Job summary
Join our dynamic and progressive healthcare team as an Advanced Clinical Practitioner and take your career to new heights. As an integral member of our clinical management team, you will play a crucial role across our renowned MWL Frailty service.
With your advanced clinical practice skills, you will have the autonomy to make critical decisions and provide exceptional care to our patients. From the moment you take their history, perform assessments, make diagnoses, deliver treatments, and evaluate their progress, you will be responsible for the comprehensive management of older individuals and those living with frailty.
As an ACP, you will not only excel in providing outstanding patient care but also take the lead in educational sessions, clinical supervision, research, audits, and driving quality and service improvements. With opportunities to rotate across our Frailty offer, you will constantly expand your knowledge and expertise.
Interested candidates must have completed Independent/supplementary Nursing Prescribing course -V300
Trainee Opportunity
The person specification for this role is attached to the advert. If you are interested in this position as a training / development opportunity, please review the person specification. We do require a level of skill and experience, but the complexity and breadth can be developed as you progress within the role and this would be discussed further at interview.
Interview Date: TBC
Main duties of the job
- Provide advanced levels of clinical practice, knowledge, and skills in Geriatric Medicine / Frailty
- Undertake history and physical examination to accurately assess the patient's condition.
- Request, interpret and act upon relevant diagnostic tests and procedures.
- Interpret, convey, and act upon complex and conflicting information to MDT members/patients/relatives including possible stressful situations, which may be delicate or offensive in nature (i.e., breaking bad news).
- To identify patients in the Emergency department who are frail who could be cared for in a Virtual ward.
- To work without borders with St Helens, Halton and Knowsley care providers
- To directly liaise with Geriatricians and other Frailty specialists
- To rotate throughout the Frailty services, including Ambulatory, Frailty Acute Inpatients, Frailty reablement ward, Urgent Community Response, Frailty Virtual Ward, and Community Frailty
- Act as a clinical expert providing continuous support to nursing staff and other MDT members within and outside designated area of work.
- Undertake advanced (invasive and non-invasive) procedures pertaining to patient need, in accordance with appropriate training and clinical supervision.
- Independently prescribe and review medication in accordance with current legislation and trust policy.
Please view additional main duties of the job below or in the job description.
About us
The Secretary of State has approved the partnership between St Helens & Knowsley and Southport & Ormskirk Hospitals.
From 1st July we have come together as a single organisation under the name Mersey & West Lancashire Teaching Hospitals NHS Trust.
The Trust delivers acute hospital care, intermediate care, community, and primary care services to a population of over 600,000 people with a combined workforce of around 9000 dedicated and skilled staff from 17 locations including Whiston, Southport & Formby, St Helens, Ormskirk and Newton hospitals.
The Trust provides regional services for burns, plastic surgery and spinal injuries to more than 4 million people across Mersey and West Lancashire, Cheshire, the Isle of Man and North Wales.
Our Vision is to deliver 5 Star Patient Care:
- CAREthat is evidence based, high quality and compassionate
- SAFETY that is of the highest standards
- COMMUNICATION that is open, inclusive and respectful
- SYSTEMS that are efficient, patient centred and reliable
- PATHWAYS that are best practice and embedded, but also respect the individual needs of patients
Our achievements include:
- Trust rated Outstanding by CQC Inspection August 2018
- Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
- Awarded National Preceptorship Accreditation (2023) for our Nursing & AHP Preceptorship Programme
Please see our Wellbeing & Benefits booklet for more information on our staff benefits. Accessible version available upon request.
Job description
Job responsibilities
CLINICAL & PROFESSIONAL RESPONSIBILITIES
- Provide advanced levels of clinical practice, knowledge, and skills in Geriatric Medicine / Frailty
- Undertake history and physical examination to accurately assess the patients condition.
- Request, interpret and act upon relevant diagnostic tests and procedures.
- Interpret, convey, and act upon complex and conflicting information to MDT members/patients/relatives including possible stressful situations, which may be delicate or offensive in nature (i.e., breaking bad news).
- To identify patients in the Emergency department who are frail who could be cared for in a Virtual ward.
