Job summary
We are looking for an Dermatology Advanced Clinical Practitioner to join our team! We are recruiting to a 37.5 hour post, working Monday - Friday (part time hours, will be considered).
The role of the Advanced Clinical Practitioner is to work across professional boundaries, undertaking a variety of clinical duties, within the context of the clinical team and to work within Dermatology. The Advanced Practitioner is required to work as an autonomous clinical professional. Within the multi-disciplinary team, the Advanced Practitioner will support the provision of high-quality patient centred health care. To identify, assess, diagnose and treat adults with various Dermatological conditions.
While this position is advertised as a Band 8a role, applicants who do not currently hold an MSc in Advanced Practice or equivalent qualification may be considered for a Band 7 to Band 8a development opportunity. In such cases, the role would begin as a temporary Band 7 post, with progression to a permanent Band 8a upon successful completion of the MSc qualification. This development pathway would be offered as a fixed-term contract for two years. If you are an internal candidate or employed by another NHS Trust, secondment approval from your current line manager would be required. Please ensure approval is obtained prior to applying as it will be a condition of any offer made.
Please note that this vacancy may close early.
Main duties of the job
Depending on your knowledge, skills, and experience, you will be a key member of the Dermatology Outpatient Team, providing expert clinical advice to support accurate clinical judgement in the diagnosis, ongoing assessment, decision-making, treatment, and management of dermatology patients within the setting. You will lead the clinical development of the dermatology service in partnership with the Consultant team, contributing expertise in clinical governance and supporting the educational growth of colleagues. Advanced Practice in dermatology is delivered by experienced, registered healthcare practitioners. It involves a high degree of autonomy and complex decision-making, underpinned by a master's level qualification or equivalent that encompasses the four pillars: clinical practice, leadership and management, education, and research. This includes demonstrating core capabilities and clinical competence specific to dermatology. The post holder will proactively advance the role by applying lessons learned from both the educational programme and practical clinical experience. The aim is to improve patient outcomes by enhancing access to dermatology services.
About us
Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff, makes for happy patients'. We have a recognised track record in staff engagement, and living our values 'the WWL Way'.
WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.
At WWL we value the benefits a rich and diverse workforce brings to our community and therefore welcome applications from all sections of society.
Job description
Job responsibilities
Key results from the job holder
Practice at an advanced level of professional autonomy and accountability that is within national guidelines, Trust policies and NMC Codes of Conduct.
To independently receive and make referrals and lead the management of own caseload for dermatology patient treatment, diagnosis and follow up across health care settings.
To utilise advanced clinical reasoning skills and evidence-based knowledge in the management of patients with complex presentations and to be clinically competent to utilise skills and knowledge in a variety of clinical settings.
To make independent clinical decisions and initiate investigations, care/treatment, and technological intervention within an agreed framework.
To direct and use the results of specialist investigations to assist formulation of diagnosis and plan patient management from a range of interventions.
To oversee and supervise others in delivery of nurse led clinics applicable to the post and specialty.
Develop and conduct skilled intervention within a skin disease caseload, addressing issues such as skin assessment, treatment and care, co-morbidities, education within an agreed framework.
To maintain up to date, client records in accordance with service policy and to contribute to maintaining minimum dataset.
- To monitor, evaluate and review dermatology nursing practice and to modify approaches to clinicalcare as necessary.
- To take a leadership role in the development of clinical expertise in dermatology nursing enablingnurses to develop advanced assessment, decision-making and prescribing skills.
- To assist in developing nurse-led dermatology care in collaboration with medical andmultidisciplinary colleagues.
- To be an authoritative expert assessor/advisor on the management, psychological /spiritual/ social/practical and ethical needs of dermatology patients and to work in partnership with a range ofhealth professionals to improve skills in these areas.
- To work in close collaboration with dermatology lead consultant colleagues locally, nationally, and internationally.
- To work in collaboration with clinical teams/general management, to ensure there is a definepathway of care for general dermatology patients, facilitating timely care and treatment of patients.
- To utilise expert re-assessment to ensure that the management of planned interventions with otherMDT members is maintained via the development of a systematic process of follow-up patients acrossthe Trust and wider health care system.
