Job summary
Hepatology Advanced Nurse Practitioner
Department Hepatology - Medicine
Band 7 pro rata if part-time
Hours: 37.5 per week, all MKUH roles will be considered for flexible working
Due to expansion of the service, we are currently looking for a Band 7 Hepatology advanced nurse practitioner or clinical nurse specialist to join our established team. Their duties will include assessing patients acutely within the trust, acting as an autonomous practitioner in outpatient clinics and managing the diagnostic and treatment pathways for patients diagnosed with liver disease.
This exciting role will provide the successful candidate with a dynamic skill set and the opportunity to work within a multi-professional team to improve the care of the patients we serve. They should have proven experience of gastroenterology and experience in caring for hepatology patients. Excellent communication and interpersonal skills are essential.
The medicine division is a friendly dedicated team, who are committed to improving services for our patients. There is a strong emphasis on team support and development, with opportunities to expand your clinical knowledge, skills and managerial/leadership experience.If you are an enthusiastic, motivated and compassionate practitioner with a history of professional leadership in nursing, we invite you to apply.
Main duties of the job
The post holder will act as a highly specialist nurse resource providing knowledge and clinical expertise, who is able to work autonomously, making high level decisions to support and improve services for patients in the Trust and referred from Primary Care with Hepatic liver disease. To set up and lead on the secondary care Hepatology nursing service working across the acute Hepatology pathway and nurse led clinics.
They will be expected to work independently performing advanced assessment, planning and implementation of care, nurse prescribing as appropriate, maintain associated records and demonstrating good clinical decision-making skills in the investigation, management and discharge of patients with Hepatic liver disease.
The post holder will work closely with other services and directorates to ensure maximum effectiveness, quality and an excellent patient experience and undertake research and lead clinical audits within own area. Synonymous with this, the post-holder will have an important educational role with not only patients and their families but also with other clinicians (medical and nursing) providing specialist advice , education and training to other staff and students in raising awareness of the symptoms, signs, diagnostic investigations, treatment options and monitoring of patients with Hepatic liver disease. They will be an accessible, approachable, highly visible figure to patients, relatives and clinician colleagues.
About us
We care We communicate We collaborate We contribute
- Free on-site parking
- Free refreshments
- Great flexible workingopportunities
- Discounted gym membership
- Lease car scheme
- Generous annual leave and pension scheme
- On site nursery (chargeable)
- Extensive staff health and well-being programme
Milton Keynes University Hospital NHS Foundation Trust, in partnership with the University of Buckingham, is a University Teaching Hospital; we conduct research and teaching on site to improve the care of our patients. The hospital is undergoing significant investment, and we are proud to be rated good by the CQC. Visit our website to catch up on our latest news.
Job description
Job responsibilities
Clinical and professional
1. To be a point of contact and clinical expert for patients, relatives and clinician colleagues in conjunction and with the full support of the Consultant Hepatologists. The post holder will be expected to ensure that the patient receives the highest possible standard of evidence-based care in line with NICE guidance in relation to the prescribing of antiviral and prophylactic medications.
2. To work independently and without direct supervision in a variety of settings Trust wide, demonstrating the ability to prioritise and manage workload. To be accountable for own professional actions as the specialist for secondary care Hepatology nursing services and follow agreed policies, protocols and guidelines within the Hepatology setting.
3. In conjunction with the Hepatology/gastroenterology team devise evidence based local strategies and protocols to provide rapid assessment and management of patients presenting with Hepatic liver disease.
Managerial
- To take delegated responsibility for ensuring the collection and collation of team activity data in agreed format, ensuring authenticity and accuracy of findings and producing reports as requested, including presenting at directorate audit meetings. Be responsible for the interpretation and reporting of the data as required by the Senior operations manager or director of operations.
- To manage clinical risk within own caseload and that of the Hepatology team. Plans specialist nursing provision including education and training.
- Manage student nursing staff and others as required considering skills and experience for appropriate placement, developing individuals to reach their full potential.
Training and supervisory
- Develop patient education programmes and promote health education particularly in line with NICE guidance.
- Act as a role model demonstrating professional clinical leadership.
- To act as a teaching and educational resource, providing specialist training, education and mentoring of individual staff or groups. Advice and support base ward nursing teams in the care of complex Hepatology patients ensuring appropriate treatment and nursing care is provided.
Please refer to the job description for further details.
Job description
Job responsibilities
Clinical and professional
1. To be a point of contact and clinical expert for patients, relatives and clinician colleagues in conjunction and with the full support of the Consultant Hepatologists. The post holder will be expected to ensure that the patient receives the highest possible standard of evidence-based care in line with NICE guidance in relation to the prescribing of antiviral and prophylactic medications.
2. To work independently and without direct supervision in a variety of settings Trust wide, demonstrating the ability to prioritise and manage workload. To be accountable for own professional actions as the specialist for secondary care Hepatology nursing services and follow agreed policies, protocols and guidelines within the Hepatology setting.
3. In conjunction with the Hepatology/gastroenterology team devise evidence based local strategies and protocols to provide rapid assessment and management of patients presenting with Hepatic liver disease.