- To work without borders with St Helens, Halton and Knowsley care providers
- To directly liaise with Geriatricians and other Frailty specialists
- To rotate throughout the Frailty services, including Ambulatory, Frailty Acute Inpatients, Frailty reablement ward, Urgent Community Response, Frailty Virtual Ward, and Community Frailty
- Act as a clinical expert providing continuous support to nursing staff and other MDT members within and outside designated area of work.
- Undertake advanced (invasive and non-invasive) procedures pertaining to patient need, in accordance with appropriate training and clinical supervision.
- Independently prescribe and review medication in accordance with current legislation and trust policy.
- Maintain comprehensive, contemporaneous, and accurate nursing/medical records and documentation, utilising information technology where available to facilitate caseload management that is consistent with legislation, policies and procedures.
- Effectively manage acute life-threatening conditions in accordance with current ALS/ATLS/ALERT guidelines (as appropriate to area of work/need).
- Act as a role model through demonstration of high standards of practice, providing a clinical environment that motivates and encourages effective working partnerships.
- Participate in multi-disciplinary case conferences, reviews, clinical and audit meetings.
- Gain informed consent from patients for procedures undertaken by self or on behalf of others, both written and verbal, according to Trust/Practice policy.
- Provide evidence-based specialist knowledge and advice to patients, families/carers throughout the patients journey to meet their physical, emotional and psychological needs.
- Provide clinical expertise in the management of patients utilising specialist theoretical and clinical skills.
- Facilitate and support practice staff to develop effective working relationships with the wider multi-disciplinary teams to enhance the care and management of patients.
- Act as an autonomous Practitioner exercising judgement, discretion and decision making in clinical care.
- Certify expected deaths as per policy.
- Undertake nurse prescribing as part of the designated role.
- To support junior nursing staff, sharing clinical workload and allowing junior clinical staff (where appropriate) to achieve training and development requirements.
- Support patients to adopt health promotion strategies that promote healthy lifestyles, and to apply principles of self-care and management.
- Work with patients to support compliance with and adherence to prescribed treatments. Providing information and advice on prescribed or over-the-counter medication, medication regimes, side-effects, and interactions.
- Provide ad hoc clinical advice to the Out of Hours Service Provider on a rota basis with other clinicians.
- Develop good working relationships with all Staff and other members of the multidisciplinary team within Frailty/ Bevan and COE and other departments within the Trust and external bodies.
- Act in accordance with the NMC guidelines/Code of Professional Conduct.
TEACHING & TRAINING RESPONSIBILITIES
- Participate in COE and Frailty Audit and ED case finding for Frailty.
- Lead the reporting of clinical incidents/concerns and take appropriate action to address any safety and quality issues raised using a structured framework e.g., root-cause analysis.
- Develop and implement policies and strategies in line with evidence-based practice e.g., NICE/NHSe/ HEE and in partnership with other clinical teams.
- Be involved in identification, development, and implementation of relevant policy/guidelines to aid future management by the MDT (e.g., clinical pathways).
- Assess the effectiveness of care delivery through self and peer review, benchmarking, formal evaluation and consideration of patient responses.
- Facilitate and identify clinical audit/research and disseminate findings.
- Collaborate proactively with public health agencies and local authorities to ensure general practice nursing is actively engaged in the health improvement strategies for the local community.
- Adherence to ACP competency framework
- Attend mentor meetings with respective GP.
- Take responsibility for ones own professional development and continually assess and acknowledge areas for development as they arise.
- Raise awareness of speciality conditions within area of practice by teaching and providing education across the board.
- Assist in identified training and educational needs of the nursing staff/medical staff and participate in its delivery.
- Support in the facilitation of an appropriate learning/practice environment Nursing and Medical students and junior Trainees and new starters providing direct supervision and training.
- Provide education to patients, carers and families in an environment that supports learning.
- Provide clinical supervision, mentorship, preceptorship, and tuition to Practice nursing and medical staff
LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES
- Ensure patient experience remains the focal point for service improvement within the Practice.
