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Specialist Nurse Practitioner
3 months ago
Job summary
An exciting opportunity has arisen for the position of Specialist Nurse Practitioner within the Spires Cleft Lip and Palate Centre. The Spires Cleft Centre is a twin site centre, based at hub sites in Oxford and Salisbury. The service was implemented in April 2004 and provides a comprehensive specialist service to the population of Oxfordshire, Berkshire, Buckinghamshire, Hampshire, Dorset, Northamptonshire and Wiltshire.
Main duties of the job
The Specialist Nurse Practitioner will contribute to the care of a patient group by leading on defined aspects of care.
Based at John Radcliffe Hospital, Oxford. This post requires patient contact in the clinical setting (inpatient and outpatient) and community setting (Patient homes) across our managed clinical network. This includes Oxford, Reading, Basingstoke, Swindon, Milton Keynes, Aylesbury and Slough during the normal working week and Salisbury, Winchester, Chichester, Poole, Dorset and the Isle of Wight (and Guernsey) during on call hours (1:4 weekend on call rota commitment).
About us
Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.
Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.
We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.
These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel.
Job description
Job responsibilities
Specialist Nurse Practitioner will:
Accept patient referrals to agreed criteria and be identified as the key worker for a proportionate patient/client caseload
Provide advice, counselling, education and support to patients, their carers and other health care professionals.
Practice clinically in agreed care settings according to approved protocols or guidance.
Contribute to the smooth running of the Cleft service, participating as a key member of the multidisciplinary team (MDT).
Work across departmental boundaries within Spires Cleft Network.
Liaise with other hospital and community teams along an agreed pathway to support the delivery of patient and family centred seamless care.
Contribute to the ongoing development of the Cleft service and undertake an active role in Audit and Research in Cleft lip and palate.
Be a defined point of contact for patients/carers for defined episodes/pathways of care and provide clinical care, specialist nursing advice and psychological support.
Work collaboratively and in partnership with other health care professionals, both within the Cleft MDT and externally (Midwives, Health Visitors, Speech and Language Therapists, etc)
Assess health and psychosocial needs of individual patients and provide care to meet these needs, through a process of shared decision making. Accept referrals to agreed criteria and work in partnership with other professional to deliver co-ordinated programmes of care effectively and referring patients to other practitioners as required.
Deliver expert nursing care to patients in agreed practice settings, working as part of nursing/multidisciplinary teams.
Communicate with patients and their families in ways that empower them to make informed choices about their health and health care.
Act as advocate for individual patients and the client group.
Use effective conflict management strategies.
Provide appropriate education to patients and their families to promote health and encourage self-care.
Use communication skills to impact information to patients and carers and provide them with advice and emotional support in hospital/at home and as appropriate.
Maintain adequate patient documentation to NMC requirements for all patients seen and advice given in any practice setting and contribute to clinical activity/data collection as required.
Evaluate the efficacy of care in partnership with the patient/family and the multidisciplinary team.
Contribute to effective discharge of patients
Be involved in developing standards of care, practice guidelines and where appropriate care pathways for the patient/client group.
Contribute to the development and delivery of nurse-led initiatives for the benefit of the identified client group, in conjunction with medical and nursing/AHP colleagues.
Demonstrate and share clinical practice developments to provide evidence based care and contribute to service improvement in accordance with local policy initiatives.
Contribute appropriately to clinical governance activities that relate to own area of practice and patient/client group.
Support clinical and management teams in the delivery of the Trust and Directorate objectives.
Effective prioritisation of workload and time management when lone working or as part of the team.
Maintain, advance and develop personal theoretical knowledge, high standards of clinical competence and professional development through self-education and attendance at relevant courses of study
Maintain own professional portfolio
Contribute to the development of specialist nursing knowledge and skills to enhance and extend the practice of other nurses and health care professionals within the service
Identify and address the educational needs of patients, families, carers and staff involved in the delivery of this service
Provide specialist nursing support, information and education for patients, families and carers who use the service
Contribute to the teaching support of students from the multi professional team within relevant educational programmes
Organise and contribute to relevant educational programmes and in house study days
Develop and maintain a peer network of support, information and learning with other specialist practitioners at a local and National level
Assist in the evaluation of the service and patient care, including monitoring of patient experience
Maintain awareness of relevant research, evaluations and audit and act on this information in collaboration with colleagues to continually develop the service
Identify areas of risk and poor quality and address these through appropriate governance structures and forums
Develop personal and professional knowledge through critical self-appraisal, clinical supervision and networking with other health care professionals locally and nationally
Have responsibility to ensure annual appraisal, agree objectives which reflect local and national service needs and develop personal development plans
Advocate and contribute to a working environment that promotes continuous learning and development, evidence based practice and succession planning as well as identifying learning opportunities at local and national levels
Have a high level of communication skills to enable the participation in the dissemination of practice through conferences and professional publications.
Develop and sustain appropriate multidisciplinary working relationships to improve health outcomes and healthcare delivery systems
Contribute to protocols, documentation systems, standards, policies and clinical guidelines and others to use in practice
Ensure statutory and mandatory training updates, as well as role/speciality updates are completed and necessary records maintained
Person Specification
Application
Essential
Registered Nurse part 1 or 8 or 12 or 15 of register (depending on area of practice) Degree in nursing, midwifery (HEI Level 5 or 6) or equivalent Continuing professional development evidenced in portfolio Knowledge of the key professional issues and NMC guidelines relating to professional practice Evidence of being able to work in Clinical and Community setting Evidence of being able to work across organisational boundaries Ability to manage caseload of patients and attributed skills (ie: time management, decision making, communication and team working) Previous experience of formal/informal teaching of patients and staff Able to critically review and communicate clinical information. IT skills Demonstrate clinical experience in relevant or related area of clinical practice Evidence of ability to work collaboratively Demonstrate using evidence-based practice to improve patient care Ability to work flexibly to meet the needs of the service in conjunction with other members of the team Uses initiatives and able to explain own decisions Demonstrates understanding of relevant national strategy/policy and how this relates to the Cleft service Able to travel within community and between hospital sites within the Spires Network
Desirable
Willing to undertake postgraduate level (HEI level 7) study Relevant training/course attendance in Cleft lip and palate. Experience of applying research evidence to clinical practice Awareness of own leadership skills Awareness of clinical needs of patients with a Cleft lip and/or palate Counselling skills Protect the safety of patient caseload through working with Safeguarding teams