Job summary
The Advanced Clinical Practitioner for Trauma & Orthopaedics will be a highly experienced, knowledgeable and educated member of the team who is able to work autonomously making high level decisions to treat health needs. Advanced level practice encompasses aspects of education, research and management but is firmly grounded in direct care provision or clinical work with patients' families and populations.
Main duties of the job
Main Tasks
- Post-operative medical management and care of all Orthopaedic patients admitted to the Orthopaedic elective ward at CHFT for surgery.
- Participate in the medical management of Trauma patients admitted to CHFT, including performing investigations, interpretation of same and participation in discharge planning.
- Assessment of individuals holistically, using a range of different methods, some of which may not be usually exercised by nurses such as physical assessment and history taking, ordering and interpreting diagnostic tests or advanced health needs assessments
- Communicate effectively with patients' carers and the multidisciplinary team.
- Use their expert knowledge and clinical judgement to decide whether to refer patients for investigations and make diagnoses.
- Decide on and carry out treatment, which may include the prescribing of medicines, or referring patients to an appropriate specialist.
- Ensure the provision of continuity of care.
- Assess and evaluate, with patients and /or carers, the effectiveness of the treatment and care provided and make changes as needed.
- Work autonomously within a wider health care team and as a lone practitioner.
- Work across professional, organisational and system boundaries and proactively develop and sustain new partnerships and networks to influence and improve health, outcomes and healthcare delivery systems.
About us
We employ more than 6,500 staffwho deliver compassionate care from our two main hospitals,Calderdale Royal Hospital and Huddersfield Royal Infirmary as well as in community sites, healthcentres and in patients' homes. We also are incredibly proud to have almost 150 volunteers here at CHFT.
We provide a range of services including urgent and emergency care; medical; surgical; maternity; gynaecology; critical care; children's and young people's services; end of life care and outpatient and diagnostic imaging services.
We provide community health services, including sexual health services in Calderdale from Calderdale Royal and local health centres. These include Todmorden Health Centre and Broad Street Plaza.
We continue to modernise and invest in our health services to build on our strong reputation.Foundation trusts are public leaders in improving quality in health services. They are part of the NHS- yet decisions about what they do and how they do it are driven by independent boards. Boardslisten to their Council of Governors and respond to the needs of their members - patients, staff andthe local community.
Foundation trusts provide what the health service wants, yet are also free to invest quickly in thechanges to the local community needs, in striving to be the best, and in putting their patients first.
Job description
Job responsibilities
Post specific Criteria:
- Lead the management of either elective or emergency Orthopaedic patients from arrival to discharge demonstrating through audit and data collection improvements in patient pathways and experience.
- Be responsible for the assessment and management of patients presenting to the elective/emergency Orthopaedic wards.
- Work across all areas in the elective Orthopaedic wards at CRH & emergency care Orthopaedic wards at HRI to manage all aspects of ward work for Orthopaedic Inpatients.
- Assess and manage patients across the age spectrum and within scope of practice.
- Provide expert clinical care, including appropriate investigations and initiation of necessary interventions.
- Work with internal and external agencies/teams to effectively manage the care episode, including discharge.
- Work collaboratively as part of the multidisciplinary team to ensure patients are assessed and have all appropriate investigations required to make diagnostic and treatment decisions.
- Liaise effectively with referrers to ensure timely and appropriate patient admission and discharge.
- Monitor rate of readmission/re-attendance, identifying any trends and working within the multidisciplinary team to address these.
- Work in the multidisciplinary team to develop practice, research and audit.
- Develop and review policies, guidelines integrated care pathways and patient information, as necessary.
- Develop ACP -led clinical audit and research within the service, undertaking regular reviews of practice to continually improve the quality of care.
Professional Duties
Education / Training:
- Continually develop personal theoretical knowledge and maintain high standards of clinical competence through on-going self-directed study and attendance at in-house training.
- Complete specialist field competencies, including advanced life support training, within timeframe agreed with clinical supervisor.
- Access ongoing clinical supervision to identify and address educational needs.
- Develop and maintain a peer network of support, information and learning with other ACPs at a local and National level.
- Maintain own professional portfolio.
- Lead the development and acquisition of specialist knowledge and skills to enhance and extend the practice of themselves, other nurses and health care professionals within the service and beyond.
- Identify and address the educational needs of patients, families, carers and staff involved in the delivery of the service.
- Contribute to the teaching and support of staff from the multi professional team within relevant educational programmes.
