource Management

To apply sound financial evaluation to proposed service developments.

Maintain accurate records in relation to equipment used and maintained by the haemophilia and haematology service team.

8. Risk Management

To ensure that systems are in place to manage, reduce and prevent clinical risk to self and others within the RDC department.

To monitor incidents highlighted by emergency team members and communicate to appropriate areas to address risk issues.

Promote best practice in health & safety, utilising unit and Trust policies.

Job description

Job responsibilities

1. Clinical

Work autonomously across professional, organisational and system boundaries

To independently assess, order investigations, diagnose and discharge patients from their caseload. Assess patients with undifferentiated and undiagnosed problems and assess their health care needs.

To be responsible for ordering necessary investigations and provide treatment and care individually, as part of a team, and through referral to other agencies.

Case-find at-risk patients including emergency admissions and post operative complications to identify and manage medical and multidisciplinary complications promptly.

Use expert theoretical and practical knowledge to refer on to other departments/services within or outside the Trust.

Interpret and analyse complex clinical and non-clinical facts to improve quality of care for older people and facilitate discharge planning.

Apply prevention strategies for adverse outcomes such as readmissions and prolonged inpatient stay.

To provide a consultancy and clinical leadership function as required.

To undertake a wide range of advanced clinical interventions, which include Advanced Life Support Skills and Independent Nurse Prescribing.

Support and enable patients and carers to make informed decisions relating to their treatment and management.

Review and update the documentation to improve the quality, accuracy and consistency of information recorded ensuring that the Trust is CNST compliant.

Negotiate and facilitate the management of change in practices to achieve best practice in services.

To develop and implement with nursing and consultant staff new policies and clinical guidance for new procedures.

To support and facilitate the development of clinical skills for trainee advanced practitioners and nurses.

Line manages the members of the haematology Advanced Clinical Practice team and support team as appropriate including clinical nurse specialists.

Coordinate, lead and manage the activities of clinical environment on a day-to-day basis.

Establish regular dialogue with local and tertiary referral centres sharing good practice.

Participate in professional nursing initiatives as an invited member to the Directorate and trust nursing groups.

Provide a high documentation standard according to the trust's documentation policy and the NMC guidance on standards for good record-keeping and information governance standards.

To take a workload of the sickle cell clinic and work closely with the Lead Sickle Cell Consultant

2. Quality and Development

Work closely with the appropriate clinical leads and service managers to ensure all local, corporate, and national initiatives and targets related to speciality are met.

Leading a national working party across multiple disciplines to ensure the same researched and evidence-based treatment and care is given to complex patients at other centres throughout England.

Involved in leading the implementation of nursing developments/ initiatives introduced by the National Network or bodies.

To utilise information systems to aid regular clinical role audits and provide an activity analysis and specialist report every quarter.

To provide expert input to the Trusts quality strategy by expressing the patient's needs via a whole systems approach rather than a uni-professional view.

Experience facilitating change by collaborating with stakeholders within the specialist areas, across other professions, and intra- and inter-organisations to produce innovative practice and service development that shows improved patient outcomes. Perform and report on quality assurance measurements of the new initiatives relating to service within the Trust and relevant agencies.

Identify and take forward the specific contribution nurse Practitioners within the service can make to the future development of the service.

Lead in the development of nursing practice guidelines, policies

Coordinate ongoing data collection, audit and quality assurance, providing service feedback.

Provide a high documentation standard according to the trust's documentation policy and the NMC guidance on standards for good record-keeping and information governance standards.

3. Management and Leadership

Implement development programs for the specialist service, act as a change agent, and facilitate the change process while encouraging others to be innovative and adaptable in their approach to change.

Work across professional, organisational and system boundaries to develop and sustain new partnerships and networks to influence and improve health, outcomes, and healthcare delivery systems.

Review and update documentation and policies specially required by the team.

To be conversant with all the relevant Trust policies and procedures and ensure they are correctly implemented.