- Engage with appropriate agencies as a nursing leader in the development of innovative nursingpractice and initiatives.
- Enhance dermatology as a nursing specialty within the Trust.
- Develop this pioneering role to strengthen nursing leadership.
- Share knowledge and expertise, acting as an expert resource to others within and outside theorganisation.
- Understand national and international standards and advise on shaping of services to meet local need.
- Set local standards promoting best practice, utilising leadership and change management skills.
- Act as a role model and advisor for staff within the Trust and the wider arena as appropriate i.e. primary care/other Trusts/national meetings
Planning and Organisational Duties
- To lead in the implementation of dermatology nursing strategy across the Trust incorporating national and international standards into local practice.
- To inform and influence local management teams to ensure that the service responds to relevantdermatology national initiatives and directives (e.g. NICE, IOG, Peer Review).
- To work in partnership with the team and other areas in the Trust on the strategic and operationalplanning of the dermatology service and to be responsible for the developments of nursing practice.
- To create, develop and implement guidelines and protocols of care relevant to medical dermatologyin partnership with local/national /international agencies.
- To contribute to and influence the national dermatology policy agenda
- To provide expert input to the Trusts quality strategy by expressing the needs of the patient via a whole system approach rather than a unilateral professional view.
- To develop innovative models of dermatology service delivery, challenging organisational andprofessional boundaries.
- To develop innovations between the Trust and other agencies to ensure equity and access to thedermatology service.
- To initiate and respond to dermatology user feedback by ongoing evaluation and identification ofemerging trends, leading service development and redesign.
- To lead and interpret clinical policy change as it relates to dermatology and provide expert recommendations to managers, the Trust, local and national policy working parties
- To be responsible for the maintenance of accurate written records.
- To identify appropriate outcome measures and service impact measures, which evaluate accuratelypatient response and service development needs.
- To maintain accurate statistical information in dermatology using databases as necessary to inform management team and drive audit programme.
- To maintain accurate statistical information in dermatology using databases as necessary to inform management team and drive audit programme.
- To flexibly manage responsibility for own complex clinical caseload, Trust and external teaching/lecturing. To be research active and contribute to service development and quality assurance.
- In collaboration with management and external agencies, to identify clinically focused research priorities.
- To use excellent prioritising and time management skills to meet the unpredictable and conflicting needs of the service.
- To develop own managerial and administrative functions in conjunction with role developments.
- Towork in a stressful environment with intense concentration for periods of up to 40 minutes at a time throughout the day.
Communications and Key Working Relationships
- To demonstrate an expert ability to communicate highly complex and sensitive information to patients,carers, and other staff, where there may be barriers to communication or may include informationabout long-term/permanent disabilities. This must be done whilst always ensuring confidentiality andensuring sensitivity to the audiences level of understanding and prior knowledge.
- To be able to motivate and persuade others through advanced communication skills, using writtenand electronic information where needed.
- To effectively articulate their expert perspective on a patients condition with colleagues when variousmanagement options are available.
- To diffuse potentially hostile and antagonistic situations with staff, patients, and relatives, using highlydeveloped negotiation and interpersonal skills.
- To make reasonable efforts to resolve verbal complaints and to be well versed with the Trusts formal complaints procedure.
- Contribute to clinical governance arrangements by providing expert input and securing qualityimprovement, including influencing other disciplines, to help deliver quality services.
- Promote best practice, utilising local and regional benchmarking groups for the generation and promotion of standards and clinical guidelines
- To carry out daily assessments and treatments of patients with moderate intense physical effortinvolved.
- To comply with the Trusts Manual Handling Policy and local therapeutic handing guidelines
- To work in an environment where the work patterns are disrupted by frequent demands from patients,clinical staff, students and administrative support staff and any emergency arising.
- To support staff when indicated in the management of challenging situations.
- To manage patients where their clinical condition may lead to anxiety and aggressive behaviour.
- To sensitively explain the results of investigations including the possible need for surgery, poor prognosis and occasionally the existence of possibly fatal pathology.
- To work in a stressful environment with intense concentration for periods of up to 40 minutes at a timethroughout the day.
