Advanced Nurse Practitioner and ADHD Nursing Clinical Lead

Job responsibilities

Banding is subject to job evaluation.

Job Purpose

1. The Advanced Nurse Practitioner will act as an autonomous, accountable practitioner working on their own initiative and in collaboration with nursing, medical and allied health professionals to assess individual patient needs, initiate investigations, determine a differential diagnosis and initiate appropriate holistic evidence-based treatment and care. The ANP will be capable of making initial and follow up assessments of patients both in stable & unstable phases of their condition. They will use diagnostic skills including full history, appropriate clinical examination and request of investigations where required. The ANP will use the information gathered from the process to formulate a treatment and management plan in accordance with published guidance and in conjunction with other members of professional team around the child.

2. The ANP will be responsible for the provision of effective, efficient, and appropriate high-quality care and act at all times in accordance with the NMC Professional Code of Conduct within their level of competence and agreed protocols.

3. The ANP will form part of the Clinical Leadership Team supporting children and young people in the Neurodevelopment and ADHD Medication Service and will be part of the process for developing and progressing the care provided by services within Childrens Community health in line with Flourish commitments, ICB strategy and the NHS long term plan.

Main Duties & Responsibilities

Clinical

In order to work at this level NMC requirements for advanced practice must be met.

1. The ANP will lead and maintain a nursing culture which is open to change, new ideas, concepts, and innovation.

2. Act as an advanced practitioner, demonstrating advanced clinical competence and a knowledge base beyond those associated with conventional nursing roles.

3. Undertake comprehensive clinical consultations with patients as an autonomous practitioner using their own clinical judgement to treat, refer and/or discharge patients.

4. Make direct referrals to primary, secondary, and tertiary services as well as social care referrals within locally agreed pathways, guidance, and protocols.

5. Ensure that patients receive high quality clinical care, delivered in a timely manner.

6. Prescribe medicines as indicated to address patient needs in accordance with own practice or within PGDs.

7. Ensure accurate and complete documentation of each and every patient contact.

8. Work as part of a multi-disciplinary and multi-agency team in order to ensure patients needs are met.

9. Utilise critical thinking and problem-solving skills including critical reflection.

Professional

1. The ANP will combine theory and experience to operate as an expert nurse. Their expertise will be clearly visible in clinical practice.

2. Work within the NMC scope of practice and Trust policies and procedures to provide a service in which includes specialist screening and assessment for neurodevelopmental conditions as parting of the nursing role as well as non-medical prescribing for these conditions, where appropriate and within the nurses scope of practice.

3. During clinic ensure all necessary assessments have been completed and following up results which are available as well as making onward referrals as appropriate.

4. Provision of specialist and advanced skills in patient assessment and scope of practice across a broad range of specialities including history taking and physical examination of patients.

5. Ordering and interpreting appropriate investigations adhering to Trust policies and within own limitations, in order to provide differential clinical judgements and treatment options.

6. Undertaking appropriate nursing duties to provide / organise essential treatment for patients referred to the unit, working within own boundaries and accepting own limitations.

7. Provide complex assessments for children and young people with suspected Autism or ADHD and formulate a care plan.

8. Recognising when there is a need for escalation of treatment for medical attention and ensuring the appropriate health care professional is called to facilitate optimum patient care

9. Maintaining accurate, contemporaneous, and timely care records.

10. Participating in discharge of patients compiling discharge summaries and prescribing medications to take home

11. Providing a nurse led discharge process and ensure appropriate communication to Primary Care

12. Prescribing, appropriate medications for the management and treatment of patients ADHD and sleep symptoms within own prescribing scope of practice.

13. Respecting and promoting dignity, choice and autonomy of patients / families and carers

Clinical governance and service improvement

1. Work with clinical leads, matron and medical staff to provide clinical leadership to other members of the ADHD Nursing team.

2. Investigate adverse clinical incidents and complaints

3. Develop and implement clinical audits, identifying areas of best practice and areas of improvement.

4. Provide support and supervision to assist others to develop knowledge, skills and abilities

5. Contribute to quality improvement within the service through the identification and indication of changes, which lead to evidence based practice and improved standards of care.

