Job summary
An exciting opportunity to join our paediatric services at St Georges Hospital in South London. The post holder will be part of our developing Advanced Clinical Practitioner team, and specialising in paediatric respiratory.
Main duties of the job
The post holder will be practicing autonomously as an ACP to provide patient-centred quality care. This will encompass the skills of advanced assessment, examination, diagnosis and management within an agreed scope of practice, for babies, children and young people with any respiratory illness.
To work within the Multi-professional framework for advanced clinical practice in England (HEE 2017). The post holder will deliver an 80% clinical component to their role and 20% related to leadership and management, education and research
About us
The post holder is expected to have a clear understanding of how this post contributes to the achievement of the trust vision of:
A thriving Foundation Trust at the heart of an integrated healthcare system. One that delivers improved patient care at a community, hospital and specialist setting, supported by a unique and nationally recognised programme of research, education and employee engagement.
We expect all our staff to share the values that are important to the Trust, being Excellent, Kind, Responsible & Respectful, and behave in a way that reflects these.
St George's University Hospitals NHS Foundation Trust is committed to safeguarding children and vulnerable adults and expects that all staff will share in this commitment. The Trust is clear that all staff have a responsibility to be aware of children and adult safeguarding policies and procedures and that each member of staff, clinical and non-clinical, will attend child or adult safeguarding training that is provided at an appropriate level to suit their role. The Trust has the additional expectation that all staff will be able to identify concerns and know what action to take.
Job description
Job responsibilities
Clinical and professional
- Autonomously work in partnership with individuals, families and carers, managing a caseload of patients using a range of advanced assessment methods as appropriate (e.g. history taking, physical examination, identifying risk factors) in the acute wards, PICU,NNU and the paediatric outpatient department
- Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses
- Practice in compliance with their respective code of professional conduct
- To work within locally agreed advanced clinical practice competence and capability being responsible and accountable for their decisions, actions and omissions at this level of practice
- If within scope of practice and required in job role-
- Be an independent or supplementary non-medical prescriber with Trust agreed scope of prescribing
- Prescribe medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols
- Undertake invasive procedures as appropriate to competence
- Request appropriate medical imaging or other diagnostic tests in accordance to Trust policies and in accordance with nationally agreed protocols and policies
- Interpret the findings of medical imaging or other diagnostics according to competence
- Competent in sweat testing & Ph study procedures
- Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope
- Demonstrate a critical understanding of the broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information
- Act on professional judgement about when to seek help demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change
- Deliver care according to NSF, NICE guidelines and evidence-based care
- Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks
- To co-ordinate complex patient referrals to other departments, agencies as deemed necessary
- Prioritise, organise and manage own workload in a manner that maintains and promotes quality
- Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using HEE framework to promote person-centred approaches in health and care
- Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers
- Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.
- Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.
- Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
- Support and maintain safety, quality, clinical effectiveness and patient experience, working with clinical leaders to ensure culture and delivery of safe and effective harm free care. Upholding the culture of listening, whereby patients, relatives and carers are central to service delivery and development
- To be an expert in the management of respiratory Conditions
- To accept direct referrals from medical teams for children with respiratory related illness
Job description
Job responsibilities
Clinical and professional
- Autonomously work in partnership with individuals, families and carers, managing a caseload of patients using a range of advanced assessment methods as appropriate (e.g. history taking, physical examination, identifying risk factors) in the acute wards, PICU,NNU and the paediatric outpatient department
- Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses
- Practice in compliance with their respective code of professional conduct
- To work within locally agreed advanced clinical practice competence and capability being responsible and accountable for their decisions, actions and omissions at this level of practice
- If within scope of practice and required in job role-
- Be an independent or supplementary non-medical prescriber with Trust agreed scope of prescribing
- Prescribe medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols
- Undertake invasive procedures as appropriate to competence
- Request appropriate medical imaging or other diagnostic tests in accordance to Trust policies and in accordance with nationally agreed protocols and policies
- Interpret the findings of medical imaging or other diagnostics according to competence
- Competent in sweat testing & Ph study procedures
- Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope
- Demonstrate a critical understanding of the broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information
- Act on professional judgement about when to seek help demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change
- Deliver care according to NSF, NICE guidelines and evidence-based care
- Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks
- To co-ordinate complex patient referrals to other departments, agencies as deemed necessary
- Prioritise, organise and manage own workload in a manner that maintains and promotes quality
- Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using HEE framework to promote person-centred approaches in health and care
- Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers
- Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.
- Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.
- Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
- Support and maintain safety, quality, clinical effectiveness and patient experience, working with clinical leaders to ensure culture and delivery of safe and effective harm free care. Upholding the culture of listening, whereby patients, relatives and carers are central to service delivery and development
- To be an expert in the management of respiratory Conditions
- To accept direct referrals from medical teams for children with respiratory related illness
Person Specification
Qualifications and training
Essential
- oRegistered clinical professional RN Child or RSCN
- oMSc level in Advanced Clinical Practice or equivalent (Minimum PGDip)
- oIndependent or supplementary non-medical prescriber
Desirable
- Additional relevant specialty courses
- oCompleted portfolio of supervised practice in speciality
Experience
Essential
- o7 years post-registration experience, of which at least 5 years includes speciality experience in all aspects of respiratory care.
- oDemonstration of experience in all four pillars of advanced clinical practice (clinical practice, leadership and management, research, education)
- oParticipation in audit and research
Desirable
- oExperience as clinical Leader
- oExperience in an autonomous practice role
- oPrevious experience in an advanced practice role
- oExperience of service development
Skills
Essential
- oAdvanced clinical assessment and history taking skills
- oHighly developed diagnostic reasoning skills
- oDelivery of Nurse led clinics
- oLeadership skills
Desirable
- oAble to chair, co-ordinate and facilitate meetings
Knowledge
Essential
- oUnderstanding of clinical governance and risk assessment
- oUp to date knowledge of evidence based guidelines and policies
Person Specification
Qualifications and training
Essential
- oRegistered clinical professional RN Child or RSCN
- oMSc level in Advanced Clinical Practice or equivalent (Minimum PGDip)
- oIndependent or supplementary non-medical prescriber
Desirable
- Additional relevant specialty courses
- oCompleted portfolio of supervised practice in speciality
Experience
Essential
- o7 years post-registration experience, of which at least 5 years includes speciality experience in all aspects of respiratory care.
- oDemonstration of experience in all four pillars of advanced clinical practice (clinical practice, leadership and management, research, education)
- oParticipation in audit and research
Desirable
- oExperience as clinical Leader
- oExperience in an autonomous practice role
- oPrevious experience in an advanced practice role
- oExperience of service development
Skills
Essential
- oAdvanced clinical assessment and history taking skills
- oHighly developed diagnostic reasoning skills
- oDelivery of Nurse led clinics
- oLeadership skills
Desirable
- oAble to chair, co-ordinate and facilitate meetings
Knowledge
Essential
- oUnderstanding of clinical governance and risk assessment
- oUp to date knowledge of evidence based guidelines and policies
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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
