Emergency Nurse Practitioner A&E, Alex

Worcestershire Acute Hospitals NHS Trust

The closing date is 16 April 2025

Job summary

To provide advanced levels of autonomous nursing practice to assess, investigate, diagnose, treat and refer patients by acting within the parameters of the NMC code of professional conduct and trust guidelines. To provide a service that meets the needs of patients attending the Emergency Department with acute minor injuries and minor illnesses. This will involve the provision of holistic healthcare for patients with undifferentiated and undiagnosed presentations using advanced nursing skills. The post holder may be asked to assist with the triage process in the department.

Main duties of the job

Using an evidence based approach, assess, diagnose, treat or refer patients with minor injuries and illnesses as an autonomous practitioner, including prescribing where necessary.
Work in a collaborative manner with other members of the multi-disciplinary team ensuring seamless service delivery for patients.
Be able to plan own workload in an organised and effective manner whilst having an overall awareness of departmental need and adjusting working needs accordingly
To provide clinical advice and leadership to the relevant nursing teams, colleagues and managers as requested.
To act as a role model and expert resource including in assisting to develop nursing roles according to service development and evolving models of care.
To lead by example ensuring that care is compassionate and caring at all times in line with the trust values.
To act as a champion for the minor injury team, proactively liaising with Emergency Department colleagues, advocating an exceptional minor injury provision that is effective and responsive and that patients and clinicians experience a high standard of communication, care and continuity.

About us

Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is over 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Our objectives are simple:

Best services for local people
Best experience of care and best outcomes for our patients
Best use of resources
Best people

Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

Date posted

02 April 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

C9365-25-0304

Job locations

The Alexandra Hospital

Woodrow Drive

Redditch

Worcestershire

B98 7UB

Job description

Job responsibilities

To provide a level of advanced knowledge and comprehensive assessment based on specialist body of knowledge.
To appropriately assess, examine, investigate, diagnose and treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations.
To be able to identify the need for appropriate diagnostic tests and interpret results including point of care testing and radiography investigations.
To undertake advanced physical assessment and non-medical prescribing in accordance with the Trusts policy to meet clinical needs.
To ensure that patients are informed and consent is gained prior to treatment, investigation, examination and management as appropriate.
To work out of hours and weekend shifts as needed to ensure availability of advanced clinical skills and visible clinical leadership
To ensure the safe discharge of patients under your care in conjunction with the multi-disciplinary team where necessary.

Management/Leadership

To role model a high standard of documentation within the patients health records.
To undertake delegated projects and management responsibilities as required.
To develop and maintain effective and appropriate communication systems with staff and colleagues within the Trust.
To take every responsible step to see that the working environment is safe, healthy and hazard free for staff and users.
To utilise effective leadership styles to promote clinical excellence and optimum patient outcomes
To be aware of care provision in the wider healthcare community and utilise this knowledge to proactively contribute to service development/improvement

Quality

To work with all members of the multidisciplinary team to ensure that care is evidence based and that continuous quality improvement programmes are in place that constantly challenges practice.
To improve the quality of patient experience by identifying and meeting the individual needs of patients, including issues pertaining to child protection and safeguarding vulnerable adults.
To assist in the collation of data for the service key performance and work with others to ensure continuous improvement on results.
To work closely with the Trusts PALS department and where necessary participate in investigating incidents and complaints in line with the Trust policy, procedures and timescales, making recommendations about changes in practice and service that may result.
To advocate the collection of friends and family results.
To be a role model in the correct use of relevant procedures, guidelines and protocols.
To assist the Division in benchmarking against other services and developing innovative practice and new ways of working which are productive and patient outcome focused.

Education, training and research

To promote a continuous learning environment for the nursing and medical teams ensuring that staff have access to information that enables them to practice safely and effectively.
To contribute to the development of nursing and medical knowledge and skills.
To teach and support medical staff, nursing staff, students and newly qualified staff as appropriate in the clinical setting.
To contribute to peer review and supervisory processes.
To collate information about training and development needs of staff as identified through annual reviews and liaise with the professional development team to ensure these needs are met where appropriate.
To ensure where appropriate that arrangements are made for educational evaluation and for staff to learn from the outcomes of quality reviews, audits, complaints and investigations.
To undertake mandatory training as required for the role.
To be aware of ones own continuous professional development needs and maintain an annual personal development plan.
To proactively initiate, lead and participate in audit as required and in line with the Trusts audit programme, devising audits and presenting findings as needed.
To lead on data collection for specific local and multi-centre research projects.
To ensure that results of mandatory and departmental specific audits are acted on and changes in practice implemented

