Breast Surgical Advanced Clinical Practitioner
North Cumbria Integrated Care NHS Foundation Trust
This job is now closed
Job summary
Breast Surgical Advanced Clinical Practitioner, Band 8a, 37.5hours per week, 12 months fixed term
An exciting opportunity has arisen for an experienced Advanced Clinical Practitioner to join the Breast Service at North Cumbria Integrated Care Trust. Working alongside our two existing Advanced Clinical Practitioners as part of our multi -disciplinary team, the successful candidate will be highly motivated and driven to improve patient care and experience and will have significant clinical experience.
The post is offered as 30 hours and is flexible across Monday to Friday but must include Thursday and Friday working.
Main duties of the job
The Advanced Clinical Practitioner (ACP) will autonomously, or with medical colleagues, demonstrate highly developed specialist knowledge and skills in the diagnosis and management of patients, implement and evaluate a seamless specialist service, ensuring that patients receive the highest standard of clinical care. They will act as a lead specialist and will demonstrate a high level of expertise within the Breast service, providing specialist advice, education and support to health care professionals and patients. The post holder will work autonomously assessing individual patient needs, initiating investigations determining differential diagnosis and initiating appropriate holistic, evidence based treatment and care.
The successful candidate will be responsible for contributing to the ongoing development of clinical practice, research and standards of care within the service, including development of policies, protocols and guidelines and contribute to service developments in collaboration with multidisciplinary colleagues. They will ensure the safety and wellbeing of services users, and always work in a manner that promotes dignity and human rights through the adoption of person centred care principles.
The ACP will work autonomously assessing individual patient needs, initiating investigations determining differential diagnosis and initiating appropriate holistic, evidence based treatment and care, and participate in the education and development of other staff.
About us
At NCIC, we have an ambition to deliver outstanding healthcare services to the population of North Cumbria. The Trust is committed to creating a centre of excellence in providing rural and remote healthcare and provides a wide range of community and acute services throughout our county.
Our 5 key principles demonstrate our belief in the delivery of 'safe, high quality care every time':
Being a clinically led organisation
Quality and safety at the heart of our Trust
A positive patient experience every time
A great place to work
Managing our money well
As an organisation we are serious about supporting a diverse workforce that reflects our local community and are very much focused on being an inclusive and compassionate place to work.
Across the North East and North Cumbria we are working together to deliver our ambition to be the greenest region in England by 2030. All staff are expected to support sustainability.
Date posted
26 July 2024
Pay scheme
Agenda for change
Band
Band 8a
Salary
£50,952 to £57,349 a year per annum
Contract
Fixed term
Duration
12 months
Working pattern
Full-time
Reference number
262-A-24-6446171
Job locations
Cumberland Infirmary Carlisle
Newtown Road
Carlisle
CA2 7HY
Job description
Job responsibilities
Please see attached job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants.
Please note, due to changes implemented by the Government to the UK immigration policy, individuals who require a Health and Care Visa or a Skilled Worker Visa may no longer be eligible for sponsorship where the UKVI salary threshold is not met or if the occupation is not included in the updated Immigration Salary List (ISL). Applicants must check their eligibility to be employed in any role they are interested in applying for, prior to completing an application for employment.Any applicants who do not meet the eligibility criteria will not be progressed.
If you are applying under the Disability Confident Scheme or Armed Forces Covenant and you meet all the essential criteria for a post, you will be guaranteed an interview.
Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies.
- Please ensure that you document evidence of meeting all the essential criteria in the supporting information.
- If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered.
Important Information
Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date.
For candidates applying using a Hotmail account or have strict firewall settings please ensure the following:
- Junk Mail is checked regularly
Disclosure and Barring Service:
On 28 November 2020, the new Disclosure and Barring Service filtering rules will come into effect.
The changes mean that:
- youth cautions, reprimands and final warnings will no longer be subject to automatic disclosure
- the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than being automatically disclosed.
