Advanced Nurse Practitioner/Advanced Care Practitioner
An exciting opportunity has arisen to recruit either an Advanced Care Practitioner or a Trainee Practitioner to expand our existing Cardiology Arrhythmia Team.
We are looking for an experienced and self-motivated practitioner who is either proficient or interested in developing their skills within the Arrhythmia Service. All candidates should have a proven ability to work autonomously to a safe level.
The role is autonomous and varied and will demand that the post holder is up to date and motivated to continually perform to a high standard, despite busy workload and high expectation.
The successful candidate will be expected to work alongside Cardiologists, assess GPs referrals, have good communication skills to liaise with administration staff, arrange relevant investigations and plan appropriate arrhythmia care primarily in the out-patient setting. Dependent on experience the practitioner will support the insertion and removal of devices.
Main duties of the job
To deliver autonomous advanced level practice encompasses aspects of education, research and management but is firmly grounded in direct compassionate care provision or clinical work with patients, families, caseloads and populations.
Practitioners working at an advanced level will promote public health and well-being using ‘making every contact count’ as an approach to change behaviour through interactions with individuals, carers and families to support them in making positive changes to their physical and mental health and wellbeing.
To be accountable for :
Ensuring safe and effective clinical practice
Enhancing the patient’s experience
Ensuring effective contribution to the delivery of the organisation’s objectives
Efficient and effective use of resources
Managing and developing the performance of junior members of the team and wider Cardiology team
Working for our organisation
The Royal Wolverhampton NHS Trust is one of the largest NHS trusts in the West Midlands providing primary, acute and community services and we are incredibly proud of the diversity of both our staff and the communities we serve. We are building a workforce that can help us to fulfil our values, improve quality of care for patients, and solve the health care problems of tomorrow. We’re passionate about the value that diversity of thinking and lived experience brings in enabling us to become a learning organisation and leader in delivering compassionate care for our patients.
We are delighted that we have been rated as “Good” by CQC. We have achieved numerous awards; The Nursing Times Best Diversity and Inclusion Practice and Best UK Employer of the Year for Nursing Staff in 2020.
The Trust is a supportive working environment committed to creating flexible working arrangements that suit your needs and as such will consider all requests from applicants who wish to work flexibly.
Detailed job description and main responsibilities
To ensure safe and effective clinical practice.
- To be professionally accountable for the maintenance of standards of professional practice and behaviours as set by the Nursing & Midwifery Council/relevant professional body, national legislation and local standards
- To take personal responsibility for actions and omissions, and fully recognise personal accountability
- To practice within an ethical framework based upon dignity and respect for the well-being and safety of patients and clients
- To demonstrate expert and extensive knowledge in areas such as diagnostics, therapeutics, the biological, social and epidemiological sciences, and enhanced skills in areas such as consultation and clinical decision-making in a variety of settings
- Undertake interventional procedures/ highly specialist diagnostics with appropriate consent
- Act as a change agent, developing clinically effective practice through the effective utilisation and integration of evidence based practice, setting implementing and monitoring evidence based standards of care, policies, procedures and protocols
- Ensure a culture of continuous quality improvement through the use of audit, patient feedback and reflection on practice by self and other members of the team.
- Ensure a high standard of compassionate clinical care and record keeping in accordance with Nursing and Midwifery Council, national legislation and local standards
- Lead effective communication with the multi-professional team regarding patient care.
- Assess the risks involved in the care of patients and ensure utilisation of practices and protocols to minimise those risks, including safe use of medical devices.
- To monitor the standards of care and take appropriate actions when standards fall below expected levels.
- Identify and implement systems to promote contribution of advanced level care and demonstrate the impact of advanced level care to the healthcare team and the wider health and social care sector
- Continually evaluate and audit the practice of self and others at individual and systems levels, selecting and applying valid and reliable approaches and methods which are appropriate to needs and context, and acting on the findings
- Continually assess and monitor risk in own and others’ practice and challenge others about wider risk factors
- Critically appraise and synthesis the outcomes of relevant research, evaluations and audits and apply the information when seeking to improve practice
To enhance the patients experience
- To assess individuals, families and populations holistically using a range of different assessment methods, physical examination, ordering and interpreting diagnostic tests or advanced health needs assessment.
- Draw on a diverse range of highly specialist knowledge in decision-making to determine evidence-based therapeutic interventions prescribe medication and actively monitor the effectiveness of therapeutic interventions
- Working in partnership with others, delegate and refer to other professions and services as appropriate to optimise health outcomes and resource use
- Use professional judgement in independently managing complex and unpredictable care events and capture the learning from these experiences to improve patient care and service delivery.
- Draw upon an appropriate range of multi-agency and inter-professional resources in clinical practice.
