Job description

Job responsibilities

The Clinical and Strategic lead for nursing and Advanced Clinical Practice will operate at an advanced clinical practice level and provide professional, clinical, strategic and operational leadership across nursing services within the Practice. The post-holder will be responsible for ensuring the delivery of safe, effective and patient-centred care across both urgent and planned care services, leading the integration of nursing services to improve patient outcomes, continuity of care and workforce flexibility.

The Clinical and Strategic lead for nursing and Advanced Clinical Practice will provide clear leadership and accountability for nursing services across the practice, creating a collaborative culture in which staff are supported to develop their skills, work to the top of their scope of practice and contribute to continual service improvement. They will develop a unified nursing workforce, promoting shared learning, cross-team support and consistent standards of clinical practice.

Working closely with GP Partners, the Practice Manager and multidisciplinary colleagues, the post-holder will lead the development of nursing services, identify opportunities for innovation, service redesign and workforce development, and ensure that clinical governance, infection prevention and control, quality improvement and patient safety are embedded across the organisation.

The Clinical and Strategic lead for nursing and Advanced Clinical Practice will work in partnership with the GP Clinical Lead to ensure safe, effective and integrated clinical services across the practice, with shared responsibility for service development, quality improvement and clinical governance.

The role extends beyond day-to-day management and requires a strategic and forward-thinking leader who can identify and implement new ways of working, actively seek best practice from across primary care and the wider NHS, and use learning and evidence to improve patient care, staff development and organisational performance.

• Provide professional leadership across nursing services.
• Integrate urgent and planned care nursing and advanced clinical practitioner services to improve quality, continuity and patient outcomes.
• Develop a skilled, flexible and resilient nursing and advanced clinical practitioner services workforce.
• Ensure high standards of clinical governance, patient safety and professional practice.
• Promote innovation, quality improvement and service development.

Leadership and Workforce Development

• Provide visible and effective leadership across nursing and advanced clinical practitioner services within the practice.
• Develop and maintain a cohesive nursing workforce, promoting collaborative working, mutual support and shared learning.
• Lead appraisals, development reviews and workforce planning for nursing staff.
• Identify training and development needs and support staff to achieve their full professional potential.
• Ensure robust systems are in place for clinical supervision, competency assessment, clinical sign-off and professional revalidation.
• Develop and maintain competency frameworks to support safe and effective clinical practice.
• Promote career progression, succession planning and workforce resilience.
• Support recruitment, induction and retention of nursing, healthcare associates and advanced clinical practitioner staff .
• Foster a culture of accountability, continuous learning and professional excellence.

Clinical Service Leadership

Provide leadership, oversight and ongoing development of nursing services including:

• Long-term condition management services including Diabetes, respiratory, cardiovascular and other chronic disease programmes.
• Cervical screening and women's health services.
• Childhood and adult immunisation programmes.
• Seasonal vaccination programmes.
• Health promotion and prevention initiatives.
• Enhanced services delivered by the nursing team.
• Clinical recall and follow-up systems.
• Urgent and acute care services delivered by the nursing, health care associates and advanced clinical practitioner workforce.
• Contribution to QOF delivery and quality indicators.

The post-holder will:

• Identify opportunities to improve continuity of care for patients with long-term conditions who present acutely.
• Ensure effective communication and handover processes across clinical services.
• Support proactive management of patients with complex and long-term conditions.
• Facilitate improved coordination of preventative, reactive and follow-up care.
• Ensure patients experience coordinated and seamless care across urgent and planned care pathways.
• Identify opportunities to improve patient pathways, continuity of care and service efficiency.
• Reduce duplication of work and maximise the effective use of clinical skills and capacity across the practice.
• Monitor service demand, workforce capacity and patient outcomes.
• Promote consistent standards of assessment, clinical decision-making and prescribing practice.

Clinical Governance, Quality and Patient Safety

• Provide leadership for clinical governance activities across nursing services.
• Ensure compliance with national guidance, professional standards and local policies.
• Lead clinical teams in participation in audit, quality improvement and service evaluation activities.
• Support investigation and review of significant events, incidents, complaints and near misses.
• Utilise practice data, QOF performance, population health information and patient feedback to identify priorities for service improvement.
• Support initiatives aimed at improving health outcomes and reducing health inequalities.
• Provide oversight of Infection Prevention and Control through line management and support of the designated IPC Lead.
• Monitor and respond to vaccination uptake, screening performance and quality indicators.
• Support population health approaches to prevention, early intervention and chronic disease management.

