Lead Advanced Practitioner

Job responsibilities

Communication of highly complex information on managing Paeditatricconditions including risks and benefits and provide details of alternativeoptions where appropriate. The postholder will communicate highly sensitiveand contentious information supporting patients and their carers to makeinformed decisions about their care and treatment. This will require a highdegree of empathy and advanced communication skills to support patientsand their families. Ensure every person receives personalised care starting with a What mattersto you conversation and including shared decision making at the heart of alldecisions. Assess, diagnose, plan, implement and evaluate treatments andinterventions for patients across the Trust/division/specialty. Perform accurate clinical procedures appropriate to area of practice andwithin scope and competence of practice, from undertaking history taking andexamination of the patient, including further invasive testing, diagnostics andtreatments requiring highly developed skills and precision. Request investigations such as blood, urine and other laboratory tests,electrocardiographs (ECGs), diagnostic imaging in accordance withregulatory and governance requirements, and as local policy allows. Interpretand act on investigation results, planning and managing clinical care andinterventions as required. Analyse and respond to highly complex information from multiple sources inmaking clinical judgements and decisions regarding diagnoses, treatmentand management plans. This may involve responding to conflicting views andopinions, seeking advice when scope of practice is exceeded. Coordinate referral to other services (e.g. surgeons, cardiologist,neurologist) or any other service Update EPRs and complete discharge and referral letters to GPs andspeciality consultants Be accountable for own practice, hence answerable for all actions andomissions, regardless of advice or direction from another professional Liaise with relevant speciality teams / services, Primary care services, otherNHS Trusts and social care organisations, establishing local networks withthe appropriate patient and carer groups

Act as a role model and provide leadership, clinical support and expertadvice to medical, nursing/midwifery staff, students and other staff in themultidisciplinary team Attend paediatric emergencies across a range of settings and participate orlead in advanced paediatric resuscitation Use highly developed specialist knowledge and advanced clinical skills toundertake a comprehensive health history and examination of patients todiagnose and treat them (including prescribing drugs as necessary) Assess health related needs of children and families by identifying andinitiating appropriate steps for effective care exercising higher levels ofjudgement and clinical decision making using paediatric clinical guidelines Frequently weigh up differential diagnosis and the variety of potentiallycontentious treatment options, requiring the weighing up of possibilities andjustification of clinical rationale Initiate further investigations and treatment plans from a range of options,analysing response and altering plans as necessary as further databecomes available to ensure care is safe and effective Develop comprehensive medical and nursing patient management plans fora caseload of patients that delivers a holistic approach to their care fromadmission to discharge In collaboration with the senior medical team, recognise abnormalities, earlysigns of illness and/or deterioration and act accordingly, ensuringappropriate and full range investigations are instigated and follow up actionis taken including evaluation of care Carries out Non-Medical prescribing including calculating prescribing,administering and evaluating the effects of drug and fluid therapies inaccordance with local policies Exercise judgement in recognising when supervision is required and seekadvice, asking for help from medical colleagues as appropriate Apply critical judgements to inform clinical decision-making,recommendations and prescription of treatment, including making referralsas necessary. Utilise highly complex reasoning skills to provide diagnoses, presenttreatment options and health promotion advice within the area of expertiseto patients. Effectively manage conflicting perspectives and reconcile professionaldifferences of opinion. Recognise and adhere to the limits of personal competency. Challenge established practice standards and contributed to constructivechange. Demonstrate critical reflection of own practice, fostering self-awareness,emotional intelligence and willingness to embrace change

Conduct comprehensive holistic assessment for patients with specialist careneeds, referred to the service, via the requesting/undertaking andinterpretation of diagnostic results. Develop highly specialised programmes of care and provide highlyspecialised advice regarding care. To demonstrate expertise in evidence-based healthcare to assess,diagnose, plan, implement and evaluate care for patients. Be clinically competent and proficient within the acute paediatric setting,independently managing clinical conditions, making autonomous decisions,seeking advice and/or referring and prescribing where appropriate. Can plan, order, interpret and act upon the results of tests andinvestigations To communicate effectively both verbally and in writing to members of themulti-disciplinary team and other healthcare professionals. Participate in the stabilisation and transfer of patients for escalation of care Use initiative and acts independently within the bounds of existingknowledge and skills

Work with clinical and leadership teams to develop new and improvedprocesses and pathways to streamline and improve patient flow and careprocesses. Lead in the development of new initiatives and ways of working, includingAP led services, informed by local and national Policy To develop, coordinate, deliver and evaluate the advanced clinicalpractitioner service within acute paediatrics. Collaborate with senior clinical colleagues, develop or introduce agreedclinical guidelines for best practice. Manage and assess risk within the areas of responsibility, ensuringadequate measures are in place to protect staff and patients Facilitate good team spirit through leadership skills and team building. Be conversant with all Trust and departmental policies and procedures andensure that the requirements are met. To attend departmental, divisional and other meetings where appropriate,maintaining continuous effective communication. Continually assess and monitor risk in their own and others practice andchallenge others about wider risk factors within the service Use evidence-based practice to underpin clinical guidelines and integrateresearch into clinical practice. Develop, implement and evaluate strategies to advance knowledge andpractice. Make operational judgements, manage conflicting views, reconcile inter andintra-professional differences of opinion and escalate for senior clinicianreview when require

