Advanced Dermatology Practitioner

Job responsibilities

Clinical Practice

To practice in compliance with their respective code of professional conduct (NMC/HCPC) and within their scope of practice, being responsible and accountable for their decisions, actions, and omissions at this level of practice.

Uses highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting via the planned route.

Undertake routine advanced physical assessment of Dermatology patient, including assessing patients prior to each treatment using thorough history taking, clinical examination and arranging relevant investigations (e.g., blood tests)

Hold virtual and face to face clinics, arranging appropriate follow up when necessary, presenting and attending at consultant rounds, prescribing as required within your scope of practice as a non-medical prescriber.

Act on professional judgement and seek help from consultants when required. Working at the level of entrustment, able to demonstrate critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.

Preparing dermatology clinic and Outpatient lists in conjunction with the team.

To provide support and advice to nursing, medical in relation to the management of the dermatology patient.

Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate (e.g. history-taking; holistic assessment; identifying risk factors; mental health assessments; requesting, undertaking and/or interpreting diagnostic tests; and conducting health needs assessments). Providing support and advice to patients and their carers relating to their treatment.

Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care.

To obtain informed consent from patients prior to starting their first treatment/procedure.

Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and complex dermatology presentations. Synthesising information from multiple sources to make appropriate evidence-based judgements and/or diagnoses.

Prescribes and reviews medication (as an independent non-medical prescriber) related to dermatology pathways 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 framework.

Initiate relevant investigations to enable timely diagnosis and facilitate early decision making.

Independently request and interpret diagnostic tests (e.g., blood test, and x rays), providing appropriate and timely management as required.

To utilise professional judgement and understand scope of practice. To be accountable for own actions and to seek help appropriately in practice.

Use advanced communication skills to communicate sensitive, complex condition related information to patients/carers.

Provide an expert dermatology opinion and review for patients referred to dermatology, liaising with consultants to determine clinical management plans.

To liaise and work closely with relevant multidisciplinary teams, ensuring continuity of care and a seamless service for patients.

To provide expert support for anxious patients and/or relatives demonstrating empathy and understanding in a professional manner. Provide empathetic support when involved in the process of giving patients and/or relatives bad news e.g., change in condition.

Promote and deliver specialist evidence-based care for patients presenting with dermatology conditions.

Act as an expert practitioner and positive role model, providing specialist clinical advice.

To lead a seven day a week nursing rota, ensuring availability for consultations to patients presenting with dermatological problems.

To work in collaboration with the MDT to identify areas of development to enhance the specialist nursing service and improve patient experience.

Work closely with other colleagues across Dermatology team and implement a robust pathway for all dermatology patients.

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.

Leadership & Management

Lead the development of the Dermatology outpatient service in line with national directives. Interpreting national directives and implementing at a local level.

Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working.

Role model the values of the organisation, demonstrating a person-centred approach to service delivery and development.

Lead the development of information for health care professionals on the role of the dermatology outpatient service.

To lead the development and implementation of protocol/guidelines to support the development of the dermatology outpatient service.

Support the implementation of Dermatology collaboration across the County, exploring opportunities to share best practice and unite the service to improve patient care.

Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence.

Complete audits for the dermatology service to demonstrate compliance with the National Quality and local Standards.

Evaluate own practice, and participate in multi-disciplinary service and team evaluation, demonstrating the impact of advanced clinical practice on service function and effectiveness, and quality (i.e., outcomes of care, experience and safety.

Provide clinical leadership to the financial stability of the Directorate identifying and supporting the delivery of the effective use of resources.

Act as a member of BDNG, actively participating in meetings and regional audits.

Support the Associate Director of Nursing on the business cases that relate to the Dermatology service.

Education

Essential

• Registered Nurse Level 1
• Educated to Master's Level in Dermatology or equivalent level of education, training or experience
• Qualification in Dermatology or Post Graduate equivalent
• Evidence of Physical Assessment and Diagnostic Modules
• Independent Non-medical Prescribing Qualification (V300)
• Leadership qualification or equivalent level of education or experience
• Teaching and assessing qualification or equivalent level of education, training or experience
• Advanced Communication Skills or equivalent level of education training and experience

Knowledge and Experience

Essential

• Previous experience working as an Advanced Practitioner
• Evidence of experience within all four pillars of Advanced Practice
• Proven record of leading and effectively managing change
• Knowledge of National frameworks related to acute dermatology
• Experience in service development

Desirable

• Expert autonomous practitioner related to acute dermatology presentations
• Experience in the development of protocols/guidelines
• Evidence of conference presentation or journal publication
• Experience of successful patient/public involvement

Skills

Essential

• Advanced assessment skills and clinical reasoning
• Ability to independently request and interpret diagnostic tests
• Evidence of IRMER training
• Ability to recognise complex situations and manage appropriately
• Excellent communication, influencing and negotiation skills
• Analytical skills
• Ability to critically analysis data
• Effective IT skills

Key Competencies/Personal Attributes

Essential

• Passionate and committed to bring our Dedicated to Excellence values to life, improving the way we work with each other, particularly focusing on empowerment, equality diversity and inclusion of our staff, patients and service users
• Motivated and able to motivate others
• Innovative and imaginative
• Independently manage own caseload, meeting deadlines and prioritising appropriately
• Able to recognise limitations of role and work safely within own scope of practice

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).