Advanced Clinical Practitioner

Cardiff and Vale University Health Board; Chester; On-site; GBP 55,000 - 65,000; Full time

Benefits offered by this job

NHS pension transfer

NHS pay alignment

Free occupational health

Blue Light Card

Job summary

St Kentigern Hospice is seeking an Autonomous Advanced Clinical Practitioner to provide expert palliative care within a specialist setting. The post supports the inpatient unit and other clinical services, including Well-Being Hwb, working with the MDT to deliver holistic, evidence-based care.

You will hold a Masters level ACP and a Non-Medical Prescriber qualification, and you will work flexibly to cover weekends and bank holidays, contributing to education, research and service development.

Qualifications

• Masters level Advanced Clinical Practice qualification.
• Non-Medical Prescriber qualification.
• Experience in specialist palliative care and end-of-life care.
• Ability to work autonomously within governance boundaries.
• Willingness to cover weekends and bank holidays.

Responsibilities

• Triage referrals and admissions to inpatient unit for specialist symptom management, end-of-life care or respite.
• Conduct clinical assessments and review patient-centred, goal-oriented care plans with patients/relatives.
• Document plans of care and communicate with the clinical team and MDT.
• Collaborate with hospice teams and external agencies to ensure holistic, safe, evidence‑based care.
• Support discharge planning with community teams to ensure continuity of care.

Skills

Advanced Clinical Practice

Communication skills

Teamwork

Teaching & research

Autonomous practice

Education

Masters level ACP

Non-Medical Prescriber

Job description

The post holder will act as an autonomous practitioner within a specialist palliative care hospice setting providing expert, holistic care to patients with life-limiting illnesses. They will provide expertise within the 4 pillars of Advanced Practice: Clinical practice, Management &Leadership, Education & Facilitation of Learning and Research & Service Development. The role will be based on the inpatient unit but will also support all clinical services including the Well-Being Hwb. St Kentigern Hospice provides a mixed model of specialist palliative care services to its local population. The clinical team comprise of ANPs, a Specialist Palliative Care Consultant and Speciality Doctors. Key relationships include the Hospice Multi-Disciplinary Team (MDT) as well as BCUHB Specialist Palliative Care teams, the acute hospital and community teams. The ANP post holder will have completed the Advanced Clinical Practice Programme at Masters Level and hold a Non-Medical Prescriber qualification. They will work within professional and governance boundaries to ensure the delivery of safe and effective care. You will be expected to work flexibly to meet the needs of the service covering weekends and Bank Holidays, 22.5 hours Advanced Clinical Practice. To triage referrals in a timely manner prioritising and organising admissions to the inpatient unit for those patients who require specialist symptom management, end of life care or respite. To practice autonomously and undertake clinical assessments, to review patient-centred, goal-orientated plans of care agreeing treatment plans with patients/relatives in line with local protocols and guidelines. Document plans of care appropriately and communicate effectively with other members of the clinical team. Work collaboratively within the hospice multidisciplinary team and where appropriate with other professionals and external agencies to ensure holistic, patient-centred, clinically safe, evidence based and cost effective care is provided to patients referred to the hospice for symptom management, end of life care or respite. Maintain and extend own professional competence seeking advice from own team and local specialist palliative care teams when necessary. Promote the smooth and safe discharge of patients by working collaboratively with community teams to ensure continuity of care Promote advanced communication skills to communicate sensitively with patients and their families particularly when supporting advance care planning, relaying sensitive information and breaking bad news. Promote health, well-being, independence and rehabilitation strategies where appropriate. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures. Promote values based care. Management and Leadership Participate in and contribute to clinical team meetings. Contribute to policy development. Support nursing and clinical developments within clinical services. Attend relevant external meetings including Specialist Palliative Care (SPC) MDT and promote hospice services. Identify gaps in service and work with the clinical team to initiate evidence-based change Recognise and act as an advocate for patients, carers actively encouraging their feedback to ensure that hospice services continue to be responsive to their needs. Act as a role model for all staff demonstrating high standards of practice, professional conduct and promoting the positive image of the hospice. Promote the role of the ANP within palliative care. Support the Hospice Senior Management Team to ensure St Kentigern Hospice are developing services in line with their strategic plan, SLA and national drivers. Support the Matron in delivering the strategic plan for clinical services. Support the management of the inpatient unit and clinical services in the absence of Ward Sister / Deputy Ward Sister. Education Support a learning culture within the hospice. Contribute to the hospice education programme Provide information to patients and their families Share developing knowledge and expertise to support the inpatient team and wider MDT to provide optimal care to patients and their families. Maintain up-to-date skills and knowledge in line with the ANP role Actively participate in the PADR process Ensure own compliance with and assist in ensuring other staff members comply with the requirements of mandatory training and continuing professional development Actively participate in the PADR process Research Contribute to the clinical governance process, including adverse incident reporting/investigation and the management of complaints, as appropriate. Take an active role in clinical governance, quality assurance, audit and evaluation including to ensure that key performance indicators are met. Actively promote and implement evidence based practice/quality standards and participate in audit and developing outcome measures Collaborate with other team members in relevant research and audit activities related to the area of practice. Professional/ Governance Adhere to the Nursing and Midwifery Council (NMC) The Code for Nurses and Midwives and to be conversant with Professional Standards of Practice and Behaviour that must be upheld. Ensure revalidation in line with NMC regulations. Maintain responsibility for professional registration and practice through continuing personal development. Ensure revalidation in line with NMC regulations. Maintain appropriate competencies. Maintain personal standards of conduct and behaviour consistent with Hospice values and regulations set within the relevant professional bodies. Demonstrate clinical and professional development and evidence this in a personal portfolio. Be aware of the policies, procedures and philosophies of the Hospice, understanding health and safety requirements and ensure that all duties and responsibilities are carried out within these guidelines. Raise quality issues and report related risks within the Hospice to address incidents. Support equality and value diversity. To be aware of responsibilities regarding duty of candour and reporting poor practice. General Requirements: This post is subject to the Terms and Conditions of employment of the Hospice as specified in the staff handbook Competence You are responsible for limiting your actions to those that you feel competent to undertake. If you have any doubts about your competence during the course of your duties you should immediately speak to your line manager / supervisor. Risk Management It is a standard element of the role and responsibility of all staff of the Hospice that they fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards. It is a requirement that you adhere to St Kentigern Hospice Policies, Procedures, Protocols and guidelines at all times. Health and Safety Requirements of the Hospice All employees of the Hospice have a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Employees are required to co-operate with management to enable the Hospice to meet its own legal duties including attendance at mandatory training updates and also to report any hazardous situations or defective equipment. Data Protection and Confidentiality The post holder must treat all information, whether corporate, staff or patient information, in a discreet, secure and confidential manner in accordance with the provisions of the current data protection legislation and organisational policy. Any breach of such confidentiality is considered a serious disciplinary offence, which is liable to dismissal and / or prosecution under statutory legislation and the hospices disciplinary policy. This duty of confidence continues after the post holder leaves the organisation. Records Management As an employee of the hospice, the post holder is legally responsible for all records that they gather, create or use as part of their work within the organisation (including patient health, staff health or injury, financial, personal and administrative), whether paper based or on computer. The post holder should consult the Lead if they have any doubt as to the correct management of records with which they work. Flexibility Statement The content of this Job Description represents an outline of the post only and is therefore not a final list of duties and responsibilities. The Job Description is, therefore, intended to be flexible and is subject to review and amendment in the light of changing circumstances, following consultation with the post holder. The post is subject to an enhanced disclosure check with the Disclosure and Barring Services (DBS).

