Job summary
Are you ready to unlock your potential within a challenging, creative and fast paced work environment? Do you want to work with people to build positive and productive lives, whatever their past?
This is an excellent opportunity for a registered healthcare professional wanting to flourish as a clinical leader to join our team as our Advanced Nurse Practitioner. You will be joining our team of diverse, talented healthcare professionals to deliver care that is not only efficient but deeply centred on the patient.
Our healthcare team have a real impact on promoting health and well-being to those in prison and we pride ourselves on using skills and strategies that instil hope for patient's future resettlement back into the community. We directly deliver Mental Health, Physical Health, Pharmacy and Clinical Substance Misuse in an integrated healthcare delivery model to provide effective and responsive care to improve wellbeing and support better outcomes in the future.
Join us in a stimulating role where we are seeking a dynamic and passionate individual to lead our primary care team. This position isn't just a job; it's a chance to blend clinical insight, leadership, and a commitment to delivering the highest standards of care in an environment that is as rewarding as it is challenging.
Main duties of the job
In this role, you'll be a senior practitioner, leader and source of expert advice to registered healthcare professionals, patients and their carers. You will support the Head of Healthcare to ensure the effective day-to-day operational management of the primary care team.
You will provide quality primary care interventions to patients, demonstrate the ability to lead and empower others and the ability to plan and implement innovative practice. As an expert practitioner, you will lead an integrated prison health care service and support the development of specialist practice-based clinical model of care.
Collaborating with the Head of Healthcare, you will have a significant role in strategically planning our healthcare services, aligning with national standards and local needs. Your visionary approach will identify areas for improvement and innovation, allowing you to lead on initiatives that transform service delivery.
The role is more than a job; it's a chance to make a lasting impact, leading and shaping Primary Care services in a prison setting. If your passion lies in bridging health disparities and reducing health inequalities for a marginalised and often overlooked population, we invite you to bring your skills, vision, and enthusiasm to this immensely rewarding role.
Important Sponsorship Information for this post: Due to service budget restrictions we are currently unable to offer a certificate of sponsorship for this post.
About us
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.
Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
- We're Kind
- We're Fair
- We Listen
- We Care
Job description
Job responsibilities
- The post holder will exercise a high degree of personal and professional autonomy and plan to reach complex and critical judgments and have decision making skills to satisfy the expectations of the role.
- To strategically innovate, deliver, clinically audit, and evaluate the Integrated Healthcare Service for the prison. This will include leadership of the Primary Care team, including, long term conditions management, enhanced assessment and diagnostic intervention services and health promotion activities and be in line with the NHS Plan, public health indicators and National Service Frameworks.
- To establish and provide robust expert clinical leadership to the Primary Care team with a sound understanding of models of care and evidence-based practice to provide a pro-active approach to ensure quality, trauma informed, and outcome driven services on a day-to-day basis.
- To ensure monitoring systems are in place, to promote the development of evidence-based practice in this specialist field and to promote research as appropriate.
- To be responsible for the development of and participation in managerial and professional clinical supervision programme for the Primary Care team to ensure all staff receive appropriate supervision, training, and annual appraisal and to ensure that it becomes an integral part of team practice.
- To implement effective and appropriate patient centred care planning tools and a trauma informed model of delivery and integrated services within the establishment.
- The post holder will work as an integral part of the Senior Leadership Team and working collaboratively with other Clinical Leads within the service, GPs, psychiatrists, and other clinicians to maintain and review service needs as required.
- The post holder will be part of skilled multidisciplinary teams comprising all healthcare staff, including strategic partners, and prison managing a single referral pathway.
- The post holder will be required to undertake ongoing training to continually improve the Primary Care provision.
- The post holder will ensure a named care co-ordinator is allocated for every patient with complex needs who will ensure a proactive, evidence-based approach to clinical interventions including, health promotion/prevention activity, and management of acute and long-term conditions.
- The post holder will ensure that a single, integrated, care plans developed, and the individualised care is regularly reviewed.
- The post holder will ensure that a comprehensive risk assessments and care plans are regularly reviewed in a needs-led review cycle.
- The post holder will ensure a care coordination criteria and MDT meetings for patients with complex needs will be tailored to the needs of the establishment.
- The post holder will support teams to patients to manage their health at every stage, from oral health to long term conditions
- The post holder will ensure that health promotion is embedded into every aspect of the service.
