Job summary We are seeking an enthusiastic and dynamic individual to join our busy, well-established emergency urology and surgical team at the Royal Liverpool University Hospital. As an Advanced Nurse Practitioner in this speciality, the post holder will be working alongside a team of urology and surgical clinicians to support the service in triaging and accepting referrals from both primary and secondary care, utilising and developing urology and surgical pathways to enhance both the patient experience, and flow throughout the department. The post holder will be responsible for undertaking a thorough clinical assessment, have the ability to identify and request appropriate investigations to reach a diagnosis and be confident in initiating a treatment pathway individual to the patients' needs. This may be as an inpatient within the acute setting or on an outpatient basis by following the local ambulatory care pathways and/or the newly developed virtual review ward. Further input for service development is always encouraged. Annex 21 Terms will apply. Main duties of the job Clinical skills such as venepuncture, cannulation, catheterization and obtaining arterial blood gases are common practice, and therefore, demonstrating these skills are key to fulfilling the role. Importantly, the post holder must be able to identify a deteriorating patient and act swiftly to stabilize them and manage well in an emergency with the appropriate support. The post holder will be required to support the junior doctor team in documenting in patients' medical records and undertaking tasks that have been requested as part of the patient review. Having the ability to prioritise and delegate tasks will reflect in the post holder's strong leadership skills. As an Advanced Nurse Practitioner, the post holder must be able to work autonomously and provide a high quality, safe and supportive clinical service, whilst maintaining the standards as outlined in the multi-professional framework for advanced clinical practice in England. A professional portfolio evidencing the four pillars of advanced clinical practice should be demonstrated and further developed with progression whilst in the role. About us 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 their careers page. Date posted 03 February 2025 Pay scheme Agenda for change Band Band 8a Salary £53,755 to £60,504 a year per annum Contract Permanent Working pattern Full-time Reference number 287-RSUR-4-25 Job locations Royal Hospital Mount Vernon Street Liverpool L7 8YE Job description Job responsibilities Clinical Practice 1. Practise in compliance with respective code of professional conduct and within scope of professional practice by taking responsibility and accountability for all decisions, actions, and omissions. 2. Provide a thorough and accurate assessment of presenting symptoms, past medical/surgical history, clinical examination findings, and diagnostic information to develop the appropriate differential diagnoses. 3. Demonstrate critical thinking and diagnostic reasoning skills in clinical decision making. 4. Act on professional judgement about when to escalate clinical concerns, suspicions and seek help from the senior clinical team. 5. Initiate, evaluate, and adapt a range of interventions which may include safe prescribing practise, therapies, and lifestyle information advice. 6. Demonstrate effective communication skills to support individuals in making decisions, planning care, or seeking to make positive lifestyle changes. Leadership & Management 1. Role model the values of the organisation/Trust, demonstrating a person-centred approach to service delivery and development. 2. Identify areas for further development to evolve the service and be confident to lead any service redesign. 3. Have the ability to constructively challenge others and escalate any concerns that may affect patients or colleagues safety and well-being. 4. Reflect on own clinical practice and contribute to the multi-disciplinary service and team evaluation, to develop the quality and effectiveness of the service. Education 1. Have the ability to identify and develop own learning needs, with the purpose of broadening own knowledge base and expand on clinical skills. 2. Advocate for, and contribute to a culture of departmental learning to develop colleagues and healthcare students i.e. Junior doctors, medical & nursing students 3. Act as a role model, educator, and mentor to encourage and develop confidence in others with the ability to appraise and respond to individuals motivation. 4. Have the confidence and ability to facilitate teaching sessions for individuals and/or a group of people that will inform their learning of the surgical specialities. 5. Demonstrate working towards, and achieving the required competencies as outlined within the local emergency surgery competency framework. Research 1. Be willing to engage in research and audit activity, adhering to research practice guidance/local guidelines, to aid in developing evidence-based strategies to develop and enhance quality, safety and productivity. 2. Role model & disseminate best practice research findings and quality improvement projects. Job description Job responsibilities Clinical Practice 1. Practise in compliance with respective code of professional conduct and within scope of professional practice by taking responsibility and accountability for all decisions, actions, and omissions. 2. Provide a thorough and accurate assessment of presenting symptoms, past medical/surgical history, clinical examination findings, and diagnostic information to develop the appropriate differential diagnoses. 3. Demonstrate critical thinking and diagnostic reasoning skills in clinical decision making. 4. Act on professional judgement about when to escalate clinical concerns, suspicions and seek help from the senior clinical team. 5. Initiate, evaluate, and adapt a range of interventions which may include safe prescribing practise, therapies, and lifestyle information advice. 6. Demonstrate effective communication skills to support individuals in making decisions, planning care, or seeking to make positive lifestyle changes. Leadership & Management 1. Role model the values of the organisation/Trust, demonstrating a person-centred approach to service delivery and development. 2. Identify areas for further development to evolve the service and be confident to lead any service redesign. 3. Have the ability to constructively challenge others and escalate any concerns that may affect patients or colleagues safety and well-being. 4. Reflect on own clinical practice and contribute to the multi-disciplinary service and team evaluation, to develop the quality and effectiveness of the service. Education 1. Have the ability to identify and develop own learning needs, with the purpose of broadening own knowledge base and expand on clinical skills. 2. Advocate for, and contribute to a culture of departmental learning to develop colleagues and healthcare students i.e. Junior doctors, medical & nursing students 3. Act as a role model, educator, and mentor to encourage and develop confidence in others with the ability to appraise and respond to individuals motivation. 4. Have the confidence and ability to facilitate teaching sessions for individuals and/or a group of people that will inform their learning of the surgical specialities. 5. Demonstrate working towards, and achieving the required competencies as outlined within the local emergency surgery competency framework. Research 1. Be willing to engage in research and audit activity, adhering to research practice guidance/local guidelines, to aid in developing evidence-based strategies to develop and enhance quality, safety and productivity. 2. Role model & disseminate best practice research findings and quality improvement projects. Person Specification Qualifications Essential Clinical Professional Qualification. Degree level with appropriate registration Masters Degree or equivalent in relevant discipline. Teaching and assessing qualification Relevant post registration qualification/equivalent. Prescriber Evidence of participation in audit and research Experience Essential Demonstrable relevant experience within the speciality Evidence of effective management Evidence of effective leadership skills Evidence of staff development Evidence of change management Evidence of application of current clinical service issues and developments Knowledge Essential Understanding and application of healthcare governance Skills Essential Excellent communication skills Committed to delivering high standards of patient care Basic IT skills, including e-mail and word processing Other Essential Supportive of colleagues Enthusiastic and motivated with the ability to motivate the team High level of personal and professional credibility Act as role model for staff Person Specification Qualifications Essential Clinical Professional Qualification. Degree level with appropriate registration Masters Degree or equivalent in relevant discipline. Teaching and assessing qualification Relevant post registration qualification/equivalent. Prescriber Evidence of participation in audit and research Experience Essential Demonstrable relevant experience within the speciality Evidence of effective management Evidence of effective leadership skills Evidence of staff development Evidence of change management Evidence of application of current clinical service issues and developments Knowledge Essential Understanding and application of healthcare governance Skills Essential Excellent communication skills Committed to delivering high standards of patient care Basic IT skills, including e-mail and word processing Other Essential Supportive of colleagues Enthusiastic and motivated with the ability to motivate the team High level of personal and professional credibility Act as role model for staff 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 Liverpool University Hospitals NHS Foundation Trust Address Royal Hospital Mount Vernon Street Liverpool L7 8YE Employer's website https://www.liverpoolft.nhs.uk/ (Opens in a new tab)