Advanced Clinical Practice

The post-holder will maintain advanced clinical practice skills through autonomous assessment, diagnosis and management of patients presenting with acute, urgent and complex conditions, exercising advanced clinical reasoning and independent prescribing within their scope of practice.

The Lead Nurse will:

• Deliver advanced clinical assessment, diagnosis and treatment within their area of competence.
• Prescribe safely and effectively in accordance with professional standards and local policies.
• Provide clinical leadership and support to colleagues managing complex patients.
• Support the development of advanced clinical skills across the nursing workforce.
• Promote high standards of evidence-based clinical care.
• Act as a clinical role model across nursing and advanced clinical practitioner services.

Service Development and External Collaboration

• Lead the development and implementation of nursing and advanced clinical practitioner service improvements.
• Identify, evaluate and implement best practice from primary care organisations, PCNs and the wider NHS.
• Work collaboratively with community providers, PCN partners and external healthcare organisations.
• Contribute to strategic planning and service development discussions.
• Support innovation and service redesign to improve patient outcomes and workforce effectiveness.
• Identify opportunities for technology, digital systems and process optimisation.
• Promote efficient use of clinical resources across the practice.
• Encourage staff to contribute ideas for service improvement and innovation.

Person Specification

Qualifications

Essential

• Registered Nurse with Nursing and Midwifery Council.
• Advanced Nurse Practitioner qualification.
• Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice.
• Or Credentialling / Digital Badge.
• Or Post graduate diploma or degree for Advanced Practice Qualification up to December 2020.
• Qualified Independent Nurse Prescriber on the NMC register.
• Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet.
• Meets the standards for registered ANP working at advanced level.
• Minor illness qualification.

Desirable

• Teaching qualification.
• ALS and PALS.

Experience

Essential

• Experience of practice within the four pillars.
• Experience of leading nursing teams.
• Experience of service redesign or quality improvement.
• Experience of clinical supervision and competency assessment.
• Experience influencing and leading change across multidisciplinary teams.
• Experience of working across urgent and planned care pathways.
• Experience of delivering autonomous assessment and management of acute presentations.
• Experience of prescribing.
• Experience of working in a primary care environment.

Personal Qualities

Essential

• Strategic and innovative leader with the ability to identify opportunities for service improvement and translate ideas into practical solutions.
• Able to inspire, motivate and develop others whilst building effective multidisciplinary relationships.
• Resilient, adaptable and able to lead change within a complex healthcare environment.
• Motivated, forward thinker.
• Problem solver with the ability to process information accurately and effectively, interpreting data as required.
• High levels of integrity and loyalty.
• Sensitive and empathetic in distressing situations.
• Ability to work under pressure.
• Flexibility to work outside of core office hours.
• Evidence of continuing professional development (CPD) commensurate with the role of ANP.

Clinical knowledge and skills

Essential

• Wound care/removal of sutures and staples.
• ECGs.
• Venepuncture.
• New patient medicals.
• Chaperone procedure.
• Requesting and processing pathology tests.
• Ability to work in a collaborative manner within a multi-disciplinary team and demonstrate a positive, supportive working approach.
• Understanding of the importance of evidence-based practice.
• Understand the requirement for PGDs and associated policy.
• Broad knowledge of clinical governance.
• Ability to record accurate clinical notes.
• Ability to work within own scope of practice and understand when to refer to GPs.
• Knowledge of health promotion strategies.

Desirable

• Diabetes.
• Hypertension.
• Asthma.
• Spirometry.
• CHD.
• Immunisations (routine and childhood).
• Womens health (cervical cytology, contraception etc).
• Travel medicine.
• Knowledge of public health issues in the local area.

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.

