We are looking for an experienced and motivated Advanced clinical Practitioner to support a project to provide cardiac screening and treatment for patients attending substance misuse treatment hubs.
The Advanced Clinical Practitioner will act as the clinical expert and
professional resource to the Multi-Professional team, patients and carers within their Speciality Service.
The post holder will take overall responsibility to develop the specialist area of practice in partnership with other members of the speciality team (Head of operations,, Lead Clinician, ADN ,Matron etc) will work collaboratively to develop services and quality of care delivered.
• Undertake nurse led community clinics for patients with inclusion health that may have Cardiac disease.
• Prescribe and optimise medications for patients with Cardiac disease and associated cardiovascular risks.
• Management of patients to incorporate physiological, psychological and pharmacological considerations, making multifaceted complex decisions regarding patient management and clinical outcomes, including where appropriate discharging patients from the service when treatment is complete/optimum outcome achieved.
• Initiate investigations, interpret clinical laboratory results and plan treatment within agreed protocols using advance clinical knowledge and clinical skills.
• Independently adjust treatment plans according to need assessing appropriate management options, and initiate treatment or referral to an appropriate professional where necessary.
• Request therapeutic procedures/interventions and evaluate the outcome of these interventions.
• Provide education and counselling to patients on a range of treatment options available.
• Provide regular written reports to patients and GP and other members of primary care team
• Provide effective communication both written and verbal with regards the management of patients within the community.
• Use of effective therapeutic communication skills at an advanced level
• Assessment of social and domestic circumstances
Liverpool University Hospitals NHS Foundation Trust comprises Aintree University Hospital, Broadgreen Hospital & Royal Liverpool University Hospital.
We are part of NHS University Hospitals of Liverpool Group, formed on 1 Nov 2024 from the coming together of LUHFT and Liverpool Women’s NHS Foundation Trust. The Group was born from a shared aim to improve the care we provide our patients.
UHLG is one of the largest employers in the region, with over 16,800 colleagues dedicated to caring for our communities - from birth and beyond.
For the 630,000 people across Merseyside, we are their local NHS. We provide general and emergency hospital care, alongside highly specialised regional services for more than two million people in the North West.
Aintree University Hospital is the single receiving site for adult major trauma patients in Cheshire and Merseyside and hosts a number of regional services including an award-winning stroke facility. Broadgreen Hospital is home to elective surgical, diagnostic and treatment services, together with specialist patient rehabilitation. Liverpool Women’s Hospital specialises in the health of women and babies, delivering over 7,200 babies in the UK’s largest single site maternity hospital each year. The Royal Liverpool University Hospital is the largest hospital in the country to provide inpatients with 100% single bedrooms and focuses on complex planned care and specialist services.
For roles at Liverpool Women’s, visit theircareers page.
Principal Accountabilities
• Assess, plan, implement and evaluate pathways of screening and management of cardiac disease in patients attending the Drug and Alcohol Services.
• The Advanced Clinical Practitioner will function independently or within a clinical team and will demonstrate competence complimentary to the doctor’s role in the delivery of health care.
• Provide expert advice and clinical practice to members of the community who experience social exclusion, known as inclusion health, who may have cardiac disease.
• Work collaboratively and co-operatively with health care professionals in the drug and alcohol services and other services delivering the multi modal clinic to develop services and ensure quality care is delivered.
• Provide expert advice and ensure the needs of the patient are met by leading, challenging, and changing practice within the clinical setting.
• Provide inclusion health education and support to patients accessing the service, which aligns to the Core20PLUS5 by reducing health inequalities.
• Undertake nurse led clinics, undertaking full assessment, triage to MDT, and diagnostics.
• Undertake audit/research and support quality improvement initiatives that tackles health inequalities and inclusion health.
• Be a non-medical prescriber and maintain portfolio of prescribing activity for patients requiring medicine optimization for chronic kidney disease and cardiovascular health.
• Monitor and evaluate the service and develop according to need, within the limitation of resource.
Clinical Responsibilities
• Undertake nurse led community clinics for patients with inclusion health that may have cardiac disease.
• Prescribe and optimise medications for patients withcardiac disease and associated cardiovascular risks.
• Management of patients to incorporate physiological, psychological and pharmacological considerations, making multifaceted complex decisions regarding patient management and clinical outcomes, including where appropriate discharging patients from the service when treatment is complete/optimum outcome achieved.
• Initiate investigations, interpret clinical laboratory results and plan treatment within agreed protocols using advance clinical knowledge and clinical skills.
• Assess response to treatment and escalate complex cases to the medical team for multi-disciplinary discussion.
• Independently adjust treatment plans according to need assessing appropriate management options, and initiate treatment or referral to an appropriate professional where necessary.
• Request radiological investigations where required and adjust patients’ management plan accordingly.
• Request therapeutic procedures/interventions and evaluate the outcome of these interventions.
• Provide education and counselling to patients on a range of treatment options available.
• Provide regular written reports to patients and GP and other members of primary care team.
• Provide/Facilitate interventions which are evidence based and individualised to the patients’ needs.
• Provide effective communication both written and verbal with regards the management of patients within the community.
• Use of effective therapeutic communication skills at an advanced level
• Assessment of social and domestic circumstances
• Act as the patient advocate
Management and Leadership
• Support the development of advanced clinical practice within speciality and trust wide.
• Establish close liaison and communication between all disciplines involved in the care of patients and their families and work in partnership with practitioners.
• Manage own training pathway, identify gaps in learning and maintain own portfolio of evidence.
• Develop and sustain close working relationships, partnerships and networks and draw upon multi-agency/interprofessional resources where appropriate in order to improve health contributing to the Core20PLUS5.
• Work collaboratively with other speciality colleagues to develop a comprehensive unified disease management pathway for patients attending the Drug & Alcohol Services.
Education and Development
• Develop and evaluate educational material for patients.
• Provide education to patients during clinical review.
• Develop own “expert” clinical knowledge and participate in the development and education of others clinical knowledge through informal & formal teaching.
• Ensure own compliance and compliance of others with regard to mandatory training and PREP requirements.
• Ensure clinical skill set is measured to four pillars of advanced clinical practice.
Audit and Research
• Present relevant research/audit findings for discussion and implementation as part of continuous quality improvement
• Registered Nurses at LUHFT have a responsibility to Maintain active status on NMC Register.
• Act always in accordance with NMC Code of Conduct and guiding documents
• Adhere to Trust Policy and Procedure.
• Maintain up to date skills and knowledge and maintain awareness of professional issues.
• Maintain a professional portfolio.
Clinical Governance
• Ensure compliance with policies, procedures and clinical guidelines for self and others, participate in the development of same.
• Continually monitor standards of care and participate in the improvement of care, through benchmarking, audit and research.
• Promote patient and public involvement activities in the specialist area, leading to service improvement.
• Ensure that national policy guidance and targets in relation to clinical governance and the NHS plan are implemented.
• Ensure that the quality and timeliness of recorded patient’s information is in accordance with internal, local and national requirements.
• Promote equality, diversity and rights of individuals and through influencing policy and practice.
This advert closes on Thursday 16 Jan 2025