Advanced Nurse Practitioner

Job Overview
Central and North West London NHS Foundation Trust is a Top Employer Award Winner and works in partnership to provide responsive and dependable primary care, mental health, intellectual disability and substance misuse services to the diverse and culturally rich communities we serve.

In our quest to deliver patient-focused quality care we are looking to recruit a highly motivated, innovative and enthusiastic
Advanced Nurse Practitioner
to join our forward thinking, friendly and expanding
Health & Justice
team at
HMP Feltham B
By joining our Prisons Health Care Team, you will not only look after the healthcare needs of our patients residing in secure environments, but who also can have a real impact on promoting health and well-being.

Our motto is
"Caring NOT Judging"
so by working in partnership with the criminal justice system and other agencies, we provide responsive, dependable and high-quality primary care and mental health services to those who may have offended and those at risk of offending in the communities we serve, to improve their health status and to encourage social inclusion.

We offer a great range of career pathways to support our nurses through their journey, see the list of endless opportunities under the working for your organisation tab.
Main duties of the job

• Use highly specialist knowledge & skills to provide healthcare autonomously to patients within their sphere of practice.
• Accountable for independent clinical assessment,diagnosis & treatment of patients with undiagnosed & undifferentiated conditions.
• Refer patients to relevant specialities for any necessary investigations.
• Practice at an advanced level demonstrating in depth knowledge & competence in aspects which may include acute medicine,community services & mental health;encompassing enhanced assessment,critical thinking,intervention planning & delivery & clinical management skills that are evidence based.
• Promote clinical excellence in the care of patients that present within their service & provide clinical advice & support to nursing /AHP staff & other healthcare professionals.
• Provide professional & independent clinical care which enables the coordination of a multi professional seamless service for patients.
• As a senior member of the Multi-disciplinary team, play a pivotal role in the operational development of the service.
• Initiate,manage & drive change,innovating changes in practice for the benefit of patient care in line with current trust & local programmes.
• Undertake the role in accordance with Trust & Service guidelines but have freedom to act within broad policies & protocols,in accordance with professional responsibilities & boundaries.
• Strategic responsibility for ACPs in one of the pillars of practice (Clinical,Education,Leadership or Research).

Working for our organisation

Along with the fully established benefits such as Monthly supervision; Annual personal development plans/appraisals; Support and guidance with Revalidation; Hidden Gem and annual award ceremonies. We are also able to offer access to a full range of internal and external training opportunities across our services.

Our Health and Justice healthcare services present unique and diverse learning, development, and leadership opportunities for nurses, where you will have the potential to make a significant difference to the lives of adults, children and young people who often experience a wide range of health inequalities.

We have a clinical leadership career pathway in place to ensure you feel supported and valued via our career pathway programme that facilitates lifelong learning and development enabling you to progress within you career within Health & Justice.

We will support you to ensure you develop your clinical and leadership skills this includes:

• Induction programme
• Career coaching
• Clinical supervision
• Reflective Practice
• Ongoing support from professional nurse advocates
• NHS Leadership Academy leadership course
• Bespoke health and justice clinical competencies
• External training courses in enhanced and advanced practice

Detailed Job Description And Main Responsibilities
The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
Clinical Duties:

• Use specialist clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients with complex undifferentiated or undefined presentations.
• Undertake comprehensive knowledge and skills of systematic history taking and clinical examination of patients who have complex needs, developing a co-produced management plan.
• Perform clinical procedures appropriate to the history and clinical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, where indicated.
• Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations as local policy allows.
• Utilise clinical reasoning and decision-making skills to make differential diagnosis and provide rationales for patients' management plans continuously reflecting and evaluating practice findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly.
• Prioritise health problems and intervene appropriately in complex, deteriorating, urgent and emergency situations, including initiation and leadership of resuscitation.
• Manage regularly clinical events involving patients often requiring unpredictable and high levels of physical effort according to the patient's dependency and clinical need.
• Work as an autonomous professional, within ethical codes and legal frameworks, being responsible and accountable for their decisions, actions and omissions at this level of practice.
• Act as specialist and a resource to all staff in the delivery of clinical care to patients.
• Advocate high quality care for people, act as a champion for people by representing/supporting the person's interests at team meetings, during hospital care, home care and when interfacing with statutory and non-statutory service providers.
• Empower patients and their families through appropriate support and education.
• Influence, support and take an active role in Public Health/ Self-care of the individual and community.
• Collect, collate, evaluate and report clinical information, maintain accurate patient records related to assessment and care planning.
• Develop clinical protocols and guidelines within own area of practice to ensure quality of care at all times.
• Where appropriate review medication/act as a resource to other colleagues for medication advice and support. Discuss side effects and where appropriate prescribe within own NMP formulary and competencies relevant medication and liaise with Pharmacy, medical team and relevant steering groups of any changes to NMP formulary.
• Where appropriate prescribe and review medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence- based practice and national and local protocols and within the role's scope of practice and legal framework.
• Where appropriate deliver psychological therapies appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the role's scope of practice and supervision framework.
• Regularly evaluate practice to ensure continuous improvement. Work with clinicians and management in examining episodes of care delivery, critical incidents and individual care plans to improve and develop services.
• Enable effective and comprehensive admission, transfers and discharge of care (where indicated in scope)
• Will provide advanced practice and ensure effective assessment, advice, treatment and management for patients physiological and psychological needs
• Be responsible for implementation, monitoring and training of infection control and health and safety policies and procedures.
• Responsible for audits as required by the organisations and participate in research.
• Strategic responsibility for Clinical pathway or clinical supervision to other ACPs working on the same treatment pathway (where strategic responsibility in this pillar is indicated)