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

Sid Valley Practice

Address

Beacon Medical Centre

Sedemuda Road

Sidmouth

Devon

EX10 9YA

United Kingdom

Employer's website

https://www.sidvalleypractice.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

• Assess patient and carers needs through strength based assessment,
• Develop individual care plans in partnership with patients and carers. This will include information, advice, sign-posting and education.
• Regularly evaluate care plans to ensure they are up to date and appropriate, reporting clinical changes or areas of concern to the appropriate member of the team.
• Provide skilled nursing care interventions, support and advice to colleagues, patients and carers.
• Work to reduce unwarranted variation in clinical practice, providing evidence based interventions which effectively enable people.
• Discuss issues relating to care and support of individual patients with other disciplines and agencies, and refer to those who can better meet their needs.
• Collaborate with colleagues in the Integrated Community Teams and other aligned services to enable people within their communities, maximising their potential and promoting their independence.
• Administer and monitor medications consistent with policies and procedures.
• Contribute to the prioritisation of workload, taking responsibility for a delegated caseload of patients.
• Assist in providing consistently high standards of evidence based care that meets the patients requirements and satisfaction.
• Maintain accurate patient documentation on the electronic clinical recording system.
• Respond appropriately to feedback from patients and carers about the service, using the open approach of the organisation and within Duty of Candour expectations.
• When suitably experienced, to act as a Named Nurse, providing care oversight for a defined cohort of patients managed in the ICT Community Nursing caseloads.
• When suitably experienced, to act as a clinical triage nurse within the centralised Community Nursing referral centres, providing clinical review of patients and engaging with health and care professionals to enable effective patient flow and referral management.

We provide a Multi-professional preceptorship programme that isaligned to the National Preceptorship Framework for Nursing and have been awarded the Interim quality mark from NHS England. Our programme is provided to all Newly Qualified; Nurses, Nursing Associates, Internationally Educated Practitioners, Allied Health Professionals and Return to Practice Practitioners. In addition to theprogramme we also offer all preceptees the opportunity of enrolling and completing the level 7 (Masters) 15 credit validated module Preceptorship for Healthcare.

Person Specification

Qualifications

Essential

• Registration with NMC
• Adult Nursing BSc degree or equivalent
• Valid UK driving licence

Experience

Desirable

• Experience of autonomous practice
• Experience in use of clinical recording systems
• Experience of community nursing

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

Gloucestershire Health and Care NHS Foundation Trust

Address

Stroud ICT

Stroud Hospital

Stroud

GL5 2HY

United Kingdom

Employer's website

https://www.ghc.nhs.uk/who-we-are/jobs/ (Opens in a new tab)

Job description

Job responsibilities

To act as an autonomous practitioner with full clinical accountability for a caseload and be a recognised clinical leader for the acute Trust in this area of work.

Develop key working relationships with specialist nursing, medical and allied health teams, as well as other primary care teams involved in the care of Cardiology patients.

To assist and support in collaboration with the Cardiology team in the Community and local GP practices in identifying patients at risk of cardiovascular illness and improving their care.

To ensure that evidence-based care is provided to patients with potential cardiovascular cause of their symptoms.

To collaborate with existing Acute/Community Specialist Nurses to enable a strategy to develop the service in line with evidence-based guidelines.

To support and lead Nurse-led diagnostic clinics in the CDC.

To review, initiate and titrate medications according to clinical needs to improve outcomes and reduce mortality and morbidity in Cardiology patient.

To educate patients and their relatives/carers to understand how to self-monitor their condition. Ensuring the needs of our local global majority population are identified and met.

To liaise closely with primary care teams to establish the necessary protocols to facilitate effective disease management within the community.

To develop case management competencies and to case manage relevant numbers of Cardiology patients and support in the management of co-morbidities.

To initiate, support and participate in audit programmes in collaboration with the Acute Trusts audit teams – specifically including the reporting to NHS England on CDC specific activity.

To be able to prescribe evidence-based medications for common Cardiology illness, to enable the effective management of patients with these chronic conditions.

To provide reports on service delivery, patient outcomes and key performance indicators on a regular basis to the Integrated Emergency and Medical Pathways Triumvirate

To work with and refer appropriately to other agencies to enable identified patients to be managed in a pro-active way, with the aim of improving the overall patient and care experience.

To foster a culture that encourages continuous learning and develop skills in quality improvement

To be a champion for the Cardiology Nurse-Led Diagnostic, Assessment and Treatment service, and empower team members to enhance patient care delivery

Responsibility for Staff:

To co-ordinate an ongoing education and support programme for health professionals working within the acute trust related to Cardiology Nurse-Led Diagnostic, Assessment and Treatment services.

