Job overview
Job Title: Corporate Lead Advanced Care Practitioner
Hours per week: 37.5 hours per week
Perm/Fixed Term: Permanent
Salary: £74,290 - £85,601 per annum
Closing Date: 18th October 2024
Interview Date: TBC
This post may close early due to high numbers of applications, so you are advised to apply promptly.
All correspondence for this vacancy will be sent by email; please check your account regularly including your Junk and SPAM areas.
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Main duties of the job
'The overriding purpose is to support the provision of the highest quality patient care through personal actions and continuous improvement.'
The Trust Lead for Advanced Care Practice will be responsible for the Trust-wide development and leadership of Advanced Practitioners (AP) working in various roles.
They will provide clinical leadership and support for the Advanced Care Practice within Allied Health Practitioners (AHP), nursing and midwifery teams. The post holder will work as a senior leader within the Trust and will be responsible for leading the development and implementation of advanced practice education and roles across the Trust.
The post holder will practice as a senior expert clinician, Advanced Care Practitioner (ACP). They will work within their area of clinical expertise practicing independently and autonomously seeing undifferentiated patients with undiagnosed problems with minimal and no supervision.
Focus is on the provision of responsive, compassionate, visible leadership for all areas across the Trust with advanced practitioners. Acts as a strong patient advocate ensuring that a culture of continuous improvement and learning is supported to drive quality care delivery across the Trust and leads and facilitates the development of advanced practice, to ensure excellent care.
Detailed job description and main responsibilities
The post-holder will:
- Lead on the design, delivery and implementation of the Advanced Practice strategy and workforce plan for the CNO.
- To work independently at a senior ACP level in the direct delivery of high-quality care within their own specialist field, making critical clinical decisions based on advanced clinical skills assessment.
- The post holder responsibility is to develop and actively manage strong relationships with key internal and external stakeholders and to encourage a network of mutual support.
- The post holder will work with health and care senior management and wider stakeholders in order to ensure the development of the Trust’s Advanced Practitioner Framework and all policies and guidelines are developed in line with national strategies.
- Represent the Trust at external and internal strategy level meetings within designated portfolio advocating for the interests of the patient population, promoting integrated pathways and whole health economy collaboration.
- Establish and develop partnerships and constructive working relationships within the Foundation Group other Trusts and the Integrated Care System and NHSE
- Lead, enable and facilitate change promoting innovative ways of working that are patient centered and not impeded by organisational and professional boundaries.
Clinical
- Demonstrate the attributes of a clinical expert in terms of specialist theoretical and practical knowledge and expertise in the range of work procedures and the plethora of sub-specialties.
- The post holder will provide expert professional advice to patients, carers and colleagues.
- Use highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the clinical area of practice, with complex undifferentiated and undefined presentations.
- Undertake physical examinations as indicated by the patient’s condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required.
- Perform clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision.
- To provide specialist advice on patient care to the healthcare team taking into account all aspects of clinical governance, and act as a specialist resource within the service and wider Trust.
- Prioritise health problems and intervene appropriately in complex, urgent and emergency situations.
- Manage regularly clinical events involving patients often requiring unpredictable and high levels of physical effort according to the patient’s dependency and clinical need.
- Provide clinical cover to appropriate clinical areas according to patient and staffing needs.
- Prescribe and review medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/ evidence-based practice and national and local protocols and within the role’s scope of practice and legal framework.
- Integrate both pharmacological and non-pharmacological treatment in patient care/ management plans.
- Communicate effectively with patients, carers, colleagues and other using appropriate communication styles. Anticipate barriers to communication and ensure patients and significant others are kept fully informed and consent to treatment.
- Communicate highly complex and contentious condition related information to patients or other health professionals.
- Challenge practice standards and influence constructive and positive change.
- Communicate effectively with patients and carers recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating to anticipate barriers to communication.
Leadership and Management:
- On behalf of the CNO takes the lead responsibility for the development of a Trust Advanced Practice Strategy that reflects local, regional and national priorities, supported by the Deputy Chief Nursing Officer.
