Advanced Clinical Practitioner - General Surgery To cover Maternity Leave
Band-8a FT/PT
An exciting opportunity has arisen for highly motivated and enthusiastic individuals to cover Maternity leave for 12 months and be part of the General Surgery Advanced Clinical Practitioner team which cares for patients who are acutely unwell, often presenting with undiagnosed, undifferentiated conditions or ongoing worsening symptoms of chronic disease. Based in the multi-specialty Same Day Emergency Care unit which is dedicated to delivering same day care, investigations and initiation of treatment without admission to hospital.
The post holder will form part of the surgical team in providing clinical assessment and support to the care and treatment of a diverse caseload of patients requiring surgical input. Demonstrating highly developed specialist knowledge and skills, the post holder will be integral in the early assessment and management of general surgical and urology patients.
The Advanced Practitioner will work autonomously, demonstrating a highly specialist knowledge and skills in the diagnosis and management of patients within General Surgery. 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.
Main duties of the job
The Advanced Practitioner will work autonomously, demonstrating a highly specialist knowledge and skills in the diagnosis and management of patients within General Surgery. 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.
The team is supportive to newly qualified or less experienced ANP/ACP and offers on-the-job training and a supervisory period to enhance skills and knowledge.
About us
Here at Bolton, our patients are at the heart of everything we do. We ensure our patients receive the highest quality of care and are guided by our trust values. This is reflected in our latest CQC report. It is also supported by our Nursing, Midwifery and Allied Health Professional Framework for Professional Practice.
The vision of this Trust is to be recognised by the people of Bolton and beyond as an excellent provider of health and care services and a great place to work. We are striving to attract, recruit and retain high calibre skilled staff which reflect our communities. We are an inclusive employer who trains and develops our staff in a positive learning environment. We aim to be consciously inclusive and therefore applications from all sectors of the community are welcomed. We would particularly encourage candidates from a black and minority ethnic (BAME) background and candidates with health conditions or impairments.
Job description
Job responsibilities
Hours of work: 37.5/PT
Department / Ward: Surgical Department
Division: Anaesthetic and Surgery
Base: Bolton NHS Foundation Trust
REPORTING ARRANGEMENTS
Managerially Accountable to: Divisional Nurse Director, Clinical Lead, Operational Business Manager
Professionally Accountable to: Medical Consultants/Divisional Nurse Director
Key relationships: Director of Nursing, Divisional Director of Operations and all members of the Clinical teams
Competencies/Clinical Responsibilities
The post holder will:
* Ensure that clinical practice reflects all current guidance from their professional regulatory body.
* Work within agreed foundation trust and national policies, giving consideration to agreed procedures and guidelines.
* Undertake advanced physical assessment and history taking in order to reach diagnosis and management plan for healthcare problems and conditions in accordance with agreed SOP.
* Request/perform diagnostic interventions, treatments as required, initiating appropriate management.
* Critically analyse and synthesize complex assessment data for sound decision-making.
* Manage medications including assessment, review and prescribing in accordance with current legislation, trust policies and guidelines. Use of GM care record for clarification.
* Evaluate responses to treatment and initiate changes as required.
* Make appropriate use of the evidence base, clinical guidelines and policies at all times.
* Initiate and coordinate the treatment and education for individuals and their families/carers for their health protection, health promotion, and disease prevention.
* Ensure timely review of patients on the ward/department as requested by ward staff in the interests of improved patient care.
* Exercise good clinical judgement appropriate to level of competence, experience and skills.
* Improve patient outcomes, service delivery and quality of care by benchmarking national standards and implementing into practice.
* Acknowledge limitations in knowledge, referring to senior medical staff when scope of practice is exceeded.
* Make referrals of patients to and receive referrals from other healthcare providers to ensure continuous care.
* Completion of GP correspondence/discharge letters to promote patient safety.
* Serve as a role model to other health care providers when appropriate.
* Initiate, contribute to and/or sustain research to promote evidence-based practice.
* Evaluate practice to ensure professional, ethical, equitable and quality healthcare service is provided.
* Use appropriate investigatory/reflective skills to improve and advance practice.
* Use available IT resources as per trust guidance.
* Take ownership and responsibility to promote the smooth running of the clinical area at all times.
Managerial and Organisational responsibility
Assist the Surgical department with evolving the Advanced Clinical Practitioner service.
Utilise foundation trust policies, procedures and guidelines, actively contributing to their development and review.
Demonstrate effective leadership at all times.
Participate in ensuring the effective use of all financial resources in providing and delivering the service.
Ensure record keeping is timely and comprehensive in line with policy.
Encourage the philosophy of multidisciplinary team working within your area of responsibility.
