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Job summary

Main area
Community Frailty
Grade
NHS Afc Band 8a
Contract
Permanent
Hours
Full time - 37.5 hours per week (37.5 hours per week Monday to Friday 9am to 5pm)
Job ref
382-IMPF97-23-E
Employer
Blackpool Teaching Hospitals NHS Foundation Trust
Employer type
NHS
Site
Blackpool Teaching Hospitals
Town
Blackpool
Salary
£50,952 - £57,349 pa
Salary period
Yearly
Closing
19/05/2024 23:59

Employer heading

Blackpool Teaching Hospitals NHS Foundation Trust logo

Advanced Clinical Practitioner

NHS Afc Band 8a

Blackpool Teaching Hospitals NHS Foundation Trust is situated on the west coast of Lancashire, with services covering the local authority areas of Blackpool, Fylde and Wyre. The Trust is part of the Lancashire and South Cumbria Integrated Care System (ICS) supporting a population of around 1.6 million people.

We have three main hospitals providing acute services to around 330,000 local residents. The organisation also provides specialist tertiary care for cardiac and haematology services, delivers community health services to over 445,000 residents including those in North Lancashire and hosts the National Artificial Eye Service across England. Plus, we provide urgent and emergency care services to an estimated 18 million people who visit the seaside resort each year. We employ over 7000 people from 68 different countries.

We welcome and encourage application from anyone with protected characteristics, as well as supporting reservists and Veterans who are looking for a rewarding and challenging career within the NHS.

Blackpool Teaching Hospitals encourages flexible working in all our roles to support staff in maintaining healthy home-life balance.  Working patterns such as: part time working, self-rostering, compressed hours, annualised hours, term time, reverse term time and flexitime working can be explored. 

 


Job overview

We are seeking to appoint 2 full-time Advanced Clinical Practitioners with experience in the field of frailty .  We would also welcome applications from those clinicians who are due to complete their MSc in advanced clinical practice in the next few months

The roles will support the growth of the frailty service and the roll out of the new Frailty Virtual Ward

Current hours of working are 9am till 5pm (Monday to Friday), based at Moor Park Health and Leisure Centre, Blackpool or South Shore Primary Care Centre, Blackpool

We have a multidisciplinary approach to providing care to our frail patients which includes a Medical Consultant, Frailty GP's, Nurse Consultants, ACP's, Trainee ACP's, Community Frailty Nurses, Pharmacists, Pharmacy Technicians , Assistant Practitioners and HCA's  in the community.  The service is also supported by an experience administration team

We see our frailty provision as spanning the whole pathway to include primary, community and hospital services and our objective is to provide a joined up approach.

 

Main duties of the job

Your role will be:

-to assess patients with undifferentiated and undiagnosed problems, making an assessment of their health care needs, based on highly-developed nursing knowledge and skills, including skills not usually exercised by nurses, such as physical examination.

-Screen patients for disease factors and early signs of illness. 

-Make differential diagnoses using decision-making and problem solving skills.

-Develop with the patient an on-going care plan for health and well-being, with an emphasis on health education and preventative measures,

-Order necessary investigations and provide treatment and care both individually, as part of a team, and through referral to other agencies.

-Have a supportive role in helping people to manage and live with illness.

-Have the authority to admit or discharge patients from their caseload, and refer patients to other health care providers as appropriate.

Working for our organisation

The Community Frailty service prides itself on offering all team members the opportunity to continue to learn and develop within their role, whilst working in a supportive, inclusive MDT team.

 

Detailed job description and main responsibilities

As part of the team you will undertake CGA Initial Assessments in the community environment. You will review patients and develop management plans for them which will include the prescribing of medications as necessary utilising your non-medical prescriber skills.

You will also work across the frailty pathway supporting the identification and management of patients both in the hospital and community setting.

You will also need to act as a senior leader supporting other team members using your clinical knowledge and expertise to ensure that we provide high quality person centred care to patients both in the hospital and community setting.

