Job summary Advanced Paediatric Nurse Practitioner Fixed Term / Secondment - 12 months An exciting opportunity has arisen to appoint an Advanced Paediatric Nurse Practitioner to join our existing team of Advanced Paediatric Nurse Practitioners. The Advanced Paediatric Nurse Practitioner's play a lead role in the running of our established Paediatric Assessment and Observation Unit (PAOU) accepting referrals directly from GP's, Midwives and from the Paediatric Emergency Department. They are also responsible for providing support to sick and critically ill children and young people, supporting nursing and medical staff to care for these patients. A full induction a programme will be offered. An Enhanced DBS Certificate, with the checking of Children's Barred Lists is required for this post. This will be a competency-based interview, and applicants will be required to complete assessment tasks as part of this process. Main duties of the job The Advanced Paediatric Nurse Practitioner (APNP) is competent at undertaking advanced autonomous clinical practice working across traditional boundaries using assessment, decision making and diagnostic skills. By case managing patients, including independently ordering and interpreting investigations and prescribing, the APNP will safely and effectively provide care for paediatric patients and their families admitted to the Paediatric wards. The APNP, although clinical approximately 80% of the time, also has a senior clinical leadership role within the Directorate, striving to constantly improve nursing care on the wards through developing new initiatives, undertaking audit and an active role in education, mentorship and supervision. The post holder will work closely with the Matron and Directorate Manager, Paediatrics and the senior paediatric team to ensure both the Directorate's local governance agenda and the national agenda for nursing and children is fully met About us Mersey and West Lancashire Teaching Hospitals NHS Trust serves a population of over 600,000 with a workforce of over 9000 dedicated and skilled staff across 21 sites. We strongly believe that the communities we serve should all have access to Five Star Patient Care. Our Services: Acute Care Providing emergency and maternity services at Whiston, Southport and Ormskirk hospitals, and medical and surgical specialties across all our sites. Primary Care Providing primary care services at Marshalls Cross Medical Centre situated in St Helens Hospital. Community Services Providing adult community services for St Helens and a wheelchair service in Chorley, South Ribble, and West Lancashire. Our inpatient unit at Newton Community Hospital is where patients needing acute hospital beds can continue rehabilitation, freeing up space for more unwell patients. We also provide urgent care at our Urgent Treatment Centre located in St Helens town centre. Specialist Regional Services We provide the Mersey Regional Burns & Plastic Surgery Unit at Whiston Hospital and the Spinal Injuries Unit at Southport Hospital to more than 4 million people across the whole of Merseyside, West Lancashire, Cheshire, Isle of Man and North Wales. Achievements: Rated Outstanding by CQC Inspection August 2018 Top 100 places to work in the NHS (NHS Employers & Health Service Journal) National Preceptorship Accreditation (2023) for Nursing & AHP Preceptorship Programme Date posted 24 October 2024 Pay scheme Agenda for change Band Band 8a Salary £50,952 to £57,349 a year per annum, pro rata Contract Secondment Working pattern Part-time Reference number 409-6665486 Job locations Ormskirk Hosptial Wigan Road Ormskirk L39 2AZ Job description Job responsibilities CLINICAL & PROFESSIONAL RESPONSIBILITIES Undertake history and physical examination to accurately assess the patients condition. Critically analyse findings to form a diagnosis and develop appropriate treatment plan and discharge patients safely. Order, interpret and act upon relevant diagnostic tests and procedures. Interpret, convey and relay complex and conflicting information to MDT members/patients/relatives in possibly stressful situations, which may be delicate or offensive in nature i.e. breaking bad news. Act as a clinical expert providing continuous support to the nursing staff and other MDT members within and outside designated area of work. Undertake advanced (invasive and non-invasive) procedures pertaining to patient need, in accordance with appropriate training and clinical supervision. Act autonomously admitting and discharging patients, referring to appropriate specialists/care agencies as appropriate. Prescribe medication in accordance with current legislation and trust policy. Maintain comprehensive, contemporaneous and accurate nursing/medical records and documentation, utilising information technology where available to facilitate caseload management. Effectively manage acute life-threatening conditions in accordance with current ALS/ATLS/APLS/ALERT guidelines (as appropriate to area of work/need). Act as a role model through demonstration of high standards of practice, providing a clinical environment that motivates and encourages effective working partnerships. Participate in multidisciplinary ward rounds, case conferences, clinical and audit meetings. Gain informed consent from patients for procedures undertaken by self or on behalf of others, both written and verbal, according to