Advanced Practitioner

University Hospitals Plymouth NHS Trust

The closing date is 10 October 2024

Job summary

Job Purpose:

- The post holder will practice autonomously at an advanced level of practice to provide high quality patient-centred care. This will encompass the skills of advanced assessment, examination, diagnosis and management in line with the Trust advanced practice policy.

- Utilise the four pillars of advanced practice to support delivery of the Trust objectives in keeping with the Trust values and organisational policy

***Preference will be given to internal Trust staff, as well as 'Priority' and 'At Risk' status including NHS At Risk staff throughout Devon who are able to display recent relevant experience as dictated by the Person Specification.***

Main duties of the job

Key Dimensions:

The post holder will :

- Work in accordance with the Multi-professional Framework for Advanced Clinical Practice in England (HEE, 2017) and University Hospitals Plymouth (UHP) Trust Policy for Advanced Practice

- Utilise advanced clinical skills to ensure that Acute Medicine and Acute GP patients within the Virtual Ward receive holistic, timely and high-quality care. Utilising remote monitoring equipment to undertake patient consultations and review.

- Exercise autonomous clinical expertise, high levels of judgement, discretion, and decision- making in care, in accordance with their scope of practice

- Draw on expertise utilising the four pillars of advanced practice to lead and influence improvements to standards of care

- Develop a culture of organisational learning to inspire future and existing staff

- Influence and lead on the improvement of care though clinical governance, audit, quality improvement and research in collaboration with clinical and academic colleagues.

- Demonstrate compassionate leadership in daily working

About us

We are a people business - where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. We offer all of this in a vibrant, modern city with a historic reputation for adventure. PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY. If you have any issues with applying online and need additional support including reasonable adjustments with the application process please contact the recruitment team on 01752 432100. We recognise that work life balance is important for our colleagues and so we invite requests from applicants around less than full time/flexible working for our advertised roles. Please contact the recruiting manager to discuss this prior to your application submission. We commit to giving this full consideration in each case. We encourage people from diverse backgrounds to apply for our roles, as diversity strengthens our teams. It is sometimes necessary to close vacancies before the closing date. If you have not heard from us within 4 weeks of the closing date, please assume that you have not been shortlisted.

Date posted

27 September 2024

Pay scheme

Agenda for change

Band

Band 8a

Salary

£53,755 to £60,504 a year £53,755 - £60,504 Per annum

Contract

Permanent

Working pattern

Full-time

Reference number

216-LA-M6408683-A

Job locations

University Hospitals Plymouth

Plymouth

PL6 8DH


Job description

Job responsibilities

PRIMARY DUTIES & AREAS OF RESPONSIBILITY

The post-holder will

Clinical Practice

1. Assess, differentially diagnose, plan, implement and evaluate individual treatment interventions for patients by virtue of expert clinical judgement and close liaison with members of the MDT.

2. Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.

3. Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, life style advice and care.

4. Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers.

5. Utilise complex decision-making skills to promote high quality care in unpredictable and challenging circumstances.

6. Ensure compliance with their respective code of professional conduct and work within their scope of practice.

7. Works in conjunction with the MDT to clearly define values, direction and policies impacting upon care.

8. Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate

9. Be able to demonstrate a critical understanding of their broadened level of responsibility and autonomy. This includes being critically aware of their limits of their own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.

1. Be responsible and accountable for their decisions, actions and omissions at this level of practice.

1. Utilise professional judgement and maturity, understanding when to seek help.

1. Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care

1. Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.

1. Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope.

1. Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.

1. Engage in regular clinical supervision meeting with the allocated clinical supervisor.

1. If applicable to role and profession, issue fit notes in accordance with local and national guidance.

1. Actively implement effective systems and processes for infection control management whilst working clinically and be a role model forother members of the clinical team.

.. Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with the legal framework you work under to supply and prescribe medicines (if from professional group legally entitled to prescribe).

For further details please see the attached JD & PS

Job description

Job responsibilities

PRIMARY DUTIES & AREAS OF RESPONSIBILITY

The post-holder will

Clinical Practice

1. Assess, differentially diagnose, plan, implement and evaluate individual treatment interventions for patients by virtue of expert clinical judgement and close liaison with members of the MDT.

2. Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.

3. Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, life style advice and care.

4. Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers.

5. Utilise complex decision-making skills to promote high quality care in unpredictable and challenging circumstances.

6. Ensure compliance with their respective code of professional conduct and work within their scope of practice.

7. Works in conjunction with the MDT to clearly define values, direction and policies impacting upon care.

8. Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate

9. Be able to demonstrate a critical understanding of their broadened level of responsibility and autonomy. This includes being critically aware of their limits of their own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.