- Provide an appropriate learning environment, including mentorship, coaching and
- Organise and contribute to relevant educational programmes and in house study
Improving quality and developing practice:
- Coordinate and participate in on-going service review and evaluation, including seeking and monitoring patient experience and outcomes.
- Participate in research / audit to generate new evidence in area of speciality.
- Evaluate clinical practice in relation to its evidence base and clinical effectiveness including policy and guidance.
- Identify areas of risk and poor quality, and address these through appropriate governance structures and forums.
- Participate and actively seek peer review in practice and sound evidence for assurance purposes.
Managerial Duties
- Work collaboratively with the Matron, Directorate Manager, Operational ServiceManager, Clinical Director, Lead Clinicians and Senior Nurses to ensure the efficient operational management of the service and that Strategic aims are met within agreed budgets.
- Identify and implement systems to promote their contribution and demonstrate the impact of advanced level practice to the healthcare team and the wider health and social care sector.
- Provide support to the Matron and the other senior nurses within the Directorate.
- Collaborate with the multi-professional team to develop a shared vision of the service.
- Act as a role model and provide consultancy to own and other areas in expert clinical evidence-based practice.
- Work collaboratively with colleagues to develop effective documentation, pathways, protocols and guidelines for care. Demonstrate a commitment to share expertise and disseminate information.
- Contribute to the development of the team and the service to continuously improve patient care.
- Participate in implementing national standards and frameworks at a local level.
- Network locally, regionally, nationally and internationally and seek opportunities to develop the ACP role.
- Have an understanding of budgetary constraints and manage budgets effectively including active participation in cost improvement programmes.
- Use effective change management skills to initiate and implement service and practice development, making the best use of resources to improve practice and health outcomes.
- Participate in the selection, interviewing, appraisal and professional development of team members.
- Maintain involvement and active input in multidisciplinary meetings and appropriate local bodies / forums to contribute to practice and service development.
Financial Duties
- Ensure safe, cost-effective care managed through allocated budget.
Managing Self
- Participate in regular supervision.
- Attend all mandatory training.
- Participate annually identifying, developing and agreeing your own development plan with your Line Manager using the Trust Appraisal.
- Comply with all Trust policies, procedures and protocols.
- Carry out duties with due regard to the Trusts Equal Opportunity Policy.
- Seek advice and support from Line Manager whenever necessary.
- Maintain professional conduct including appearance at all times.
- Ensure maintenance of Professional Registration.
Job description
Job responsibilities
Post specific Criteria:
- Lead the management of either elective or emergency Orthopaedic patients from arrival to discharge demonstrating through audit and data collection improvements in patient pathways and experience.
- Be responsible for the assessment and management of patients presenting to the elective/emergency Orthopaedic wards.
- Work across all areas in the elective Orthopaedic wards at CRH & emergency care Orthopaedic wards at HRI to manage all aspects of ward work for Orthopaedic Inpatients.
- Assess and manage patients across the age spectrum and within scope of practice.
- Provide expert clinical care, including appropriate investigations and initiation of necessary interventions.
- Work with internal and external agencies/teams to effectively manage the care episode, including discharge.
- Work collaboratively as part of the multidisciplinary team to ensure patients are assessed and have all appropriate investigations required to make diagnostic and treatment decisions.
- Liaise effectively with referrers to ensure timely and appropriate patient admission and discharge.
- Monitor rate of readmission/re-attendance, identifying any trends and working within the multidisciplinary team to address these.
- Work in the multidisciplinary team to develop practice, research and audit.
- Develop and review policies, guidelines integrated care pathways and patient information, as necessary.
- Develop ACP -led clinical audit and research within the service, undertaking regular reviews of practice to continually improve the quality of care.
Professional Duties
Education / Training:
- Continually develop personal theoretical knowledge and maintain high standards of clinical competence through on-going self-directed study and attendance at in-house training.
- Complete specialist field competencies, including advanced life support training, within timeframe agreed with clinical supervisor.
- Access ongoing clinical supervision to identify and address educational needs.
- Develop and maintain a peer network of support, information and learning with other ACPs at a local and National level.
- Maintain own professional portfolio.
- Lead the development and acquisition of specialist knowledge and skills to enhance and extend the practice of themselves, other nurses and health care professionals within the service and beyond.
- Identify and address the educational needs of patients, families, carers and staff involved in the delivery of the service.
- Contribute to the teaching and support of staff from the multi professional team within relevant educational programmes.
