Advanced Nurse Practitioner - Orthogeriatrics

Job summary

An exciting opportunity has arisen for a permanent Band 8a Advanced Nurse Practitioner to join our small Orthogeriatric team at Glangwili General Hospital.

The successful candidate will manage an independent caseload of inpatients who have sustained fragility fractures including hip fractures. The post holder will work along side the Orthogeriatrician providing holistic care of this group of patients, this will include supporting the management of bone health.

The post holder will support the management of the Hip Fracture Database, this will including reviewing and validating data, presenting data and leading with quality improvement work.

The post holder is identified as a clinical expert and is required to have a high clinical profile ensuring the provision of effective and efficient care. At this level the post holder is expected to work as a highly skilled senior practitioner and to have expert knowledge

The post holder will be expected to exercise a high degree of personal professional autonomy and make critical judgments to satisfy the expectations and demands of the role. The post holder will be guided by health, organisational or broad occupational policies, but in most situations the post holder will need to establish the way in which these should be interpreted and advise relevant stakeholders accordingly. The post holder will be expected work at an advanced clinical level within their level of competence and to work flexibly as part of the team.

Main duties of the job

The primary focus of the role is to work as an advanced, autonomous practitioner providing patient-centred clinical care, encompassing the skills of assessment, examination, diagnosis and treatment of patients. The Advanced Practitioner will work across the 4 pillars of practice - Leadership & Management, Clinical, Education, Research and Development, as outlined in the Framework for Advanced Nursing, Midwifery and Allied Health Professional Practice in Wales 2010 (FANMAHPPW). The post is intended to provide improved outcomes for patients by improving timeliness and consistency of care.

The post holder will;

Explore and analyse evidence, cases and situations in clinical practice, enabling a high level of judgement and decision making.

Deliver advanced practice which is evidence based within service.

Assess, diagnose, treat/manage, evaluate, refer and discharge.

Assess and manage risk.

Demonstrate ethical decision making.

Carry out non-medical prescribing in line with legislation.

Involve Patient/service user/Public involvement in development of service and role.

Manage complexity, use critical thinking and analytical skills to underpin sound judgement, and ethical decision making.

Provide training, presentations and information to a range of groups comprising staff, senior staff and colleagues from partner organisations.

Develop policies, protocols and guidelines using sound evidence base.

About us

Hywel Dda University Health Board is the planner and provider of NHS healthcare services for people in Carmarthenshire, Ceredigion, Pembrokeshire and its bordering counties. Our 12,000 members of staff provide primary, community, in-hospital, mental health and learning disabilities services for around 384,000 people across a quarter of the landmass of Wales. We do this in partnership with our three local authorities and public, private and third sector colleagues, including our volunteers, through:

Four main hospitals: Bronglais General in Aberystwyth, Glangwili General in Carmarthen, Prince Philip in Llanelli and Withybush General in Haverfordwest;

Seven community hospitals: Amman Valley and Llandovery in Carmarthenshire; Tregaron, Aberaeron and Cardigan in Ceredigion; and Tenby and South Pembrokeshire Hospital Health and Social Care Resource Centre in Pembrokeshire;

47 general practices (6 of which are managed practices), 45 dental practices (including 4 orthodontic), 96 community pharmacies, 44 general ophthalmic practices (43 providing Eye Health Examination Wales and 34 low vision services) and 17 domiciliary only providers and 11 health centres;

Numerous locations providing mental health and learning disabilities services;

Highly specialised and tertiary services commissioned by the Welsh Health Specialised Services Committee, a joint committee representing seven health boards across Wales.