Job summary
This advert is only open to applicants who are currently
employed by County Durham and Darlington NHS Foundation Trust.
The Advanced Nurse Practitioner will be experienced in the
management of patients at CDDFT with Acute Kidney Injury supporting prompt
recognition and treatment to prevent life threatening complications, expedite
discharge and ensure appropriate follow up.
They will use expert knowledge and advanced
clinical reasoning skills to provide a specialist support and advice to the
Clinical teams for patients at risk of, or a confirmed AKI.
Main duties of the job
- Working in conjunction with the parent team, the ANP will
assess, diagnose, treat and discharge adult patients ensuring appropriate
advice, health education and referral to appropriate services.
- To perform autonomous diagnostic and prognostic
investigations such as renal uss or further imaging.
- To make autonomous decisions regarding referring patients
for renal consultation using advanced
clinical knowledge to underpin decisions.
- They will work independently, with a high degree of
autonomy, and take part in clinical supervision from a named consultant.
- They will be able to manage their own caseload in response
to unpredictable patterns of work. They will accept referrals from other health
care professionals and work unsupervised.
- To clinically assess patients, prioritising clinical need
and highlighting those patients who require immediate medical intervention.
- To act as a resource for all members of the
multi-disciplinary team, providing expert advice concerning aspects of the
management of patients with AKI.
- They will initiate, undertake and evaluate
research and audit.
About us
If you are being interviewed you must accept an interview slot in the system to continue, even if you have arranged with the manager.
You must be able to produce ALL certificates stated essential in the person specification or you will not be able to complete pre-employment checks.
We provide hospital services from two acute sites - Darlington Memorial Hospital and University Hospital of North Durham. We have a centre for planned care in Bishop Auckland and provide care from community hospitals in Chester-le-Street, Shotley Bridge, Barnard Castle, Sedgefield and Weardale as well as over 80 other community based settings and providing care in patients' homes.
We particularly welcome applications from disabled and Black, Asian and Minority Ethnic (BAME) candidates as BAME and disabled people are currently under-represented.
Full Job Descriptions can be found in the adverts supporting documents.
Over reliance on
AI-generated content is discouraged and may diminish the applicant's chances of
success.
For the most up-to-date information on visa requirements and eligibility, please check online to determine whether you can apply.
From April 9th 2025 - Healthcare assistants - You must have been employed for a minimum of two years
of as a HCA within the NHS for the Trust to consider
sponsorship (we will only consider sponsorship if you meet this criteria and
have a current visa expiring within 3 months).
Job description
Job responsibilities
- Be responsible for the efficient, effective and safe
management of patients referred to the team.
- To be professionally and legally accountable for all
aspects of your own work, including the management of patients in your
care. To ensure a high standard of
clinical practice for patients under your management.
- To work at an advanced level by receiving and independently
assessing and treating own caseload of patients, ensuring evaluation and
progression of treatment programs to a high standard, and in line with National
and Trust clinical guidelines, protocols and pathways where they exist.
- To support parent teams who have clinical responsibility
for patients at CDDFT. under your care, including those who require highly
complex admission avoidance support, and prioritise that work efficiently
taking into account clinical and service priorities using advanced clinical
knowledge to underpin decisions.
- To formulate and deliver an individual discharge plan based
on advanced clinical knowledge of current practice, evidence based practice and
community support options, using advanced clinical assessments and reasoning
skills.
- Work with medical and nursing colleagues to provide the
highest possible standard of holistic care for patients.
- Assess patients on request of clinical teams, initiate any
necessary acute tasks or investigations and treatment processes where
applicable.
- Be able to undertake a specialist history and physical
assessment
- Liaise closely with medical and nursing staff to ensure
that patients physical, psychological and social requirements are met during
their admission.
- Assist clinical teams to develop innovative and flexible
approaches to care.
- Liaise with colleagues in other areas of the hospital and
in other hospitals and Trusts to ensure the safe, smooth transfer of patients
to and from the department.
- Be responsible for effective discharge planning in
accordance with Trust policy.
- Ensure that nursing procedures and techniques are carried
out in accordance with agreed policies and protocols.
