Leeds Teaching Hospitals

Senior CNS/Emergency Nurse Practitioner (XR07)

This job is now closed

Job summary

Senior Clinical Emergency Nurse Practitioner

An exciting opportunity has arisen to become a Senior Clinical Emergency Nurse Practitioner (ENP) within the Minor Injuries Unit (MIU) at Leeds Teaching Hospitals NHS Trust. We are looking to recruit one Senior ENP to lead our minor injuries service. The MIU is located at both the Leeds General Infirmary and St James University Hospital within the Emergency Department where we see and treat over 70,000 patients per year.

This opportunity has opened for a dynamic, motivated and innovative Emergency Nurse Practitioner / Urgent Care Practitioner to join our team of highly skilled staff. This position would be suitable for those who wish to further their careers within a hospital environment where clinical roles are rapidly advancing to meet the challenges of the new NHS.

We are looking for an individual who can help to shape the service, driving standards and quality of care for our patients, with passion and pace through collaborative working. The successful candidate will be required to undertake quality improvement work as well as provide clinical leadership to trainee and junior members of the team.

These posts will offer the right candidate the exciting opportunity to extend their practice and deliver high quality care to service users attending the Minor Injuries Units. The candidate will autonomously assess, diagnose, treat, and discharge or refer patients according to their clinical condition.

Main duties of the job

The post holder will be practising as an independent specialist clinical practitioner providing patient-centred and evidence- based clinical care, within an agreed scope of competence and practice. The jobholder is responsible for the management of a defined caseload. The jobholder carries continuing responsibility for the assessment of care needs, the development, implementation and evaluations of care and the setting of standards of care.

The jobholder will provide specialist nursing care, treatment and advice to a specific patient group and will contribute to the development of the speciality service. The jobholder will support the effective use of resources and the development of interdisciplinary and whole service working. As a role model they will promote the sharing of good practice and delivery of high quality, effective and efficient care. The job holder will provide training and education to staff groups, patients and families/carers.

The post holder will work in partnership with the multi-disciplinary team (MDT) to implement and improve the patient pathway and will be expected to develop new skills to further enhance the quality of the service delivered. Where appropriate, the role will include the day to day leadership and management.

The successful applicants will need to demonstrate a clear understanding of Leeds Teaching Hospitals Nursing & Midwifery Strategy and The Leeds Way Values

About us

LTHT was formed in April 1998, following the merger of two smaller NHS trusts in the city. Today, it is one of the largest teaching hospitals in Europe, a regional and national centre for specialist treatment, a renowned biomedical research facility, and the local hospital for the Leeds community. Every year, LTHT provides healthcare and specialist services for people from the city of Leeds, Yorkshire and the Humber and beyond. The Trust plays an important role in the training and education of medical, nursing, and dental students and it is a centre of world-class research, pioneering new treatments.

1.5 million Patients are treated every year, including more than 200,000 emergency patients. The Trust receives around £1.34 billion of NHS funding annually, treating illness and disease in Leeds and on specialised services for people across Yorkshire and the Humber and nationally. LTHT employs more than 20,000 staff.

LTHT is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Expected Shortlisting Date:

08/11/2024

Planned Interview Date:

25/11/2024

Date posted

23 October 2024

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

C9298-URG-0106

Job locations

Leeds General Infirmary

Great George Street

Leeds

LS1 3EX

Job description

Job responsibilities

4. PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY

Clinical

Provide high quality care as an expert practitioner and act as a role model and resource for advice, support and guidance.

Provides specialised advice contributing to the diagnosis and care of patients.

Where appropriate to the services patient demographic, to developmentally appropriate, young person friendly healthcare to support young people; including support for transition, as they move from children into adult services.

Responsible for ensuring the setting of and monitoring of standards as well as seeking continuous opportunity to improve standards and the quality of patient care.

Undertake clinical procedures where dexterity and accuracy are required.

Assess, plan, implement and evaluate care and treatments using specialist clinical knowledge and clinical skills.

Make clinical assessments and treatment decisions within clearly defined policies and protocols.

Organise own clinical workload.

Undertake duties on wards or departments as and when required by service demands or patient need.

Supervise clinical staff to promote the delivery of excellent clinical standards.

Receives supervision of clinical and managerial skills from appropriate leader.

Act in accordance with the relevant professional body i.e. NMC

Fulfil the requirements as directed by the nursing and midwifery council to main and revalidate registration.

Ensure and promote the maintenance of a safe, clean, and secure working environment.

Act in such a way that always safeguards the health and wellbeing of children and vulnerable adults. Is familiar with and adheres to, the Leeds Teaching Hospitals Trust (LTHT) safeguarding policies.

Raise concerns regards to risk, danger, malpractice or wrong doing by following the LTHT whistleblowing policy and supporting processes.

Ensure that documentation standards are maintained in accordance with NMC and LTHT guidelines, whether written or computerised.

Promote and maintain positive working relationships between all staff, internal and external to the trust, involved in the care of patients.