- Ensure an effective and efficient patient’s journey by being responsible for supervising/ planning and co-ordination of the episode of care including the smooth transition to other settings, promoting safe and effective discharge and optimising communication with interdisciplinary and interagency teams as required.
- Co-ordinate interventions, care and advise on clinical decisions and monitor the quality of patient care provided through using expert clinical knowledge relevant to own field of practice, underpinned by theory and experience
- Within a multidisciplinary framework, develop a culture of person-centred care.
- Identify opportunities to develop care and services by ensuring that there are effective systems in place to ascertain patient and carer experience/feedback and ensure complaints are managed in line with organisational policy, including the dissemination of learning points
- Ensure that everyone within the sphere of care is treated with dignity and humanity, understanding individual needs, showing compassion and sensitivity, and provide care in a way that respects all people equally
- Provide advice to own services and other professions on therapeutic interventions, practice and service development.
- Plan opportunities to generate and apply new knowledge to own and others’ practice in structured ways which are capable of evaluation
- Safely use patient group directives (PGD)/ non-medical prescribing as appropriate to service needs
To manage and develop the performance of the team
- Demonstrate resilience and determined leadership in contexts that are unfamiliar, complex and unpredictable.
- Strive constantly to improve practice and health outcomes so that they are consistent with or better than national and international standards through initiating, facilitating and leading change at individual, team, organisational and system levels
- Engage stakeholders and use high-level negotiating and influencing skills to develop and improve practice.
- Work across professional, organisational and system boundaries and proactively develop and sustain new partnerships and networks to influence and improve health, outcomes and healthcare delivery systems.
- Develop practices and roles that are appropriate to patient and service need through understanding the implications of and applying epidemiological, demographic, social, political and professional trends and developments.
- In partnership with others identify the need for change, proactively generate practice innovations and lead new practice and service redesign solutions to better meet the needs of patients and the service.
- Act as a visible positive role model, creating a supportive ethos to empower staff to contribute to the delivery of high quality person centred care.
- Ensure junior staff take responsibility for the care they provide and answer for their own judgments and actions and carry out those actions in a way that is agreed with their patients, and the families and carers, and in a way that meets the requirements of organisational policies and procedures, their professional bodies and the law.
- Take all reasonable care of health and safety at work for you, your team and others and to co-operate with employers to ensure compliance with health and safety requirements.
- Create a learning environment that ensures effective learning opportunities for staff and students including appropriate orientation and induction programmes, a range of clinical support strategies (mentoring, coaching, peer review and clinical supervision).
- Plan, monitor and evaluate ongoing mandatory training and relevant education and development opportunities for the nursing team.
- Maintain training needs analyses to support standards of care delivery development of the service.
- Develop strategies and undertake activities that monitor and improve the quality of healthcare and the effectiveness of own and others’ practice.
- Undertake the appraisal process ensuring that personal development plans are consistent with the team’s, ward’s and organisation’s objectives, succession planning and workforce development and support revalidation
- Manage the practice setting, demonstrate effective use of resources which may include holding a delegated budget and workforce planning by monitoring workload and, through efficient rostering, maintain appropriate staffing levels and skill mix taking account of role and competence of staff when delegating work. Effective use of e-rostering for the efficient management of resources within the post holders area of responsibility
- Manage the team when appropriate, ensuring compliance by self and others with professional standards, legislation, national and organisational policies.
- Lead attendance and performance management ensuring grievance and disciplinary matters within own practice setting are identified, actioned and reported to the appropriate person
- Lead local recruitment and selection, and contribute to corporate recruitment and selection processes
- Attend professional forums and disseminate information within the Trust
- Alert appropriate individuals and organisations to gaps in evidence and/or practice knowledge and, as either a principal investigator or in collaboration with others, support and conduct research that will enhance practice.
- Work in partnership with a range of clinicians and managers in the planning or development of own service promoting the involvement of patients/public.
- Support the development and implementation of the Nursing, Midwifery and Health Visiting Strategy for the organisation
- Within clinical area lead and implementation of the organisations quality and safety agenda.
- Plan and deliver specialised health education programmes to staff, patients and carers
- Develop and maintain a working knowledge of local, national and professional strategy and policy, ensuring that organisational goals are reflected in personal objectives and in departmental development plans.
- Propose, interpret and implement policy and strategy development at a departmental and organisational level and, where appropriate, national level.
- Ensure that quality standards, both those agreed with the commissioners and dictated by national policy, are achieved and establish local quality standards, to improve patient care and efficiency.
- Minimal 3 years experience
- NMC Registration Nurse/ NMC Registration Midwife or equivalent professional registration
- Relevant post graduate specialist qualification
Cardiology or acute experience
- Minimal of 18 months
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
Further details / informal visits contact
- Karen Wooding
- Job title
- Email address
- Telephone number