Act as a change agent by recognising and evaluating service needs, taking a pro-active role in the development of the service.
Participate in recruitment and retention process to develop a multi-professional advanced clinical practitioner team.
Follow Trust guidelines and Policy when dealing with complaints.
Support in shared learning around themes devised from complaints within clinical area and Governance.
Take an active role in undertaking staff training needs analysis as appropriate.
Participate in ward/dept/unit meetings at which professional and service issues are discussed.
Demonstrate sound knowledge and understanding of clinical governance and risk management issues surrounding the role.
Encourage and influence the multidisciplinary team to identify and discuss proposed changes to practice for your area, ensuring meaningful consultation, effective evaluation and sharing of results.
Staff and self-development, training and education
Promote a learning environment within the clinical area of responsibility in which individuals take ownership for their professional development.
Act as a role model, and advanced clinical resource providing support, leadership, supervision and teaching.
Demonstrate provision and development of specialist teaching in collaboration with the multi-disciplinary team. Establish evidence based practice in the clinical environment. Facilitate research-based practice, assist in disseminating research findings and support changes in care.
Engaging with medical mentor to identify professional and personal development needs evidenced with completion of a professional portfolio.
Develops scope of advanced clinical practice to meet the changing needs of the service.
Maintain a portfolio of evidence based competencies.
Develop effective induction programmes for new advanced practitioners to the team.
Work in conjunction with local HEI to train and develop other advanced clinical practitioners within the organisation and assist with their assessments.
Develop and deliver teaching programmes Trust wide.
Take a lead role in the development, implementation, monitoring and evaluation of standards in effective patient care.
Support in multi-disciplinary clinical audit and benchmarking incorporating essence of care standards.
Maintain an up-to-date non-medical prescribing portfolio of evidence as per NMP policy.
Research/Audit
Take an active part in clinical governance, clinical negligence scheme for trusts and research and development initiatives/opportunities.
Responsible for initiating, participating in and evaluating audit within own role and area of practice applying any relevant change.
Involvement with and participate in research, aiming to publish research findings and sharing the learning locally and nationally.
Facilitate research-based practice and assist in disseminating research findings and support changes in care.
Critical analysis of published research, identifying its use within own area of work.
Undertake structured judgement reviews and share learning.
Clinical Governance
Risk Management:
As an employee of the Trust, it is a standard element of the role and responsibility of all staff that they fulfil a proactive approach towards the management of risk in all of their actions. This involves the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards.
Health and Safety:
All employees have a statutory duty of care for their own personal safety and that of others who come into the Trust who may be affected by their acts or omissions.
All employees will ensure that Health and Safety legislation is complied with at all times, including COSHH, workplace risk assessment and control of infection.
All employees are required to cooperate with management to enable the Trust to meet its own legal duties.
Report any circumstances that may compromise the health, safety and welfare of those affected by the Trust's undertakings.
Legal requirements:
Keep up to date with legal matters that may arise during course of duty.
Equality and Diversity:
* 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.
* Acts in a way that acknowledges and recognises people's expressed beliefs, preferences and choices e.g. how people like to be addressed and spoken to.
* Respects people's diversity and values them as individuals.
* To challenge the behaviour that undermines the right of others.
* To identify and take action where necessary to address discrimination.
* To attend relevant mandatory Trust study days concerning this area of practice.
Safeguarding Children and Vulnerable Adults:
Safeguarding and promoting the welfare of children and vulnerable adults is everyone's responsibility. All those coming into contact with children, families or vulnerable adults through their work in the Trust have a duty to safeguard and promote the welfare of children and vulnerable adults.
The post holder must comply with all relevant documents, policies and procedures and training on safeguarding and promoting the welfare of children and vulnerable adults.
Confidentiality:
All Trust employees are required to uphold the confidentiality of all records held by the Trust, whether patients' records or Trust information. This duty lasts indefinitely and continues after you leave Trust employment. All information that identifies individuals, in whatever form, is covered by the 1998 Data Protection Act and should be managed in accordance with this legislation.
The range of duties and responsibilities outlined above are indicative only and are intended to give a broad flavour of the range and type of duties that will be allocated. They are subject to modification in the light of changing service demands and the development requirements of the post holder.
Person Specification
Registration
Essential
* Registered health care professional
EDUCATION
Essential
* Qualified ACP
* MSc in Advanced Practice
* Teaching/assessing qualification
Desirable
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* Leadership/Management qualification
EDUCATION
Essential
* INDEPENDENT NON MEDICAL PRESCRIBER
Desirable
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* WORKING TOWARDS PRESCRIBING
Employer details
Employer name
Address
Bolton NHS Trust
Minerva Road Farnworth
Bolton
BL4 0JR
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