- Provide an appropriate learning environment, including mentorship, coaching and
- Organise and contribute to relevant educational programmes and in house study
Improving quality and developing practice:
- Coordinate and participate in on-going service review and evaluation, including seeking and monitoring patient experience and outcomes.
- Participate in research / audit to generate new evidence in area of speciality.
- Evaluate clinical practice in relation to its evidence base and clinical effectiveness including policy and guidance.
- Identify areas of risk and poor quality, and address these through appropriate governance structures and forums.
- Participate and actively seek peer review in practice and sound evidence for assurance purposes.
Managerial Duties
- Work collaboratively with the Matron, Directorate Manager, Operational ServiceManager, Clinical Director, Lead Clinicians and Senior Nurses to ensure the efficient operational management of the service and that Strategic aims are met within agreed budgets.
- Identify and implement systems to promote their contribution and demonstrate the impact of advanced level practice to the healthcare team and the wider health and social care sector.
- Provide support to the Matron and the other senior nurses within the Directorate.
- Collaborate with the multi-professional team to develop a shared vision of the service.
- Act as a role model and provide consultancy to own and other areas in expert clinical evidence-based practice.
- Work collaboratively with colleagues to develop effective documentation, pathways, protocols and guidelines for care. Demonstrate a commitment to share expertise and disseminate information.
- Contribute to the development of the team and the service to continuously improve patient care.
- Participate in implementing national standards and frameworks at a local level.
- Network locally, regionally, nationally and internationally and seek opportunities to develop the ACP role.
- Have an understanding of budgetary constraints and manage budgets effectively including active participation in cost improvement programmes.
- Use effective change management skills to initiate and implement service and practice development, making the best use of resources to improve practice and health outcomes.
- Participate in the selection, interviewing, appraisal and professional development of team members.
- Maintain involvement and active input in multidisciplinary meetings and appropriate local bodies / forums to contribute to practice and service development.
Financial Duties
- Ensure safe, cost-effective care managed through allocated budget.
Managing Self
- Participate in regular supervision.
- Attend all mandatory training.
- Participate annually identifying, developing and agreeing your own development plan with your Line Manager using the Trust Appraisal.
- Comply with all Trust policies, procedures and protocols.
- Carry out duties with due regard to the Trusts Equal Opportunity Policy.
- Seek advice and support from Line Manager whenever necessary.
- Maintain professional conduct including appearance at all times.
- Ensure maintenance of Professional Registration.
Person Specification
QUALIFICATIONS / TRAINING
Essential
- Registered General Nurse/AHP
- Teaching/Assessment, Mentoring Qualification
- Masters in Advanced Practice or equivalent
- Non-Medical Prescriber
KNOWLEDGE, EXPERIENCE & EXPERTISE
Essential
- Experience in Trauma and Orthopaedics
- Experience in working as an autonomous practitioner
- Previous experience of formal/informal teaching of patients and staff
- Demonstrates up to date knowledge and expertise of Advanced Practice
- Knowledge of the key professional issues and MNC/HCP guidelines related to professional practice
- Evidence of being able to work across organisational boundaries
- Experience of applying research evidence to clinical practice
- Commitment to maintain own fitness for practice through maintaining a personal profile of competencies (profile)
Desirable
- Working knowledge and clinical management of patients specific to role
COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)
Essential
- Demonstrate a clear vision of the role and service
- Ability to initiate sustain and evaluate change
- Demonstrate skilled written and verbal communication, presentation and decision-making skills
Person Specification
QUALIFICATIONS / TRAINING
Essential
- Registered General Nurse/AHP
- Teaching/Assessment, Mentoring Qualification
- Masters in Advanced Practice or equivalent
- Non-Medical Prescriber
KNOWLEDGE, EXPERIENCE & EXPERTISE
Essential
- Experience in Trauma and Orthopaedics
- Experience in working as an autonomous practitioner
- Previous experience of formal/informal teaching of patients and staff
- Demonstrates up to date knowledge and expertise of Advanced Practice
- Knowledge of the key professional issues and MNC/HCP guidelines related to professional practice
- Evidence of being able to work across organisational boundaries
- Experience of applying research evidence to clinical practice
- Commitment to maintain own fitness for practice through maintaining a personal profile of competencies (profile)
Desirable
- Working knowledge and clinical management of patients specific to role
COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)
Essential
- Demonstrate a clear vision of the role and service
- Ability to initiate sustain and evaluate change
- Demonstrate skilled written and verbal communication, presentation and decision-making skills
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).