- To cope with occasional exposure to unpleasant working conditions (i.e. body fluids, incontinence,verbal abuse act).
Responsibility for Financial
- To propose the use of new equipment relevant to dermatology, which will develop practice, and to appraise and evaluate its use in the clinical setting demonstrating the need for the purchase of physical assets.
- Contribute to business planning process for dermatology, initiating bids for resources whereappropriate.
- Support the Dermatology Team in identifying financial concerns and developments.
- Contribute to Departmental and Divisional cost improvement programmes.
- Utilise Trust resources in a responsible manner.
Responsibility for Human Resources
- With service matron / DDON /DON, participate in regular skill mix reviews ensuring the established figures meet the needs of the dermatology service.
- To participate in workforce planning to meet service development and policy change.
- To appraise the nurse practitioners / clinical nurse specialists in dermatology and support theirprofessional development.
- To have a key responsibility for dermatology clinical teaching and staff development of peers, otherhealth professionals within the clinical area, across the Trust and outside the organisation.
- To develop formal links through partnerships with local universities and relevant professional bodies.
- To assist in the local and national recruitment of staff as a clinical expert panel member.
- To lead relevant departmental, nursing, Trust, and regional meetings.
- To provide clinical supervision to other staff and engage in own supervision.
Job description
Job responsibilities
Key results from the job holder
Practice at an advanced level of professional autonomy and accountability that is within national guidelines, Trust policies and NMC Codes of Conduct.
To independently receive and make referrals and lead the management of own caseload for dermatology patient treatment, diagnosis and follow up across health care settings.
To utilise advanced clinical reasoning skills and evidence-based knowledge in the management of patients with complex presentations and to be clinically competent to utilise skills and knowledge in a variety of clinical settings.
To make independent clinical decisions and initiate investigations, care/treatment, and technological intervention within an agreed framework.
To direct and use the results of specialist investigations to assist formulation of diagnosis and plan patient management from a range of interventions.
To oversee and supervise others in delivery of nurse led clinics applicable to the post and specialty.
Develop and conduct skilled intervention within a skin disease caseload, addressing issues such as skin assessment, treatment and care, co-morbidities, education within an agreed framework.
To maintain up to date, client records in accordance with service policy and to contribute to maintaining minimum dataset.
- To monitor, evaluate and review dermatology nursing practice and to modify approaches to clinicalcare as necessary.
- To take a leadership role in the development of clinical expertise in dermatology nursing enablingnurses to develop advanced assessment, decision-making and prescribing skills.
- To assist in developing nurse-led dermatology care in collaboration with medical andmultidisciplinary colleagues.
- To be an authoritative expert assessor/advisor on the management, psychological /spiritual/ social/practical and ethical needs of dermatology patients and to work in partnership with a range ofhealth professionals to improve skills in these areas.
- To work in close collaboration with dermatology lead consultant colleagues locally, nationally, and internationally.
- To work in collaboration with clinical teams/general management, to ensure there is a definepathway of care for general dermatology patients, facilitating timely care and treatment of patients.
- To utilise expert re-assessment to ensure that the management of planned interventions with otherMDT members is maintained via the development of a systematic process of follow-up patients acrossthe Trust and wider health care system.
- Engage with appropriate agencies as a nursing leader in the development of innovative nursingpractice and initiatives.
- Enhance dermatology as a nursing specialty within the Trust.
- Develop this pioneering role to strengthen nursing leadership.
- Share knowledge and expertise, acting as an expert resource to others within and outside theorganisation.
- Understand national and international standards and advise on shaping of services to meet local need.
- Set local standards promoting best practice, utilising leadership and change management skills.
- Act as a role model and advisor for staff within the Trust and the wider arena as appropriate i.e. primary care/other Trusts/national meetings
Planning and Organisational Duties
- To lead in the implementation of dermatology nursing strategy across the Trust incorporating national and international standards into local practice.
- To inform and influence local management teams to ensure that the service responds to relevantdermatology national initiatives and directives (e.g. NICE, IOG, Peer Review).
- To work in partnership with the team and other areas in the Trust on the strategic and operationalplanning of the dermatology service and to be responsible for the developments of nursing practice.