If you are unsure about whether you need to disclose certain criminal record information, free confidential advice may be sought from one of the charity bodies listed below. These bodies can advise you on what you are legally required to declare and may also be able to advise you on how you can disclose criminal record information to a prospective employer and your legal rights when doing so.
Nacro Tel: 0300 123 1999, or email: helpline@nacro.org.uk
Unlock Tel: 01634 247350, email advice@unlock.org.uk or complete the online form on the Unlock website
The Trust is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post:
Standard Check: £18 + Administration cost of £3.85 = £21.85. Deducted at £6.85 from 1st month salary and £5 deducted from salary over following 3 months.
Enhanced Check: £38 + administration cost of £3.90 = £41.90. Deducted at £11.90 from 1st month salary and £10 deducted from salary over following 3 months.
As part of the one of the largest employers in the UK NCIC future employees will have also access to the following benefits.
A lease car may be available for this position; further details will be provided upon appointment if applicable.
27-day holiday scheme rising to 33 after 10 years
Flexible working Scheme
Excellent opportunities for development
Competitive NHS Pension scheme
Access to NHS discounts with retailers and leisure companies
EAP (Employee Assistance Programme) a free, confidential counselling and information service to assist with personal or work-related problems
These schemes are subject to availability
Job description
Job responsibilities
Please see attached job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants.
Please note, due to changes implemented by the Government to the UK immigration policy, individuals who require a Health and Care Visa or a Skilled Worker Visa may no longer be eligible for sponsorship where the UKVI salary threshold is not met or if the occupation is not included in the updated Immigration Salary List (ISL). Applicants must check their eligibility to be employed in any role they are interested in applying for, prior to completing an application for employment.Any applicants who do not meet the eligibility criteria will not be progressed.
If you are applying under the Disability Confident Scheme or Armed Forces Covenant and you meet all the essential criteria for a post, you will be guaranteed an interview.
Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies.
- Please ensure that you document evidence of meeting all the essential criteria in the supporting information.
- If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered.
Important Information
Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date.
For candidates applying using a Hotmail account or have strict firewall settings please ensure the following:
- Junk Mail is checked regularly
Disclosure and Barring Service:
On 28 November 2020, the new Disclosure and Barring Service filtering rules will come into effect.
The changes mean that:
- youth cautions, reprimands and final warnings will no longer be subject to automatic disclosure
- the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than being automatically disclosed.
If you are unsure about whether you need to disclose certain criminal record information, free confidential advice may be sought from one of the charity bodies listed below. These bodies can advise you on what you are legally required to declare and may also be able to advise you on how you can disclose criminal record information to a prospective employer and your legal rights when doing so.
Nacro Tel: 0300 123 1999, or email: helpline@nacro.org.uk
Unlock Tel: 01634 247350, email advice@unlock.org.uk or complete the online form on the Unlock website
The Trust is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post:
Standard Check: £18 + Administration cost of £3.85 = £21.85. Deducted at £6.85 from 1st month salary and £5 deducted from salary over following 3 months.
Enhanced Check: £38 + administration cost of £3.90 = £41.90. Deducted at £11.90 from 1st month salary and £10 deducted from salary over following 3 months.
As part of the one of the largest employers in the UK NCIC future employees will have also access to the following benefits.
A lease car may be available for this position; further details will be provided upon appointment if applicable.
27-day holiday scheme rising to 33 after 10 years
Flexible working Scheme
Excellent opportunities for development
Competitive NHS Pension scheme
Access to NHS discounts with retailers and leisure companies
EAP (Employee Assistance Programme) a free, confidential counselling and information service to assist with personal or work-related problems
These schemes are subject to availability
Person Specification
Experience
Essential
- Significant post-registration experience within acute setting preferably within a leadership role.
- Experience of working with general surgical patients.