Education:

• Effectively utilise a range of evidence-based educational strategies/interventions to support person centred care with individuals, their families and carers, and other health- care colleagues.
• Critically assess and address individual learning needs that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice.
• To present case studies/audit/classic papers at relevant senior meetings.
• Ensure own compliance with mandatory training programmes and own ongoing professional development and development of the advanced practitioner role.
• Engage in clinical supervision and self-reflection to develop own clinical standards and work practices. Take lead role in implementing/monitoring supervision of colleagues.
• Lead the teaching, development, planning and implementation of a range of specialist educational and training programmes for all healthcare professionals, patients and carers.
• Participate in pre and post registration training for staff from multi professional backgrounds.
• Undertakes health promotion across organisational boundaries.
• Participate in the training and supervision of other ACPs
• Supervise students, learners and trainees in placement including their assessment, training and appraisal
• Strategic responsibility for education for a clinical pathway or educational supervision of ACPs (where strategic responsibility in this pillar is indicated)

Research, QI and Development:

• Carry out research/QI or development work as part of role.
• Critically appraise available research and apply this knowledge to current clinical practice.
• Use audit and research skills to examine existing practice ensuring it is based on current best evidence.
• Work with other clinicians in examining episodes of care delivery, critical incidents and individual care plans to improve and develop services.
• Implement and evaluate new ways of working through planned programmes of care.
• Participate in research programme being undertaken in the department.
• Strategic responsibility for research in service. (where strategic responsibility in this pillar is indicated)

Professional:

• Maintain current NMC / HCPC registration and follow Professional Code of Conduct.
• Maintain own professional practice and CPD.
• Provide and takes part in Clinical Supervision.
• Deals professionally with sensitive and confidential information.
• Undertakes appraisal/annual reviews for team members.

Leadership and management:

• Contributes to the leadership and management of a multi-professional team of staff within the Division.
• Demonstrate team working, leadership, resilience and determination, managing situations that are unfamiliar, complex or unpredictable
• Provides supervision/ line management for other ACPs in own treatment pathway and contributes to the ACP development.
• Undertake line management duties including appraisals of an appropriate workforce within the Service.
• Negotiate with/influence clinicians and managers across various commissioning agencies.
• Effectively communicates complex and sensitive information at all levels of the organisation to a variety of health care professionals and patients across organisations using the highest level of interpersonal and communication skills to maximise understanding.
• Present specialist, expert, clinical knowledge at large national gatherings on progress and service improvement initiatives.
• Provide leadership and co-ordination across professional boundaries working closely with other clinicians within the same area of practice.
• Act as an ambassador and role model supporting the aims and vision of the Trust.
• Identifies clinical risk to Clinical Leads and reports on incidents.
• In conjunction with the Service Lead /Directorate Manager/Clinical Lead implements policies for own areas of work and proposes policy or service changes which impact beyond own area of activity.
• Contribute to the redesign of services in response to the demands of the national and local agenda.
• Participate in the recruitment and selection of staff.
• Participate in the induction and orientation programmes for newly appointed staff across the multidisciplinary team
• Strategic responsibility for management of ACPs in service or clinical pathway(where strategic responsibility in this pillar is indicated).

Person specification

Education And Qualifications
Essential criteria

• MSC or PGdip in Advanced Clinical Practice or equivalency criteria as per national standards
• Current registration with NMC, HPC and or other statutory body
• Specialist Practitioner

Desirable criteria

• Relevant Professional health degree. If PGdip must have previously completed an MSc
• Evidence of recent CPD
• Teaching qualification
• Additional Leadership
• V300 (dependant on role)
• Appropriate Therapy Training/ qualification

Previous Experience

Essential criteria

• Substantial post registration experience
• Leadership experience at Band 7 or above
• Proven experience of working as an independent practitioner
• Experience of leading, planning and completing audit / research
• Experience of teaching and mentoring of staff across the multi-disciplinary team
• Extensive clinical experience
• Involvement in advanced practice development

Desirable criteria

• Knowledge of health and social care legislation relevant to health for adults in Prison / Detention Centre Health
• Knowledge of key framework and policy practice issues relevant to Prison / Detention Centre health

Key Skills/Abilities
Essential criteria

• Ability to work alone as well as be part of a team
• Sound practical skills
• Assessment skills
• Ability to manage a team
• Delegation skills
• Ability to work under pressure
• Teaching skills
• Presentation skills
• Communication skills
• Organisational skills
• Ability to prioritise a changing workload
• Ability to implement policy and guidelines
• Analytical skills
• Numeracy Skills
• IT skills

Knowledge

Essential criteria

• Advanced clinical skills
• Can demonstrate experience of acute disease management and crisis care
• Excellent Communication skills including presentation skills
• Leadership skills with ability to engage and deliver change through negotiation and partnership working
• To able to take on the role of Designated Prescribing Practitioner. ( if prescribing is in the scope of practice)
• Management skills with team building abilities
• Ability to manage high pressured situations
• Ability to manage complexity and develop and sustain partnership working with both individuals and across organisations
• Able to prioritise workload, achieving a balance between clinical and other aspects of role
• Evidence of recognised knowledge/skills in service improvement.
• Infection control issues and procedures