Management responsibilities
- To support the HoHC in accountability for the delivery of the Quality Agenda; participate in the effective management of clinical risk, the identification of best practice and addressing remedial actions as required.
- To manage a small, complex Primary Care clinical caseload.
- To develop, implement and maintain the National Standards for Health Care in Prisons for the service.
- To support the HoHC in accountability for implementation of clinical policies that are fair and equitable and support the needs of the Commissioners and patients and are in line with Trust key performance targets and Clinical Governance Frameworks.
- To be responsible for day-to-day management & co-ordination of Primary Care provision and ensure integration with all other teams within healthcare delivery. Ensuring all Primary Care clinics and consultations are delivered in an effective & timely way, in line with service needs and supporting the HoHC in ensuring the same for all other healthcare teams.
- Supporting the HoH to manage the cycle of clinical audits and evaluation of integrated healthcare services for the prison. As lead for Primary Care provision.
- To lead the development of Primary Care strategies and to support strategy development to promote and improve health and prevent disease, working proactively and collaborating with other professionals, organisations and agencies as required.
- To provide expert clinical leadership with a sound understanding of evidence based practice, having a pro-active approach ensuring delivery of quality and outcome driven practice on a day-to-day basis. Maximising resources to target need, including the deployment and supervision of staff.
- To be responsible for the development of systems for the collection triage & allocation of referrals to appropriate service provision and monitoring and auditing the quality and effectiveness of service delivery.
- Delegate appropriate responsibility and authority to team members, whilst retaining overall responsibility and accountability for performance & results.
- To maintain an effective case management service to ensure care and continuity of treatment is maintained throughout a patient care pathway whilst detained in prison.
- To be responsible for ensuring high standards of electronic record-keeping competencies and patient confidentiality in line prison/ forensic unit policy and systems, through effective monitoring and auditing processes.
- To monitor and review the implementation of appropriate & effective and accredited care planning tools / CPA for all patients that are subject to the process in accordance with agreed Trust Policies.
- To implement and monitor systems for clinical supervision to team members including annual appraisal and identification of specific service, training, and personal development needs.
- To develop effective systems and interfaces with community Primary Care services ensuring continuity of care on release or discharge. To actively promote and demonstrate working across professional and organisational boundaries.
- To maintain close working partnerships with all services that may be involved with the care and management of patients, (prison staff, Ministry of Justice, Trust & Directorate senior managers & relevant forums, CMHT staff, NHS Hospitals, Probation Services, CPS, Courts, GPs, community health services, Housing/Benefit services, social care, community multi-agency forums etc.).
- To maintain staff compliance with all Prison and Trust clinical policies and procedures as appropriate. Responsible for the management of all matters relating to discipline, complaints and serious & untoward incidents and investigations as required.
Leadership
- Establish effective communications and networks to develop practice within healthcare.
- Contribute to the development of formal education, training and development programmes.
- Participate fully in clinical and managerial supervision.
- Participate fully in the Clinical Governance Forum
- Develop ways in which to improve learning, clinical practice and the patient experience.
- Work with colleagues and patients to produce clinical guidelines and implement changes to practice that improve patient care and patient outcomes.
- Create and seek opportunities to disseminate and develop practice.
- To act as a role model.
Clinical
- Assess, diagnose, implement, and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis or complex needs.
- Clinically examine and assess patient needs from a Primary Care perspective, and plan clinical care.
- Assess, diagnose and treat, integrating non-medical prescribing, non-pharmacological and multi-disciplinary resources.
- Work with patients to support compliance with and adherence to prescribed treatments.
- Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.
- Ensure physical health checks and review of Long Term Conditions, including shared decisions for an agreed management plan, and optimising medication using a holistic approach.
- Provide advice, assessment and treatment plans promoting health and well-being.
IMPORTANT INFORMATION, PLEASE READ:
All applicants must be willing to undertake National Security Vetting in order to work in a Prison Setting. This will be completed as part of the pre-employment checks through Oxleas and the prison vetting team.
You will need to provide:
Proof of right to work documentation
Proof of ID, needs to include 1 photographic ID
Proof of address documentation
Non-UK passport holders will need to have correct documentation (right to work in the UK) and a Home office Share code.
Address History:
5 years address history will be needed.
Applicants that are not UK Passport holders who provide less than 5 years UK address history will need to provide a Police Certificate which must be in English from where they resided previously.
