Job summary
Practising within clinical protocols, the Advanced Neonatal Nurse Practitioner will work alongside the Neonatal medical team in providing care to premature or sick newborn babies requiring intensive care, high-dependency and special care under direct or indirect supervision and guidance from Paediatric Specialist Registrar and/or Consultant Neonatologist.
Main duties of the job
The ANNP promotes individualised family-centred holistic care for the neonate, utilising advanced clinical knowledge and skills. The post-holder will provide clinical advice, support and teaching to the multidisciplinary team.
Using advanced clinical skills and knowledge, the post holder will exercise professional autonomy in the delivery of safe and quality care and medical management to newborn babies in the Neonatal Intensive Care Unit, Labour Ward, Post-natal Ward and other Neonatal-led clinics, in collaboration with the multidisciplinary team
The role should be weighted as follows:
60 - 65% medical duties;
20 - 30% on nursing duties
10 - 20% research/clinical governance
About us
Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.
We are committed to equal opportunities and believe that diversity drives innovation and excellence. As part of our dedication to equity, we actively welcome applications from individuals from the global majority, veterans and underrepresented communities. We value the unique perspectives and experiences that diverse teams bring and are committed to creating an environment where all voices are heard, respected, and empowered to succeed."
If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.
Some roles may require weekend shifts at multiple sites.
Job description
Job responsibilities
1. Professional
1.1 Be involved in assessing planning, implementing and evaluating total care of the neonate.
1.2 Assist the senior nursing team (Education Lead and Matron) with the on-going setting, implementation, monitoring and evaluation of standards together with assessment of the quality of care including the views of the babies families.
1.3 Counsel and support families discerning when confidential information should be shared.
1.4 Complete all statutory documents, audits and data collection as required including Neonatal related outcome measures.
2. Clinical
2.1 Attend high risk deliveries and initiate resuscitation of the newborn using specialist clinical judgement and highly specialist resuscitation skills, thereby undertaking the role usually undertaken by the Medical Staff.
2.2 Participate in the management and continuity of care for babies requiring intensive care, high dependency care, special care, transitional care and post natal care.
2.3 As an independent nurse/supplementary prescriber and working to set protocols, initiate drug therapy and intravenous fluids, including parenteral nutrition and blood or volume expanders.
2.4 Co-ordinate the care of the sick neonate by applying specialist clinical theoretical knowledge: This incorporates the following
Undertaking laboratory investigations and interpreting results
Independently initiating and managing all modes of ventilation under support from the Senior Registrar or Consultant Neonatologist
Requesting diagnostic investigations
Requesting and interpreting X-Rays
Undertaking invasive procedures as outlined in the ANNP competency document 2.5 Respond to neonatal emergencies and deliver advance neonatal resuscitation if required
2.6 Provide clinical support for new junior doctors and senior nurses
Maintain accurate clinical records
Take the initiative in discharge planning; perform discharge examinations of infants and liaise with general practitioners and other members of the multidisciplinary team when appropriate.
Maintain close liaison with senior medical staff and Sisters regarding the management of babies in all areas.
Lead neonatal transfers and undertake referrals when required
Please see attached job description and person specification to this advert for further details.
Job description
Job responsibilities
1. Professional
1.1 Be involved in assessing planning, implementing and evaluating total care of the neonate.
1.2 Assist the senior nursing team (Education Lead and Matron) with the on-going setting, implementation, monitoring and evaluation of standards together with assessment of the quality of care including the views of the babies families.
1.3 Counsel and support families discerning when confidential information should be shared.
1.4 Complete all statutory documents, audits and data collection as required including Neonatal related outcome measures.
2. Clinical
2.1 Attend high risk deliveries and initiate resuscitation of the newborn using specialist clinical judgement and highly specialist resuscitation skills, thereby undertaking the role usually undertaken by the Medical Staff.
2.2 Participate in the management and continuity of care for babies requiring intensive care, high dependency care, special care, transitional care and post natal care.
