Trainee Advanced Nurse Practitioner (ANP) in Macclesfield

Inpatient Unit and Palliative Advice Centre (PACE) at East Cheshire Hospice. Due to an exciting expansion of services, the hospice is adding to its well-established team. We are seeking to recruit an experienced nurse with a passion for delivering exemplary care, to join us in supporting people affected by life-limiting illness in both the hospice and community settings. The successful candidate will be supported to undertake an MSc in Advanced Clinical Practice to facilitate a transition from senior nurse to Advanced Nurse Practitioner. You will be based in our purpose-built hospice situated one mile from Macclesfield town centre. There is ample free parking available on site. Our service operates 24 hrs a day, 7 days a week. This post will require weekend and evening work with the possibility of occasional rotation onto nights.

Main duties of the job

• Provide high-quality, compassionate care to patients with life-limiting illness
• Act as a clinical leader, ensuring safe and effective care delivery
• Undertake face-to-face assessments and reviews of palliative patients within the hospice and community settings
• Offer advice and support to patients, families, and healthcare professionals both in person and over the phone
• Coordinate care and contribute to multidisciplinary team discussions and decision-making
• Support service development and quality improvement initiatives
• Promote evidence-based practice and uphold the highest standards of care
• Support the provision of additional hospice services such as blood transfusions and respite care

About us

East Cheshire Hospice is based in Macclesfield and supports patients and families from the High Peak and East Cheshire areas. We believe in recruiting for the right attitudes and training for exact skills. The nature of the care we provide to patients, carers and families is specialised and at East Cheshire Hospice, operates at an exceptionally high standard. We can only hope to maintain that standard through a caring, compassionate and well-motivated workforce.

Job responsibilities

Job Purpose

This position has been created to facilitate the development of a senior palliative nurse to Advanced Nurse Practitioner. This training will include the undertaking of an MSc in Advanced Clinical Practice, delivered at a university of mutual choosing, with support from the hospice. The successful candidate will work alongside the existing nursing and medical teams across all hospice areas, but primarily within the inpatient unit and palliative advice centre (PACE), being supported by our existing ANPs and medical team to develop advanced clinical skills and prescribing capability.

Within PACE, you will be supported in the delivery of expert palliative advice to community patients, coordinating the delivery of high-quality care - mainly via telephone. The role focuses on preventing crises through timely intervention and, where urgent support is required, delivering face-to-face assessment, and supporting generalist and junior colleagues. On the inpatient unit, you will be a senior clinical presence in the hospice, offering leadership, guidance, clinical advice and assistance. Alongside our existing medical team, you will undertake patient reviews and assessments, liaise with family members and healthcare professionals and complete internal and external referrals. Alongside colleagues, you will also take some responsibility for our respite and blood transfusion patients and support staff in outpatients when they require senior clinical input. Some teaching/mentorship will also be included in this role.

Duties

Clinical Advice & Support

• You will be providing expert palliative care advice to patients, families, and healthcare professionals via the 24/7 Advice Line with support from the wider medical and nursing team where required.
• Where relevant, this advice should be in alignment with relevant local and national policies and guidance.
• When required, you will assess and manage urgent clinical situations. This may include the undertaking of home visits.
• You will deliver hands-on care and symptom management for patients in crisis.
• You will make autonomous clinical decisions within your scope of competence.
• You will use your clinical expertise to assist and advise more junior staff, and participate in wider MDT discussions.
• You will help to ensure the deployment of staff is appropriate for the skill mix and an effective use of resources.
• Your supernumerary status will allow you to support patients wherever the patient need is greatest, working both in the community and inpatient unit.
• PACE is a collaborative effort with the specialist palliative care team. You will work closely with community teams, GPs, and other healthcare providers to ensure continuity of care.
• You will support generalist and junior colleagues through advice and shared decision-making.
• You will attend MDTs representing PACE and bring relevant patients for discussion; these may include locality MDT, GSF, daily Huddles.

Leadership & Professional Presence

• You will act as a senior nursing presence during evenings and weekends across hospice services, occasionally rotating onto nights.
• You will provide leadership, guidance, and clinical support to nursing teams in all clinical areas.
• You will contribute to service development and quality improvement initiatives within PACE.
• You will support the on-call manager if required for non-clinical issues/incidents out of hours if necessary.

Documentation & Compliance

• You will maintain accurate and timely clinical records in line with hospice policies and professional standards.
• You will ensure compliance with safeguarding, infection control, and medication management protocols.
• Ensure the promotion of the safety, well-being and interests of the patients, staff, and visitors in the clinical area.
• Have an awareness of risk management.
• Observe confidentiality in accordance with NMC guidance and East Cheshire Hospice's policies and procedures.

Control of Infection

Prevention and management of infection is the responsibility of all members of staff and volunteers working at East Cheshire Hospice and forms an integral element of patient safety programmes. Where control of infection regimes are in force they are to be always complied with and staff are reminded of the importance of maintaining a high standard of personal and environmental hygiene and to follow local protocols.

Person Specification

• Motivated and enthusiastic.
• Some understanding of HR policies and procedures.
• Knowledge of COSHH procedures and risk management.
• Flexibility to meet service needs.
• Ability to travel freely/daily across the East Cheshire Hospice catchment area.

Qualifications

• Registered Nurse with a minimum of 3 years post qualification experience.
• Evidence of leadership, management, and speciality development.
• Relevant additional qualifications in palliative care.

Communication

• Excellent personal and communication skills.
• Demonstrable transformational leadership ability.
• Ability to facilitate and support learning practice.
• Good facilitation, presentation, teaching and assessing skills.

Experience

• Post-qualification experience should include palliative care and nursing in an acute setting.
• Evidence of recent study.
• Experience of leadership/management and speciality development.
• Experience in mentoring, facilitation, teaching, assessing, and coaching.
• Experience/involvement in successful change management.

Skills

• Reliable and supportive team member.
• The ability to successfully study at a level 7.
• Ability to place the patient at the centre of care delivery.
• Good problem-solving ability.
• Effective team working.
• Excellent role model.
• Excellent organisational ability.
• Experience of data collection for audit/quality monitoring.
• Demonstrates a desire to explore new ways of delivering services.
• Venepuncture and Cannulation competencies.

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.

£38,682 to £46,580 a year plus 30% Saturday/Night duty, 60% Sunday enhancement.