Desirable
- Experience of working within a Breast department
Education, Training and Qualifications CPD Requirements
Essential
- oRegistered healthcare practitioner
- oSubstantial broad experience relevant to area of practice
- oCompleted Master's degree qualification (or above)
- oALS provider
- oAdvanced clinical practice skills and clinical treatment skills
- oClinical diagnostic skills including the ability to interpret CXR and laboratory investigations
- oMentor/teaching qualification
- oEvidence of substantial clinical practice at advanced level in portfolio - (Minimum of 120 entries into portfolio including at least 24 clinical diagnostic and interpretation entries and 10 ACATS - this includes the entries required to gain Band 7)
- oEvidence of competence within all core ACP competencies (as per DHFT ACP framework)
- oIndependent prescriber
Desirable
- Master's degree in "Advanced Clinical Practice
Knowledge
Essential
- oHas the knowledge to support safe clinical decision making in relation to discharge
- oAdvances theoretical & practical knowledge of general surgery anatomy, conditions relevant to general surgery and subsequent management options.
- oIn-depth knowledge of general surgery interventions and treatments.
- oIn-depth knowledge of all musculoskeletal anatomy, physiology and pathology.
- oBasic knowledge of anatomy, physiology and pathology of all body systems.
- oAbility to interpret test results.
- oAbility to perform audit and participate in local/national research in own speciality to develop and improve service delivery.
Desirable
- Knowledge of more than one area of clinical practice
- Knowledge of conditions specific to Breast
Skills and Ability
Essential
- oAdvanced Clinical Assessment skills
- oClinical audit experience
- oEvidence of proven leadership ability
- oWillingness to perform and or learn advanced clinical skills appropriate to area of practice
- oAbility to manage a team of patients and prioritise workload
- oLeadership qualification/ course
Desirable
- Research Skills
Behaviours
Essential
- oDemonstrates excellent interpersonal skills
- oDemonstrates effective team management
- oUnderstands and overcomes barriers to effective communication
- oDisplays the trusts values
Desirable
- Negotiating skills
- Innovative
Communication & relationship skills
Essential
- oAble to effectively communicate highly complex, sensitive or contentious information using highly developed interpersonal skills to overcome barriers to acceptance
- oUtilises above skills to communicate information to patients and relatives including delivering unwelcome news
- oExcellent communication skills, written and oral, including highly effective interpersonal skills
- oWell-developed facilitation and influencing skills, effective negotiation and conflict management skills
- oAbility to manage conflict
- oAble to present information to a wide audience using a variety of methods to suit audience type
Desirable
- Advanced communication level 2
- Cognitive behaviour therapy counselling level 3
Knowledge, Training & Experience
Essential
- oRegistered with an appropriate regulatory body (i.e. NMC, HPCC)
- oCompleted Master's degree
- oEvidence of continual CPD (review of portfolio)
- oALS provider
- oAdvanced clinical assessment and diagnostic skills
- oMaster's level therapeutics or pharmacy related knowledge
- oHighly motivated and experienced practitioner
- oExperience in managing acute problems
- oClinical diagnostic skills including the ability to interpret as a minimum CXR, AXR and laboratory investigations (as per DHFT ACP Framework)
- oEvidence of a teaching/coaching/ mentoring course
- oSubstantial broad experience relevant to clinical area
- oExperience in leadership and/or management
- oEvidence of competence within all core ACP competencies
- oHas the ability to use basic IT systems including Word, Excel and PowerPoint, as well as ability to learn Trust specific IT systems
Desirable
- Experience in managing
Analytical & Judgement skills
Essential
- oHas the ability to work as an independent practitioner through completion of Master's level clinical practice programme and/or completion of competencies
- oPortfolio evidence of assessment of competent advanced clinical decision making (i.e. ACAT, Mini - cex, DOPS)
- oHas ability to formulate a diagnosis and differential diagnosis, initiate appropriate treatment and evaluate effectiveness
- oAbility to manage a team of patients and prioritise work
- oAble to present and receive complex information from the MDT
- oDemonstrate experience with the audit process and audit tools
Desirable
- Competent to verify death
- Competent to interpret Arterial Blood Gases (ABG
Planning & organisational skills
Essential
- oDemonstrate proactive performance
- oManage own workload and support junior medical staff in managing theirs
- oPlan and organise work as a senior member of the team according to clinical situation
- oHas the ability to plan and implement strategies which may impact across the Trust and healthcare community
- oPrioritise balance of work to support flow of patients through Trust
Physical skills/Responsibilties of Patient/Client care
Essential
- oPhysically able to perform all requirements of the ACP role where highly developed skills and accuracy are required i.e. ABG, IVIs drug administration, inserting catheters, specialist procedures relevant to area of practice, fine needle biopsy.