To keep up to date with developments and initiatives within nursing as a whole and in the care of Cardiology chronic disease management.

To develop, deliver and evaluate the training and education for healthcare professionals in The Princess Alexandra Trust and Primary Care services who would refer to the Cardiology Nurse-Led Diagnostic, Assessment and Treatment services, with the aim of standardising the training and education related to new diagnostic and treatment pathways provided in the CDC.

To use skills acquired through accredited trainer courses to improve teaching and learning.

To provide mentorship, to mentor junior nurses and other health professionals within the team or related services.

To undertake Clinical Supervision in line with Trust Guidelines identifying an appropriate supervisor and taking responsibility for ensuring supervision is undertaken.

Responsibility for Patients:

To triage referrals, plan and co-ordinate a caseload of patient’s referred to the Cardiology Nurse-Led Diagnostic, Assessment and Treatment services. And be responsible for assessing patients’ physical and social circumstances and the need for intervention/investigations, and communicate findings to the original referrer, patient and wider MDT.

To create a suitable learning environment for all patients/relatives/carers. This includes providing information and support to other health professionals on latest evidence-based care recommendations, in accordance to national and local guidelines.

To speak at hospital & local community events to disseminate good practice.

Responsibility for Administration:

To maintain accurate, contemporaneous and legible patient records and prepare reports as required.

Following training to co-ordinate data collection and input to any relevant local and national audit programmes

Responsibility for Strategic and Service Development:

To work as appropriate with Cardiology lead and Clinical Governance leads to ensure the highest quality of care to patients with Cardiovascular Conditions within the area.

To ensure the highest level of care for patients accessing the Cardiology Nurse-Led Diagnostic, Assessment and Treatment services in the CDC.

Responsibility for Research and Development:

Initiate, support and participate in research programmes and the implementation of research-based practice.

Other

To uphold the nurse’s professional responsibilities in delivering skilled nursing care to include being responsible for own professional development/update in accordance with revalidation and maintaining current registration of the post with the NMC.

In addition to the duties and responsibilities listed, the post holder may be required to perform other duties to facilitate the smooth running of the organisation.

The job description will be revised regularly to take account of changes within the organisational structures and the Trust’s business plan.

All duties must be carried out in accordance with the Trust’s policies and procedures.

PERSONAL DEVELOPMENT

Be aware of own development needs and take appropriate action.

Keep updated of evidence-based practice and government policies related to care.

Act as an effective role model at all times.

This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and the manager. All duties must be carried out under supervision or within Trust policy and procedure.

Person Specification

Qualifications

Essential

• Educated to diploma/ degree level
• Highly developed specialist professional knowledge in managing Cardiology patients, acquired through post graduate specialist training
• (to a masters or equivalent level) or by demonstrable working experience
• Non-Medical Prescriber Qualification
• Ability to interpret relevant investigations including, ECGs, Echocardiogram and Chest X Ray
• Immediate Life Support Course E

Desirable

• IRMER Qualification/ Certificate or equivalent
• Recognised management/ leadership course
• Research qualification/ experience
• Recognised qualification in teaching and assessing in clinical practice

Experience

Essential

• Demonstrable evidence of strong clinical experience within the Cardiology field working at a specialist level
• Experience in introducing and managing nurse-led practice
• Working in Cardiology diagnostics/treatment pathways
• Evidence of advanced patient assessment skills
• Evidence of the ability to work autonomously and make sound clinical decisions
• Experience of leading service development and successfully managing change

Desirable

• Experience/ participation in clinical research.
• Experience of budgetary management.

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.

Employer details

Employer name

The Princess Alexandra Hospital NHS Trust

Address

The Princess Alexandra Hospital

Harlow

Essex

CM20 1QX

United Kingdom

Employer's website

https://www.pah.nhs.uk (Opens in a new tab)

Job description

Job responsibilities

Please refer to the Job Description and Person Specification for further information regarding the role.

