Job summary
An exciting opportunity has arisen for 4 Trainee advanced clinical practitioners roles within general and specialist medicine directorate at the royal Oldham hospital.
These posts are 1 in the integrated respiratory team, 1 in the integrated frailty team and 2 in the new hospital and care at home service. Please confirm your specialist interest in your supporting information.
The post holder will take a lead role in the advanced clinical assessment and treatment of a diverse and undetermined caseload of patients, who may have highly complex and/or chronic presentation. They will determine clinical diagnosis and treatments indicated, and maintain records as an autonomous practitioner. They will ensure that evidence based practice is inherent in all aspects of care and treatment and ensure this knowledge is disseminated throughout the clinical area, Trust and externally as appropriate. They will:
- Undertake a significant clinical caseload to an advanced professional standard using specialist knowledge from theoretical and practical experience.
- Develop an extended scope of practice beyond their primary profession.
- Triage referrals either independently or with medical colleagues and make onward referrals.
- Support redesign of the flow of patient referrals from Primary care to secondary care.
Main duties of the job
Advanced Clinical practitioners will work to the four pillars that underpin advanced clinical practice within their speciality area
Clinical Practice
Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice.
Leadership and Management:
Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working. Role model the values of their organisation/place of work, demonstrating a person-centred approach to service delivery and development.
Education
Health and care professionals working at the level of advanced clinical practice should be able to: Critically assess and address own learning needs, negotiating a personal development plan that reflects the breadth of on-going professional development across the four pillars of advanced clinical practice.
Research
Critically engage in research activity, adhering to good research practice guidance, so that evidence-based strategies are developed and applied to enhance quality, safety, productivity,and value for money.
About us
The Northern Care Alliance NHS Foundation Trust (NCA) brings together staff and services from Salford Royal , Royal Oldham, Rochdale infirmary and Fairfield hospitals as well as community services.
Our Care Organisations are designed to operate within a group arrangement of hospitals, community, and healthcare services. Together they manage and are responsible for the day-to-day running of their hospital and community services, ensuring the safe delivery of high-quality care at scale.
Oldham Care Organisation is responsible for delivering healthcare services at the Royal Oldham Hospital and within thecommunity. The hospital has a full A&E department, including a specialist one for children, and offers a comprehensive range of acute and general surgical services, including vascular surgery.
We have four core values which are a focus for how our staff and volunteers work with each other to provide care for our patients. We think of our values as a set of guiding principles to refer to when making decisions and interacting with people and they help us to work together to continuously improve the organisation and ourselves.These core values form part of the Organisations Performance Framework which regularly reviews how staff are performing.
Job description
Job responsibilities
Trust Values & Behaviours - Responsibility for upholding the agreed set of values and accountable for own attitude and behaviour.
Patient & Customer Focus
Communicate effectively with patients, families and colleagues and proactively personalise the service, connect with patients and carers whilst adopting the ethos of Safe, Clean and Personal.
Continuous Improvement
Identify opportunities to reduce waste and inefficiency and look at ways of measuring and auditing improvements and proactively develop goals and objectives in support of the Trusts vision.
Accountability
Recognized and accept and display personal accountability beyond the job role and towards problem solving and act with integrity and focus on results.
Respect
Be considerate of others, their contribution and needs, support and empower staff involvement and act as a guardian of the Trusts reputation and resources.
Responsibility for Patient Care (Including monitoring, Diagnostics, and investigations)
To be professionally and legally responsible and accountable for all aspects of own work, including the management of patients in your care and to ensure a high standard of clinical care for the patients under your management, and those of other staff, by providing expert care for a complex caseload of patients.To accept clinical responsibility for a diverse and often complex caseload of patients, and to organise this efficiently and effectively with regard to clinical priorities and use of time. To ensure a high standard of clinical care for the patients under your management.
To receive referrals from and make referrals to consultants, GPs and other healthcare professions, review the patient and act accordingly, thereby reducing length of time patients wait for intervention.According to current legislation to undertake independent and extended prescribing and also make appropriate use of the administration of medication using Patient Group Directions.
