Advanced Nurse Practitioner

Job responsibilities

JOB TITLE:Advanced Nurse Practitioner - ANP

GRADE: 8a

HOURS OF DUTY:37.5 hours per week.Hours variable according to service needs.

REPORTS TO:Head of Community Services,Director of Care & Community Services.

KEY RELATIONSHIPS: Director of Care & Community Services, Head of Community Services, Medical Director, Head of Ward Services, Director of Nursing, Quality & Research, Quality Improvement Lead, Clinical Specialists, Individuals referred to the organisation and wider MDT teams, volunteers, external organisations, GP and service users. Internal and external stakeholders.

RESPONSIBLE FOR:This role does not have line management responsibility, though will support line management tasks as required (e.g. supervision mentorship, learning & development, competency identification etc).

JOB SUMMARY:

The role blends a significant proportion of direct, higher level clinical care with education, research and management activities.

As an expert, will deliver high quality care to individuals, enable other practitioners to maintain professional expertise whilst exercising a high degree of autonomy. This will include 50% direct clinical practice and include non-medical prescribing.

Education, training and development function. Provide specialist training and education, establishing formal links with local education providers. They will participate in the development of students working towards professional registration as well as the learning and development of qualified staff. Professional leadership and consultancy function. Demonstrate leadership skills to support and motivate others and to continuously improve quality of care and standards of practice, providing a source expertise and knowledge.

Practice development, service evaluation and improvement function. Nurse practitioner will contribute to development of professional standards, through the promotion of evidence-based practice. They will also conduct research and evaluation of practice within their specialist field.

Research and Quality function. Collaborate and work alongside colleagues to identify and support Quality and Research activity and initiatives.

MAIN DUTIES AND RESPONSIBILITIES:

This is a key post within the specialist area and will have a role in defining, shaping and developing all services, including those in community settings.

Clinical Practice

The ANP job plan will include designated sessions for delivery of direct, expert clinical care and evidenced-based, complex decision-making

The ANP will promote clinical pathways across medical and nursing teams, practicing autonomously, in accordance with scope of practice and professional accountability, at an advanced level

Role model advanced nursing practice for all nursing staff and the multidisciplinary team

The post holder will provide system leadership, supporting Clinical Specialists to realise their full potential as autonomous practitioners to ensure seamless delivery of care and high-quality outcomes

The post holder will act as an innovator, change agent and role model to support and influence clinical pathway redesign within services including quality, implementation of national initiatives, service reconfiguration and new digitally enabled models of care

The post holder will work closely within an MDT in addition to key relationships above

Expert advice and support to the clinical and medical teams

Integrate holistic assessment, diagnosis, plan of care, treatment and discharge in accordance with the evidence base

Participate in quality initiatives to achieve evidenced based clinical standards

Recognise limitations in scope of practice and address theoretical and practice gaps through continuing education and consultation with medical colleagues.

Professional Leadership

Clinical leadership of the development of nurse-led practice, including strengthening nursing beyond the current scope of practice and generating innovation and transformation in service models and delivery

Use advanced communication skills in all challenging contexts and communicate information that may be sensitive and complex

Demonstrate self-awareness with compassionate and authentic leadership within inter-professional teams to influence practice for effective, holistic, person-centred care.

Record keeping and data handling in accordance with hospice policy

Promote an internal and external understanding of the role to increase the awareness of the scope of practice

Demonstrate professional leadership and a strategic approach

Lead and provide expert knowledge with colleagues in the writing and development of specific policies

Lead on the production of an annual report, demonstrating goals and outcomes aligned to the organisational strategy

Collaborate with quality lead role, with a focus on risk management, standard setting, safety, and continuous improvement, in accordance with governance requirements

Ensure that effective safety procedures are established to comply with Health & Safety Guidelines

Ensuring regular clinical supervision will be a requirement via organisational /external processes with allocated supervisor

Professional curiosity is encouraged to explore learning, qualifications and development opportunities, to maintain capability to practice at an advanced level.