Person Specification

Education/Qualifications

Essential

• 1ST Level Registration.
• Minimum 3 Years experience within Acute Cardiology
• Mentorship module/Preceptor training
• Evidence of leadership qualities.
• ILS / ALS trained
• Post registration qualification relevant to clinical speciality

Desirable

• Educated to degree level or equivalent.
• Management qualification
• Leadership course

Experience

Essential

• Uses evidence-based practice to support patient care delivery
• Evidence of being a reflective practitioner
• Understanding of Healthcare Governance and its application
• Demonstration of autonomous practice
• Ability to organise and prioritise workload
• Demonstrates record of achievement in changing and developing practice
• Working knowledge of Trust and National Nursing initiatives

Desirable

• Management experience

Personal qualities/attributes

Essential

• Excellent communication skills both written and verbal.
• Evidence of continuing professional development.

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.

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

North West Anglia NHS Foundation Trust

Address

Peterborough City Hospital

Peterborough

PE3 9GZ

United Kingdom

Employer's website

https://www.nwangliaft.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Job summary:

Working under the direct supervision of the lead practice nurse and strictly in accordance with specific practice guidelines and protocols, the Practice Nurse will assist the practice clinical team in the provision and delivery of prescribed programmes of patient care.

The post holder is responsible for ensuring the delivery of safe and effective nursing services to the whole practice population. As a member of the clinical nursing team the post holder is accountable for his/her own practice. To work independently, supported by the clinical team within the practice they will deliver care within the boundaries of their role, focusing upon supporting patients to be healthy and specifically monitoring asthma and COPD as a long-term health condition.

Key Duties and Responsibilities

The post holder will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of both drug and non-drug based treatment plans following local and national policies and procedures whilst managing their own workload to deliver the practice priorities.

Clinically, the focus of the role is to undertake clinical activities within the clinical team which are directed at respiratory support for patients with conditions such as asthma and COPD. As an autonomous practitioner you will be responsible for the care delivered, demonstrating critical thinking and skills in clinical decision making.

Ensure and maintain effective communication with individuals and groups within the practice environment and with external stakeholders.

Clinical

Adhere to DHSSPS and NMC guidelines for practice requirements and standards.

Adhere to Practice guidelines, policies and procedures.

Contribute to the development of the Practice policies and strategies, where appropriate.

Maintain own professional and personal development in accordance with the NMC Code (2008), standards and professional guidelines.

Establish and maintain relationships based on mutual respect communicating on a regular basis with the patient, relatives and carers in the provision of care and services.

Support other nurses in the Practice team

Undertake screening and diagnostic procedures, promoting and being involved in Health Education activity

Receive and refer patients when appropriate

Update the patients computer records by coding activities appropriately and at the time of the consultation using templates where appropriate. Comply with computer based information requirements

Ensure all items of equipment are maintained in good order, and ensure that all procedures for reporting hazards or unsafe equipment are known and understood

Ensure economical and careful use of property and resources within the clinical team.

Participate in developing, implementing and monitoring policies, procedures and protocols.

Support a culture of life-long learning and reflective practice

Quality

Recognise and work within own competence and professional code of conduct as regulated by the Nursing Midwifery Council (NMC)

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

Prioritise, organise and manage own workload in a manner that maintains and promotes quality

Deliver care according to the NSF and the National Institute for Clinical Excellence (NICE) guidelines and evidence-based care

Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance

Develop and maintain a culture of person-centred care within the team.

Promote a caring environment where equality and diversity issues are respected and patients and their carers are enabled to be partners in their care.

Help to promote a culture of continuous quality improvement through the use of audit, patient feedback and reflection on practice by self and other members of the team.

Teamworking

Work as an effective and responsible team member

Liaise with the nurse manager on all professional nursing issues.

Person Specification

Qualifications

Essential

• Registered first level nurse
• Evidence of a commitment to
• continuing professional
• development
• Relevant nursing/health degree
• level modules
• Asthma and COPD training completed
• Minimum 1 year post
• experience

Experience

Essential

• Knowledge of needs of patients
• with long-term conditions
• Previous experience in the management of asthma and COPD
• Knowledge of health promotion
• strategies
• Awareness of clinical governance
• issues in primary care

Desirable

• EMIS experience

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.

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

Mansion House Surgery

Address

19 - 20 Irish Street

Whitehaven

Cumbria

CA28 7BU

United Kingdom

Employer's website

https://mansionhouse.gpsurgery.net (Opens in a new tab)