1. Be responsible and accountable for their decisions, actions and omissions at this level of practice.

1. Utilise professional judgement and maturity, understanding when to seek help.

1. Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care

1. Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.

1. Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope.

1. Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.

1. Engage in regular clinical supervision meeting with the allocated clinical supervisor.

1. If applicable to role and profession, issue fit notes in accordance with local and national guidance.

1. Actively implement effective systems and processes for infection control management whilst working clinically and be a role model forother members of the clinical team.

.. Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with the legal framework you work under to supply and prescribe medicines (if from professional group legally entitled to prescribe).

For further details please see the attached JD & PS

Person Specification

Knowledge and Experience

Essential

  • oExtensive demonstrable experience within speciality Acute Medicine or clear identification of transferrable skills based on extensive demonstrable experience in another field.
  • oDemonstrable management ability and leadership experience
  • oExcellent clinical and practical skills with acute medicine or a relevant adjacent field
  • oDemonstrable experience of education and supervision
  • oRecent demonstrable experience in clinical audit and quality improvement
  • oInfluencing policy and clinical guidance
  • oProven evidence of practice in line with the HEE (2017) multi-professional framework

Desirable

  • oChange management skills
  • oMulti-professional supervision
  • oAppraisal skills
  • oImplementing policy and clinical guidance

Qualifications

Essential

  • oStatutory Professional Registration.
  • oSignificant contribution to a Portfolio of Evidence
  • oIndependent non-medical prescribing
  • oMasters Degree in Advanced Practice or equivalent (as defined by Trust AP policy)
  • oAdvanced Life Support

Desirable

  • oManagement package
  • oInstructor on life support courses
  • oEducation/Mentorship/ Supervision Course
  • oLeadership course

Aptitude and abilities

Essential

  • oAbility to recognise and analyse complex situations and take appropriate action.
  • oProven evidence of relevant, recent study and continuing professional development
  • oAbility to communicate effectively both in written and verbal form
  • oFlexible and responsive to changing environments
  • oDemonstrates understanding and incorporates customer care
  • oAbility to work with complex and diverse health informatics systems
  • oAbility to manage own case load working to priorities and deadlines
  • oAbility to complete remote consultation
  • oDemonstrable strong aptitude for using multiple IT systems
Person Specification

Knowledge and Experience

Essential

  • oExtensive demonstrable experience within speciality Acute Medicine or clear identification of transferrable skills based on extensive demonstrable experience in another field.
  • oDemonstrable management ability and leadership experience
  • oExcellent clinical and practical skills with acute medicine or a relevant adjacent field
  • oDemonstrable experience of education and supervision
  • oRecent demonstrable experience in clinical audit and quality improvement
  • oInfluencing policy and clinical guidance
  • oProven evidence of practice in line with the HEE (2017) multi-professional framework

Desirable

  • oChange management skills
  • oMulti-professional supervision
  • oAppraisal skills
  • oImplementing policy and clinical guidance

Qualifications

Essential

  • oStatutory Professional Registration.
  • oSignificant contribution to a Portfolio of Evidence
  • oIndependent non-medical prescribing
  • oMasters Degree in Advanced Practice or equivalent (as defined by Trust AP policy)
  • oAdvanced Life Support

Desirable

  • oManagement package
  • oInstructor on life support courses
  • oEducation/Mentorship/ Supervision Course
  • oLeadership course

Aptitude and abilities

Essential

  • oAbility to recognise and analyse complex situations and take appropriate action.
  • oProven evidence of relevant, recent study and continuing professional development
  • oAbility to communicate effectively both in written and verbal form
  • oFlexible and responsive to changing environments
  • oDemonstrates understanding and incorporates customer care
  • oAbility to work with complex and diverse health informatics systems
  • oAbility to manage own case load working to priorities and deadlines
  • oAbility to complete remote consultation
  • oDemonstrable strong aptitude for using multiple IT systems

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).

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.

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).

Employer details

Employer name

University Hospitals Plymouth NHS Trust

Address

University Hospitals Plymouth

Plymouth

PL6 8DH


Employer's website

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


Employer details

Employer name

University Hospitals Plymouth NHS Trust

Address

University Hospitals Plymouth

Plymouth

PL6 8DH


Employer's website

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


For questions about the job, contact:

Virtual ward Nurse Manager

Sandra Lacey

Sandralacey@nhs.net

01752433290

Date posted

27 September 2024

Pay scheme

Agenda for change

Band

Band 8a

Salary

£53,755 to £60,504 a year £53,755 - £60,504 Per annum

Contract

Permanent

Working pattern

Full-time

Reference number

216-LA-M6408683-A

Job locations

University Hospitals Plymouth

Plymouth

PL6 8DH


Supporting documents

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