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Job overview
An exciting opportunity has arisen for an enthusiastic and motivated Breast Advanced Clinical Practitioner to Lead the Macmillan Breast Nurse Practitioner Team. We are seeking an experienced Advanced Clinical Practitioner in Breast Care with excellent communication and leadership skills.
You will lead and manage the Nurse practitioner team with service and personal development, while working alongside the Breast Consultant and Cancer Nurse Specialist teams to provide patients with a seamless service through diagnosis into treatment.
You will be supported in this role by our Lead Breast Consultant and Head of Nursing.
Ideally, you will be trained to MSc level in Clinical Breast Examination and history taking with experience in symptomatic clinics essential to the role. You will also have experience in communicating benign biopsy results to patients.
Proven leadership, teaching and a portfolio of service development will be an advantage if applying for this role.
Experience in providing community teams with advice and guidance, providing long-term follow-up of post-treatment breast cancer patients and answering support calls for patients on supported self-management is desirable, but training is available to meet these requirements.
Main duties of the job
The post holder will be an integral member of the Breast Care team working collaboratively with nursing, midwifery and allied healthcare professionals undertaking advanced roles and responsibilities traditionally the remit of junior medical staff under the direction of the Consultant in charge of the patient's care.
The Advanced Clinical Practitioner (ACP) will work within agreed protocols and guidelines exercising independent judgement in history taking, examination, assessment, diagnosis, and treatment of a diverse caseload of patients.
The ACP will act as a professional resource for the multi-professional teams, patients and carers. They will ensure that evidence-based practice is inherent in all aspects of care and treatment and ensure this knowledge is disseminated throughout the clinical area, across the Trust and externally as appropriate.
The ACP will triage referrals either independently or with medical, therapy or other ACP colleagues and make onward referrals in line with Trust policies.
A minimum of 70% of time must be spent in clinical practice.
Working for our organisation
Our new strategy, developed with the support and feedback of colleagues, patients, and partners, is our compass for the next seven years (2023-2030).
We have four primary goals:
1. High-quality care for all,
2. Being a great place to work,
3. Partnerships for impact, and
4. Research and education excellence.
And we will embed health equality in all we do - taking active steps to reduce the avoidable differences in healthcare that some people face, working in partnership with communities.
Our strategy is underpinned by new values and we will work to ensure they are an everyday reality for all:
* We are compassionate,
* We are proud,
* We are inclusive, and
* We are one team.
This is an exciting moment as we look to the future with clarity on what we already do well and where we need to focus our energies to make an even bigger difference for the people we serve.
Detailed job description and main responsibilities
To accept clinical responsibility for undertaking the comprehensive assessment of a caseload of patients, including those with a complex presentation, in line with evidence-based practice, legislation, policies and procedures. Using investigative and analytical skills; review and interpret all information available, utilising a systematic process of reasoning to make a differential diagnosis.
Provide treatment plans for patients that are consistent with the outcome of assessment and the most probable diagnosis using current clinical pathways where required in order to facilitate timely, quality patient care and/or appropriate onward referral.
Where appropriate, initiate diagnostic tests, interpret and act upon results and provide advice to members of the multidisciplinary team on patient treatment. Evaluate the effectiveness of interventions/treatments and make any necessary modifications.
Practice autonomously; in planning and implementing treatment and care undertaking advanced clinical practice that has been agreed with the senior nursing, midwifery, therapy and medical teams within the specialty.
To use an extended scope of practice beyond own profession recognising any limitations in knowledge, referring to senior medical staff or Advanced Practitioners when scope of practice is exceeded.
Maintain a safe environment for patients, relatives and staff, and adhering to infection prevention and control policies.
To accept referrals from and make referrals to consultants, GPs, and other healthcare professionals. Review the patient and act accordingly, thereby reducing length of time patients wait for intervention.
Improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients. Act at all times in the patients' best interests and as a patient advocate.
Provide specialist advice on patient care to the healthcare team and act as a specialist resource within the service and other areas within the Trust.
To support specialist nurses through working alongside them in the clinical area as required. To develop nurse-led initiatives to allow service improvement and succession planning.
To make recommendations for improvements in the provision and delivery of cancer care across all the cancer and palliative care related specialities.
Produce an annual report to showcase key achievements including clinical activity, research and audit, patient feedback and education activity.
To participate in Macmillan reviews in order to drive service development forward.
Makes sure that people affected by cancer are aware that they are interacting with a Macmillan Professional and know the full range of resources and services available through Macmillan.
Actively engages with Macmillan Cancer Support to contribute expertise and experience and supports the Macmillan priorities.
Person specification
Skills
Essential criteria
* Able to meet physical demands of patient interaction and examination.
* Flexibility and ability to cover shift patterns including weekends and Bank Holidays.
* Ability to travel between sites.
Training & Qualifications
Essential criteria
* Registration on relevant part of the register with the NMC or HCPC with no restrictions on practice.
* Recognised Teaching & Assessing Qualification.
* Mentor qualification.
* Degree in Nursing.
* Has or working towards master's degree.
* A specialist knowledge/qualification in Breast Cancer care and advanced practice.
Desirable criteria
* Postgraduate management/leadership qualification or willingness to undertake.
* IT qualification.
* Counselling qualification.
* Independent Non-Medical Prescribing (V300).
Experience
Essential criteria
* Highly developed specialist experience across a wide range of emergency care procedures that is underpinned by theory and continued knowledge and skills through CPD.