- Provide clinical support to complete complaints, SIRI/SUI investigations and staff development.
- Contribute effectively to service developments both within the Practice and at a wider strategic level.
- Attend Practice Governance and Business Meetings as required.
- Act as a role model by demonstrating excellent communication and listening skills with patients, relatives, and staff.
- Active involvement and engagement in GP Practice Forums.
- Promote effective team working within the practice at Marshalls Cross Medical Centre.
- Participate in recruitment and selection of staff as required.
- Lead/guide nursing and medical staff in the appropriate and timely care of patients.
- Network locally, regionally and nationally to share and exchange ideas and principles.
- Actively market and promote the role of the Advanced Nurse Practitioner in General practice.
- Provide an effective leadership role in contributing to resolving own practice issues pertaining to clinical governance agendas and shared governance within the Trust e.g., maintaining standards, risk management, clinical audit and research, standard setting, benchmarking, evidence-based practice, etc.
- Provide leadership to nursing and HCA staff regarding training and development ensuring the delivery of consistently high-quality care.
- To support the practice and trust management teams with ongoing clinical care provision and assist with safe, effective flow of patients.
- Ensure others in general practice nursing recognise the importance of data collection and quality assurance and ensure that findings and other results are disseminated in meaningful ways to staff.
- Know about the range of physical abuse, emotional abuse, neglect, and sexual abuse.
- Complete Safeguarding Level 3 in adult safeguarding
- Be able to recognise signs of abuse appropriate to role and what action to take.
- Know about the Trusts local policies/procedures.
- Understand the importance of sharing information, how it can help and the dangers of not sharing information.
- Be able to seek advice and report concerns, ensuring that they are listened to.
Job description
Job responsibilities
CLINICAL & PROFESSIONAL RESPONSIBILITIES
- Provide advanced levels of clinical practice, knowledge, and skills in Geriatric Medicine / Frailty
- Undertake history and physical examination to accurately assess the patients condition.
- Request, interpret and act upon relevant diagnostic tests and procedures.
- Interpret, convey, and act upon complex and conflicting information to MDT members/patients/relatives including possible stressful situations, which may be delicate or offensive in nature (i.e., breaking bad news).
- To identify patients in the Emergency department who are frail who could be cared for in a Virtual ward.
- To work without borders with St Helens, Halton and Knowsley care providers
- To directly liaise with Geriatricians and other Frailty specialists
- To rotate throughout the Frailty services, including Ambulatory, Frailty Acute Inpatients, Frailty reablement ward, Urgent Community Response, Frailty Virtual Ward, and Community Frailty
- Act as a clinical expert providing continuous support to nursing staff and other MDT members within and outside designated area of work.
- Undertake advanced (invasive and non-invasive) procedures pertaining to patient need, in accordance with appropriate training and clinical supervision.
- Independently prescribe and review medication in accordance with current legislation and trust policy.
- Maintain comprehensive, contemporaneous, and accurate nursing/medical records and documentation, utilising information technology where available to facilitate caseload management that is consistent with legislation, policies and procedures.
- Effectively manage acute life-threatening conditions in accordance with current ALS/ATLS/ALERT guidelines (as appropriate to area of work/need).
- Act as a role model through demonstration of high standards of practice, providing a clinical environment that motivates and encourages effective working partnerships.
- Participate in multi-disciplinary case conferences, reviews, clinical and audit meetings.
- Gain informed consent from patients for procedures undertaken by self or on behalf of others, both written and verbal, according to Trust/Practice policy.
- Provide evidence-based specialist knowledge and advice to patients, families/carers throughout the patients journey to meet their physical, emotional and psychological needs.
- Provide clinical expertise in the management of patients utilising specialist theoretical and clinical skills.
- Facilitate and support practice staff to develop effective working relationships with the wider multi-disciplinary teams to enhance the care and management of patients.
- Act as an autonomous Practitioner exercising judgement, discretion and decision making in clinical care.
- Certify expected deaths as per policy.
- Undertake nurse prescribing as part of the designated role.
- To support junior nursing staff, sharing clinical workload and allowing junior clinical staff (where appropriate) to achieve training and development requirements.