- oWilling to be adaptable and flexible to meet service requirements
- oIs willing to develop and maintain competence in the variety of skills as listed within DHFT ACP core competency document as appropriate to area of practice
- oDevelop highly specialised programmes of care and be responsible for ensuring high standards of care are delivered at all times individually
- oAble to identify/manage and advise on the on-going care of patient group
- oProvide highly specialised advice to medical and nursing staff re management plans and be responsible for evaluating diagnostic results
- oIs responsible for ensuring effective communication at time of discharge both for patient and to GP or other significant healthcare practitioners
Person Specification
Experience
Essential
- Significant post-registration experience within acute setting preferably within a leadership role.
- Experience of working with general surgical patients.
Desirable
- Experience of working within a Breast department
Education, Training and Qualifications CPD Requirements
Essential
- oRegistered healthcare practitioner
- oSubstantial broad experience relevant to area of practice
- oCompleted Master's degree qualification (or above)
- oALS provider
- oAdvanced clinical practice skills and clinical treatment skills
- oClinical diagnostic skills including the ability to interpret CXR and laboratory investigations
- oMentor/teaching qualification
- oEvidence of substantial clinical practice at advanced level in portfolio - (Minimum of 120 entries into portfolio including at least 24 clinical diagnostic and interpretation entries and 10 ACATS - this includes the entries required to gain Band 7)
- oEvidence of competence within all core ACP competencies (as per DHFT ACP framework)
- oIndependent prescriber
Desirable
- Master's degree in "Advanced Clinical Practice
Knowledge
Essential
- oHas the knowledge to support safe clinical decision making in relation to discharge
- oAdvances theoretical & practical knowledge of general surgery anatomy, conditions relevant to general surgery and subsequent management options.
- oIn-depth knowledge of general surgery interventions and treatments.
- oIn-depth knowledge of all musculoskeletal anatomy, physiology and pathology.
- oBasic knowledge of anatomy, physiology and pathology of all body systems.
- oAbility to interpret test results.
- oAbility to perform audit and participate in local/national research in own speciality to develop and improve service delivery.