Education and Training

Ensure all staff have an individual performance development plan.

Participate in own and others appraisals.

Ensure all nursing staff maintain mandatory training requirement.

Ensure implementation of the Trust s Study Leave policy

Ensure the induction and development of staff.

Promote a positive learning environment within the clinical area.

Maintain detailed and accurate records regarding staff education and attendance management.

Participate in specialist training and education at post-graduate level within the University setting as agreed with Matron.

Undertake role specific training and competencies.

Provide education and training to patients and their carers.

Keep up to date with developments and advances within the speciality.

Collaborate with other team members in clinical areas to ensure provision of education is clear and robust.

Mentorship and supervision of junior staff.

Support staff to deliver evidence based practice and research activities to further enhance patient care.

Leadership

Provide leadership to the clinical team and working with Matron, develop new roles/ways of working.

Provide a visible clinical lead and role model to the nursing and wider team by delivering high quality compassionate care.

Delegate and empower staff to provide efficient, safe and quality care to patients as an expert practitioner.

Deliver a positive patient experience.

Responsible for the day-to-day supervision of junior staff, trainees and students within the specialist team.

Line manages the nursing team, including recruitment, performance management and workforce planning.

Supervise staff rostering, ensuring adequate skill mix.

Motivate the staff to deliver high quality care.

Supervise clinician delivery of care competencies.

Anticipate problems and take preventative or mitigating actions or have a contingency plan available.

Respond to accidents, complaints, untoward incidents and other significant events.

Deliver an effective quality service with budgetary constraint and work with the matron to deliver safe, cost-effective care within the delegated budget.

Ensure the workload and performance monitoring data for the team is collected, collated and utilised to ensure the effective and efficient work of the team. Reviews this information with Matron on a regular basis.

Work with the Matron in the development of specific elements of nursing practice, reflecting the CSU and Nursing, Midwifery and Allied Health professionals business plan.

Engage users and carers views on service delivery and development.

Propose, develop and implement policy, protocols and practice guidelines as specific to the clinical speciality.

Exercise personal duty of care in relation to equipment, resource and stock control and utilising equipment and supplies appropriately.

This list does not provide an exhaustive list of roles and responsibilities and these may be subject to change with professional and service developments.

5. THE LEEDS WAY VALUES

Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:

Patient-centred

Collaborative

Fair

Accountable

Empowered

All our actions and endeavours will be guided and evaluated through these values. Additional values essential for this role include:

Commitment to delivering high quality evidence based care

Commitment to working in a multi-disciplinary team

Commitment to won personal and professional development and the development of others within the team.

6. WEST YORKSHIRE ASSOCIATION OF ACUTE TRUSTS (WYAAT)

Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients.

By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating, and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.

WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnerships ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition.

7. INFECTION CONTROL

The jobholder must comply at all times with the Leeds Teaching Hospitals NHS Trust Infection Control policies, in particular by practising Universal Infection Control Precautions. Hand hygiene must be performed before and after contact with patients and their environment.

8. HEALTH AND SAFETY / RISK MANAGEMENT

All staff are responsible for working with their colleagues to maintain and improve the quality of services provided to our patients and other service users. This includes complying at all times with the Leeds Teaching Hospitals NHS Trust Policies, including Health and Safety policies, in particular by following agreed security and safer working procedures, and reporting incidents using the Trust Incident Reporting system

9. EQUALITY AND DIVERSITY

The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families. No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc.

10. TRAINING AND PERSONAL DEVELOPMENT CONTINUOUS PROFESSIONAL DEVELOPMENT

The jobholder must take responsibility in agreement with his/her line manager for his/her own personal development by ensuring that Continuous Professional Development remains a priority. The jobholder will undertake all mandatory training required for the role.

11. COMMUNICATION & WORKING RELATIONSHIPS

Matron

All grades nursing staff

Allied Health Professionals

Medical staff

Facilities staff

Members of Clinical Management Team

12. SPECIAL WORKING CONDITIONS

i) PHYSICAL EFFORT:

Work within a fast-paced environment with continuing evolvement of physical effort required.

Dexterity to perform intricate emergency treatments.

IT skills to effectively navigate IT systems use the Emergency Department.

Provide personal cares to patients including manual handling of patients.

Complete physical clinical duties working in care teams or resus.

Assist with physical clinical treatments such as manipulations, treatment application and resuscitation. .

ii) MENTAL EFFORT:

Full concentration or dull rostered duty to ensure safe care always provided.

Ability to prioritise and manage personal pressures due to demanding nature of environment.

iii) EMOTIONAL EFFORT:

Calm and measured overview of a highly fluctuating department of demand and acuity.

Resilience to lead the team through departmental demands and acute or distressing presentations.

Seek support and signpost support if required following daily exposure to distressing presentations or significant demands upon the department.

Use of debrief and continued reflection.

Robust coping and recovery mechanisms to support psychological safety.