Promotion and assessment of health and wellbeing
To work effectively with people to identify their concerns about health and wellbeing and approaches available to improve their wellbeing or prevent deterioration.Work in partnership to plan and develop various approaches for health promotion.Act as a resource for improving health.Work closely with members of the public and users of the service so that health and wellbeing can be promoted effectively.Explain assessment process clearly including the benefits and risks of the assessment and any alternative approaches obtaining their consent whilst respecting their dignity, wishes and beliefs.To undertake the comprehensive highly specialist assessments of patients,Including those with a complex presentation, using investigative and analytical skills. The post holder will undertake first line assessment of patients.Follow a process of reasoning which demonstrates and enhances capacity for problem solving and critical decision making.Interpret all of the available information and makes a justifiable assessment.
Assessment and Treatment planning
Identify and review current information/factors available to determine and plan the assessment process.Undertake assessment in line with evidence based practice, legislation policies and procedures eg taking case history, examinations, requesting diagnostic investigations.Review and interpret all information available utilising a systematic process of reasoning to make a differential diagnosis.Develop and record a treatment plan consistent with the outcome of assessment and the most probable diagnosis.Refer to other practitioners and agencies as and when necessary.
Intervention and Treatment
To develop the skills required to practice at an advanced level and to use an extended scope of practice beyond own profession (including referral and interpretation of x-rays, imaging, pathology reports, injection therapy, suturing, arterial blood gas sampling, chest needle decompression, relocation of traumatic dislocation of joints).Identifies appropriate interventions/treatments to be undertaken within the context of the overall treatment plan.Undertakes intervention/treatments in a manner that is consistent with evidence based practice/clinical guidelines applying own skills, knowledge and experience and using considered judgment to meet individuals complex needs.Evaluates the effectiveness of interventions/treatments and makes any necessary modification.To maintain accurate and legible patient notes (written and electronic) in accordance with Trust and national professional policies and guidelines.
Communication
To communicate effectively with a wide range of people in a manner consistent with their level of understanding, culture and background and preferred ways of communication.Understanding communication skills of persuasion, motivation, explanation and gaining informed consent with be used with a wide variety of patients.Barriers of effective communication will regularly be evident, e.g. altered conscious level, sensory loss, altered perception, pain, fear and severe psychosocial problems.To assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment.To explore complex issues and to make complex decisions encouraging the effective participation of all involved.To be empathetic and reassuring when communicating highly sensitive condition related information and advice to patients, carers and relatives.To competently receive highly sensitive information concerning patients medical condition.To use a range of skills to adapt the delivery of information through changing the environment, methods of communication or delivery of content using persuasive, reassuring skills as required. E.g., breaking bad news/special needs/dealing with anxious relatives.To provide spontaneous and planned advice, teaching and instruction to relatives, carers and other professionals, to promote understanding of the aims of physiotherapy and to ensure a consistent approach to patient care.To maintain comprehensive and accurate assessment and treatment records in line with legal and directorate requirements and communicate assessment and treatment results to the appropriate disciplines in the form of letters and reports.
Job description
Job responsibilities
Trust Values & Behaviours - Responsibility for upholding the agreed set of values and accountable for own attitude and behaviour.
Patient & Customer Focus
Communicate effectively with patients, families and colleagues and proactively personalise the service, connect with patients and carers whilst adopting the ethos of Safe, Clean and Personal.
Continuous Improvement
Identify opportunities to reduce waste and inefficiency and look at ways of measuring and auditing improvements and proactively develop goals and objectives in support of the Trusts vision.
Accountability
Recognized and accept and display personal accountability beyond the job role and towards problem solving and act with integrity and focus on results.
Respect
Be considerate of others, their contribution and needs, support and empower staff involvement and act as a guardian of the Trusts reputation and resources.
Responsibility for Patient Care (Including monitoring, Diagnostics, and investigations)
To be professionally and legally responsible and accountable for all aspects of own work, including the management of patients in your care and to ensure a high standard of clinical care for the patients under your management, and those of other staff, by providing expert care for a complex caseload of patients.To accept clinical responsibility for a diverse and often complex caseload of patients, and to organise this efficiently and effectively with regard to clinical priorities and use of time. To ensure a high standard of clinical care for the patients under your management.
To receive referrals from and make referrals to consultants, GPs and other healthcare professions, review the patient and act accordingly, thereby reducing length of time patients wait for intervention.According to current legislation to undertake independent and extended prescribing and also make appropriate use of the administration of medication using Patient Group Directions.