ASSESSMENT AND MANAGEMENT OF PATIENT HEALTH/ILLNESS STATUS

  • Analyses and interprets history, presenting symptoms, physical findings and diagnostic information to develop the appropriate differential diagnoses.
  • Diagnoses and manages acute and long term conditions while attending to the patients response to the illness experience.
  • Employs appropriate diagnostic and therapeutic interventions and regimens with
    attention to safety, cost, invasiveness, simplicity, acceptability, adherence, and efficacy.
  • Formulates an action-plan based on scientific rationale, evidence-based standards of
    care, and practice guidelines.
  • Initiates appropriate and timely consultation and/or referral when the problem exceeds
    the nurse’s scope of practice and/or expertise.
  • Assesses and intervenes to assist the patient in complex, urgent or emergency
    situations.
  • Diagnoses unstable and complex health care problems using collaboration and
    consultation with the multi-professional health care team as indicated by setting,
    specialty, and individual knowledge and experience.
  • Plans and implements diagnostic strategies and therapeutic interventions to help
    patients with unstable and complex health care problems regain stability and restore
    health, in collaboration with the patient and multi-professional health care team.
  • Demonstrates critical thinking and diagnostic reasoning skills in clinical decision-making.
  • Obtains a comprehensive problem focused health history from the patient or carer.
  • Performs a comprehensive problem focused age appropriate physical examination.
  • Analyses the data collected to determine health status of the patient.
  • Formulates a problem list and prioritised management plan.
  • Assesses, diagnoses, monitors, co-ordinates, and manages the health/illness status of
    patients during acute and enduring episodes.
  • Demonstrates knowledge of the patho-physiology of conditions commonly seen in
    practice.
  • Communicates the patient’s health status using appropriate terminology, format, and
    technology.
  • Provides information and advice to patients and carers concerning drug regimens, side effects and interaction, in an appropriate form.

Person specification

Qualification

Essential criteria
  • Clinical based Post-graduate Degree
  • Five years post registration experience of which 3 years’ experience are within speciality at a senior level (at least Band 6 or above
  • MSc in Advanced Clinical Practice
  • Management/Leadership Qualification or attendance at equivalent Leadership Study Days (Masters qualification or equivalent)
  • Non-Medical Prescriber (V300)
  • Evidence of Continuous Professional Development
  • Current registration with the NMC or HCPC
Desirable criteria
  • Post basic qualification in speciality

Experience

Essential criteria
  • Evidence of extensive expert professional/clinical knowledge managing unwell patients in the community, primary or acute setting
  • Specialist clinical training and CPD in relation to patient history taking, clinical examination and developing management plans for patients
  • Knowledge and experience of chronic disease management and long term conditions.
  • Effective communicator able to communicate complex and highly sensitive information
  • Evidence of effective people management and leadership skills
  • Evidence of managing staff and multidisciplinary teams
  • Evidence of relevant involvement in meeting the Trust clinical governance objectives
  • Be able to demonstrate the skill to integrate teams from a variety of backgrounds to integrate the social and health agenda
Desirable criteria
  • Evidence of working at a senior position within an appropriate health care field
  • Can demonstrate assertiveness, tact and diplomacy appropriately
  • Evidence of involvement in policy and practice change
  • Evidence of proactive involvement in the mentorship and development of nurses and nursing practice
  • Computer Literacy

Skills and Abilities

Essential criteria
  • Prioritise against tight deadlines and work under pressure
  • Work on own initiative
  • Work as part of the multi-disciplinary team
  • Prioritise and demonstrate effective time management and organisational skills
  • Influence & motivate others
  • Use own initiative

Personal

Essential criteria
  • Assertiveness
  • Motivational skills
  • Negotiation / Problem solving
  • Decision Making
  • Delegation
  • Conflict and problem solving
  • Enthusiasm
  • Flexible and mature approach to working
  • Ability to persuade and influence at all levels
  • Ensures that own actions support equality, diversity, rights and maintain quality

Employer certification / accreditation badges

Veteran AwareNo smoking policyDefence Employer Recognition Scheme (ERS) - SilverDisability confident employer

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
Sarah Sloan or Charlie Cookson
Job title
Nurse Consultants
Email address
[email protected]
Telephone number
01253 951400