- Support patients to adopt health promotion strategies that promote healthy lifestyles, and to apply principles of self-care and management.
- Work with patients to support compliance with and adherence to prescribed treatments. Providing information and advice on prescribed or over-the-counter medication, medication regimes, side-effects, and interactions.
- Provide ad hoc clinical advice to the Out of Hours Service Provider on a rota basis with other clinicians.
- Develop good working relationships with all Staff and other members of the multidisciplinary team within Frailty/ Bevan and COE and other departments within the Trust and external bodies.
- Act in accordance with the NMC guidelines/Code of Professional Conduct.
TEACHING & TRAINING RESPONSIBILITIES
- Participate in COE and Frailty Audit and ED case finding for Frailty.
- Lead the reporting of clinical incidents/concerns and take appropriate action to address any safety and quality issues raised using a structured framework e.g., root-cause analysis.
- Develop and implement policies and strategies in line with evidence-based practice e.g., NICE/NHSe/ HEE and in partnership with other clinical teams.
- Be involved in identification, development, and implementation of relevant policy/guidelines to aid future management by the MDT (e.g., clinical pathways).
- Assess the effectiveness of care delivery through self and peer review, benchmarking, formal evaluation and consideration of patient responses.
- Facilitate and identify clinical audit/research and disseminate findings.
- Collaborate proactively with public health agencies and local authorities to ensure general practice nursing is actively engaged in the health improvement strategies for the local community.
- Adherence to ACP competency framework
- Attend mentor meetings with respective GP.
- Take responsibility for ones own professional development and continually assess and acknowledge areas for development as they arise.
- Raise awareness of speciality conditions within area of practice by teaching and providing education across the board.
- Assist in identified training and educational needs of the nursing staff/medical staff and participate in its delivery.
- Support in the facilitation of an appropriate learning/practice environment Nursing and Medical students and junior Trainees and new starters providing direct supervision and training.
- Provide education to patients, carers and families in an environment that supports learning.
- Provide clinical supervision, mentorship, preceptorship, and tuition to Practice nursing and medical staff
LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES
- Ensure patient experience remains the focal point for service improvement within the Practice.
- Provide clinical support to complete complaints, SIRI/SUI investigations and staff development.
- Contribute effectively to service developments both within the Practice and at a wider strategic level.
- Attend Practice Governance and Business Meetings as required.
- Act as a role model by demonstrating excellent communication and listening skills with patients, relatives, and staff.
- Active involvement and engagement in GP Practice Forums.
- Promote effective team working within the practice at Marshalls Cross Medical Centre.
- Participate in recruitment and selection of staff as required.
- Lead/guide nursing and medical staff in the appropriate and timely care of patients.
- Network locally, regionally and nationally to share and exchange ideas and principles.
- Actively market and promote the role of the Advanced Nurse Practitioner in General practice.
- Provide an effective leadership role in contributing to resolving own practice issues pertaining to clinical governance agendas and shared governance within the Trust e.g., maintaining standards, risk management, clinical audit and research, standard setting, benchmarking, evidence-based practice, etc.
- Provide leadership to nursing and HCA staff regarding training and development ensuring the delivery of consistently high-quality care.
- To support the practice and trust management teams with ongoing clinical care provision and assist with safe, effective flow of patients.
- Ensure others in general practice nursing recognise the importance of data collection and quality assurance and ensure that findings and other results are disseminated in meaningful ways to staff.
- Know about the range of physical abuse, emotional abuse, neglect, and sexual abuse.
- Complete Safeguarding Level 3 in adult safeguarding
- Be able to recognise signs of abuse appropriate to role and what action to take.
- Know about the Trusts local policies/procedures.
- Understand the importance of sharing information, how it can help and the dangers of not sharing information.
- Be able to seek advice and report concerns, ensuring that they are listened to.