Role model reflective and reflexive practice and advocate for access to individualised support and clinical supervision to ensure continuous learning, improvement and professional development of self and colleagues

Support, influence and lead projects in line with the organisational strategy.

Research

Identify research priorities specific to area of clinical practice and the scope of practice/caseload

Participate in and collaborate with the multidisciplinary team in undertaking research

Lead, undertake, disseminate and publish nursing research to shape and advance nursing practice, education and policy and the wider health agenda as part the hospice research activity

Work in partnership with the quality lead to implement a quality management system and utilise findings to initiate change in practice

Initiate and foster links with higher education institutions and other organisations in relevant to research

Contribute to service planning and budgetary processes through use of data and specialist knowledge

Develop data collecting systems that will inform and evaluate the service provided

The post holder will be a key member of the Research Interest and Audit Groups, contributing expertise and mentorship in these areas.

Education

The post holder will have an educational commitment to ensure clinical pathways and practices are enveloped in all staff training programmes

Collaborate to facilitate the education and professional development of all nursing grades and other healthcare professionals.

Participate in facilitating learning and education (both undergraduate and post-graduate levels) and other health professionals in the clinical area.

Contribute to the professional body of knowledge and clinical practice, nationally and internationally, by writing, publishing and presenting outcomes

Actively promote the development of a learning culture, to drive high performance, improvements and innovation

Qualifications

Essential

• Registered Nurse with evidence of PIN and revalidation.
• Significant demonstrable experience of practice in palliative care at Band 7 or above.
• Masters degree in relevant subject/significantly working towards.
• Accredited management training course or significantly working towards.
• Non-Medical Prescribing qualification.

Desirable

• Teaching qualification: Post Graduate Certificate in Education or equivalent.

Experience

Essential

• Ability to coordinate the completion of several projects simultaneously.
• Ability to prioritise and meet deadlines.
• Ability to compile, analyse and disseminate complex information.
• Registered nurses working at this advanced level -
• are accountable practitioners, working within the boundaries of their profession.
• are holistic practitioners, able to address nursing as well as medical needs using a person-centred approach.
• provide health promotion advice, counselling, assessment, diagnosis, referral, treatment and discharge.
• Are innovative and highly skilled at assessing and managing risk.
• Have the freedom and authority to act autonomously and independently accept the responsibility for decisions made and actions taken.
• Are experienced and highly educated experts with a clear understanding and research focused practice model.

Skills, Abilities, Knowledge

Essential

• Highly developed advanced interpersonal and communication skills, able to communicate sensitive, highly complex and sometimes contentious information.
• Able to use a range of formats to present information to others and with ability to present complex information to large groups of people.
• Able to demonstrate in-depth knowledge of health policy in relation to palliative and end of life care nursing practice.
• Able to challenge current practice in a constructive, learning focused way.
• Demonstrate experience of identifying research priorities specific to area of clinical practice and the scope of practice/caseload.

Professional Leadership

Essential

• Ability to lead with honesty, integrity and care. Be able to develop, empower and delegate effectively to achieve change and generate a positive, inclusive workplace.
• Be accountable for actions and bring creativity and innovation to inspire and motivate others. Be active in the delivery of the Hospice strategy.
• Ability to demonstrate significant experience in nursing including responsibility for aspects of case management, managing a clinical area, leading elements of service provision and of supporting staff in the clinical environment.
• Evidence of continuing professional development.
• Evidence of innovative practice that involves research or service improvement.
• Demonstrable achievement in -
• Changing clinical practice.
• Developing professional staff and mentorship.
• Organisational change & understanding project management methodology.
• Leadership.
• Teaching -
• Articulate a vision of nursing-led practice.
• Demonstrate integration of advanced assessment and examination skills, leading to diagnosis, treatment plan and discharge.
• Demonstrates highly developed advanced communication skills.

Other Requirements

Essential

• Willingness to work flexibly.
• Car driver with full license and a roadworthy vehicle.

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).