Advanced Clinical Practitioner

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., 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.

1. 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.

2. Demonstrate critical thinking and diagnostic reasoning skills in clinical decision making.

3. Act on professional judgement about when to escalate clinical concerns, suspicions and seek help from the senior clinical team.

4. Initiate, evaluate, and adapt a range of interventions which may include safe prescribing practise, therapies, and lifestyle information advice.

5. 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 patient’s 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 individual’s 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.

Please ensure you check the email account (including junk/spam boxes) from which you apply regularly as we will use this to contact you regarding your application.

Posts advertised to ‘internal staff’ are open to employees of hospitals within University Hospitals of Liverpool Group and you should confirm your employment within your application form.

Only those applicants who demonstrate clearly how they meet our person specification will be shortlisted for interview.

We reserve the right to close any vacancies from further applications when we have received a minimum number of applications from which to make a shortlist. Please ensure you apply without delay if you wish to be considered for this role.

Candidates applying for the role of Healthcare Assistant on the staff bank should note that due to the nature of the role, workers must be aged 18 or above when commencing in post. Applicants are therefore welcome from those aged over 18 or within 3 months’ of their 18^th birthday.

The Trust is committed to promoting a healthy work-life balance and achieve fair, equitable and consistent practice. We welcome flexible working requests and will consider a variety of flexible working arrangements from day one of your employment. Not all roles are suitable for every flexible working opportunity all of the time. Flexible working options may include reduced hours, compressed hours, fixed shifts, time back in lieu and home working.

The Trust is committed to promoting equality and diversity; we value the contribution of individual talent, skills, knowledge and experience and aim for a workforce demography representative of the local community. We encourage applicants from the following groups that are currently under-represented in our workforce black, Asian and minority ethnic, lesbian, gay, bisexual and Transgender (LGBTQ+), disabled, male and age 16-24.

Trust policy requires that the cost of submitting & processing the successful applicant/s DBS application be recovered via salary deduction following start in post. The amount of £23 (standard disclosure) or £43 (enhanced disclosure) will be deducted from salary, in manageable monthly instalments for up to 3 months following commencement of employment. Bank posts require upfront payment. DBS applications submitted from 2nd December will be subject to the new DBS fee of £26.50 (standard) and £54.50 (Enhanced).

From April 2017, Skilled visa applicants and their adult dependant(s) will be required to provide a criminal record certificate from each country they have lived in consecutively for 12 months or more in the past ten years.

Applicants requiring sponsorship may wish to determine the likelihood of obtaining sponsorship for this position by assessing themselves against the criteria on the gov.uk website – https://www.gov.uk/check-uk-visa.

This organisation has a zero-tolerance approach to the abuse of children, young people and vulnerable adults. All staff must ensure they adhere to the organisations safeguarding children and adults’ policy and comply with the Local Safeguarding Children and Adult Board procedures.

Staff should be mindful of their responsibility to safeguard children and adults in any activity performed on behalf of the organisation in line with the requirements of statutory guidance and legislation.

All employees (and volunteers)are expected maintain their safeguarding knowledge and skills by completing mandatory safeguarding training which includes understanding and recognising the signs of abuse and neglect and taking appropriate action.

As an organisation, we have adopted the Merseyside Domestic abuse workplace scheme which supports our staff who are experiencing Domestic Abuse /any forms of sexual violence.

If you have any personal requirements that will enable you to participate in our recruitment process please contact a member of the Recruitment Services by phone on 0151 706 4666 at the earliest opportunity to ensure that measures can be put in place to enable your application for this post.

Please note: new entrants to the NHS will commence on the first pay point of the relevant band.

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.