Managerial
- To take delegated responsibility for ensuring the collection and collation of team activity data in agreed format, ensuring authenticity and accuracy of findings and producing reports as requested, including presenting at directorate audit meetings. Be responsible for the interpretation and reporting of the data as required by the Senior operations manager or director of operations.
- To manage clinical risk within own caseload and that of the Hepatology team. Plans specialist nursing provision including education and training.
- Manage student nursing staff and others as required considering skills and experience for appropriate placement, developing individuals to reach their full potential.
Training and supervisory
- Develop patient education programmes and promote health education particularly in line with NICE guidance.
- Act as a role model demonstrating professional clinical leadership.
- To act as a teaching and educational resource, providing specialist training, education and mentoring of individual staff or groups. Advice and support base ward nursing teams in the care of complex Hepatology patients ensuring appropriate treatment and nursing care is provided.
Please refer to the job description for further details.
Person Specification
Qualifications and knowledge
Essential
- NMC Registered General Nurse, educated to at least first degree level
- Validated Post Graduate Qualification Level 6 or equivalent in Hepatology related study
- Preparation of Mentors course (ENB 998 or equivalent)
- Recognised prescribing qualification or willingness to undertake
- Physical Examination and Health Assessment Course
- Working towards or willingness to undertake Master of Science programme
- Able to demonstrate advanced knowledge & understanding of acute and chronic hepatic liver disease and the management. In particular anatomy and physiology of the liver and how this relates to decompensation.
- Good understanding of National guidelines, targets and relevant quality standards and outcomes
- Understanding of concepts of treatment and their application.
- Importance of CPD
Experience
Essential
- Proven experience of managing patients with acute and chronic hepatic liver disease
- Working autonomously and within MDT
- 3 years clinical experience at band 6 or above in gastroenterology/hepatology
Desirable
- Management /supervision of other staff or students
- Undertaken clinical audit, quality assurance projects into clinical effectiveness and changing practice to meet standards
Skills
Essential
- Able to work independently and under pressure
- Excellent time management, prioritisation & organisational skills
- Advanced clinical reasoning/decision making
- Excellent written & verbal communication skills, including breaking bad news/ counselling course
- Excellent team worker with leadership skills
- Ability to evaluate own performance, recognises own limitations
- Awareness of professional responsibilities to self and others
- Ability to respond rapidly to changes both clinically and operationally
- Ability to demonstrate a safe and supportive working environment
- IT literate
- ILS provider
Desirable
- Ability to teach & assess in a variety of settings to various audiences
- Excellent written & verbal communication skills, including breaking bad news/ counselling course
Personal and people development
Essential
- Act as a professional role model and as a good team player
- Highly motivated and proactive
- Able to deliver and receive constructive feedback
- Ability to work flexibly to meet the demand
Communication
Essential
- Advanced clear style
- Self -awareness
- Aware of impact of own words/style
- Excellent written and documentation style
- Ability to communicate with all clinical groups of staff to achieve patient care of a high standard
Specific requirements
Essential
- Able to perform the duties of the post with reasonable aids and adaptations
Person Specification
Qualifications and knowledge
Essential
- NMC Registered General Nurse, educated to at least first degree level
- Validated Post Graduate Qualification Level 6 or equivalent in Hepatology related study
- Preparation of Mentors course (ENB 998 or equivalent)
- Recognised prescribing qualification or willingness to undertake
- Physical Examination and Health Assessment Course
- Working towards or willingness to undertake Master of Science programme
- Able to demonstrate advanced knowledge & understanding of acute and chronic hepatic liver disease and the management. In particular anatomy and physiology of the liver and how this relates to decompensation.
- Good understanding of National guidelines, targets and relevant quality standards and outcomes
- Understanding of concepts of treatment and their application.
- Importance of CPD
Experience
Essential
- Proven experience of managing patients with acute and chronic hepatic liver disease
- Working autonomously and within MDT
- 3 years clinical experience at band 6 or above in gastroenterology/hepatology
Desirable
- Management /supervision of other staff or students
- Undertaken clinical audit, quality assurance projects into clinical effectiveness and changing practice to meet standards
Skills
Essential
- Able to work independently and under pressure
- Excellent time management, prioritisation & organisational skills
- Advanced clinical reasoning/decision making
- Excellent written & verbal communication skills, including breaking bad news/ counselling course
- Excellent team worker with leadership skills
- Ability to evaluate own performance, recognises own limitations
- Awareness of professional responsibilities to self and others
- Ability to respond rapidly to changes both clinically and operationally
- Ability to demonstrate a safe and supportive working environment
- IT literate
- ILS provider
Desirable
- Ability to teach & assess in a variety of settings to various audiences
- Excellent written & verbal communication skills, including breaking bad news/ counselling course
Personal and people development
Essential
- Act as a professional role model and as a good team player
- Highly motivated and proactive
- Able to deliver and receive constructive feedback
- Ability to work flexibly to meet the demand
Communication
Essential
- Advanced clear style
- Self -awareness
- Aware of impact of own words/style
- Excellent written and documentation style
- Ability to communicate with all clinical groups of staff to achieve patient care of a high standard
Specific requirements
Essential
- Able to perform the duties of the post with reasonable aids and adaptations
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).
