Cardiology CDC Advanced Nurse Practitioner in Harlow

Our Organisation

The Princess Alexandra Hospital NHS Trust (PAHT) provides a full range of general acute, outpatient and diagnostic services at The Princess Alexandra Hospital in Harlow, the Herts and Essex Hospital in Bishop’s Stortford, and St Margaret’s Hospital in Epping.

We employ 3,500 staff and serve a local population of around 350,000 people living in west Essex and east Hertfordshire, centred on the M11 corridor and the towns of Harlow, Bishop’s Stortford and Epping. Our extended catchment area incorporates a population of up to 500,000 and includes the areas of Hoddesdon, Cheshunt and Broxbourne in Hertfordshire.

The Community Diagnostic Centre (CDC) located at St Margaret’s Hospital in Epping, delivers patient pathways and diagnostic bundles to offer an innovative, enhanced patient experience and improved patient outcomes. This is a unique opportunity to be part of a transformative healthcare initiative that provides quicker and more local access to diagnostic tests close to patients’ homes.

Our Values

The Princess Alexandra Promise to our patients as identified by our 3 values which will contribute to improving our patient experiences:

• Patient at heart – Always holding the patient and their wellbeing at the centre of our thoughts and efforts
• Everyday excellence – Sharing and celebrating our successes, being honest when we get it wrong, giving us the ability to learn from both
• Creative collaboration – Knowing strength comes from diversity, we combine our experiences, skills and talents, working together to find new and better ways to care

The Trust believes in investing in all our staff and rewarding high standards of care whilst building for excellence and in return we expect our staff to uphold the Trust values to the highest level.

Job summary

Advanced practitioner with highly developed knowledge, skills and clinical expertise in diagnosis, management and treatment of Cardiovascular conditions. Providing support to hospital and community based clinical staff, and nursing colleagues, working collaboratively to improve the quality of care and health outcomes for all patients using the clinical pathways within the CDC and PAH Cardiology Services. Acting in a professional and compassionate way to provide clinical advice and professional support to patients, carers and colleagues. Maintain and provide clinical excellence through the use of evidenced based practice, and participation in clinical audit and research.

This is a senior nursing role that leads the drive to improve the quality of patient care across the evolving diagnostic and treatment pathways enabled by the CDC. In conjunction with the Lead Nurse for Cardiology Diagnostic Pathway’s, Cardiology Medical and Operational teams, the post holder will work across organisational boundaries to ensure appropriate services are in place and to deliver national and local strategic and operational service objectives and quality standards.

They will be responsible for managing their own case load of patients ensuring a high quality, effective, safe and efficient service.

Scope and range

• To work at an advanced level, practising autonomously and independently (as well as within a multi-disciplinary team), to deliver a Cardiology Nurse-Led Diagnostic, Assessment and Treatment service within the CDC and PAH Cardiology service
• To act as facilitator, educator and role-model in delivering a comprehensive Cardiology Diagnostic and Treatment service
• To work collaboratively with clinical and nursing colleagues, community teams and designated health and social care organisation in delivering appropriate patient centred treatment and care in line with the evolving strategic vision of PAH NHS Trust
• Working at an advanced level, drawing from a diverse range of experience and knowledge in making decisions around triaging of referrals, required interventions and treatment, including prescribing medication and developing clinical management plans
• Promote a high standard of advanced specialist nursing care by initiating and coordinating the assessment, planning, delivery and evaluation of the holistic needs of patients and families through evidence-based practice following agreed policies, protocols and guidelines
• To initiate and develop strategies to meet the requirements and targets set by national and local statutory bodies. To safeguard and act in the best interests of patients by maintaining the inherent dignity and value of each individual enabling them to make informed choices in order to reach their own potential. (Acknowledgement to the NMC Code).

The Princess Alexandra Hospital NHS Trust (PAHT) is proud to care for the communities of West Essex, delivering safe, compassionate, and high-quality services. We are part of the Neighbourhood Wave—a national programme that’s changing how care is delivered by focusing on prevention, early support, and more joined-up services across health, social care, and the voluntary sector.

This means we’re working more closely with local partners to bring care closer to home and support people to live healthier, more independent lives.

We’re a supportive and inclusive organisation that values its people. We offer development opportunities, flexible working, and a strong focus on wellbeing. As a Disability Confident and equal opportunities employer, we welcome applicants from all backgrounds and experiences.

Join us and help shape the future of care in West Essex.

Duties and 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. A nd 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.

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