- To create, develop and implement guidelines and protocols of care relevant to medical dermatologyin partnership with local/national /international agencies.
- To contribute to and influence the national dermatology policy agenda
- To provide expert input to the Trusts quality strategy by expressing the needs of the patient via a whole system approach rather than a unilateral professional view.
- To develop innovative models of dermatology service delivery, challenging organisational andprofessional boundaries.
- To develop innovations between the Trust and other agencies to ensure equity and access to thedermatology service.
- To initiate and respond to dermatology user feedback by ongoing evaluation and identification ofemerging trends, leading service development and redesign.
- To lead and interpret clinical policy change as it relates to dermatology and provide expert recommendations to managers, the Trust, local and national policy working parties
- To be responsible for the maintenance of accurate written records.
- To identify appropriate outcome measures and service impact measures, which evaluate accuratelypatient response and service development needs.
- To maintain accurate statistical information in dermatology using databases as necessary to inform management team and drive audit programme.
- To maintain accurate statistical information in dermatology using databases as necessary to inform management team and drive audit programme.
- To flexibly manage responsibility for own complex clinical caseload, Trust and external teaching/lecturing. To be research active and contribute to service development and quality assurance.
- In collaboration with management and external agencies, to identify clinically focused research priorities.
- To use excellent prioritising and time management skills to meet the unpredictable and conflicting needs of the service.
- To develop own managerial and administrative functions in conjunction with role developments.
- Towork in a stressful environment with intense concentration for periods of up to 40 minutes at a time throughout the day.
Communications and Key Working Relationships
- To demonstrate an expert ability to communicate highly complex and sensitive information to patients,carers, and other staff, where there may be barriers to communication or may include informationabout long-term/permanent disabilities. This must be done whilst always ensuring confidentiality andensuring sensitivity to the audiences level of understanding and prior knowledge.
- To be able to motivate and persuade others through advanced communication skills, using writtenand electronic information where needed.
- To effectively articulate their expert perspective on a patients condition with colleagues when variousmanagement options are available.
- To diffuse potentially hostile and antagonistic situations with staff, patients, and relatives, using highlydeveloped negotiation and interpersonal skills.
- To make reasonable efforts to resolve verbal complaints and to be well versed with the Trusts formal complaints procedure.
- Contribute to clinical governance arrangements by providing expert input and securing qualityimprovement, including influencing other disciplines, to help deliver quality services.
- Promote best practice, utilising local and regional benchmarking groups for the generation and promotion of standards and clinical guidelines
- To carry out daily assessments and treatments of patients with moderate intense physical effortinvolved.
- To comply with the Trusts Manual Handling Policy and local therapeutic handing guidelines
- To work in an environment where the work patterns are disrupted by frequent demands from patients,clinical staff, students and administrative support staff and any emergency arising.
- To support staff when indicated in the management of challenging situations.
- To manage patients where their clinical condition may lead to anxiety and aggressive behaviour.
- To sensitively explain the results of investigations including the possible need for surgery, poor prognosis and occasionally the existence of possibly fatal pathology.
- To work in a stressful environment with intense concentration for periods of up to 40 minutes at a timethroughout the day.
- To cope with occasional exposure to unpleasant working conditions (i.e. body fluids, incontinence,verbal abuse act).
Responsibility for Financial
- To propose the use of new equipment relevant to dermatology, which will develop practice, and to appraise and evaluate its use in the clinical setting demonstrating the need for the purchase of physical assets.
- Contribute to business planning process for dermatology, initiating bids for resources whereappropriate.
- Support the Dermatology Team in identifying financial concerns and developments.
- Contribute to Departmental and Divisional cost improvement programmes.
- Utilise Trust resources in a responsible manner.
Responsibility for Human Resources
- With service matron / DDON /DON, participate in regular skill mix reviews ensuring the established figures meet the needs of the dermatology service.
- To participate in workforce planning to meet service development and policy change.
- To appraise the nurse practitioners / clinical nurse specialists in dermatology and support theirprofessional development.
- To have a key responsibility for dermatology clinical teaching and staff development of peers, otherhealth professionals within the clinical area, across the Trust and outside the organisation.