Professional responsibilities

To be aware of and act in accordance with agreed policy and procedures, legislation and NMC standards
To adhere to policies and procedures at all times and ensure that all teams are aware of their responsibilities in relation to these
To ensure personal compliance with the Trusts non-medical prescribing policy
To ensure continuing professional development

Job description

Job responsibilities

To provide a level of advanced knowledge and comprehensive assessment based on specialist body of knowledge.
To appropriately assess, examine, investigate, diagnose and treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations.
To be able to identify the need for appropriate diagnostic tests and interpret results including point of care testing and radiography investigations.
To undertake advanced physical assessment and non-medical prescribing in accordance with the Trusts policy to meet clinical needs.
To ensure that patients are informed and consent is gained prior to treatment, investigation, examination and management as appropriate.
To work out of hours and weekend shifts as needed to ensure availability of advanced clinical skills and visible clinical leadership
To ensure the safe discharge of patients under your care in conjunction with the multi-disciplinary team where necessary.

Management/Leadership

To role model a high standard of documentation within the patients health records.
To undertake delegated projects and management responsibilities as required.
To develop and maintain effective and appropriate communication systems with staff and colleagues within the Trust.
To take every responsible step to see that the working environment is safe, healthy and hazard free for staff and users.
To utilise effective leadership styles to promote clinical excellence and optimum patient outcomes
To be aware of care provision in the wider healthcare community and utilise this knowledge to proactively contribute to service development/improvement

Quality

To work with all members of the multidisciplinary team to ensure that care is evidence based and that continuous quality improvement programmes are in place that constantly challenges practice.
To improve the quality of patient experience by identifying and meeting the individual needs of patients, including issues pertaining to child protection and safeguarding vulnerable adults.
To assist in the collation of data for the service key performance and work with others to ensure continuous improvement on results.
To work closely with the Trusts PALS department and where necessary participate in investigating incidents and complaints in line with the Trust policy, procedures and timescales, making recommendations about changes in practice and service that may result.
To advocate the collection of friends and family results.
To be a role model in the correct use of relevant procedures, guidelines and protocols.
To assist the Division in benchmarking against other services and developing innovative practice and new ways of working which are productive and patient outcome focused.

Education, training and research

To promote a continuous learning environment for the nursing and medical teams ensuring that staff have access to information that enables them to practice safely and effectively.
To contribute to the development of nursing and medical knowledge and skills.
To teach and support medical staff, nursing staff, students and newly qualified staff as appropriate in the clinical setting.
To contribute to peer review and supervisory processes.
To collate information about training and development needs of staff as identified through annual reviews and liaise with the professional development team to ensure these needs are met where appropriate.
To ensure where appropriate that arrangements are made for educational evaluation and for staff to learn from the outcomes of quality reviews, audits, complaints and investigations.
To undertake mandatory training as required for the role.
To be aware of ones own continuous professional development needs and maintain an annual personal development plan.
To proactively initiate, lead and participate in audit as required and in line with the Trusts audit programme, devising audits and presenting findings as needed.
To lead on data collection for specific local and multi-centre research projects.
To ensure that results of mandatory and departmental specific audits are acted on and changes in practice implemented

Professional responsibilities

To be aware of and act in accordance with agreed policy and procedures, legislation and NMC standards
To adhere to policies and procedures at all times and ensure that all teams are aware of their responsibilities in relation to these
To ensure personal compliance with the Trusts non-medical prescribing policy
To ensure continuing professional development

Person Specification

Experience

Essential

Experience working as an established ENP
Wound management
Competent in suturing
Competent in advanced plastering skills
Management of fractures and dislocations
Evidence of undertaking research and audit

Qualifications

Essential

Professional registration
Advanced physical assessment qualification (BSc/MSc level)
Minor injury qualification (BSc/MSc level)
Teaching qualification
IRMER
ILS/PILS

Desirable

Higher level qualification in at least one accredited emergency care course e.g. ALS
BSC Emergency Nursing
Minor illness qualification
Independent Non medical Prescribing
ALS/APLS/EPALs

Person Specification

Experience

Essential

Experience working as an established ENP
Wound management
Competent in suturing
Competent in advanced plastering skills
Management of fractures and dislocations
Evidence of undertaking research and audit

Qualifications

Essential

Professional registration
Advanced physical assessment qualification (BSc/MSc level)
Minor injury qualification (BSc/MSc level)
Teaching qualification
IRMER
ILS/PILS

Desirable

Higher level qualification in at least one accredited emergency care course e.g. ALS
BSC Emergency Nursing
Minor illness qualification
Independent Non medical Prescribing
ALS/APLS/EPALs

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.