Lead the team in establishing and maintaining effective communication channels with the stakeholders, multi-disciplinary team, patients, their careers, and external agencies.

To collaborate with representatives of other clinical areas, disciplines and services to provide a seamless care pathway.

Coordinate, lead and manage the clinic activities on a day-to-day basis.

Assisting with the investigation of complaints and leading in developing action plans to address areas of concern.

To lead in the recruitment, selection and retention of staff in the haematology service.

To represent the Trust on National forums related to the role and Advanced Clinical Practice and Haematology.

Prioritise, organise and manage own workload in a manner that maintains and promotes safety and quality.

To work with the Head of Nursing in relation to governance in the service and other tasks delegated within the haematology service.

4. Information management

Adhere to confidentiality at all times with sensitive personal data.

Responsible for systematically monitoring investigations and appointments in collaboration with administration and managerial staff.

Ensure compliance with care pathways and service development.

Provide reports of the statistics, service and practice developments when required.

Provide high standards of documentation by the Trust documentation policy.

5. Education and training

Be a key stakeholder in developing and delivering national educational programs to support workforce development and staff retention.

Provide education and role modelling for medical and surgical teams as required, including professional development.

Enable patients/clients to learn by designing and coordinating the implementation of plans appropriate to their preferred approach to learning, motivation and developmental stage.

Develop robust governance systems by contributing to developing and implementing evidence-based protocols, documentation processes, standards, policies and clinical guidelines through interpreting and synthesising information from various sources and promoting their use in practice.

Work in collaboration with others to plan and deliver interventions to meet the learning and development needs of their own and other professions.

Advocate and contribute to developing an organisational culture that supports continuous learning and development, evidence-based practice and succession planning.

Embrace the current awareness of local regional, national and international perspectives in clinical speciality.

Provide training and education opportunities with the team, within the trust, local and national areas.

Maintain own professional development through annual/bi-annual appraisal of clinical performance and the production of a professional development plan.

Assess educational needs and take steps to keep up to date with clinical and nursing developments in line with requirements by the NMC.

6. Audit and research

Contribute/assist in the development of multidisciplinary research and clinical audit in the haemoglobinopathy and haematology service and, implementing effective and evidence-based practice.

To enhance research skills within the department and provide support and appropriate implementation strategies for changes in clinical practice.

Participate and contribute to any ongoing regional and national research to evaluate the effectiveness of care strategies related to the patient experience within emergency and unscheduled care.

To share best practices through publications and attendance/presentation opportunities at the conference level.

7. Resource Management

To apply sound financial evaluation to proposed service developments.

Maintain accurate records in relation to equipment used and maintained by the haemophilia and haematology service team.

8. Risk Management

To ensure that systems are in place to manage, reduce and prevent clinical risk to self and others within the RDC department.

To monitor incidents highlighted by emergency team members and communicate to appropriate areas to address risk issues.

Promote best practice in health & safety, utilising unit and Trust policies.

Person Specification

Training and qualitfications

Essential

  • RN (part 1) or AHP
  • Professional post qualifications in relevant clinical area
  • Teaching/ assessing/mentorship qualification
  • Advanced Clinical Practice MSc

Desirable

  • Leadership qualifications

Expirience

Essential

  • Experience of working in at an advanced practice level in a acute medical setting (i.e Acute Med, ED, ITU outreach, haematology)
  • Demonstrate interest in and commitment to the professional development of self and others
  • Awareness and understanding of current health issues and in particular to demonstrate an excellent understanding of recent initiatives within the specialist area
  • Familiarity with IT applications (i.e. EPR systems, Microsoft )

Desirable

  • Senior leadership role within the area of speciality
  • Staff Management
  • Practice development and innovation in clinical practice with experience of leading change projects in a clinical environment
  • Advanced Life Support (ALS)