Applicants who are UK Passport holders who have lived abroad for a period of more than six months during the last three years will need to provide a certificate of good conduct or an overseas police check in English from the countries resided in or visited.
In order to assist you in obtaining a Police Certificate, guidance can be soughtfrom:https://www.gov.uk/government/publications/criminal-records-checks-for-overseas-applicants
If the country you have resided in is not listed here, you can obtain the necessary information by contacting the relevant Embassy or High Commission for that Country. Their contact details can be found on the Foreign & Commonwealth Office website (http://www.fco.gov.uk/en).
Job description
Job responsibilities
- The post holder will exercise a high degree of personal and professional autonomy and plan to reach complex and critical judgments and have decision making skills to satisfy the expectations of the role.
- To strategically innovate, deliver, clinically audit, and evaluate the Integrated Healthcare Service for the prison. This will include leadership of the Primary Care team, including, long term conditions management, enhanced assessment and diagnostic intervention services and health promotion activities and be in line with the NHS Plan, public health indicators and National Service Frameworks.
- To establish and provide robust expert clinical leadership to the Primary Care team with a sound understanding of models of care and evidence-based practice to provide a pro-active approach to ensure quality, trauma informed, and outcome driven services on a day-to-day basis.
- To ensure monitoring systems are in place, to promote the development of evidence-based practice in this specialist field and to promote research as appropriate.
- To be responsible for the development of and participation in managerial and professional clinical supervision programme for the Primary Care team to ensure all staff receive appropriate supervision, training, and annual appraisal and to ensure that it becomes an integral part of team practice.
- To implement effective and appropriate patient centred care planning tools and a trauma informed model of delivery and integrated services within the establishment.
- The post holder will work as an integral part of the Senior Leadership Team and working collaboratively with other Clinical Leads within the service, GPs, psychiatrists, and other clinicians to maintain and review service needs as required.
- The post holder will be part of skilled multidisciplinary teams comprising all healthcare staff, including strategic partners, and prison managing a single referral pathway.
- The post holder will be required to undertake ongoing training to continually improve the Primary Care provision.
- The post holder will ensure a named care co-ordinator is allocated for every patient with complex needs who will ensure a proactive, evidence-based approach to clinical interventions including, health promotion/prevention activity, and management of acute and long-term conditions.
- The post holder will ensure that a single, integrated, care plans developed, and the individualised care is regularly reviewed.
- The post holder will ensure that a comprehensive risk assessments and care plans are regularly reviewed in a needs-led review cycle.
- The post holder will ensure a care coordination criteria and MDT meetings for patients with complex needs will be tailored to the needs of the establishment.
- The post holder will support teams to patients to manage their health at every stage, from oral health to long term conditions
- The post holder will ensure that health promotion is embedded into every aspect of the service.
Management responsibilities
- To support the HoHC in accountability for the delivery of the Quality Agenda; participate in the effective management of clinical risk, the identification of best practice and addressing remedial actions as required.
- To manage a small, complex Primary Care clinical caseload.
- To develop, implement and maintain the National Standards for Health Care in Prisons for the service.
- To support the HoHC in accountability for implementation of clinical policies that are fair and equitable and support the needs of the Commissioners and patients and are in line with Trust key performance targets and Clinical Governance Frameworks.
- To be responsible for day-to-day management & co-ordination of Primary Care provision and ensure integration with all other teams within healthcare delivery. Ensuring all Primary Care clinics and consultations are delivered in an effective & timely way, in line with service needs and supporting the HoHC in ensuring the same for all other healthcare teams.
- Supporting the HoH to manage the cycle of clinical audits and evaluation of integrated healthcare services for the prison. As lead for Primary Care provision.
- To lead the development of Primary Care strategies and to support strategy development to promote and improve health and prevent disease, working proactively and collaborating with other professionals, organisations and agencies as required.
- To provide expert clinical leadership with a sound understanding of evidence based practice, having a pro-active approach ensuring delivery of quality and outcome driven practice on a day-to-day basis. Maximising resources to target need, including the deployment and supervision of staff.
- To be responsible for the development of systems for the collection triage & allocation of referrals to appropriate service provision and monitoring and auditing the quality and effectiveness of service delivery.
- Delegate appropriate responsibility and authority to team members, whilst retaining overall responsibility and accountability for performance & results.
