Advanced Clinical Practitioner
The Christie NHS Foundation Trust, situated in south Manchester, is the largest cancer treatment centre of its kind in Europe, and an international leader in cancer research and development. On 12th October 2018 The Christie NHS Foundation Trust was once again rated as Outstanding by the health regulator becoming the first specialist trust in the country to be given their highest accolade twice.
Although Acute Oncology experience is advantageous it is not essential as we are looking for someone with has a high level of experience in Acute Care/Critical Care or Oncology and has sound clinical knowledge whilst also demonstrating managerial and leadership abilities. Education and support is seen as a priority in this service, making it an excellent opportunity for developing advanced skills and gaining knowledge within acute oncology if you have acute experience we will support you to develop integrating this.
The post holder will work alongside the medical and nursing teams, maintaining good communication and collaboration between the various multidisciplinary teams. Therefore the post holder will be a highly visible and approachable role model. Evidence based care will be inherent in their practice, ensuring that best practice is disseminated throughout the clinical areas.
Main duties of the job
The post holder will form part of the acute oncology team to provide clinical assessment and support to the care and treatment of a diverse caseload of patients requiring specialist acute oncology input Demonstrating highly developed specialist knowledge and skills, the post holder will be integral in the early identification of complications and the treatment management of acutely unwell oncology patients. Responding quickly the advanced clinical practitioner will formulate clinical decisions to manage acute illness and escalate to specialist teams appropriately.
The post holder will work autonomously; demonstrate a highly specialist knowledge and skills in the diagnosis and management of patients within acute oncology. They will order investigations, make appropriate/ timely referrals and maintain relevant clinical records. Non-medical prescribing is fundamental in supporting this role. The post holder will provide clinical expertise for developing and enhancing the service
Working for our organisation
The Christie is one of Europe’s leading cancer centres and an international leader in cancer research. We are a performance-driven and high-achieving organisation with our patients at the heart of everything we do. We have been rated as ‘Outstanding’ by the CQC and our ambition is to be one of the leading comprehensive cancer centres in the world.
An exciting opportunity has arisen for highly motivated and enthusiastic individuals to become part of the Acute Oncology Advanced Clinical Practitioner team which cares for patients who are acutely ill as a result of their treatment or disease. We have recently completed building a purpose built acute oncology assessment unit which will also incorporate our innovative Enhanced Supportive Care clinic.
Detailed job description and main responsibilities
- To participate in the direct clinical management of oncology patients from first presentation at the hospital, until discharge. This will include history taking, systematic physical examination and formulating clinical management plans
- Plan, deliver and evaluate interventions and/ or treatments when there are complex issues and/ or serious illness
- Review and interpret all information available utilizing a systematic process of reasoning to make a working and differential diagnosis.
- Develop and record a treatment plan consistent with the outcome of assessment and most probable diagnosis.
- Prescribe drugs within the capacity of non-medical prescribing, adhering to Trust policy and existing frameworks.
- Communicate complex clinical and supporting information/ findings to patients and significant others according to individual situations. Ensure patients receive appropriate information and support in relation to their illness and treatment
- Arrange or refer the patient for appropriate diagnostic test, investigations, other professional colleagues. Check and interpret, taking action as clinically appropriate
- Perform clinical procedures safely according to defined protocols. These may include arterial blood gas sampling and analysis, oxygen therapy
- Support equality and value diversity.
- Prepare accurate and concise reports both verbal and written.
- Plan and manage own workload/ caseload in a flexible manner, ensuring that service provision meets the needs of patients.
- To liaise with the other members of the multi-professional team and facilitate excellent and effective communication to provide a patient focused service.
- Work within professional codes and policies both nationally and by the Trust
- To demonstrate an up to date knowledge of oncology/ acute medical nursing practice and responsibility for one’s own professional development.
- To maintain a portfolio to fulfil requirements of the NMC in maintaining effective Advanced Practitioner registration.
- Maintain safe practice and development through regular peer review of evidence based practice with medical Consultant supervisor.
- Liaise and collaborate with multi-professional disciplines and outside agencies.
- Management and Leadership
- Participate in clinical audit in respect to evaluating service effectiveness and future developments within the role.
- To develop clinical protocols, standards and guidelines in own area.
- Contribute to wider issues in the trust, such as committee membership, clinical progression and policy development.
- To actively contribute to the process of clinical risk management.
- Act as a role model in developing advanced nursing roles at local, regional and national level.
- To inspire others and encourage them to seek advice and solutions to problems.
