Advanced Acute Oncology Nurse Practitioner

Job description

Job responsibilities

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

Clinical and Professional

Act as an advocate for the patient at all times, ensuring a person-centred approach in overseeing the patients treatment and investigation pathway, ensuring that it is seamless and well communicated to all parties, including the patients.

To act as an expert practitioner to provide direct, specialised care including interventions and advice to patients within the acute oncology service and multi-disciplinary speciality teams demonstrating advanced clinical skills and knowledge in the assessment of individual patients

Undertake telephone and face to face emergency assessment and instigate appropriate management of patients presenting acutely unwell to the Trust.

Responsible for escalating appropriate and timely consultation and / or referral when beyond the level of the post holder expertise / knowledge.

To make an autonomous assessment surrounding complex health concerns or situations to enable the initiation of nursing care and interventions to support the patients healthcare needs.

To utilise high level, advanced communication skills.

To use highly specialist nursing skills to assess the patients physical, emotional and social needs.

Consider the safeguarding needs of vulnerable patients e.g. those with cognitive impairment or disability.

To act as a patients advocate, ensuring the patient and carer are fully informed and understand the proposed care pathway and interventions therefore enabling patients to make informed decisions.

Ensuring that consent to treatment is established prior to any interventions when appropriate.

To act as an expert practitioner/coordinator for suspected Metastatic Spinal Cord Compression patients.

To provide a resource for staff, advising on national, local and Trust policy and procedures/guidelines, ensuring that clinical governance is embedded in practice.

As an Independent Nurse Prescriber commence medications where clinically appropriate within

scope of expertise based on a robust assessment of patients condition.

Monitor and evaluate the patients response to treatment and advise nursing and other healthcare professionals on the revised care strategies to improve effectiveness of care.

Manage caseload independently, prioritising appropriately and ensuring resources are used cost effectively.

To ensure all information given and interventions recommended are evidence based and up to date.

To refer to appropriate social or health care agencies as required.

To have contact with patients and their relatives, who may be highly distressed and anxious, and to use advanced communication skills to provide supportive listening and assess psychological needs, providing practical and emotional support.

Liaise with the nursing and allied health professionals in clinical departments as they move between care settings along the patient pathway e.g. during treatment or admission.

Ensure the maintenance of professional contemporaneous records at all times, document all actions and interventions in a clear and honest and timely manner in line with Trust policy.

Deal with concerns raised by patients and visitors in a proactive manner, review patient feedback results and update the units patient experience improvement plans, as needed.

Ensure next of kin are informed of patients treatment and admission in line with Trust Information Governance requirements and assist with the arrangements for relatives to see medical staff and others as required.

Demonstrate expert knowledge by being visible and accessible in the Clinical area and using clinical skills as required

Leadership / Management

Provide highly visible and accessible professional leadership and demonstrate expert knowledge and standards of clinical practice

The post holder has joint responsibility with the AOS Nurse Practitioners for the daily running of the acute oncology service (nursing) on within the Acute Trust.

The post holder will advise the Lead AOS Advanced Nurse Practitioner (ANP) if competencies are not being maintained in order for an acute oncology training plan to be devised that complies with Cancer Peer Review Measures and Trust standards.

To evaluate existing services, identifying areas for improvement and in collaboration with the Lead

Clinician and AOS Lead Advanced Nurse Practitioner (ANP) and assist with development of business cases for presentation to the directorate.

In collaboration with the Lead AOS (ANP), AOS Nurse Practitioners, Matron and the review and develop policies relating to Acute Oncology ensuring based upon current evidence base.

To ensure patients accessing the acute oncology service have access to Allied Health Care Professionals in a timely manner either through referral or access to urgent consultation.

To ensure the oncology alert system is maintained.

Ensure the acute oncology service and staff are aware of and comply with current policies.

Ensure effective and efficient utilisation of resources, managing resources to achieve maximum value for money without detriment to patient care.

Ensure the opinion of service users is sought and information gained is used to direct the service.

Educational:

Working in partnership with the AOS Service Lead cute and Lead clinician to develop a trust education strategy for acute oncology coordinating the delivery of training with other members of the team.

Advise on training and competency requirements in order to meet the quality surveillance measure for the acute oncology team and MDTs.

To be the AOS team lead to sign off competencies to the AOS out of hours band 6 nurse team

To work in collaboration with the expert advisory groups to ensure trust education strategy for acute oncology reflects the regional strategy.

To deliver education and training regarding Acute Oncology to multi-professional staff.

To work across the Trust with lead nurses and professional development to ensure that appropriate educational programs are available to meet the requirements of national and trust standards.

Maintain individual professional development adhering to recognised local and national standards.

Maintains a programme of personal and professional development in light of evolving service changes by attending in-service training and utilising relevant educational opportunities. E.g., courses, conferences, seminars.

Access appropriate training courses for self and others to maintain and improve specialist knowledge and skills.

Effectively utilises informal education opportunities with patients, carers and professionals.

Provides formal education for staff on the AOS update day and other relevant study days both internally and externally to the trust as required.

Educates patients and their carers in the understanding of their illness, treatments and provides other sources of information, help and support.

Clinical Governance

To be actively involved in audit of outcomes relating to acute oncology.

In collaboration with the AOS team contribute to the body of knowledge and research in cancer nursing through publication and presentation on a local and national level.

Utilise systematic methods of enquiry to ensure own practice and development of others is always evidenced based.

To support developments in clinical practice, undertake audits to identify best practice and also clinical service requirements.

Undertake in collaboration with the multi-professional team research projects in relation to specialist area to inform practice.

To maintain and promote evidence based practice by participating in and disseminating research.

To take responsibility for the investigation of Incidents and complaints regarding the acute oncology service and providing an action plan and recommendations for service improvement.

Clinical and Professional Leadership

To work collaboratively with colleagues of all disciplines to review and develop services relating to Acute Oncology to meet the needs of the patients and comply with national guidance.

Maintain accountability and responsibility for autonomous practice in all areas of work ensuring all documentation meets the requirements of local and national standards.

To contribute to the peer review process and actively engage with developments to ensure compliance.

Adhere to all local and national standards and guidelines.

To co-ordinate a high quality service for patients accessing the telephone point of contact ensuring care is delivered as close to home as is clinically appropriate.

Participate in risk assessments and managements of risk in collaboration with appropriate departments and health care professionals.

Person Specification

Qualifications

Essential

• Professional Registration to include a degree in Pharmacy, Nursing or other Allied Health Profession
• Currently registered as a pharmacist (GPhC) or Nurse (NMC) or other AHP in UK:
• Registered with a Professional Body
• Postgraduate clinical specialist qualification in SACT and Oncology / haematology
• Registered Prescriber with the GPhC or NMC

Desirable

• Post registration qualification in education / teaching
• Advanced communication skills training

Experience

Essential

• Significant experience at Band 7 or above that includes:
• Evidence of advanced knowledge and understanding of Haematology / Oncology / SACT
• Experience of successfully supervising and contributing to the training of own professional team and proven experience of training nurses, doctors, and other healthcare professionals
• Formulation and monitoring of policies / guidelines
• Change Management
• Project Management

Desirable

• Practicing prescriber
• Experience in clerking and undertaking independent examination of patients.
• Experience in providing an extended service as sole clinical practitioner working autonomously
• Undertake practice-based research

Improving Diversity and Inclusive Recruitment

Essential

• 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.

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).

Employer details

Employer name

Worcestershire Acute Hospitals NHS Trust

Address

Charles Hastings Way

Worcester

Worcestershire

WR5 1DD

Employer's website

https://www.worcsacute.nhs.uk/ (Opens in a new tab)