Person Specification
Qualifications
Essential
- Registered Nurse with current NMC registration
- MSc Advanced Practice (Annex 21)
- Independent / supplementary nursing prescribing - V300
- Clinical Assessment & Diagnostics Qualification
- Portfolio of evidence demonstrating up to date achievement of required competencies for advanced practitioner practice
- Evidence of on-going professional study and personal development
- ALS provider or willing to work towards (Annex 21)
Desirable
- Leadership qualification
- NMC Specialist Community Practitioner Qualification
- Teaching/assessing/NMC Mentorship Qualification
- ALS Instructor
Knowledge & Experience
Essential
- Awareness of local and national targets and policies/guidelines
- IT competent
- Ability to manage and prioritise own workload and assist junior clinical staff in managing theirs
- Demonstrates experience in elderly Medicine
- Change management experience
- Ability to performance advanced clinical procedures
- Advanced clinical assessment and diagnostic skills
- Advanced clinical diagnostic skills (e.g. ABG's, CXRs, laboratory investigations)
- Ability to formulate differential diagnosis, initiate appropriate treatment and evaluate effectiveness.
- Experience and evidence of working collaboratively in a multidisciplinary environment
- Evidence of effective leadership, practice development, expertise and innovation in clinical practice
- Experience of clinical practice benchmarking
- Highly motivated and experienced practitioner
- Ability to work as an independent practitioner (Annex 21)
- Manage complex and competing issues remaining calm under pressure
- Experience of nurse triage including telephone triage
- Ability to provide clinical guidance to Out of Hours Service on a rota basis
Desirable
- Clinical risk management and governance experience
- Audit and research experience
- Extensive experience in related specialty
- Experience of working within the NHS
Skills
Essential
- Ability to influence and work across professional boundaries
- Advanced ability to disseminate sensitive information
- Demonstrate an ability to lead and motivate individuals and teams
- Ability to present all work in a clear and concise manner appropriate to the target audience
- Ability to manage conflict, effective negotiation skills
Desirable
- Advanced Procedural skills
Other
Essential
- Commitment to own professional development acknowledging own limitations
- Full driving licence or access to assisted driver
Person Specification
Qualifications
Essential
- Registered Nurse with current NMC registration
- MSc Advanced Practice (Annex 21)
- Independent / supplementary nursing prescribing - V300
- Clinical Assessment & Diagnostics Qualification
- Portfolio of evidence demonstrating up to date achievement of required competencies for advanced practitioner practice
- Evidence of on-going professional study and personal development
- ALS provider or willing to work towards (Annex 21)
Desirable
- Leadership qualification
- NMC Specialist Community Practitioner Qualification
- Teaching/assessing/NMC Mentorship Qualification
- ALS Instructor
Knowledge & Experience
Essential
- Awareness of local and national targets and policies/guidelines
- IT competent
- Ability to manage and prioritise own workload and assist junior clinical staff in managing theirs
- Demonstrates experience in elderly Medicine
- Change management experience
- Ability to performance advanced clinical procedures
- Advanced clinical assessment and diagnostic skills
- Advanced clinical diagnostic skills (e.g. ABG's, CXRs, laboratory investigations)
- Ability to formulate differential diagnosis, initiate appropriate treatment and evaluate effectiveness.
- Experience and evidence of working collaboratively in a multidisciplinary environment
- Evidence of effective leadership, practice development, expertise and innovation in clinical practice
- Experience of clinical practice benchmarking
- Highly motivated and experienced practitioner
- Ability to work as an independent practitioner (Annex 21)
- Manage complex and competing issues remaining calm under pressure
- Experience of nurse triage including telephone triage
- Ability to provide clinical guidance to Out of Hours Service on a rota basis
Desirable
- Clinical risk management and governance experience
- Audit and research experience
- Extensive experience in related specialty
- Experience of working within the NHS
Skills
Essential
- Ability to influence and work across professional boundaries
- Advanced ability to disseminate sensitive information
- Demonstrate an ability to lead and motivate individuals and teams
- Ability to present all work in a clear and concise manner appropriate to the target audience
- Ability to manage conflict, effective negotiation skills
Desirable
- Advanced Procedural skills
Other
Essential
- Commitment to own professional development acknowledging own limitations
- Full driving licence or access to assisted driver
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).