trust policy. Provide evidence-based specialist knowledge and advice to patients, families/carers throughout the patients journey to meet their physical, emotional and psychological needs. Provide clinical expertise in the management of patients utilising specialist theoretical and clinical skills. ADMINISTRATIVE RESPONSIBILITIES Personally prioritise and schedule the management of patient caseloads ensuring optimisation of resources. TEACHING & TRAINING RESPONSBILITIES Be an agent for change, monitoring and evaluating practice and generating new and innovative solutions to clinical practice problems to enable delivery of a better service and strive towards advancing practice. Lead / guide nursing and medical staff in the appropriate and timely care of the patient. Act as a resource providing advice, support and guidance to all members of the health care team both within the directorate and trust wide. LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES Provide support for senior nursing staff in relation to staff development and complaints including staff appraisals of own nurse team. Participate in the recruitment and selection of staff as appropriate. GOVERNANCE AND MANAGEMENT RESPONSIBILITIES Provide evidence-based leadership ensuring that practice is disseminated to the MDT. Abide by the Caldicott Principles with regard to confidentiality. Act as an effective communicator/negotiator inter-departmentally managing conflict and reconciliation and facilitating change. Remain flexible to the needs of patients and the Trust in the provision of quality service delivery. Be involved in strategic health planning and respond to trust strategies, initiatives and targets, both regionally and nationally. Network locally, regionally and nationally to share and exchange ideas and principles. Provide an active leadership role in contributing to own departmental issue pertaining to clinical governance agendas and shared governance within the trust e.g. maintaining standards, risk management, clinical audit and research, standard setting, benchmarking, evidence based practice etc. Effectively time manage. Assist in the development of policy and guideline implementation at local and regional level. SAFEGUARDING RESPONSIBILITIES To be competent at safeguarding children and implementing the Child in Need and Child Protection procedures as appropriate includes the following skills, competencies and knowledge: - Be able to recognise child abuse and be able to document accurately child protection concerns according to Laming recommendations, differentiating fact from opinion Understand which groups of children are at risk of harm or neglect and know who to contact / inform / seek advice from; know how to contact them 24 hours a day, seven days a week, know when to contact them according to Trust and Local Safeguarding Childrens Boards policies and procedures Know when and how to act, when and how to refer and the importance of following up a referral. Understand the next steps in the child protection process Share safeguarding information appropriately in writing, by telephone, electronically or in person understanding the difference between information sharing on individual, organisational and professional levels. Know what to record, how long to keep it, how to dispose of records correctly, and when to feedback or follow up. Have understanding of own (and others) professional roles and boundaries, including the Named professionals, trust managers and social workers. Knowledge of the implications of key national document/reports. Understand the assessment of risk and harm. Understand and support staff with multi-agency frameworks, investigations, working and child protection assessment processes including the use of the Common Assessment Framework / investigation/working, child protection investigation and the basics of forensic procedures Present child protection concerns in a child protection conference. Work with families where there are child protection concerns. Advise other agencies regarding the health management of child protection concerns. Contribute to serious case reviews or individual management reviews. Aware of Local Safeguarding Childrens Board and its remit FINANCIAL RESPONSIBILITY Ensure optimal and economical use of resources exploring potential for cost improvement, without compromising services. Be responsible for providing service within pay and non-pay budget. Support Matron and Directorate Manager in providing services within budget identifying early and potential cost pressures. Assist Matron and Directorate Manager in developing capital bids and business cases incorporating finance. RESEARCH & AUDIT To be actively involved in the Paediatric Departments audit programme Recruiting patients to appropriate research projects and Liaison with Paediatric Research Nurse Job description Job responsibilities CLINICAL & PROFESSIONAL RESPONSIBILITIES Undertake history and physical examination to accurately assess the patients condition. Critically analyse findings to form a diagnosis and develop appropriate treatment plan and discharge patients safely. Order, interpret and act upon relevant diagnostic tests and procedures. Interpret, convey and relay complex and conflicting information to MDT members/patients/relatives in possibly stressful situations, which may be delicate or offensive in nature i.e. breaking bad