- To maintain an effective case management service to ensure care and continuity of treatment is maintained throughout a patient care pathway whilst detained in prison.
- To be responsible for ensuring high standards of electronic record-keeping competencies and patient confidentiality in line prison/ forensic unit policy and systems, through effective monitoring and auditing processes.
- To monitor and review the implementation of appropriate & effective and accredited care planning tools / CPA for all patients that are subject to the process in accordance with agreed Trust Policies.
- To implement and monitor systems for clinical supervision to team members including annual appraisal and identification of specific service, training, and personal development needs.
- To develop effective systems and interfaces with community Primary Care services ensuring continuity of care on release or discharge. To actively promote and demonstrate working across professional and organisational boundaries.
- To maintain close working partnerships with all services that may be involved with the care and management of patients, (prison staff, Ministry of Justice, Trust & Directorate senior managers & relevant forums, CMHT staff, NHS Hospitals, Probation Services, CPS, Courts, GPs, community health services, Housing/Benefit services, social care, community multi-agency forums etc.).
- To maintain staff compliance with all Prison and Trust clinical policies and procedures as appropriate. Responsible for the management of all matters relating to discipline, complaints and serious & untoward incidents and investigations as required.
Leadership
- Establish effective communications and networks to develop practice within healthcare.
- Contribute to the development of formal education, training and development programmes.
- Participate fully in clinical and managerial supervision.
- Participate fully in the Clinical Governance Forum
- Develop ways in which to improve learning, clinical practice and the patient experience.
- Work with colleagues and patients to produce clinical guidelines and implement changes to practice that improve patient care and patient outcomes.
- Create and seek opportunities to disseminate and develop practice.
- To act as a role model.
Clinical
- Assess, diagnose, implement, and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis or complex needs.
- Clinically examine and assess patient needs from a Primary Care perspective, and plan clinical care.
- Assess, diagnose and treat, integrating non-medical prescribing, non-pharmacological and multi-disciplinary resources.
- Work with patients to support compliance with and adherence to prescribed treatments.
- Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.
- Ensure physical health checks and review of Long Term Conditions, including shared decisions for an agreed management plan, and optimising medication using a holistic approach.
- Provide advice, assessment and treatment plans promoting health and well-being.
IMPORTANT INFORMATION, PLEASE READ:
All applicants must be willing to undertake National Security Vetting in order to work in a Prison Setting. This will be completed as part of the pre-employment checks through Oxleas and the prison vetting team.
You will need to provide:
Proof of right to work documentation
Proof of ID, needs to include 1 photographic ID
Proof of address documentation
Non-UK passport holders will need to have correct documentation (right to work in the UK) and a Home office Share code.
Address History:
5 years address history will be needed.
Applicants that are not UK Passport holders who provide less than 5 years UK address history will need to provide a Police Certificate which must be in English from where they resided previously.
Applicants who are UK Passport holders who have lived abroad for a period of more than six months during the last three years will need to provide a certificate of good conduct or an overseas police check in English from the countries resided in or visited.
In order to assist you in obtaining a Police Certificate, guidance can be soughtfrom:https://www.gov.uk/government/publications/criminal-records-checks-for-overseas-applicants
If the country you have resided in is not listed here, you can obtain the necessary information by contacting the relevant Embassy or High Commission for that Country. Their contact details can be found on the Foreign & Commonwealth Office website (http://www.fco.gov.uk/en).
Person Specification
Education & Qualifications
Essential
- Registered Nurse
- Leadership/Management Qualification
- NMP Qualification
- ACP Qualification or equivalent
Experience
Essential
- Middle management experience in multi-disciplinary environment delivering Primary Care and service
- Experience of managing staff
- Experience of service implementation, development and change
Desirable
- Prison/Secure setting experience
Skills
Essential
- Working knowledge or clear interest of prison healthcare
- Good communication and relationship skills
Person Specification
Education & Qualifications
Essential
- Registered Nurse
- Leadership/Management Qualification
- NMP Qualification
- ACP Qualification or equivalent
Experience
Essential
- Middle management experience in multi-disciplinary environment delivering Primary Care and service
- Experience of managing staff
- Experience of service implementation, development and change
Desirable
- Prison/Secure setting experience
Skills
Essential
- Working knowledge or clear interest of prison healthcare
- Good communication and relationship 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).
