Job responsibilities
The post holder will -
Work towards health promotion and prevention and comprehensively assess patients for risk factors and early signs of illness
Draw on a diverse range of knowledge in their decision-making to determine evidence-based therapeutic interventions, which will include prescribing medication where legally allowed and actively monitoring the effectiveness of therapeutic interventions
Plan and manage complete episodes of care, working in partnership with others, delegating and referring as appropriate to optimise health outcomes and resource use, and provide direct support to patients and clients
Work in partnership with patients and support them to manage and live their live
Key Duties -
SPoA -
Provide clinical expertise for a wide array of acute injuries and illnesses
Provide senior support to the SPoA triage teams in determining the correct route through which patients can access urgent care
Alongside the Interface Nurse Consultant, provide inclusive, collaborative senior trusted assessor level clinical conversations with professionals and patients, routing appropriate care pathways across the primary, community and secondary interface, including primary care colleagues, support of ambulance service Call before Convey and streaming services from a variety of sources
Care co-ordination, collaboration, right time, right place model, supporting the NHS Closer to Home agenda, utilizing the full breadth and depth of the system Directory of Services available in avoiding unnecessary ambulance conveyance, unnecessary ED and acute attendances and admissions, within an integrated system approach
Draw on all 4 pillars of advanced practice in delivering SPoA and alternating routing model of care.
Ability to prescribe remotely, offering advice and guidance, request and interpret appropriate investigations, and provide adequate safety netting advice to professionals and patients
Clinical -
Assess and prioritise patients undergoing treatment
Undertake advanced practitioner-level holistic assessment, planning, implementation and evaluation of patients care needs
On a daily basis, act autonomously to provide expert clinical/technical care, which contributes to the diagnosis, specialist care and treatment plans for these highly complex patients. In the absence of medical staff and within predetermined parameters, using advanced clinical-reasoning skills the post holder will initiate treatment plans and support to ensure the on-going safety of the patient
Demonstrate continual evaluation of practice within the defined specialist area and take responsibility for making agreed changes where appropriate
Request and arrange necessary investigations including X-rays, ultrasound scans, VQ scans, endoscopy, spirometry, echocardiography, and exercise tolerance tests, interpreting and reporting findings to appropriate clinicians
Discuss and agree assessment outcomes with patients, carers and other healthcare professionals, to enable them to make informed decisions regarding treatment
Ensure that accurate, essential and appropriate written and verbal information is relayed to staff, ensuring adequate facilities are in place to maintain safety in the environment, ensuring effective management of this group of patients
Ensure that patients are referred to appropriate practitioner when needs and risks are not within own scope of practice. Ensure dignity, privacy, and cultural and religious beliefs are respected at all times
Professional -
Act as a role model by demonstrating high standards of holistic care
Ensure that documentation is of a very high standard, adhering to local and national guidelines
Take on a pivotal role in the development and promotion of a care philosophy, ensuring clinical practice is reflective of this ideology
Take key responsibility for supporting medical colleagues, nursing colleagues and the matron for services
Maintain a current and up-to-date personal professional profile in accordance with guidelines
Maintain competency
Ensure that all aspects of clinical practice are research and evidence based
Managerial/Leadership -
Assess and monitor risk in own and others practice, acting on results, thereby ensuring safe delivery of care
Monitor and develop quality initiatives in line with local and national requirements and guidelines; take a lead role in the facilitation of such initiatives
Identify the skills set and terms of reference required of the Advanced Nurse Practitioner role, ensuring they reflect the individual, holistic needs of patients undergoing care
Work pro-actively in managing change in own speciality, to improve practice and health outcomes
Attend relevant meetings regularly to influence and make decisions regarding service delivery provision and further development of the service
Manage own diary and workload
Act in such a way as to be a credible, effective leader, demonstrating effective clinical leadership on a daily basis
Educational -
Support the development of protocols for the management of patients
Contribute to and participate in the Organisation Education Strategy
Promote the service offered through formal and informal presentations within and outside the organisation through study days, conferences and written papers
Carry out training needs analysis, using the results to design, develop and deliver a teaching programme promoting practice development for those staff caring for patients in the speciality. This will include the development of links with other organisations and innovative approaches to staff development
Deliver formal and informal teaching initiatives as part of the above programme
Receive clinical supervision in order to clinically improve knowledge and the quality of care to patients
Contribute to the training of medical colleagues and other non-medical professionals in areas suitable to the service
Contribute to the training of colleagues and peers in aspects of service delivery provision and to support the service
Identify own personal developmental and educational needs to work at an advanced level and beyond. Ensure appropriate action is taken to maintain and further develop such skills
Attend mandatory lectures and training as required by the organisation
Multi-disciplinary liaison -
Establish and maintain excellent communication with individuals and groups exploring complex issues relating to care options and decisions
In all aspects of work, challenge and demonstrate an ability to work autonomously across organisational and professional boundaries
Promote collaborative working relationships and effective communication between all members of the team
Co-ordinate closely with managers the timely movement of patients to ensure appropriate use of resources within the provision
Work with other areas, specialities and services to adjust boundaries across the specialist are
Develop formal and informal links outside the organisation, sharing good practice innovative ideas, and promote staff and service development
Establish and maintain a regional and national network of contacts relevant to the service
Research and Audit -
Identify the educational needs of the specialist group of patients and their carers, and ensure that these are met through the service provided
Identify areas of practice that may expand or be enhanced, to ensure the best clinical outcome for patients
In collaboration with other senior staff, at all times ensure clinical practice is patient centred and research based, in accordance with professional practice, guidelines, and national and local benchmarks
Encourage and assist other staff within the field to enable and empower them to carry out relevant research
Promote and disseminate research and audit findings relevant to the service
Carry out audit and evaluation in order to monitor the effectiveness of current therapeutic regimes and to improve health outcomes
Service Development -
In all aspects of work, challenge and demonstrate an ability to work across all organisational boundaries
Identify areas of practice which may expand, to ensure the best clinical outcomes for patients
Develop policies and clinical guidelines necessary to support the development of the specialist service
Continue with personal education and development, to identify improvements within the service framework
Influence decisions regarding service delivery through participation in meetings
Continue to develop and promote the Advanced Nurse Practitioner role through professional publications and conference papers.
Improving
Diversity and Inclusive Recruitment:
As
part of the Trust's aim to improve diversity across the Trust, positive action
is being taken and all applications for this post from BAME, Disabled and LGBT+
candidates can request to be considered under an expanded Guaranteed Interview
Scheme if they meet the minimum criteria as specified in the person
specification for this role.
Applicants
will be prompted in the application form to declare if they wish to be
considered under this expanded Guaranteed Interview Scheme, and their response
would be visible to the Shortlisting Panel.
If
you have any queries about expanded Guaranteed Interview Scheme, please contact
Rob Saunders (HR Manager - Recruitment) in confidence via email
robert.saunders1@nhs.net.
As part of the Trust's aim
to improve diversity across the Trust, positive action is being taken and all
applications for this post from BAME, Disabled and LGBT+ candidates can request
to be considered under an expanded Guaranteed Interview Scheme if they meet the
minimum criteria as specified in the person specification for this role. Here
you can declare if you wish to be considered under this expanded Guaranteed
Interview Scheme and this response would be visible to the Shortlisting Panel.
