Lead ACP for Cancer and Oncology/Consultant Practitioner

Job description

Job responsibilities

1. Clinical

To deliver and participate in the clinical care of patients attending the Oncology Department or ED.

Provide a level of advanced and comprehensive nursing assessment based on a specialist body of knowledge

Direct responsibility for the management of patients within own case load and supervision/development of junior members of the multidisciplinary team.

To appropriately assess, examine, investigate, diagnose and treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations.

Order & interpret investigations, laboratory tests, x-rays and act on results as appropriate, with supervision as required, as a trainee

Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with present legislation, supply and prescribing of medicines in line with non-medical prescribing qualifications.

To contribute to the development and improvement of systems and processes that facilitates patient flow.

Maintain own clinical development by keeping abreast of new treatments and technologies within emergency and unscheduled care.

To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients.

To rigorously review all aspects of the patients plan of care and identify and address issues that may result in substandard service.

Contribute to the review and development of integrated care pathways and clinical guidelines to ensure a standardised approach to emergency care.

Practice with confidence and competence within professional Guidelines (E.g. NMC, HCPC).

To ensure that accurate documentation and records of patient care are kept.

To provide specialist advice on patient care to the healthcare team, taking into account for all aspects of clinical governance, and act as a specialist resource within the AOS, other assessment areas and the Trust.

To lead the implementation and development of assessment systems, processes and tools within the AOS and adjacent clinical/assessment areas.

Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care.

Actively implement effective systems and processes for infection control

management and relevant audit within their clinical area.

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

Communicate patients conditions verbally and in writing to other members of the health care team and contribute to the decision-making processes in patient management. Acting as an advocate for patients and colleagues.

Ensure awareness of sources of support and guidance e.g., patient liaison service, and provide information in an accurate format to all patients.

Be able to anticipate barriers to effective communication and take action to improve communication.

2. Quality and Development

Lead and develop an area of responsibility related to advanced clinical practice.

To coordinate and provide leadership for the Advanced Clinical Practitioner Team.

Participate in the development of a specialist service and act as a change agent, where necessary leading staff and facilitating the change process whilst encouraging others to be innovative and adaptable in the approach to change.

To develop evidence-based policies and procedures specifically required by the team.

To develop clinical competencies for staff working within the team.

To develop and maintain effective communication with the multidisciplinary team to ensure high standards of care.

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

Participate in the recruitment, selection and retention of staff.

To be conversant with all Trust policies and procedures and ensure they are correctly implemente

To represent the Trust on National AOS Forums related to Advanced Clinical Practice.

Adhere to confidentiality at all times with sensitive personal data

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

Participate in business planning and the development of financial bids for service development.

Use a structured framework to manage, review and identify learning from patients complaints, clinical incidents and near misses.

3. Education and Training

To help identify, plan and implement goals for clinical development of staff working within the AOS and adjacent assessment areas, monitor the development of advanced nursing skills within the team.

To develop and maintain a positive learning environment for the emergency care team by providing support, ensuring developmental requirements are addressed.

To assist in the provision of clinical supervision and provide the opportunity to reflect and discuss areas of practice.

To ensure all members of the team have an annual appraisal and personal development plan.

To plan, implement and participate in teaching programmes for nursing, medical and allied health professional staff of all grades in the care of patients with minor a major injuries/ illnesses.

To provide in service training to staff from a number of disciplines working within the emergency care team.

To maintain close links with local Universities and to participate in the development and delivery of new and established specialist practice programmes.

To exhibit a personal commitment to clinical education and development and successfully complete the ACP Development Programme.

Peer review of the performance of the advanced nurse practitioner team, providing feedback as appropriate.

Work together with the advanced nurse practitioner team to ensure they have the skills and knowledge to ensure a quality service that meets the demands of the emergency department service and patient

Supports and participates in shared learning across the emergency services directorate and wider organisation.

4. Audit and Research

Contribute and at times lead the development of multidisciplinary research and clinical audit in the AOS and adjacent assessment areas, implementing effecti and evidence based practice.

Exhibit advanced research skills and provide support and appropriate implementation strategies for changes in clinical practice.

Conduct audit to evaluate the advanced clinical practitioner team and any strategies that have been implemented and disseminate results within the Trust, locally and nationally.

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.

As an expert practitioner evaluates the quality of patient care and ensures that the results of evaluation are used to sustain or improve quality of patient care

Format and process data in relation to rapid assessment team activity and provide qualitative and quantitative information for other directorates and the Trust management team.

Ensure the results of audit and research conducted by the team are disseminated at the local, regional and national levels.

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

5. Resource Management

To apply sound financial evaluation to proposed service developments.

Maintain accurate records in relation to equipment used and maintained by the AOS team

6. Risk Management

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

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

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

Person Specification

Training amd Qualifications

Essential

• Registered healthcare professional qualification
• Degree or equivalent clinical/advanced practice
• Master's Degree in Advanced Clinical Practice

Desirable

• Leadership Qualifications

Experience

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
• Awareness and understanding of current health issues and in particular to demonstrate an excellent understanding of recent initiatives within the specialist area

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

• Midline Care and Insertion
• Oncology Experience
• Diagnostic knowledge for cancer conditions
• Novel treatment in oncology

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).

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

Lewisham High Street

London

SE13 6LH

Employer's website

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