Download LEEDS TEACHING HOSPITALS NHS TRUST

AfC number (2097)
JOB DESCRIPTION & PERSON SPEC
1
JOB DETAILS
Job Title:
Advanced Practitioner
Reports to:
Matron
Accountable to:
Chief Nurse
Band:
Band 8a (subject to review at 12 months)
Unit/Department:
Directorate:
Location:
AfC Job No:
2
2097
JOB PURPOSE
The Advanced Practitioner (AP) will use specialist knowledge and skills to
provide healthcare independently to patients. The AP is accountable for the total
episode of care for patients with undifferentiated and undiagnosed needs.
The post holder will act as a role model, delivering advanced practice and
promoting clinical effectiveness in care. He / she will be required to work
autonomously in delivering independent assessment, clinical examination,
diagnosis, clinical decision making and planning of care and treatment,
diagnosis, prescribing, health promotion and safe discharge of patients.
The post holder will work closely with all members of the multidisciplinary team
and will play an integral role in the operational/strategic development of the
service.
The post holder will promote and facilitate evidence based practice and clinical
audit and research within the Trust.
3
JOB DIMENSIONS
The job holder will work as an autonomous practitioner within a defined clinical area,
delivering all aspects of management and care to a wide range of patients with
varying
needs.
The Trust reserves the right to require employees to work either temporarily or permanently at or from any other of the Trust’s
establishments at any time
AfC number (2097)
4
ORGANISATIONAL CHART
Divisional
General
Manager
Medical
Director
Chief Nurse
Directorate
Manager
Professional Lead
Clinical Director
Advanced Practitioner
THIS POST
Matron
Professional
Lead
Trainee
Advanced Practitioner
8a
The Trust reserves the right to require employees to work either temporarily or permanently at or from any other of the Trust’s establishments at any time
AfC number (2097)
5
KNOWLEDGE, SKILLS AND EXPERIENCE REQURIED
Qualifications and Training
Registered with relevant professional body
Degree-level registration qualification or equivalent post-registration award
Masters Degree in Advanced Practice, or relevant Higher Level degree plus PG
Diploma in Advanced Practice
Life Support qualifications (or alternative profession specific clinically
determined qualifications)
Relevant teaching qualification.
Non-medical prescribing
Experience
Evidence of continuous professional development and the practical application
of new skills to the work place.
Evidence of strong teaching background.
Evidence of significant practical contributions to the development of the specific
service within the past 2- years.
Managerial responsibilities.
Direct supervision of junior staff, in all professional groups.
Supervision of students
Evidence of lead for or contribution to audit programmes within practice
Change Management experience and direct involvement of redesign within a
service, including promoting evidence based practice.
Skills/Knowledge
Documented evidence of advanced clinical skills competencies
Ability to motivate individuals and teams.
Advanced oral and written communication skills and confidence to discuss
patient management with other members of the MDT.
High level of capability using outcome measures and audit.
Confidence and ability to accurately assess and manage complex patient
presentations to a high professional standard.
Ability to critique own practice to an advanced level
ln-depth knowledge in their specialist clinical field.
Ability to manage time and workload effectively and to work in a high pressure
environment.
Excellent liaison and negotiation skills.
Commitment to Staff Development and Training.
Self-motivated and able to work independently and autonomously both within
the Trust and with partner organisations.
Evidence of managing complex patients in stressful and emotional situations
where life-changing events are being communicated and clinically managed.
Personal Attributes
Inspirational, with ability to motivate a team.
Flexible, positive, problem solving approach to issues.
Ability to work autonomously and within a team.
The Trust reserves the right to require employees to work either temporarily or permanently at or from any other of the Trust’s
establishments at any time
AfC number (2097)
Professional and patient focused, with a strong commitment to providing high
quality care.
Able to remain calm and polite under pressure
Flexible and adaptable, able to work all shifts throughout 24 hour period.
Capable of lateral thinking with well developed assertiveness skills, able to
successfully initiate, manage and sustain change.
Excellent interpersonal skills with effective oral and written communication skills.
6.
THE LEEDS WAY VALUES
Our values are part of what make us different from other trusts, so we see this as a
strength, as well as a responsibility. They have been developed by our staff and set out
what they see as important to how we work. Our five values are:





Patient-centred
Collaborative
Fair
Accountable
Empowered
All our actions and endeavours will be guided and evaluated through these values
Additionally the following are core values which relate specifically to this post:
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CORE VALUES
Commitment to providing high quality evidence based care to patients and their
carers.
Commitment to working in a multidisciplinary team (both primary and secondary
care providers).
Commitment to the clinical area, valuing the contribution of all team members,
encouraging a positive and creative working environment.
Commitment to own development and the development of all staff within the
unit.
