Advanced Nurse Practitioner (ANP)

Integrated Care System; Wrexham; On-site; GBP 45,000 - 51,000; Full time

Job summary

A leading healthcare provider in Wrexham is seeking an experienced Advanced Nurse Practitioner to join their multi-disciplinary team. The role focuses on delivering specialist palliative care in a holistic manner. Ideal candidates will have experience in palliative care, hold necessary qualifications, and possess strong communication and clinical decision-making skills. Competitive salary range of £45,944.20 to £50,014.39 annually.

Benefits

Generous holiday allowance

Employee Assistance Programme

Retail Discount Scheme

Qualifications

• Experience in a multi-professional service.
• Evidence of delivering teaching sessions.
• Experience in advanced practice level.

Responsibilities

• Admit patients for end-of-life care and symptom management.
• Prescribe medicines according to local policies.
• Communicate with patients and families compassionately.

Skills

Clinical leadership

Advanced communication skills

Palliative care expertise

IT literacy

Motivational skills

Education

Current NMC registration

Advanced clinical skills qualification

Non-medical prescribing qualification

Masters level Advanced Clinical Practice course

Leadership/management course

Tools

Clinical software

Database management

Spreadsheets

Job description

Are you a senior nurse ready for your nextcareer step or challenge? We are looking for an enthusiastic and dynamic AdvancedNurse Practitioner to join our dedicated multi-disciplinary team in our state-of-the-artnewly redeveloped Inpatient Unit. This would suit someone who is motivated,compassionate, flexible and who has an interest in palliative care.

Therewill be opportunities to participate in education and audit, as well as deliverexcellent care to patients and their loved ones accessing hospice services.

Your role will be to work with the Medical Team and Palliative Care Consultants to deliver specialist palliative care to patients in our InpatientUnit and Wellbeing Centre, in a holistic manner, considering social, emotionaland spiritual health as well as physical symptoms. Our aim is to provideindividualised care, seeing the patient behind the diagnosis, so they canachieve their best possible quality of life.

In return Nightingale House offers

A positive andfriendly working environment in our state of the art newly redevelopedinpatient unit.

The opportunityto make a real difference.

Excellent trainingand development opportunities for those that want them.

Generous holidayallowance that increases with length of service.

EmployeeAssistance Programme.

Staff lunch menu

Retail DiscountScheme.

Main duties of the job

Working as an independent practitioner and non-medicalprescriber the ANP is accountable and responsible for their own actions oromissions in line with the Nursing and Midwifery Councils Code and currentguidance on advanced nursing practice. You will always work within the scope ofprofessional practice and guidance on advanced practice, adhering to allrelevant professional, legal and regulatory guidelines.

You will assume responsibility for ownprofessional development and updates and maintain your own clinical skills asappropriate with support and guidance from the medical director and director ofclinical and patient services as required for the role. You will work withinthe boundaries of the role as it develops within Nightingale House and asagreed by the Medical Director and Director of Clinical and Patient Services inconjunction with the Chief Executive Officer.

There are opportunities for career developmentand progression to a nurse consultant depending on interest and experience.

About us

Nightingale House Hospice is an Independent Hospiceproviding care and support for patients and families living with a lifelimiting illness. We provide care across a wide area, stretching from Wrexham,Flintshire and East Denbighshire to Barmouth and the border towns includingOswestry and Whitchurch. Our ambitious plans mean we need to raise over £4million each year: something we do with the huge support from of our localcommunity.

Nightingale House is an equalopportunities employer.This post is subject to an Enhanced Disclosure and Barring Servicescheck which will be taken into consideration when confirming any offer of employment.

Nightingale House Hospice is committed to providing equal opportunitiesin employment. Registered Charity No: 1035600

Job responsibilities

Main responsibilities

Work autonomously to admit patients to theinpatient unit and care for them during their admission for end of life care,symptom management or respite.

Along with the rest of the medical team,nursing team and consultants, provide care for inpatients, outpatients andpatients attending wellbeing or rehab appointments if needed, including initialassessment, daily reviews, planning and management.

To identify and address the physical,psychological, spiritual and social needs of patients and the emotional,spiritual and psychological needs of their families and friends.

As an independent prescriber, prescribesmedicines for patients in accordance with local policies, national standardsand formularies relating to independent prescribing.

Work closely with and support the nursing teamand wider MDT, maintaining positive working relationships and close teamwork.

Communicate compassionately with patients andtheir families regarding their condition, treatment, prognosis and advancedcare planning.

Participate in clinical meetings as part ofthe MDT.

Maintain clinical records and completeadministrative tasks arising from medical work discharge summaries, GPletters following outpatient appointments, referral letters etc.

Identifies and reports issues and incidentsthat may affect the quality of palliative care services. Works with the team toensure the delivery of a safe and effective service.

Liaise closely with external partners suchas GPs, SPCT, district nurses, specialist clinical nurses and secondarycare.