news. Act as a clinical expert providing continuous support to the nursing staff and other MDT members within and outside designated area of work. Undertake advanced (invasive and non-invasive) procedures pertaining to patient need, in accordance with appropriate training and clinical supervision. Act autonomously admitting and discharging patients, referring to appropriate specialists/care agencies as appropriate. Prescribe medication in accordance with current legislation and trust policy. Maintain comprehensive, contemporaneous and accurate nursing/medical records and documentation, utilising information technology where available to facilitate caseload management. Effectively manage acute life-threatening conditions in accordance with current ALS/ATLS/APLS/ALERT guidelines (as appropriate to area of work/need). Act as a role model through demonstration of high standards of practice, providing a clinical environment that motivates and encourages effective working partnerships. Participate in multidisciplinary ward rounds, case conferences, clinical and audit meetings. Gain informed consent from patients for procedures undertaken by self or on behalf of others, both written and verbal, according to trust policy. Provide evidence-based specialist knowledge and advice to patients, families/carers throughout the patients journey to meet their physical, emotional and psychological needs. Provide clinical expertise in the management of patients utilising specialist theoretical and clinical skills. ADMINISTRATIVE RESPONSIBILITIES Personally prioritise and schedule the management of patient caseloads ensuring optimisation of resources. TEACHING & TRAINING RESPONSBILITIES Be an agent for change, monitoring and evaluating practice and generating new and innovative solutions to clinical practice problems to enable delivery of a better service and strive towards advancing practice. Lead / guide nursing and medical staff in the appropriate and timely care of the patient. Act as a resource providing advice, support and guidance to all members of the health care team both within the directorate and trust wide. LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES Provide support for senior nursing staff in relation to staff development and complaints including staff appraisals of own nurse team. Participate in the recruitment and selection of staff as appropriate. GOVERNANCE AND MANAGEMENT RESPONSIBILITIES Provide evidence-based leadership ensuring that practice is disseminated to the MDT. Abide by the Caldicott Principles with regard to confidentiality. Act as an effective communicator/negotiator inter-departmentally managing conflict and reconciliation and facilitating change. Remain flexible to the needs of patients and the Trust in the provision of quality service delivery. Be involved in strategic health planning and respond to trust strategies, initiatives and targets, both regionally and nationally. Network locally, regionally and nationally to share and exchange ideas and principles. Provide an active leadership role in contributing to own departmental issue pertaining to clinical governance agendas and shared governance within the trust e.g. maintaining standards, risk management, clinical audit and research, standard setting, benchmarking, evidence based practice etc. Effectively time manage. Assist in the development of policy and guideline implementation at local and regional level. SAFEGUARDING RESPONSIBILITIES To be competent at safeguarding children and implementing the Child in Need and Child Protection procedures as appropriate includes the following skills, competencies and knowledge: - Be able to recognise child abuse and be able to document accurately child protection concerns according to Laming recommendations, differentiating fact from opinion Understand which groups of children are at risk of harm or neglect and know who to contact / inform / seek advice from; know how to contact them 24 hours a day, seven days a week, know when to contact them according to Trust and Local Safeguarding Childrens Boards policies and procedures Know when and how to act, when and how to refer and the importance of following up a referral. Understand the next steps in the child protection process Share safeguarding information appropriately in writing, by telephone, electronically or in person understanding the difference between information sharing on individual, organisational and professional levels. Know what to record, how long to keep it, how to dispose of records correctly, and when to feedback or follow up. Have understanding of own (and others) professional roles and boundaries, including the Named professionals, trust managers and social workers. Knowledge of the implications of key national document/reports. Understand the assessment of risk and harm. Understand and support staff with multi-agency frameworks, investigations, working and child protection assessment processes including the use of the Common Assessment Framework / investigation/working, child protection investigation and the basics of forensic procedures Present child protection concerns in a child protection conference. Work with families where there are child protection concerns. Advise other agencies regarding the health management of child protection concerns. Contribute to serious case reviews or individual management reviews. Aware of Local Safeguarding