Promotion and assessment of health and wellbeing
To work effectively with people to identify their concerns about health and wellbeing and approaches available to improve their wellbeing or prevent deterioration.Work in partnership to plan and develop various approaches for health promotion.Act as a resource for improving health.Work closely with members of the public and users of the service so that health and wellbeing can be promoted effectively.Explain assessment process clearly including the benefits and risks of the assessment and any alternative approaches obtaining their consent whilst respecting their dignity, wishes and beliefs.To undertake the comprehensive highly specialist assessments of patients,Including those with a complex presentation, using investigative and analytical skills. The post holder will undertake first line assessment of patients.Follow a process of reasoning which demonstrates and enhances capacity for problem solving and critical decision making.Interpret all of the available information and makes a justifiable assessment.
Assessment and Treatment planning
Identify and review current information/factors available to determine and plan the assessment process.Undertake assessment in line with evidence based practice, legislation policies and procedures eg taking case history, examinations, requesting diagnostic investigations.Review and interpret all information available utilising a systematic process of reasoning to make a differential diagnosis.Develop and record a treatment plan consistent with the outcome of assessment and the most probable diagnosis.Refer to other practitioners and agencies as and when necessary.
Intervention and Treatment
To develop the skills required to practice at an advanced level and to use an extended scope of practice beyond own profession (including referral and interpretation of x-rays, imaging, pathology reports, injection therapy, suturing, arterial blood gas sampling, chest needle decompression, relocation of traumatic dislocation of joints).Identifies appropriate interventions/treatments to be undertaken within the context of the overall treatment plan.Undertakes intervention/treatments in a manner that is consistent with evidence based practice/clinical guidelines applying own skills, knowledge and experience and using considered judgment to meet individuals complex needs.Evaluates the effectiveness of interventions/treatments and makes any necessary modification.To maintain accurate and legible patient notes (written and electronic) in accordance with Trust and national professional policies and guidelines.
Communication
To communicate effectively with a wide range of people in a manner consistent with their level of understanding, culture and background and preferred ways of communication.Understanding communication skills of persuasion, motivation, explanation and gaining informed consent with be used with a wide variety of patients.Barriers of effective communication will regularly be evident, e.g. altered conscious level, sensory loss, altered perception, pain, fear and severe psychosocial problems.To assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment.To explore complex issues and to make complex decisions encouraging the effective participation of all involved.To be empathetic and reassuring when communicating highly sensitive condition related information and advice to patients, carers and relatives.To competently receive highly sensitive information concerning patients medical condition.To use a range of skills to adapt the delivery of information through changing the environment, methods of communication or delivery of content using persuasive, reassuring skills as required. E.g., breaking bad news/special needs/dealing with anxious relatives.To provide spontaneous and planned advice, teaching and instruction to relatives, carers and other professionals, to promote understanding of the aims of physiotherapy and to ensure a consistent approach to patient care.To maintain comprehensive and accurate assessment and treatment records in line with legal and directorate requirements and communicate assessment and treatment results to the appropriate disciplines in the form of letters and reports.
Person Specification
Registeration
Essential
- Must be registered Nurse or AHP with current registration
Essential Qualifications
Essential
- Previous degree level study
- 5 years post registration experience
- Evidence of extensive professional/clinical knowledge within specialty
- Effective communicator
- Evidence of effective people management
Desirable
- Post basic qualification in speciality
- Non-Medical prescribing qualification
- Evidence of involvement in audit and service development
- Evidence of proactive involvement in mentorship and development of students
Knowledge and Skills
Essential
- oDemonstrates specialist expertise underpinned by theory acquired through CPD
- oEvidence of involvement in the development of programmes of care, protocols and clinical audit
- oExcellent clinical reasoning / clinical decision making
- oHighly developed effective communication/negotiation skills
Person Specification
Registeration
Essential
- Must be registered Nurse or AHP with current registration
Essential Qualifications
Essential
- Previous degree level study
- 5 years post registration experience
- Evidence of extensive professional/clinical knowledge within specialty
- Effective communicator
- Evidence of effective people management
Desirable
- Post basic qualification in speciality
- Non-Medical prescribing qualification
- Evidence of involvement in audit and service development
- Evidence of proactive involvement in mentorship and development of students
Knowledge and Skills
Essential
- oDemonstrates specialist expertise underpinned by theory acquired through CPD
- oEvidence of involvement in the development of programmes of care, protocols and clinical audit
- oExcellent clinical reasoning / clinical decision making
- oHighly developed effective communication/negotiation 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).