- Ensure rights, dignity and confidentiality of the patient
are protected at all times.
- Act as patient advocate in all matters relating to his/her
care, treatment and welfare.
- Undertake and report on biomedical investigations.
- Undertake and act upon the results of diagnostic
investigations.
- Support and instigate the use of good practice through an
evidence-based approach using audit and promoting good practice.
- Contribute to the development of services.
- Work within and maintain practice according to NMC Code of
Conduct, Trust policies and procedures.
- Contribute towards the maintenance of a learning
environment conducive to the education of students.
Clinical Practice:
- Accept referrals from clinical teams across CDDFT.
- Assess new patients, develop differential diagnosis plan,
deliver and evaluate care.
- Refer to appropriate healthcare professionals to ensure
appropriate continuation of care.
- Assess and prioritise clinical duties managing workload as
required.
- Keep patients and carers informed, maintaining patient
confidentiality
- Develop own areas of clinical expertise in order to link
acute, primary, community and emergency care sectors.
- Continue to develop, expand and role model own personal
clinical expertise.
- In partnership with others, challenge and critically
evaluate the patient pathway, in order to improve patient access, choice and
outcomes.
- To ensure that County Durham and Darlington NHS Foundation
Trust Clinical Governance requirements are delivered, including the development
of sound clinical practices.
- Ensures the prompt instigation of appropriate treatment
following consultation with the relevant care groups.
- Monitors the care of patients with other team members to
ensure that care is implemented and remains appropriate to the needs and wishes
of the patient.
- Demonstrates effective communication skills in highly
distressing and complex or emotional circumstances, this includes, vulnerable
adult abuse and family breakdown.
- Analyse, monitor and evaluate standards of care and
facilitate remedial action when necessary.
- Deliver highly specialised care in keeping with the needs
and wishes of patients and their families
- Knowledge of County Durham and Darlington Foundation Trust
Policies and procedures, ensuring that appropriate action is taken in response
to an emergency.
- To be conversant with and work within local Vulnerable
Adult guidelines and protocols
Undertake clinical duties as per Trust policy, relevant to
role and patient care as follows:
- Clinical
examination, history taking and presentation of written and verbal patient
cases
- Develop
differential diagnoses
- Order
and interpret investigations / procedures and act on findings
- Monitor
and liaise with other healthcare professionals to ensure that patient journeys
are completed within the identified timescales
Job description
Job responsibilities
- Be responsible for the efficient, effective and safe
management of patients referred to the team.
- To be professionally and legally accountable for all
aspects of your own work, including the management of patients in your
care. To ensure a high standard of
clinical practice for patients under your management.
- To work at an advanced level by receiving and independently
assessing and treating own caseload of patients, ensuring evaluation and
progression of treatment programs to a high standard, and in line with National
and Trust clinical guidelines, protocols and pathways where they exist.
- To support parent teams who have clinical responsibility
for patients at CDDFT. under your care, including those who require highly
complex admission avoidance support, and prioritise that work efficiently
taking into account clinical and service priorities using advanced clinical
knowledge to underpin decisions.
- To formulate and deliver an individual discharge plan based
on advanced clinical knowledge of current practice, evidence based practice and
community support options, using advanced clinical assessments and reasoning
skills.
- Work with medical and nursing colleagues to provide the
highest possible standard of holistic care for patients.
- Assess patients on request of clinical teams, initiate any
necessary acute tasks or investigations and treatment processes where
applicable.
- Be able to undertake a specialist history and physical
assessment
- Liaise closely with medical and nursing staff to ensure
that patients physical, psychological and social requirements are met during
their admission.
- Assist clinical teams to develop innovative and flexible
approaches to care.
- Liaise with colleagues in other areas of the hospital and
in other hospitals and Trusts to ensure the safe, smooth transfer of patients
to and from the department.
- Be responsible for effective discharge planning in
accordance with Trust policy.
- Ensure that nursing procedures and techniques are carried
out in accordance with agreed policies and protocols.
- Ensure rights, dignity and confidentiality of the patient
are protected at all times.
- Act as patient advocate in all matters relating to his/her
care, treatment and welfare.