Childrens Board and its remit FINANCIAL RESPONSIBILITY Ensure optimal and economical use of resources exploring potential for cost improvement, without compromising services. Be responsible for providing service within pay and non-pay budget. Support Matron and Directorate Manager in providing services within budget identifying early and potential cost pressures. Assist Matron and Directorate Manager in developing capital bids and business cases incorporating finance. RESEARCH & AUDIT To be actively involved in the Paediatric Departments audit programme Recruiting patients to appropriate research projects and Liaison with Paediatric Research Nurse Person Specification Qualifications Essential RSCN/RN Child Evidence of life-long learning Degree in Advanced Clinical Nursing, Preferably Paediatric Advanced Clinical Practice APLS / PLS certified Independent Nurse Prescriber Level 3 safeguarding children training Masters Degree in advanced Clinical Nursing Practice Desirable Teaching qualification or equivalent experience Management qualification APLS instructor RN (adult) Critical care qualification Knowledge & Experience Essential Significant years recent relevant experience in acute/community paediatrics. (Annex 21) Able to recognise and implement appropriate management to a critically ill child aged from birth to 18 years Demonstrate ability to lead and develop nursing practice and promote excellence in clinical practice Evidence of multidisciplinary / multi-agency working Evidence of change management experience Safeguarding Children experience and sound working knowledge of and ability to implement the Safeguarding and Child in Need agenda. Ability to develop fully staff potential through facilitating training, development and education initiatives. Working knowledge of all components of clinical governance, including risk management, audit, research, clinical standards, policies, protocols, education, training and human resources Clinical credibility and expert specialist knowledge of children's and neonatal nursing Working knowledge of current national and local legislation/guidance / NSFs / policies in health, professional nursing issues and children's services agenda Advanced knowledge and skills to initiate and evaluate research based practice Ability to influence and work together with multidisciplinary / multi-agency teams at a strategic / senior operational level Ability to lead and develop nursing practice and promote excellence in clinical practice Desirable Children's ITU or HDU experience Audit experience Skills Essential Demonstrate ability to practise advanced clinical skills Clinical assessment, planning and management skills, able to case manage, including ordering and interpreting investigations and prescribing (if completed NMP) Effective communication skills Excellent organisational skills Quality/excellence focused Ability to work autonomously Person Specification Qualifications Essential RSCN/RN Child Evidence of life-long learning Degree in Advanced Clinical Nursing, Preferably Paediatric Advanced Clinical Practice APLS / PLS certified Independent Nurse Prescriber Level 3 safeguarding children training Masters Degree in advanced Clinical Nursing Practice Desirable Teaching qualification or equivalent experience Management qualification APLS instructor RN (adult) Critical care qualification Knowledge & Experience Essential Significant years recent relevant experience in acute/community paediatrics. (Annex 21) Able to recognise and implement appropriate management to a critically ill child aged from birth to 18 years Demonstrate ability to lead and develop nursing practice and promote excellence in clinical practice Evidence of multidisciplinary / multi-agency working Evidence of change management experience Safeguarding Children experience and sound working knowledge of and ability to implement the Safeguarding and Child in Need agenda. Ability to develop fully staff potential through facilitating training, development and education initiatives. Working knowledge of all components of clinical governance, including risk management, audit, research, clinical standards, policies, protocols, education, training and human resources Clinical credibility and expert specialist knowledge of children's and neonatal nursing Working knowledge of current national and local legislation/guidance / NSFs / policies in health, professional nursing issues and children's services agenda Advanced knowledge and skills to initiate and evaluate research based practice Ability to influence and work together with multidisciplinary / multi-agency teams at a strategic / senior operational level Ability to lead and develop nursing practice and promote excellence in clinical practice Desirable Children's ITU or HDU experience Audit experience Skills Essential Demonstrate ability to practise advanced clinical skills Clinical assessment, planning and management skills, able to case manage, including ordering and interpreting investigations and prescribing (if completed NMP) Effective communication skills Excellent organisational skills Quality/excellence focused Ability to work autonomously 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 Mersey and West Lancashire Teaching Hospitals NHS Trust Address Ormskirk Hosptial Wigan Road Ormskirk L39 2AZ Employer's website https://www.merseywestlancs.nhs.uk/ (Opens in a new tab)