Job summary
The Regional Neurovascular Neurosurgery team are seeking a highly skilled, motivated and experienced NMC-registered Senior Enhanced Neurovascular Nurse Practitioner. The post holder will work across the Neurovascular service as part of a well-established multidisciplinary Neurovascular Neurosurgery team.
Working under the leadership of the Neurovascular ACP and the wider Neurosurgery ACP team, the successful applicant will join an experienced and supportive Neurosurgery ACP workforce covering a range of neurosurgical subspecialties.
The post-holder will be primarily responsible for the support of Aneurysmal and Non-Aneurysmal Subarachnoid Haemorrhage patients spanning the inpatient to outpatient pathway.
The role requires a strong focus on Research and Development, and Quality Improvement. You will Facilitate and Co-ordinate Neurovascular subspeciality research, promoting a research-based culture to inform practice, influence policy and drive innovation; and enhance recognition of the NBT/Bristol Group Neurovascular Research Portfolio.
We are seeking an enthusiastic practitioner who can demonstrate knowledge within the subspeciality, with a commitment for professional and service development. The Neurosurgery Advanced Practice team are committed to ongoing continued professional development, and the role offers the opportunity to undertake MSc degree (level 7) modules PACR, PADRAP (or equivalent) and Non-Medical Prescribing, which form a core requirement of this position.
Main duties of the job
You will be responsible for the daily review and support of Aneurysmal and Non-Aneurysmal Subarachnoid Haemorrhage (SAH) patients both in an inpatient and outpatient/follow-up setting.
You will provide ad-hoc support for patients with a broad range of complex neurovascular pathologies to include Cerebral Aneurysms, Arteriovenous Malformations, Dural Arterio-Venous Fistulas and Moyamoya disease; undergoing surgery, interventional procedures, Gamma Knife Surgery and surveillance, throughout the entire pathway.
The post-holder will facilitate and co-ordinate Neurovascular sub-specialty research, including SAH National data collection , and Neurovascular research and audit. Previous engagement in research is essential for this role.
You will work in collaboration with the MDT to ensure optimal treatment outcomes, and provide inpatient/outpatient support for elective Neurovascular patients.
You will work across Neurosurgical and Interventional Neuroradiology services to enhance care across the patients inpatient journey. Neurosciences experience is desirable, and knowledge of Neurovascular/Skull-Base surgery is essential, as is a teaching qualification.
Ability to organise and prioritise effectively, and act independently to resolve complex clinical situations/decision making skills is essential. Utilisation of high level empathetic and communication skills for dealing with complex diagnoses and treatment is essential.
About us
The North Bristol NHS Trust Adult Neurosurgery Department, Brunel building, Southmead Hospital (previously located at Frenchay Hospital) is a Tertiary Referral Centre providing Adult Neurosurgical care for Gloucestershire, Somerset and Wiltshire and the City of Bristol.
The Neurovascular Multi-disciplinary team consists of Neurovascular and Skull-Base ACP's, Consultant Neurovascular Neurosurgeons, Interventional Neuroradiology Consultants, Gamma Knife Surgery Consultant and Radiographer teams, and AHP's.
The Neurosurgical team includes 13 consultants, who are world-leading experts in their specialties, carrying out more than 3,500 individual procedures each year, of which 50% are operations for emergency admissions.
North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. Our vision is that by enabling our teams to be the best that they can be, we will provide exceptional healthcare, personally delivered.
North Bristol NHS Trust values all people as individuals. We aim to be an anti-discriminatory organisation and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We welcome applicants from all underrepresented groups.
Job description
Job responsibilities
To provide skilled assessment of patients including history taking, physical assessment and requesting, interpreting and acting on appropriate tests and investigations in a timely manner. Expectation to undertake Non-Medical Prescribing course. Use expert and specialised clinical and theoretical knowledge to safely and appropriately assess and diagnose patients in their care, within own professional boundaries with support from ACP
Act autonomously within evidenced based guidelines to plan and implement individualised management plans. Formulate clinical decisions and often complex treatment plans to manage illness with support from ACP.
Direct responsibility to manage own caseload of patients in the inpatient and outpatient follow-up stage of the patient pathway, including a comprehensive assessment/review of SAH patients, requesting diagnostics when compliant, reviewing results and creating and implementing management plans within the specialty and priorities workload to meet patient and service need.
