Job summary We are looking for enthusiastic and dynamic Advanced Nurse Practitioners to join the new innovative specialist HospitalHome Frailty Team/ Frailty Assessment Unit. We are in the process of developing a new pathway which involves the identification and management of frailty patients within their own homes and across the acute site. The ANP will use expert knowledge and advanced clinical reasoning skills to provide specialist support and a comprehensive geriatric assessment to aid decision making and plans for ongoing management. The ANP will support admission avoidance and support the HospitalHome model. The post holder will be part of a larger multi-disciplinary team including Consultant Geriatricians, ANPs and Therapists. This post would suit an experienced nurse who has an understanding of the management of people living with frailty. This is a rotational across frailty services. Main duties of the job The successful candidate will provide leadership, clinical expertise and organisation of the new Frailty HH Service. They will continuously develop and enhance knowledge and skills that will directly influence consistent standards of clinical practice and ensure the highest possible standards of evidence based care are achieved in order to promote patient focused care. They will promote patient centred high quality evidence based care to patients on the ward, ensuring the patient is central to all aspects of treatment and care. Communicate effectively with all the multi- disciplinary teams both internal and external to the organisation. Provide clinical leadership to a group of staff within the HH team and throughout the care group. About us If you are being interviewed you must accept an interview slot in the system to continue, even if you have arranged with the manager You must be able to produce ALL certificates stated essential in the person specification or you will not be able to complete pre-employment checks We provide hospital services from two acute sites - Darlington Memorial Hospital and University Hospital of North Durham. We have a centre for planned care in Bishop Auckland and provide care from community hospitals in Chester-le-Street, Shotley Bridge, Barnard Castle, Sedgefield and Weardale as well as over 80 other community based settings and providing care in patients' homes. We particularly welcome applications from disabled and Black, Asian and Minority Ethnic (BAME) candidates as BAME and disabled people are currently under-represented From April 1 2024 we are unable to offer sponsorship for healthcare roles that do not meet the minimum salary, If you are in the UK on a VISA please ensure you have no restrictions that would prevent you from taking this post. Full Job Descriptions can be found in the adverts supporting documents Date posted 23 December 2024 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year per annum, pro rata Contract Permanent Working pattern Full-time, Part-time Reference number C9439-24-1288 Job locations Darlington Memorial Hospital NHS Trust Hollyhurst Road Darlington County Durham DL3 6HX Job description Job responsibilities The Frailty Advanced Nurse Practitioner will be experienced in the management of frail patients supporting admission avoidance and safe, prompt return to the community. You will have expert knowledge and advanced clinical reasoning skills to provide specialist support and advice to the Emergency Department team and other healthcare staff and to manage a case load of patients within the Frailty Assessment Unit where the length of stay will be less than 72hrs. Assess, diagnose, treat and discharge adult patients ensuring appropriate advice, health education and referral to appropriate community services. To perform autonomous diagnostic and prognostic investigations To make autonomous decisions regarding admitting or discharging of patients within ED or the Frailty Assessment Unit using advanced clinical knowledge to underpin decisions. Work independently, with a high degree of autonomy, and take part in clinical supervision from a named consultant. Be able to manage your own caseload in response to unpredictable patterns of work. Accept referrals from other health care professionals and work unsupervised. To clinically assess patients, prioritising clinical need and highlighting those patients who require immediate medical intervention. To act as a resource for all members of the multi-disciplinary team, providing advice concerning aspects of the management of frailty. Support the ongoing development of the Frailty Team and Unit with an integrated approach to the delivery of acute medicine and unscheduled care involving all relevant stakeholders including health and social care organisations. The post requires a flexible approach to working and requires the post holder to work 8am-8pm covering a 7 day service. Job description Job responsibilities The Frailty Advanced Nurse Practitioner will be experienced in the management of frail patients supporting admission avoidance and safe, prompt return to the community. You will have expert knowledge and advanced clinical reasoning skills to provide specialist support and advice to the Emergency Department team and other healthcare staff and to manage a case load of patients within the Frailty Assessment Unit where the length of stay will be less than 72hrs. Assess, diagnose, treat and discharge adult patients ensuring appropriate advice, health education and referral to appropriate community services. To perform autonomous diagnostic and prognostic investigations To make autonomous decisions regarding admitting or discharging of patients within ED or the Frailty Assessment Unit using advanced clinical knowledge to underpin decisions. Work independently, with a high degree of autonomy, and take part in clinical supervision from a named consultant. Be able to manage your own caseload in response to unpredictable patterns of work. Accept referrals from other health care professionals and work unsupervised. To clinically assess patients, prioritising clinical need and highlighting those patients who require immediate medical intervention. To act as a resource for all members of the multi-disciplinary team, providing advice concerning aspects of the management of frailty. Support the ongoing development of the Frailty Team and Unit with an integrated approach to the delivery of acute medicine and unscheduled care involving all relevant stakeholders including health and social care organisations. The post requires a flexible approach to working and requires the post holder to work 8am-8pm covering a 7 day service. Person Specification Special Requirements Essential Able to meet the travel requirements of the post Desirable Experience working in Frailty Qualifications Essential Registered Nursing or HCPC qualification Appropriate degree level qualification at Masters level or willing to work towards Substantial experience at band 6 in an acute medical setting Teaching qualification Independent prescribing or willing to undergo Desirable Experience of working in an ambulatory emergency care setting Substantial specialist experience of frail patients; experience and understanding of a wide range of approaches to the management of frail elderly patients Statutory Registration Essential NMC or HCPC Special Skills & Knowledge Essential Accredited Clinical skills course Team worker Enthusiastic Caring Can work well under pressure Hard worker Keen to improve role Desirable Experience of working with frail patients Experience Essential Previous experience in Elderly care Clinical knowledge of acute nursing Literate and articulate Managerial skills Leadership skills Good communication Skills Evidence of undertaking and developing audits to inform practice Clinical skills Desirable Substantial experience as a band 6 in an acute medical setting None Medical Prescribing Frailty Knowledge Person Specification Special Requirements Essential Able to meet the travel requirements of the post Desirable Experience working in Frailty Qualifications Essential Registered Nursing or HCPC qualification Appropriate degree level qualification at Masters level or willing to work towards Substantial experience at band 6 in an acute medical setting Teaching qualification Independent prescribing or willing to undergo Desirable Experience of working in an ambulatory emergency care setting Substantial specialist experience of frail patients; experience and understanding of a wide range of approaches to the management of frail elderly patients Statutory Registration Essential NMC or HCPC Special Skills & Knowledge Essential Accredited Clinical skills course Team worker Enthusiastic Caring Can work well under pressure Hard worker Keen to improve role Desirable Experience of working with frail patients Experience Essential Previous experience in Elderly care Clinical knowledge of acute nursing Literate and articulate Managerial skills Leadership skills Good communication Skills Evidence of undertaking and developing audits to inform practice Clinical skills Desirable Substantial experience as a band 6 in an acute medical setting None Medical Prescribing Frailty Knowledge Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name County Durham & Darlington NHS Foundation Trust Address Darlington Memorial Hospital NHS Trust Hollyhurst Road Darlington County Durham DL3 6HX Employer's website https://www.cddft.nhs.uk/ (Opens in a new tab)