Knowledge & Skills

Essential

  • Experience of working in at an advanced practice level in a acute medical setting (i.e Acute Med, ED, ITU outreach, haematology)
  • Physical assessment, history taking, requisition of appropriate investigations and the interpretation of their results, formulating differential diagnoses and liaising/referring to other multidisciplinary teams
  • Communication skills - able to relate and communicate with patients and staff at all levels and from different professions. Adapts communication style as necessary and is able to work with and through others.
  • Problem solving skills - able to respond to unexpected issues and provide first line response and to identify appropriate sources of secondary support
  • Person Centre Care within an holistic approach

Desirable

  • Haematology Experience
  • Midline Care and Insertion
  • Diagnostic knowledge for haematology conditions
  • Novel treatment in haematology

Personal Qualities

Essential

  • Self-motivated, with high work standards, sets themselves and helps others to set attainable goals; wants to do things better, to improve, to be more effective and efficient; measure progress against target
  • Flexibility - Able to adapt to ensure achievement of objectives within constantly changing situations and environments
  • Strong sense of commitment to leading and developing an expanding service.
  • Able to manage work diary to respond flexibly to the needs of service
  • Attention to detail
  • Excellent Interpersonal Skills
Person Specification

Training and qualitfications

Essential

  • RN (part 1) or AHP
  • Professional post qualifications in relevant clinical area
  • Teaching/ assessing/mentorship qualification
  • Advanced Clinical Practice MSc

Desirable

  • Leadership qualifications

Expirience

Essential

  • Experience of working in at an advanced practice level in a acute medical setting (i.e Acute Med, ED, ITU outreach, haematology)
  • Demonstrate interest in and commitment to the professional development of self and others
  • Awareness and understanding of current health issues and in particular to demonstrate an excellent understanding of recent initiatives within the specialist area
  • Familiarity with IT applications (i.e. EPR systems, Microsoft )

Desirable

  • Senior leadership role within the area of speciality
  • Staff Management
  • Practice development and innovation in clinical practice with experience of leading change projects in a clinical environment
  • Advanced Life Support (ALS)

Knowledge & Skills

Essential

  • Experience of working in at an advanced practice level in a acute medical setting (i.e Acute Med, ED, ITU outreach, haematology)
  • Physical assessment, history taking, requisition of appropriate investigations and the interpretation of their results, formulating differential diagnoses and liaising/referring to other multidisciplinary teams
  • Communication skills - able to relate and communicate with patients and staff at all levels and from different professions. Adapts communication style as necessary and is able to work with and through others.
  • Problem solving skills - able to respond to unexpected issues and provide first line response and to identify appropriate sources of secondary support
  • Person Centre Care within an holistic approach

Desirable

  • Haematology Experience
  • Midline Care and Insertion
  • Diagnostic knowledge for haematology conditions
  • Novel treatment in haematology

Personal Qualities

Essential

  • Self-motivated, with high work standards, sets themselves and helps others to set attainable goals; wants to do things better, to improve, to be more effective and efficient; measure progress against target
  • Flexibility - Able to adapt to ensure achievement of objectives within constantly changing situations and environments
  • Strong sense of commitment to leading and developing an expanding service.
  • Able to manage work diary to respond flexibly to the needs of service
  • Attention to detail
  • Excellent Interpersonal Skills

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).

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.

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).

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

Lewisham High Streat

London

SE13 6LH


Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

Lewisham High Streat

London

SE13 6LH


Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)


For questions about the job, contact:

Head of Nursing Cancer and Haemtology

Itzi Atucha

itzi.atucha@nhs.net

07796612001

Date posted

12 September 2024

Pay scheme

Agenda for change

Band

Band 8b

Salary

£62,215 to £72,293 a year per annum plus HCAS

Contract

Fixed term

Duration

12 months

Working pattern

Full-time, Part-time

Reference number

197-UT5784

Job locations

University Hospital Lewisham

Lewisham High Streat

London

SE13 6LH


Supporting documents

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