- To develop the AP long term workforce plan in partnership with stakeholders, including the directorates, identifying interdependencies across projects/functions and the potential impacts on the wider organisation;
- The post holder is responsible for providing professional leadership, governance and expertise relating to Advanced Practice throughout the Trust, and more widely across PLACE, the ICS and the Foundation Group
- Work to raise the status, profile and understanding of AP and clinical specialists/ practitioner’s roles, both internally and externally, including with patient and public awareness across the ICS;
- Represent the CNO as required at Trust, ICS, regional and national Advanced Practice meetings.
- The post holder will facilitate standardisation of Advanced Practice/ Advanced roles across the Trust, determining a Trust’s training programme for Advanced Practice in conjunction with the Education team and local HEIs.
- The post holder will identify resources and effectively communicate with staff to secure appropriate utilisation of resources.
- The post holder will identify challenges that may accompany implementation of the Advanced Practice roles and direct or influence the necessary measures to overcome them.
- The post holder will provide clinical leadership for non-medical prescribing throughout the Trust;
- The post holder will develop a clinical governance structure around Advanced Practice to ensure learning and quality improvement are embedded, ensuring the four pillars of practice are embedded.
- To be responsible for ensuring the AP workforce maintain their performance, training, supervision and annual appraisals.
- To identify resources and effectively communicate with directorates to ensure annual training needs analysis and secure appropriate utilisation of resources, matching AP capacity with directorate expectation and annual business planning.
- To provide expert clinical leadership in the development and delivery of new systems and processes which facilitate improved AP, recruitment, training, development and retention.
- To provide senior professional Trust leadership for APs to motivate, inspire and develop trainee APs and trained APs in achieving excellence in their role.
- Alongside the directorate senior teams manage and support submissions of future AP business plans and support the current AP finances.
- Lead and participate on timely recruitment in the department, liaising closely with Trust HR and recruitment to ensure recruitment best practice is in place at all times.
- Provide support for the development of skills and competencies within the non-medical workforce.
- Represent the Trust at the local, regional and national level as required influencing strategic planning for the region.
- Reconciles inter and intra professional differences of opinion.
- To chair or be a member of groups and committees as required by the needs of the service.
- To take ownership for unresolved problems/queries that are escalated and ensure they are resolved in agreed timescales.
Education, training, learning and development:
- Leads, facilitates and plans the educational requirements for APs and other advanced roles across the Trust.
- To lead, develop and implement an educational framework to enhance and expand advanced practice roles and skills strategically across the Trust in conjunction with the education team.
- Review the delivery and evaluation of education and training programmes relating to the AP role.
- To assist and at times be responsible, if required, for the identification, planning and implementation of training and development programmes for AP staff across the Trust.
- To deliver relevant specialist education both theoretical and within clinical practice to the inter-professional team.
- Oversee support and develop APs involvement in collaborative audit, research and development into advanced practice.
- Format, process and analyse data in relation to AP practice and provide qualitative and quantitative information for a variety of audiences including oral and written reporting.
- Take responsibility for their learning and performance including participating in clinical supervision, maintaining a clinical portfolio and maintaining awareness of relevant research evidence.
Managerial, Finance and Governance:
- Undertake line management of staff within identified portfolio, inclusive of appraisal and their development.
- Forges effective links between a range of professionals, commissioners and other stakeholders both internally and externally to support effective multidisciplinary working and promotes effective service development.
- Work within allocated budgets for advanced practice from business cases, including internal and external grants and funding streams, oversee these for the Trust, raising where there may be issues and ensuring these are kept on track. This will include the ability to delegate where deemed appropriate and within standing financial instructions.
- To formulate, develop, implement, and monitor policies, guidelines, protocol and procedures related to AP to ensure minimisation of risk and enhance patient safety and care.
- To work with lead clinicians, directorates and APs to ensure best practice guidance is applied to patient pathways, putting prevention at the forefront and championing individualised personalised care planning.