• Good communication skills
• General clinical skills / procedures appropriate to experience
• Ability to write clear conscise notes / present clinical histories
• Experience / knowledge of palliative care to appropriate level
• Awareness of interface between secondary and primary care
• Enthusiastic, flexible, team player, keen on teaching and research
• Good communicator with good interpersonal skills
• Adaptable to changing needs of service, Keen to develop teaching skills
• Computer skills
• Communication skills course or qualifications
• Working towards formal postgraduate qualification
• Some experience in audit / research
• Experience in community services and working in primary care
• Keen to teach and train clinical staff members
• Ability to speak Welsh, MSC Advanced Nursing Practice
• Full registration with NMC
• Non-medical prescriber, Postgraduate experience in Palliative Care
• Working towards formal qualification in Palliative Care, Postgraduate experience in Palliative Care
• Working towards formal qualification in Palliative Care

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.

St Kentigern hospice is situated in the city of St Asaph within easy commuting distance from Chester. Within easy access from the A55.

We offer the following benefits of working here at St Kentigern:

• The ability to transfer an existing NHS pension over to the hospice A contributory pension scheme
• Clinical staff are aligned with NHS pay rates.
• Free occupational health support
• Eligible for Blue Light Card and card holder benefits.
• Real living wage employer
• Discounted staff menu available from Caffi Cariad.
• Access to outdoor spaces for both work and relaxation.
• Free parking on site
• Enhanced benefits include; Maternity/paternity and adoption leave, occupational sick pay, free flu jabs, Bereavement leave and support, 5 weeks annual leave plus bank holidays