Accountable for optimal use of resources balanced against the needs ofeach individual child or young person Assist in the formulation of business cases to ensure adequate, appropriateequipment and staffing. Collaborate in the redesign of services to ensure they are organized to meetservice user need. Personal duty of care in relation to equipment, resources and safe use ofequipment used within clinical areas Responsible for the effective andappropriate use of resources and the cost implications

Provide support and advice to all disciplines of healthcare staff, acting as anexcellent role model and demonstrating advanced clinical skills andknowledge. Lead staff appraisal and setting of personal and department objectives incollaboration with others where appropriate. Provides support for the day-to-day line management / supervision ofadvanced practitioners and trainee advanced practitioners within ownspecialty. Actively seek user involvement in developing services that are responsiveto the needs of the local population. Act as an expert practitioner to provide a supportive learning environmentwhich promotes continuous professional development and lifelong learningthis may require liaison with education & learning providers and their tutorialstaff. Provide a supportive environment for all staff (including pre-registrationstudents) which encourages learning and professional development. Thiswill require liaison with education & learning providers and their tutorial staff. To actively participate in the development and delivery of future educationand training provision; which recognises the needs of patients and is in linewith national and local priorities. Collaborate with senior colleagues and educational establishments whereappropriate to ensure the needs of service are met. To assist with the development of education and learning which areappropriate for practitioners working within the Trust. To identify own education and training needs in line with curriculum /competency framework within speciality, and Trust statutory and mandatorytraining. Ensuring that these are addressed through the appraisal processwith the clinical supervisor / line manager. Make presentations on complex subjects, both written and verbally to awide range of groups and at meetings and conferences external to theorganisation to share work locally, nationally and internationally. Plan and deliver a training package for trainee advanced clinicalpractitioners within paediatrics. Be a mentor and clinical supervisor where appropriate to junior members ofthe multi- disciplinary team. Maintain a professional development portfolio

Qualifications and experience

Essential

• NMC/ HCPC/ GPhC Registered healthcare professional
• MSc in Advanced Practice for paediatrics
• Independent prescriber qualification (where applicable to role / professional group)
• IR(M)ER (Imaging Referral by Non-medical Healthcare Professionals)
• Red Dot XRay interpretation course
• EPLS/APLS
• Teaching qualification and/or up to date mentorship qualification
• Completed, and continually updated, HEE Multiprofessional framework for Advanced Clinical Practice
• Leadership qualification
• Evidence of CPD relevant to clinical area
• Safeguarding Level 3 training

Desirable

• Non-medical authorisation of blood products training (where applicable to role / professional group)
• EPALS or APLS instructor
• Clinical supervision course
• GIC instructor
• RCPCH ACP credential (when available)
• Clinical supervision course

Knowledge and experience

Essential

• Significant and evidenced post registration experience
• Significant clinical experience of working autonomously within the acute paediatric setting including physiology, assessment, clinical reason and decision making
• Delivery of evidenced-based practice demonstrating a patient focused approach
• Willingness to perform or learn advanced clinical skills appropriate to acute paediatrics
• Ensure clinical governance is embedded within practice
• Evidence of competence in role specific clinical skills for acute paediatrics
• Awareness of own limitations and work within own scope of practice
• Evidence of leading effectively, managing change and improving patient experience
• Ability to influence a positive organisational culture to drive innovation, collaborative working and sustainable healthcare
• Ability to prioritise workload of the wider MDT
• Team building skills and ability to manage emerging practitioners
• Work within and promote at all times the Trust values and behaviours
• Ability to identify and manage risk and patient safety
• Clinical audit experience
• Skills in Research
• Evaluate the care of patients through audit and research
• Implement new policies and guidelines based on research and latest evidence-based practice
• Communicate and dissemination of audit and research through a variety of mediums.

Desirable

• POCUS course including ultrasound guided cannulation
• Advanced Leadership Qualification
• Management and leadership experience
• Previous Publications
• Ability to produce and formulate guidelines, policies and reports

Specific skills

Essential

• Management of ventilation
• Prescribing of drugs and fluid therapies
• Cannulation and venepuncture
• Lumbar punctures
• Blood cultures
• Insertion of urinary catheters
• Flexibility in shift/working patterns to meet the needs of the service
• Is able to participate as a team member
• Is of good health and good character as per NMC/HCPC/ GPhC requirements
• Willing to accept additional responsibilities as delegated by senior staff
• Highly motivated, self-directed practitioner with excellent organisation skills
• Excellent communication skills both verbally and written

Desirable

• Insertion of long lines, umbilical venous and arterial catheters
• Radial arterial lines/arterial punctures
• Needle thoracentesis
• Chest drain insertion and removal
• Cranial ultrasound

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.

Certificate of Sponsorship

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).