Liaising with sub specialty Consultants and ACP team where necessary. Demonstrate competence, knowledge and skills in a wide range of practical procedures.
To delegate/refer to other practitioners when this will improve health outcomes or when risk and needs are beyond own competence and scope of practice. With support from ACPs manage referrals and triage from other disciplines/primary care and provide specialist advice and support to colleagues within the organisation and to the wider team outside the organisation.
Alongside ACPs, to support development and implement pathways of care, adapting to patient needs by ensuring a planned and coordinated approach to care, supporting enhanced recovery and reducing inappropriate admissions to improve patient experience and safety.
Working alongside a multi-disciplinary team meeting to support with clinical follow up patients beyond the local MDT, with support from ACP. Support the discharge planning processes.
Please see JD&PS for full details.
Job description
Job responsibilities
To provide skilled assessment of patients including history taking, physical assessment and requesting, interpreting and acting on appropriate tests and investigations in a timely manner. Expectation to undertake Non-Medical Prescribing course. Use expert and specialised clinical and theoretical knowledge to safely and appropriately assess and diagnose patients in their care, within own professional boundaries with support from ACP
Act autonomously within evidenced based guidelines to plan and implement individualised management plans. Formulate clinical decisions and often complex treatment plans to manage illness with support from ACP.
Direct responsibility to manage own caseload of patients in the inpatient and outpatient follow-up stage of the patient pathway, including a comprehensive assessment/review of SAH patients, requesting diagnostics when compliant, reviewing results and creating and implementing management plans within the specialty and priorities workload to meet patient and service need.
Liaising with sub specialty Consultants and ACP team where necessary. Demonstrate competence, knowledge and skills in a wide range of practical procedures.
To delegate/refer to other practitioners when this will improve health outcomes or when risk and needs are beyond own competence and scope of practice. With support from ACPs manage referrals and triage from other disciplines/primary care and provide specialist advice and support to colleagues within the organisation and to the wider team outside the organisation.
Alongside ACPs, to support development and implement pathways of care, adapting to patient needs by ensuring a planned and coordinated approach to care, supporting enhanced recovery and reducing inappropriate admissions to improve patient experience and safety.
Working alongside a multi-disciplinary team meeting to support with clinical follow up patients beyond the local MDT, with support from ACP. Support the discharge planning processes.
Please see JD&PS for full details.
Person Specification
Essential and Desirable
Essential
- Professional NMC Registration
- Relevant BSc Level 6 degree
- Commitment to undertake Physical Assessment, Pathophysiology and Diagnostic Reasoning and Non-Medical Prescribing modules-Level 7
- Teaching and Mentoring Recognised Qualification
- Working Knowledge of Neurovascular/Skull-Base Neurosurgery
- Evidence of Ongoing CPD
- Involvement in Research or Audit Projects
- Evidence of maintained competence of clinical skills
- Ability to organise and prioritise own workload
- Ability to act independently, resolve complex clinical situations and harbour excellent decision-making skills.
- Excellent Written Communication skills
Desirable
- Completion of Physical Assessment, Pathophysiology and Diagnostic Reasoning and Non-Medical Prescribing modules-Level 7
- Specialty Specific Post-Graduate Qualification (ie: Neurosciences course)
- Neurosciences Experience
- Excellent Leadership and Organisational Skills
- Evidence of Teaching in a variety of environments
- Evidence of contribution to quality improvement/change management
Person Specification
Essential and Desirable
Essential
- Professional NMC Registration
- Relevant BSc Level 6 degree
- Commitment to undertake Physical Assessment, Pathophysiology and Diagnostic Reasoning and Non-Medical Prescribing modules-Level 7
- Teaching and Mentoring Recognised Qualification
- Working Knowledge of Neurovascular/Skull-Base Neurosurgery
- Evidence of Ongoing CPD
- Involvement in Research or Audit Projects
- Evidence of maintained competence of clinical skills
- Ability to organise and prioritise own workload
- Ability to act independently, resolve complex clinical situations and harbour excellent decision-making skills.
- Excellent Written Communication skills
Desirable
- Completion of Physical Assessment, Pathophysiology and Diagnostic Reasoning and Non-Medical Prescribing modules-Level 7
- Specialty Specific Post-Graduate Qualification (ie: Neurosciences course)
- Neurosciences Experience
- Excellent Leadership and Organisational Skills
- Evidence of Teaching in a variety of environments
- Evidence of contribution to quality improvement/change management
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).