- To develop formal links through partnerships with local universities and relevant professional bodies.
- To assist in the local and national recruitment of staff as a clinical expert panel member.
- To lead relevant departmental, nursing, Trust, and regional meetings.
- To provide clinical supervision to other staff and engage in own supervision.
Person Specification
Knowledge
Essential
- Evidence of recent CPD activities
- Computer literate in IT systems and programs, Word, Excel and PowerPoint.
- Willing to continue to professional develop and support the development of others
- Evidence of contributing to research and audit activities related to own clinical practice.
- Able to present information and teach to a wide range of personnel using audio visual equipment.
- Good understanding of Health and Safety at Work Act and clinical governance and risk management frameworks.
Qualifications
Essential
- Current registration with a professional body (NMC, HCPC)
- Non-Medical Prescribing Course
- MSc in Advanced Practice/equivalent MSc, or willing to work towards
- Minor surgery experience/qualification or willing to undertake
Desirable
- Teaching / assessing qualification
- Mentorship course
Skills
Essential
- Excellent interpersonal, written and verbal communication.
- Able to motivate and lead others.
- Influential and persuasive.
- Excellent team working skills.
- Advanced clinical skills relevant to the speciality
- Knnowledge of Health Promotion and relevant educational issues
- Advanced planning, organisational skills including the ability to prioritise competing tasks in a highly complex and dynamic environment.
- Clinical judgement and decision making skills
Desirable
Experience
Essential
- Advanced communication skills
- Experience of working at an advanced level in dermatology
- Significant clinical experience where a degree of autonomous working has been required.
- Demonstrable theoretical and practical knowledge of dermatology common presentations
- Demonstrable experience and involvement in clinical audit methods and quality initiatives related to clinical team activities.
- Experience of leadership and experience of implementing significant change or service development
- Experience of undertaking expanded roles within the speciality.
- Evidence of working on own initiative, managing time effectively and prioritising appropriately.
- Experience of supporting students and other clinical staff within the clinical areas.
- Experience of critically analysing published research and applying theory to practice
Desirable
- Ability to work across organisational boundaries
Person Specification
Knowledge
Essential
- Evidence of recent CPD activities
- Computer literate in IT systems and programs, Word, Excel and PowerPoint.
- Willing to continue to professional develop and support the development of others
- Evidence of contributing to research and audit activities related to own clinical practice.
- Able to present information and teach to a wide range of personnel using audio visual equipment.
- Good understanding of Health and Safety at Work Act and clinical governance and risk management frameworks.
Qualifications
Essential
- Current registration with a professional body (NMC, HCPC)
- Non-Medical Prescribing Course
- MSc in Advanced Practice/equivalent MSc, or willing to work towards
- Minor surgery experience/qualification or willing to undertake
Desirable
- Teaching / assessing qualification
- Mentorship course
Skills
Essential
- Excellent interpersonal, written and verbal communication.
- Able to motivate and lead others.
- Influential and persuasive.
- Excellent team working skills.
- Advanced clinical skills relevant to the speciality
- Knnowledge of Health Promotion and relevant educational issues
- Advanced planning, organisational skills including the ability to prioritise competing tasks in a highly complex and dynamic environment.
- Clinical judgement and decision making skills
Desirable
Experience
Essential
- Advanced communication skills
- Experience of working at an advanced level in dermatology
- Significant clinical experience where a degree of autonomous working has been required.
- Demonstrable theoretical and practical knowledge of dermatology common presentations
- Demonstrable experience and involvement in clinical audit methods and quality initiatives related to clinical team activities.
- Experience of leadership and experience of implementing significant change or service development
- Experience of undertaking expanded roles within the speciality.
- Evidence of working on own initiative, managing time effectively and prioritising appropriately.
- Experience of supporting students and other clinical staff within the clinical areas.
- Experience of critically analysing published research and applying theory to practice
Desirable
- Ability to work across organisational boundaries
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.
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).
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.
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).
Employer details
Employer name
Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust
Address
Wigan , Wrightington and Leigh Trust Sites
The Avenue
Leigh
WN7 1HS
Employer's website
http://www.wwl.nhs.uk/ (Opens in a new tab)