Develop and maintain high professionalstandards within the service and promote multidisciplinary team working

To promote and participate in teaching andeducational activity, teaching nurses, medical students, GP registrars,colleagues, patients and families.

To participate in clinical governanceactivities e.g. quality improvement activities and ensure implementation ofbest practice guidelines.

Promote the ethos of audit in the organisationand identify, support and participate inclinical audits and evaluation of work to improve care and service delivery.

Ensure that effective governance arrangementsare implemented and maintained.

To maintain personal development throughpersonal development reviews, monthly 1:1 meetings, clinical supervision,training and appropriate courses, which the hospice will support.

Provide supervision and mentoring tonon-medical prescribers and trainee ANPs

There will be opportunities to develop aspecial interest or lead on programmes depending on skills and interests.

Lead the development of ideas and specialistpractice within the scope of the role. Innovates through exploring ideas withothers and takes action, thus contributing to different ways of working.

Develop services in conjunction with theservice leads, medical and clinical directors and wider team that will improveservices for users and contribute to the advancement of palliative care atlocal, regional and national levels.

Participates in maintaining the profile ofNightingale House Hospice through the presentation of quality improvementinitiatives at local, regional and national conferences as appropriate.

Work with the senior nursing team to completepersonal development reviews of the nursing team and provide support andmentoring.

Key working relationships

Medical Director

Director of Clinical and Patientservices

Palliative Care Consultants

Speciality Doctors

Patient Flow Team

Ward Manager and Deputy Ward Managers

Family Support Team

Physiotherapists

Occupational Therapist

Complementary Therapist

Ward Clerk/ Clinical Administrators

External key relationships

Secondary care teams at local hospitals

Specialist Clinical Nurses

Specialist Palliative Care Team

General Requirements

This post is subject to the Terms andConditions of employment of the Hospice as specified in the staffhandbook

Competence You areresponsible for limiting your actions to those that you feel competent toundertake. If you have any doubts about your competence during the courseof your duties, you should immediately speak to your line manager / supervisor.

It is a standard element of the role andresponsibility of all staff of the Hospice that they fulfil a proactive roletowards the management of risk in all of their actions. This entails the riskassessment of all situations, the taking of appropriate actions and reportingof all incidents, near misses and hazards. It is a requirement that you adhereto Nightingale House Hospice Policies, Procedures, Protocols and guidelines atall times.

Health and Safety Requirements of theHospice

All employees of the Hospice have a statutoryduty of care for their own personal safety and that of others who may beaffected by their acts or omissions. Employees are required to co-operatewith management to enable the Hospice to meet its own legal duties includingattendance at mandatory training updates and also to report any hazardoussituations or defective equipment.

Data Protection and Confidentiality

The post holder must treat all information,whether corporate, staff or patient information, in a discreet, secure andconfidential manner in accordance with the provisions of the current dataprotection legislation and organisational policy. Any breach of suchconfidentiality is considered a serious disciplinary offence, which is liableto dismissal and / or prosecution under statutory legislation and the hospicesdisciplinary policy. This duty of confidence continues after the postholder leaves the organisation.

Records Management

As an employee of the hospice, the post holderis legally responsible for all records that they gather, create or use as partof their work within the organisation (including patient health, staff healthor injury, financial, personal and administrative), whether paper based or oncomputer. The post holder should consult the IG Lead if they have anydoubt as to the correct management of records with which they work.

Flexibility Statement

The content of this Job Description representsan outline of the post only and is therefore not a final list of duties andresponsibilities. The Job Description is therefore intended to beflexible and is subject to review and amendment in the light of changingcircumstances, following consultation with the post holder.

The post is subject to an enhanced disclosurecheck with the Disclosure and Barring Services (DBS).

Person Specification

Experience

• Clinical leadership in a multi professional service
• Reasonable palliative experience in relevant and related specialties
• Partnership working across sectors
• Evidence of delivering formal and informal teaching sessions
• Previous experience of working at an advanced practice level
• Participation in research and audit including appraisal of evidence
• Budget management
• Previously worked within a specialist palliative care setting

Qualifications

• Current NMC registration
• Advanced clinical skills qualification
• Non-medical prescribing qualification and experience
• Masters level Advanced Clinical Practice course
• Leadership/ management course relevant to healthcare environment

Skills Knowledge and Behaviour

• Motivational skills for self and others
• Excellent and advanced communication skills, both multi professional and multi-agency
• Comprehensive physical assessment, history taking and clinical decision making skills
• IT literacy with experience of a range of software, databases and spreadsheets
• Knowledge of drugs used within a specialist palliative care setting
• Understanding of speciality specific advanced practice development at national and local levels
• Understanding of legal, ethical and professional issues of advanced practice
• Able to liaise and network effectively

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.

£45,944.20 to £50,014.39 a year26% Enhancement for weekend working