* Comprehensive knowledge of current NHS cancer and nursing issues, standards and performance standards.
* Evidence of coaching/facilitation skills.
* Evidence of leading staff development and empowerment.
* Evidence of involvement in policy and protocol development and implementation and ability to influence service changes.
* Evidence of excellent clinical reasoning/clinical decision making.
* Experience in specialist or practitioner nursing post at Band 7 with knowledge and skills that can be accredited or mapped against the essential criteria of this role.
* Extensive clinical experience, managing own caseload of patients and autonomous practice.
* Experience of teaching, assessing and mentoring of learners. Experience in audit, research and development.
* Proven line manager experience able to manage and lead a team of healthcare professionals.
* Experience of dealing with adult and child safeguarding issues and assessing mental capacity.
* Experience of service development.
Desirable criteria
* Lead in Audit or Research projects.
* Evidence of developing nurse or therapy led services and clinics in collaboration or independently of medical consultants.
* Evidence of autonomous practice.
* Experience of service development.
Communication and Relationship Skills
Essential criteria
* Organisational and negotiation skills.
* Effective communicator in complex situations.
* Self-motivated and ability to motivate others.
* Able to facilitate change.
* Able to lead and work within a team.
* Effective time management and organisational skills.
Analytical and Judgement skills
Essential criteria
* Autonomous management of own patient load (ward-based or clinic environment).
* Evidence of working under supervision and developing ability to autonomously assess, diagnose and develop management plans for urgently referred patients.
Advanced clinical skills
Essential criteria
* Evidence of developing advanced skills in history taking and physical examination skills within specialty area.
* Highly developed communication skills.
* Ability to assess, diagnose and action under pressurised environments.
* Demonstrates expertise in complex decision making.
* Autonomous management of own patient load (ward-based or clinic environment).
* Autonomously assess, diagnose and develop management plans for urgently referred patients.
Desirable criteria
* Ability to assess, diagnose and action under pressurised environments.
* Evidence of performing minor surgical procedures.
Planning and organisation skills
Essential criteria
* Able to articulate advanced practice and professional accountability.
* Ability to work on own initiative. Vision to develop the service and the role of the AP.
* Awareness of the East Midlands Advanced Practice Framework.
* Ability to formulate long term strategic plans to develop service across the organisation.
* Flexibility and ability to cover shift patterns including weekends and Bank Holidays.
Equality, Diversity and Inclusion
Essential criteria
* Able to demonstrate a commitment to and understanding of the importance of treating all individuals with dignity and respect appropriate to their individual needs. All staff are expected to engage in compassionate and inclusive leadership in the provision of high-quality care and interactions with others.
Commitment to Trust Values and Behaviours
Essential criteria
* Must be able to demonstrate behaviours consistent with the Trust's Values and Behaviours.
Additional Information
Please submit your application form without delay to avoid disappointment; we will close vacancies prior to the publishing closing date if we receive a sufficient number of completed application forms.
Please check the email account (including your junk mail) that you supplied as part of your application on a regular basis following the closing date and throughout the recruitment process, as this is how we will communicate with you.
UHL is an equal opportunities employer. We aim to employ a workforce that reflects the diverse communities we serve. We welcome applications from people from all backgrounds who match our job criteria.
Applicants who have a disability and meet the essential criteria for the job will be interviewed if you indicate you wish to be considered under the Guaranteed Interview Scheme. If you require a reasonable adjustment at any stage of the recruitment process please make the recruitment services team aware as soon as possible.
UHL is committed to helping colleagues balance the demands of both their work and personal needs through flexible working arrangements wherever reasonably practicable and subject to service needs.
Disclosure and Barring Service Check
Please note if you are successful in obtaining this position and the post involves regulated activity you will be required to undertake a Disclosure & Barring Service check.
The Trust will pay for the check initially and the money will then be deducted from your salary over a three month period commencing on your first month's payment.
The current price of a check is £38 for an enhanced and £18 for a standard check.
COVID 19 Risk Assessment
Due to the current Covid pandemic we have introduced a staff risk assessment into our pre-employment process. This now forms part of the mandatory pre-employment checks that will be carried out if you receive a conditional offer.
The risk assessment is intended to ensure you are able to safely perform your duties in any of our work areas, and if you have been identified as being particularly vulnerable to coronavirus. Our main aim is to reduce risk and to ensure the safety of all new starters to the Trust as well as current staff, patients and visitors.
If it is identified that you are within a vulnerable category, we will endeavor to make reasonable adjustments to accommodate this through discussions with both Occupational Health and your recruiting manager.
Covid Vaccination Status
Covid-19 vaccination remains the best way to protect yourself, family, colleagues and our patients/service users from the Covid-19 virus. We therefore continue to encourage our current and potential colleagues to get vaccinated.
University Hospitals of Leicester NHS Trust holds the principles of equality, diversity and inclusion at the heart of everything it does and all that it stands for. We are committed to developing a workforce that is representative of the community we serve. We welcome applications from the diverse community of Leicester, Leicester and Rutland, to help deliver healthcare services that meet the needs of our diverse communities.
Employer certification / accreditation badges
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
* Macmillan Advanced Clinical Practitioner (Breast Care) (PDF, 552.5KB)
* Macmillan Advanced Clinical Practitioner (Breast Care) PS (DOCX, 80.6KB)
* Understanding your right to work in the UK (PDF, 1.1MB)
* Employee Benefits (PDF, 578.5KB)
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