6. Help develop services within SSOCS, working alongside the operational leads and the ICB to help develop patient pathways to meet the needs of young people in line with Flourish and the NHS long term plan.

7. Set and monitor standards of care.

Human Resource Management

1. The ANP will participate in the recruitment and development of staff in the medical directorate to ensure patient care is of a high quality

2. Comply with trust policies and requirements and undertaking duties in accordance with the NMC code of professional conduct.

3. Participating in the recruitment and selection of staff, having due regard for employment policies supported by the human resource department

4. Participating in creating a healthy working environment, with particular regards to the health and safety policies.

5. Developing a working knowledge of and complying with risk assessment / management in relation to health care

Financial Management

1. The advanced nurse practitioner will utilise financial resources effectively.

2. Participate in being cost effective and developing a workforce that appreciates the correct utilisation of resources.

3. Contributing to the operational and financial management of the trust to achieve cost improvement plans. Actively participating in the development of services to combine the achievement of high-quality patient care and effective resource allocation/utilisation.

4. Developing an understanding of business planning and its utilisation in securing funding for service development.

5. Ensuring effective use of resources.

Information Management

1. The ANP will manage information processes within the unit and use information to make timely and effective decisions.

2. Proactively provide information in a format that meets the understanding of the receiver.

3. Educating, understanding, and abiding by the implications of relevant legislation and policy.

4. Providing accurate information to support and develop improvements in services.

5. Contributing to the development of information systems.

6. Interpreting and analysing data to support decision making.

7. Complying with the data protection act and Caldicott recommendations.

GENERAL POINTS

ANPs must carry out all duties and conduct themselves in accordance with the NMC Code of Professional Conduct reflecting an attitude and appearance that promotes the profession.

Each nurse is expected to show evidence of continuing professional development using available resources applicable to his/her needs, and to keep up to date with current developments in nursing and the Health Service.

CARE AND COMPASSION

Post holders must be able to actively demonstrate and proactively deliver effective and personal care which is safe for patients in a calm, caring and compassionate manner to every patient, every time. This should be at the core of all care planning which actively involves the patient and where appropriate their relatives/carers. With the ability to escalate areas of inter professional and multi-agency care concerns to the Ward Manager, Matron or Director of Nursing in a timely manner.

Qualifications

Essential

• Registered First Level Nurse
• Current NMC Registration
• Degree in Healthcare related subject
• Masters degree in health care related subject
• Independent non-medical prescriber

Desirable

• Long term conditions qualification
• Mentorship/ leadership qualification
• Masters in advanced practice or working towards

Experience

Essential

• Significant years post Registration experience in a variety of settings
• Experience of working to protocols and guidelines
• Evidence of on-going personal and professional development
• Previous experience of developing clinical guidelines and clinical care pathways
• Experience of clinical audit
• Evidence of successful management of change

Desirable

• Previous experience in an ANP role

Skills, Abilities & Knowledge

Essential

• Ability to work autonomously and manage own workload
• Management of patients with complex needs
• Clinical examination skills
• Accountability of own role and other roles in a nurse-led service
• Management and Leadership skills/effective change agent
• Evidence of advanced clinical practice
• Awareness of the need to focus on continuous quality improvement

Desirable

• Quality improvement training

Communication

Essential

• Excellent written and verbal communication skills
• Ability to communicate with patients and families with regard to diagnosis, treatment and care planning
• Negotiation and conflict management skills

Personal and People Development

Essential

• Teaching and mentoring skills

Personal Attributes / Behaviours

Essential

• Awareness and understanding of the NHS issues relevant to nursing advanced practice
• Understanding of the Clinical Governance Framework
• Aware of the political and organisational drivers that impact on the service

Other

Essential

• Ability to be creative innovative and adaptable
• Organised and motivated
• Positive role model
• Flexibility to work evenings and weekends
• Must hold a full, valid driving licence and have access to a vehicle, or be able to make own transport arrangements to meet the needs of the service

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.

Certificate of Sponsorship

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).