- Undertake and report on biomedical investigations.
- Undertake and act upon the results of diagnostic
investigations.
- Support and instigate the use of good practice through an
evidence-based approach using audit and promoting good practice.
- Contribute to the development of services.
- Work within and maintain practice according to NMC Code of
Conduct, Trust policies and procedures.
- Contribute towards the maintenance of a learning
environment conducive to the education of students.
Clinical Practice:
- Accept referrals from clinical teams across CDDFT.
- Assess new patients, develop differential diagnosis plan,
deliver and evaluate care.
- Refer to appropriate healthcare professionals to ensure
appropriate continuation of care.
- Assess and prioritise clinical duties managing workload as
required.
- Keep patients and carers informed, maintaining patient
confidentiality
- Develop own areas of clinical expertise in order to link
acute, primary, community and emergency care sectors.
- Continue to develop, expand and role model own personal
clinical expertise.
- In partnership with others, challenge and critically
evaluate the patient pathway, in order to improve patient access, choice and
outcomes.
- To ensure that County Durham and Darlington NHS Foundation
Trust Clinical Governance requirements are delivered, including the development
of sound clinical practices.
- Ensures the prompt instigation of appropriate treatment
following consultation with the relevant care groups.
- Monitors the care of patients with other team members to
ensure that care is implemented and remains appropriate to the needs and wishes
of the patient.
- Demonstrates effective communication skills in highly
distressing and complex or emotional circumstances, this includes, vulnerable
adult abuse and family breakdown.
- Analyse, monitor and evaluate standards of care and
facilitate remedial action when necessary.
- Deliver highly specialised care in keeping with the needs
and wishes of patients and their families
- Knowledge of County Durham and Darlington Foundation Trust
Policies and procedures, ensuring that appropriate action is taken in response
to an emergency.
- To be conversant with and work within local Vulnerable
Adult guidelines and protocols
Undertake clinical duties as per Trust policy, relevant to
role and patient care as follows:
- Clinical
examination, history taking and presentation of written and verbal patient
cases
- Develop
differential diagnoses
- Order
and interpret investigations / procedures and act on findings
- Monitor
and liaise with other healthcare professionals to ensure that patient journeys
are completed within the identified timescales
Person Specification
Special Requirements
Essential
- Flexibility to cover acute sites as service requires.
Experience
Essential
- Substantial experience as a band 6 in an acute medical setting
- Supervision and teaching of junior staff.
Desirable
Qualifications
Essential
- Registered nurse qualification
- Appropriate degree level qualification at Masters level or willing to work towards
- Substantial experience at band 6 in an acute medical setting
- Teaching qualification or equivalent experience
Desirable
- Experience of working in renal medicine.
- Post graduate training/ qualification in the management of renal patients.
- Post graduate training / qualification in the management of patients with Acute Kidney Injury.
- Advanced Life Support
- Independent prescribing or willing to undergo
Special Skills & Knowledge
Essential
- Accredited Clinical skills course
- Experience of teaching junior colleagues in the clinical environment.
Desirable
Statutory Registration
Essential
- Registered Nurse (adult or Child) on part 1 of the NMC register
- Valid UK NMC PIN
Person Specification
Special Requirements
Essential
- Flexibility to cover acute sites as service requires.
Experience
Essential
- Substantial experience as a band 6 in an acute medical setting
- Supervision and teaching of junior staff.
Desirable
Qualifications
Essential
- Registered nurse qualification
- Appropriate degree level qualification at Masters level or willing to work towards
- Substantial experience at band 6 in an acute medical setting
- Teaching qualification or equivalent experience
Desirable
- Experience of working in renal medicine.
- Post graduate training/ qualification in the management of renal patients.
- Post graduate training / qualification in the management of patients with Acute Kidney Injury.
- Advanced Life Support
- Independent prescribing or willing to undergo
Special Skills & Knowledge
Essential
- Accredited Clinical skills course
- Experience of teaching junior colleagues in the clinical environment.
Desirable
Statutory Registration
Essential
- Registered Nurse (adult or Child) on part 1 of the NMC register
- Valid UK NMC PIN
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).
