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Job summary

Main area
Acute medicine
Grade
NHS AfC: Band 8a
Contract
Permanent
Hours
Full time - 37.5 hours per week (37.5 hours per week (to support the day to day running of the ward over 7/7 service))
Job ref
216-LA-M6408683
Employer
University Hospitals Plymouth NHS Trust
Employer type
NHS
Site
University Hospitals Plymouth
Town
Plymouth
Salary
£53,755 - £60,504 £53,755 - £60,504 Per annum
Salary period
Yearly
Closing
05/09/2024 23:59

Employer heading

University Hospitals Plymouth NHS Trust logo

Advanced Practitioner

NHS AfC: Band 8a

Job overview

 

 

Job Purpose:

 

-         The post holder will practice autonomously at an advanced level of practice to provide high quality patient-centred care. This will encompass the skills of advanced assessment, examination, diagnosis and management in line with the Trust advanced practice policy.

 

-         Utilise the four pillars of advanced practice to support delivery of the Trust objectives in keeping with the Trust values and organisational policy

 ***Preference will be given to internal Trust staff, as well as ‘Priority’ and 'At Risk' status including NHS At Risk staff throughout Devon who are able to display recent relevant experience as dictated by the Person Specification.***

 

Main duties of the job

Key Dimensions:

The post holder will :

 

-         Work in accordance with the Multi-professional Framework for Advanced Clinical Practice in England (HEE, 2017) and  University Hospitals Plymouth (UHP) Trust Policy for Advanced Practice

-         Utilise advanced clinical skills to ensure that Acute Medicine and Acute GP patients within the Virtual Ward receive holistic, timely and high-quality care.  Utilising remote monitoring equipment to undertake patient consultations and review.

-         Exercise autonomous clinical expertise, high levels of judgement, discretion, and decision- making in care, in accordance with their scope of practice

-         Draw on expertise utilising  the four pillars of advanced practice to lead and influence improvements to standards of care

-         Develop a culture of organisational learning to inspire future and existing staff

 

-         Influence and  lead on the improvement of care though clinical governance, audit, quality improvement and research in collaboration with clinical and academic colleagues.

 

-         Demonstrate compassionate leadership in daily working

Working for our organisation

We are a people business – where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. We offer all of this in a vibrant, modern city with a historic reputation for adventure. PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY. If you have any issues with applying online and need additional support including reasonable adjustments with the application process please contact the recruitment team on 01752 432100. We recognise that work life balance is important for our colleagues and so we invite requests from applicants around less than full time/flexible working for our advertised roles. Please contact the recruiting manager to discuss this prior to your application submission. We commit to giving this full consideration in each case. We encourage people from diverse backgrounds to apply for our roles, as diversity strengthens our teams. It is sometimes necessary to close vacancies before the closing date. If you have not heard from us within 4 weeks of the closing date, please assume that you have not been shortlisted.

Detailed job description and main responsibilities

PRIMARY DUTIES & AREAS OF RESPONSIBILITY

The post-holder will…

Clinical Practice

1.     Assess, differentially diagnose, plan, implement and evaluate individual treatment interventions for patients by virtue of expert clinical judgement and close liaison with members of the MDT. 

2.     Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.

3.     Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, life style advice and care.

4.     Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers.

5.     Utilise complex decision-making skills to promote high quality care in unpredictable and challenging circumstances.

6.     Ensure compliance with their respective code of professional conduct and work within their scope of practice.

7.     Works in conjunction with the MDT to clearly define values, direction and policies impacting upon care.

8.     Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate

9.     Be able to demonstrate a critical understanding of their broadened level of responsibility and autonomy. This includes being critically aware of their limits of their own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.

1.  Be responsible and accountable for their decisions, actions and omissions at this level of practice.

1.  Utilise professional judgement and maturity, understanding when to seek help.

1.  Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education England’s framework to promote person-centred approaches in health and care

1.  Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.

1.  Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope.

1.  Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.

1.  Engage in regular clinical supervision meeting with the allocated clinical supervisor.

1.  If applicable to role and profession, issue ‘fit notes’ in accordance with local and national guidance.

1.  Actively implement effective systems and processes for infection control management whilst working clinically and be a role model for other members of the clinical team.  

..  Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with the legal framework you work under to supply and prescribe medicines (if from professional group legally entitled to prescribe).

For further details please see the attached JD & PS

Person specification

Knowledge and Experience

Essential criteria
  • • Extensive demonstrable experience within speciality Acute Medicine or clear identification of transferrable skills based on extensive demonstrable experience in another field.
  • • Demonstrable management ability and leadership experience
  • • Excellent clinical and practical skills with acute medicine or a relevant adjacent field
  • • Demonstrable experience of education and supervision
  • • Recent demonstrable experience in clinical audit and quality improvement
  • • Influencing policy and clinical guidance
  • • Proven evidence of practice in line with the HEE (2017) multi-professional framework
Desirable criteria
  • • Change management skills
  • • Multi-professional supervision
  • • Appraisal skills
  • • Implementing policy and clinical guidance

Qualifications

Essential criteria
  • • Statutory Professional Registration.
  • • Significant contribution to a Portfolio of Evidence
  • • Independent non-medical prescribing
  • • Masters Degree in Advanced Practice or equivalent (as defined by Trust AP policy)
  • • Advanced Life Support
Desirable criteria
  • • Management package
  • • Instructor on life support courses
  • • Education/Mentorship/ Supervision Course
  • • Leadership course

Aptitude and abilities

Essential criteria
  • • Ability to recognise and analyse complex situations and take appropriate action.
  • • Proven evidence of relevant, recent study and continuing professional development
  • • Ability to communicate effectively both in written and verbal form
  • • Flexible and responsive to changing environments
  • • Demonstrates understanding and incorporates customer care
  • • Ability to work with complex and diverse health informatics systems
  • • Ability to manage own case load working to priorities and deadlines
  • • Ability to complete remote consultation
  • • Demonstrable strong aptitude for using multiple IT systems

Employer certification / accreditation badges

Disability confident leaderArmed Forces Covenant Gold AwardMindful employer.  Being positive about mental health.Defence Employer Recognition Scheme (ERS) - Gold

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Sandra Lacey
Job title
Virtual ward Nurse Manager
Email address
[email protected]
Telephone number
01752 433290
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