2.3 As an independent nurse/supplementary prescriber and working to set protocols, initiate drug therapy and intravenous fluids, including parenteral nutrition and blood or volume expanders.
2.4 Co-ordinate the care of the sick neonate by applying specialist clinical theoretical knowledge: This incorporates the following
Undertaking laboratory investigations and interpreting results
Independently initiating and managing all modes of ventilation under support from the Senior Registrar or Consultant Neonatologist
Requesting diagnostic investigations
Requesting and interpreting X-Rays
Undertaking invasive procedures as outlined in the ANNP competency document 2.5 Respond to neonatal emergencies and deliver advance neonatal resuscitation if required
2.6 Provide clinical support for new junior doctors and senior nurses
Maintain accurate clinical records
Take the initiative in discharge planning; perform discharge examinations of infants and liaise with general practitioners and other members of the multidisciplinary team when appropriate.
Maintain close liaison with senior medical staff and Sisters regarding the management of babies in all areas.
Lead neonatal transfers and undertake referrals when required
Please see attached job description and person specification to this advert for further details.
Person Specification
Education and Qualifications
Essential
- RGN/RM/RN (Child) - Neonatal specialist qualification Advanced Neonatal Practitioner qualification/ A19
Desirable
- Recognised leadership qualification
- Recognised Teaching qualification PGCE or equivalent
- Evidence of continuing post ANNP course education and development
- Masters' degree in clinically relevant subject or equivalent
- NLS Instructor
Experience
Essential
- Extensive post registration experience, in tertiary level neonatal care
- Experience and evidence of developing practice/nurse led initiatives.
- Basic counselling skills training
- Experience planning and developing educational programmes.
Desirable
- Post ANNP qualification in a tertiary neonatal setting
- Experience of Neonatal surgical practice
- Experience of facilitating research and audit activity
- Experience of dissemination of work through presentation/ publication
- Experience of clinical practice Benchmarking
- Experience of electronic patient record development
Skills and Knowledge
Essential
- Proven diagnostic skills commensurate with middle grade medical staff
- Able to undertake clinical audit
- Able to lead the development of advancing nursing practice
- Ability to clearly articulate the advanced nursing contribution to healthcare
- Evidence of participation in clinical governance initiatives
- Evidence of leadership, practice development, expertise and innovation in clinical practice
- Knowledge of research and audit methodologies
- IT literacy skills
- Evidence of teaching/facilitation skills
Desirable
- Evidence of management skills
- Ability to utilise resources appropriately
- Experience of managing a budget
- Good insight into current health policy developments
- Experience as clinical supervisor
Person Specification
Education and Qualifications
Essential
- RGN/RM/RN (Child) - Neonatal specialist qualification Advanced Neonatal Practitioner qualification/ A19
Desirable
- Recognised leadership qualification
- Recognised Teaching qualification PGCE or equivalent
- Evidence of continuing post ANNP course education and development
- Masters' degree in clinically relevant subject or equivalent
- NLS Instructor
Experience
Essential
- Extensive post registration experience, in tertiary level neonatal care
- Experience and evidence of developing practice/nurse led initiatives.
- Basic counselling skills training
- Experience planning and developing educational programmes.
Desirable
- Post ANNP qualification in a tertiary neonatal setting
- Experience of Neonatal surgical practice
- Experience of facilitating research and audit activity
- Experience of dissemination of work through presentation/ publication
- Experience of clinical practice Benchmarking
- Experience of electronic patient record development
Skills and Knowledge
Essential
- Proven diagnostic skills commensurate with middle grade medical staff
- Able to undertake clinical audit
- Able to lead the development of advancing nursing practice
- Ability to clearly articulate the advanced nursing contribution to healthcare
- Evidence of participation in clinical governance initiatives
- Evidence of leadership, practice development, expertise and innovation in clinical practice
- Knowledge of research and audit methodologies
- IT literacy skills
- Evidence of teaching/facilitation skills
Desirable
- Evidence of management skills
- Ability to utilise resources appropriately
- Experience of managing a budget
- Good insight into current health policy developments
- Experience as clinical supervisor
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).