Desirable
- Knowledge of more than one area of clinical practice
- Knowledge of conditions specific to Breast
Skills and Ability
Essential
- oAdvanced Clinical Assessment skills
- oClinical audit experience
- oEvidence of proven leadership ability
- oWillingness to perform and or learn advanced clinical skills appropriate to area of practice
- oAbility to manage a team of patients and prioritise workload
- oLeadership qualification/ course
Desirable
- Research Skills
Behaviours
Essential
- oDemonstrates excellent interpersonal skills
- oDemonstrates effective team management
- oUnderstands and overcomes barriers to effective communication
- oDisplays the trusts values
Desirable
- Negotiating skills
- Innovative
Communication & relationship skills
Essential
- oAble to effectively communicate highly complex, sensitive or contentious information using highly developed interpersonal skills to overcome barriers to acceptance
- oUtilises above skills to communicate information to patients and relatives including delivering unwelcome news
- oExcellent communication skills, written and oral, including highly effective interpersonal skills
- oWell-developed facilitation and influencing skills, effective negotiation and conflict management skills
- oAbility to manage conflict
- oAble to present information to a wide audience using a variety of methods to suit audience type
Desirable
- Advanced communication level 2
- Cognitive behaviour therapy counselling level 3
Knowledge, Training & Experience
Essential
- oRegistered with an appropriate regulatory body (i.e. NMC, HPCC)
- oCompleted Master's degree
- oEvidence of continual CPD (review of portfolio)
- oALS provider
- oAdvanced clinical assessment and diagnostic skills
- oMaster's level therapeutics or pharmacy related knowledge
- oHighly motivated and experienced practitioner
- oExperience in managing acute problems
- oClinical diagnostic skills including the ability to interpret as a minimum CXR, AXR and laboratory investigations (as per DHFT ACP Framework)
- oEvidence of a teaching/coaching/ mentoring course
- oSubstantial broad experience relevant to clinical area
- oExperience in leadership and/or management
- oEvidence of competence within all core ACP competencies
- oHas the ability to use basic IT systems including Word, Excel and PowerPoint, as well as ability to learn Trust specific IT systems
Desirable
- Experience in managing
Analytical & Judgement skills
Essential
- oHas the ability to work as an independent practitioner through completion of Master's level clinical practice programme and/or completion of competencies
- oPortfolio evidence of assessment of competent advanced clinical decision making (i.e. ACAT, Mini - cex, DOPS)
- oHas ability to formulate a diagnosis and differential diagnosis, initiate appropriate treatment and evaluate effectiveness
- oAbility to manage a team of patients and prioritise work
- oAble to present and receive complex information from the MDT
- oDemonstrate experience with the audit process and audit tools
Desirable
- Competent to verify death
- Competent to interpret Arterial Blood Gases (ABG
Planning & organisational skills
Essential
- oDemonstrate proactive performance
- oManage own workload and support junior medical staff in managing theirs
- oPlan and organise work as a senior member of the team according to clinical situation
- oHas the ability to plan and implement strategies which may impact across the Trust and healthcare community
- oPrioritise balance of work to support flow of patients through Trust
Physical skills/Responsibilties of Patient/Client care
Essential
- oPhysically able to perform all requirements of the ACP role where highly developed skills and accuracy are required i.e. ABG, IVIs drug administration, inserting catheters, specialist procedures relevant to area of practice, fine needle biopsy.
- oWilling to be adaptable and flexible to meet service requirements
- oIs willing to develop and maintain competence in the variety of skills as listed within DHFT ACP core competency document as appropriate to area of practice
- oDevelop highly specialised programmes of care and be responsible for ensuring high standards of care are delivered at all times individually
- oAble to identify/manage and advise on the on-going care of patient group
- oProvide highly specialised advice to medical and nursing staff re management plans and be responsible for evaluating diagnostic results
- oIs responsible for ensuring effective communication at time of discharge both for patient and to GP or other significant healthcare practitioners
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
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
North Cumbria Integrated Care NHS Foundation Trust
Address
Cumberland Infirmary Carlisle
Newtown Road
Carlisle
CA2 7HY
Employer's website
Employer details
Employer name
North Cumbria Integrated Care NHS Foundation Trust
Address
Cumberland Infirmary Carlisle
Newtown Road
Carlisle
CA2 7HY
Employer's website
For questions about the job, contact:
Date posted
26 July 2024
Pay scheme
Agenda for change
Band
Band 8a
Salary
£50,952 to £57,349 a year per annum
Contract
Fixed term
Duration
12 months
Working pattern
Full-time
Reference number
262-A-24-6446171
Job locations
Cumberland Infirmary Carlisle
Newtown Road
Carlisle
CA2 7HY
Supporting documents
Privacy notice
North Cumbria Integrated Care NHS Foundation Trust's privacy notice (opens in a new tab)