- Challenges other to take an active part in developing knowledge, ideas and work practice
- Promotes the service and encourages the Acute Oncology team to disseminate good practice both internal and external to the Trust
- To identify own development needs and set own personal development objectives in discussion with his/her reviewer keeping abreast of any new trends and developments and incorporate them as necessary into your work
- Undertakes annual mandatory training updates and other relevant courses in line with Trust and local policies.
- Acts as a resource for the nursing team
- Research, Education and Development
- To provide clinical and professional support and advice to all staff.
- Develop and deliver specific and relevant teaching programs for all disciplines.
- Support, supervise and assess clinical competencies of nursing staff and other members of the multidisciplinary team
- Maintain accurate records and provide necessary data for statistical analysis.
- Implement research findings appropriate to practice
- Initiate new and support existing research projects.
- To assess, monitor and evaluate the role of the Advanced Practitioner out of hours.
- To act as a role model ensuring own actions promote quality and identify and manage any risks
- To raise quality issues and report related risks within the trust to address poor standards and incidents.
- To inform and influence clinical governance issues.
- To keep up to date and act consistently with quality standards and guidelines within their own clinical area and associated areas
- To undertake the measurement and evaluation of your work and current practices though the use of evidence based practice projects, audit and outcome measures, and lead others in doing so. Make recommendations for and lead change
- Health and Safety
- To identify and take action where necessary to address discrimination
- To challenge behaviour that undermines the rights of others
- Respects people’s diversity and values them as individuals
- Acts in a way that acknowledges and recognises people’s expressed beliefs preferences and choices
- To recognise and promote the importance of people’s rights and interpret them in a way that is consistent with Trust procedures, policies and legislation
- Equality and Diversity
- Be aware of the Health and Safety aspects of your work and implement any policies which may be required to improve the safety of your work area, including the prompt recording and reporting of accidents to senior staff, and ensuring that equipment used is safe
- To take immediate and appropriate action in relation to adverse incident reporting
- To comply with the organisational and departmental policies and procedures and to be involved in the reviewing and updating as appropriate
- Monitors and maintains health, safety and security of self and others in own work area
- Contributes to risk registerFreedom to Act
- To work as an autonomous practitioner in line with the code of conduct and standards of practice having regard to the NMC ‘Code of Professional Conduct’ for the nurse, midwife and health visitor and their professional contribution to the clinical governance
- Not directly supervised
- Be guided by Trust policies and protocols and code of conduct
- Ability to self manage, plan and adjust priorities to meet the dynamic demands within the surgical oncology team.
- Educated to level 7 and successful completion of MSc Advanced Practice that includes history taking and clinical examination of patients.
- Registered General Nurse
- Teaching/ Mentorship degree module/ENB998/PGCE.
- Advanced Life Support Course.
- Evidence of proactive involvement in the mentorship and development of nurses and nursing practice
- Independent Non-Medical Prescribing Qualification
- Degree in Healthcare
- Post registration experience.
- Demonstrates highly developed specialist knowledge and expertise, that is underpinned by a foundation of theory and continues acquired knowledge and skills through CPD
- Effective communicator, able to communicate complex and highly sensitive information appropriately
- Excellent clinical reasoning / clinical decision making
- Experience of working autonomously and as part of a team.
- Ability to work across professional boundaries.
- Experience in undertaking audit and management of change in practice related to audit results.
- Experience within acute care/ medicine/ oncology specialities
- Excellent communication skills: interpersonal, written and verbal.
- Confidence to adapt to an evolving and changing service.
- Ability to assess and manage patient risk effectively and safely.
- Excellent time management, organisational skills and ability to prioritise a busy/ unpredictable workload.
- IT skills
- Committed to professional development.
- Leadership and Management skills.
- Innovative and motivated.
- Ability to think strategically in relation to long-term service development.
- Presentation skills.
- Reflective practitioner.
- Advanced communication skills
- Working knowledge of clinical governance.
- Ability to use research findings in clinical practice.
- Knowledge of national standards and policy that inform best practice (for example: NICE/ Department of Health guidelines).
- Appreciate the accountability associated with advanced clinical roles.
- Evidence of involvement with research and audit.
- Good Clinical Practice qualification
- Experience of policy and procedure writing.
- Understanding of the Modernisation agenda and NHS structures.
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Annie Dewberry
- Job title
- Deputy Director of Operations
- Email address
- Telephone number
- Additional information
Annie Dewberry, telephone 07769165081, email email@example.com