Advanced Nurse Practitioner

Job responsibilities

1.1 Management and Clinical Leadership

Work autonomously 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;

To receive patients with undifferentiated and undiagnosed problems and make an assessment of their health care needs, based on highly-developed nursing knowledge and skills.

To be responsible for ordering necessary investigations and provide treatment and care both individually, as part of a team, and through referral to other agencies.

To make differential diagnoses using decision-making and problem-solving skills and have the authority to admit or discharge patients from their caseload, and refer patients to other health care providers as appropriate.

To provide a consultancy and clinical leadership function as required.

To undertake a wide range of advanced clinical interventions, which include Advanced Life Support Skills and Independent Nurse Prescribing.

Support and enable patients and carers to make informed decisions relating to their treatment and management.

Review and update the documentation to improve the quality, accuracy and consistency of information recorded ensuring that the Trust is CNST compliant.

Negotiate and facilitate the management of change in practices to achieve best practice in services.

To develop and implement with nursing and consultant staff new policies and clinical guidance for new procedures.

To support and facilitate the development of clinical skills for the nurses

Line manages members of the local nursing and support team as appropriate including clinical nurse specialists

Lead the nursing team in establishing and maintaining effective communication channels with multi-disciplinary team, patients and their carers and external agencies.

Coordinate, lead and manage the activities of clinical environment on a day to day basis.

Establish regular dialogue with local and tertiary referral centres sharing good practice.

Participate in professional nursing initiatives as an invited member to the Directorate and trust nursing groups e.g. TNMC.

To lead relevant departmental nursing meetings

Investigation of complaints relating to patient care, leading the development of action plans to address areas of concern, identifying learning and changes to practice.

Managing human resources issues, undertaking PDRs.

To use excellent prioritising and time management skills to meet the unpredictable and conflicting needs of the service.

To develop own managerial and administrative functions in conjunction with role developments.

4.2 Service Development

Work in close partnership with the appropriate Clinical Leads and Service Managers to ensure all local, corporate and national initiatives and targets in relation to specilaity are met.

Leading a national working party across multiple disciplines to ensure the same researched and evidence based treatment and care is given to complex patients at other centres throughout England.

Involved in leading the implementation of nursing developments/ initiatives introduced from the national Network or bodies.

To utilise information systems to aid regular audit of the clinical role and to provide an activity analysis and specialist report on a quarterly basis.

To provide expert input to the Trusts quality strategy by expressing the needs of the patient via a whole systems approach rather than a uni-professional view.

To have experience of facilitating change by collaborating with stakeholders within specialist area, across other professions and both intra and inter organisationally to produce innovative practice and service development showing improved patient outcomes.

Perform and report on quality assurance measurements of the new initiatives relating to service within the Trust and relevant agencies.

Identify and take forward the specific contribution nurse Practitioners within service can make to the future development of the service.

4.3 Financial responsibilities

Accountable for all aspects of the allocated budget.

Ensure best practice and good value for money when ordering supplies and maintaining stocks and adhere to the Trusts code of practice for financial management

To have regular meetings regarding the budget with the service delivery manager.

4.5 Information management

Responsible for the systematic weekly monitoring of investigations and appointments, in collaboration with the administration and managerial staff.

Ensure compliance to the 18 week pathway and other service developments.

Provide an annual report of the statistics, Key performance indicators, service and practice developments.

Provide a high standard of documentation according the trusts documentation policy and the NMC guidance on standards for good record keeping and information governance standards.

4.6 Education & Developing others

Enable patients/clients to learn by designing and coordinating the implementation of plans appropriate to their preferred approach to learning, motivation and developmental stage.

Develop robust governance systems by contributing to the development and implementation of evidence-based protocols, documentation processes, standards, policies and clinical guidelines through interpreting and synthesising information from a variety of sources and promoting their use in practice

Work in collaboration with others to plan and deliver interventions to meet the learning and development needs of their own and other professions;

Advocate and contribute to the development of an organisational culture that supports continuous learning and development, evidence-based practice and succession planning;

Embrace the current awareness of local regional, national and international perspectives in clinical speciality.

Provide training and education opportunities with the team, within the trust, local and national areas.

4.7 Research and Development

To participate in projects and research that will enhance personal performance and the operation of the service. To contribute towards meeting the objectives of the Nursing & Midwifery Strategy.

4.8 Professional Accountability:

To comply with all Trust policies and procedures

To act in accordance with the NMC code of conduct and other Trust, professional and statutory guidance, policies and rules.

To make professionally autonomous decisions, for which they are accountable.

Responsible for own professional development and clinical/managerial update.

To undertake any other duties commensurate with the grade as directed by the Head of Nursing/ Consultant Nurse/Matron.

Qualifications/ Education

Essential

• Bachelors Degree in nursing, health or management related studies.
• Masters level qualification/or equivalent experience
• Be an independent prescriber according to the Trusts Non medical prescribing policy
• Certificated specialty courses within paediatric intensive care
• Advanced physical assessment skills

Desirable

• Teaching and Assessment qualification

Professional/ Statutory Registration

Essential

• Registered with the NMC as an RN-Child
• Meet NMC revalidation standards

Previous experience

Essential

• Broad clinical experience relevant to the post, including specialist skills and experience in speciality.
• A proven track record of clinical service management at a senior level in an acute hospital environment, including staff management, financial management and change management.
• Demonstrate evidence of engaging stakeholders and influencing the development and improvement of practice, patient care and service delivery.
• Experience of working as an ACP
• Experience of handling clinical incidents and complaints and implementation of subsequent learning
• Awareness of evidence based practice and current research

Desirable

• Experience of teaching patients and staff and others including health promotion and prevention orientation
• Publishing papers and presenting at conferences

Skills/Knowledge/ Ability

Essential

• Advanced assessment and history taking skills
• Advanced theoretical and practical knowledge of speciality with a wide range of approaches to the management of patients, demonstrated by advanced clinical reasoning, critical thinking and be able to comprehensively assess patients for risk factors and early signs of illness
• Ability to lead within the nursing profession and multi-professional working; within an organisation and across organisation boundaries , being able to identify and implement systems to promote their contribution and demonstrate the impact of advanced level nursing to the healthcare team and the wider health and social care sector;
• Ability to draw on a diverse range of knowledge in their decision-making to determine evidence-based therapeutic interventions (which will usually include prescribing medication and actively monitoring the effectiveness of therapeutic interventions);
• Excellent time management and organisational skills
• Evidence of managing clinical services, service innovation and up-to-date knowledge of nursing policy and strategy, together with successful change management experience and a proven track record in launching new initiatives
• Ability to manage change and contain conflict ensuring resolution with positive outcomes, with use of negotiation skills
• Ability to translate and integrate evidence based research/guidelines into the development of local pathways of care
• Ability to develop working relationships locally, regionally and nationally
• Demonstrate strong leadership skills in contexts that are unfamiliar, complex, and unpredictable and provide consultancy services to their own and other professions on therapeutic interventions, practice and service development;
• Advanced communication skills demonstrated through the delivery of presentations and producing articles
• Ability to critically appraise and synthesise the outcomes of relevant research evaluations and audits.

Additional Information

Essential

• High level of work organisation, self motivation, drive for performance and improvement, and flexibility in approach and attitude;
• Strong sense of commitment to openness, honesty and integrity in undertaking the role.

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).