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CORE BEHAVIOUR AND SKILLS
Advanced clinical practice
Teaching and assessing skills
Communication skills
Time management skills
Organisational skills
Preceptorship skills
Understanding of research based practice – research conscious
Team player
Ability to act professionally at all times
Understanding of the process of change.
The Trust reserves the right to require employees to work either temporarily or permanently at or from any other of the Trust’s
establishments at any time
AfC number (2097)
9
CORE KNOWLEDGE AND UNDERSTANDING
An understanding of the organisational structure and working practices of the
NHS.
Understanding the local and national nursing agenda.
Awareness of Leeds Teaching Hospitals Trust guidelines and policies.
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PRINCIPAL DUTIES AND AREA OF RESPONSIBILITY
Clinical practice
Practice as an autonomous professional in a self-directed manner, with
confidence, authority and expertise, undertaking comprehensive range of
clinical procedures.
Have direct responsibility for patient caseload, ensuring all patients have an
accurate plan of care, which reflects the assessment undertaken and
incorporate the issues and recommendations made.
Work within the frequently challenging clinical environments with high levels of
physical and mental effort
Assess individuals, families and populations holistically using a range of
different assessment methods.
Have a health promotion and prevention orientation and comprehensively
assess patients for risk factors and early signs of illness.
Interpret and analyse highly complex clinical and non-clinical facts to form
accurate diagnoses, prognoses for a wide range of conditions, to recommend /
deliver the best course of intervention including the development of
comprehensive packages of care.
Initiate pharmacological intervention, using non-medical prescribing or patient
group directives and administer medications as prescribed by others in
accordance with the Leeds Teaching Hospitals policies
Accurately request radiological and pathology investigations and make clinical
decisions based upon the results.
Provide specialist advice and support to patients, their families and other
healthcare professionals following assessment, diagnosis and through
treatment.
Plan, manage and complete episodes of care, working in partnership with
others and delegating and referring as appropriate to optimise health outcomes
and resource use, as well as providing direct support to patients and clients.
Use professional judgement in managing complex and unpredictable care
events and capture the learning from these experiences to improve patient care
and service delivery.
The Trust reserves the right to require employees to work either temporarily or permanently at or from any other of the Trust’s
establishments at any time
AfC number (2097)
Organise complex activities or programmes for patients, drawing on an
appropriate range of multi-disciplinary and inter-professional resources in
practice.
Supervise and where necessary, work in collaboration with nursing, medical and
AHP team members, demonstrating expert clinical practice to the ward team.
To be included on medical rotas as required by clinical role
Maintain a high standard of patient focused care in accordance with Leeds
Teaching Hospitals Trust guidelines and policies.
Actively involve service users in providing feedback of their experience of the
current service and suggestions for improvements.
Appropriately define the boundaries of own practice.
Leadership and Collaborative Practice
Identify and implement systems to promote their contribution and demonstrate
the impact of advanced level practice to the healthcare team and the wider
health and social care sector.
Provide consultancy services to own area and to other professions on
therapeutic interventions, practice and service development.
Be resilient and determined and demonstrate leadership in contexts that are
unfamiliar, complex and unpredictable.
Engage stakeholders and use high-level negotiating and influencing skills to
develop and improve practice.
Work across professional, organisational and system boundaries and
proactively develop and sustain new partnerships and networks to influence and
improve health, outcomes and healthcare delivery systems.
Develop practice and roles that are appropriate to patient and service need
through understanding the implications of epidemiological, demographic, social,
political and professional trends and developments.
Contribute positively to the leadership within the care group acting as an
effective role model.
Improving Quality and Developing Practice
The Trust reserves the right to require employees to work either temporarily or permanently at or from any other of the Trust’s
establishments at any time
AfC number (2097)
Work within the NMC/HPC Code of Professional Conduct and Guidelines, the
Leeds Teaching Hospitals NHS Trust policies and guidelines, COSHH, the
Mental Health Act and other instruments of statutory legislation to ensure safe
and effective professional working practices for self and others.
Be involved proactively in developing strategies and undertaking activities that
monitor and improve the quality of healthcare and the effectiveness of their own
and others’ practice.
Strive constantly to improve practice and health outcomes so that they are
consistent with or better than national and international standards through
initiating, facilitating and leading change at individual team, organisational and
system levels.
Continually evaluate and audit own practice and that of others at individual and
systems levels, selecting and applying valid and reliable approaches and
methods which are appropriate to needs and context, and acting on the
findings.
Responsible for the generation and collation of reports on own practice and that
of team on service delivery and local and national targets, and monthly reporting
to the Directorate Management Team and quarterly Divisional Clinical
Governance Forum.
Continually assess and monitor risk in own and others’ practice and challenge
others about wider risk factors.
Contribute to and at times lead the development of multidisciplinary research
and clinical audit in urgent care
Critically appraise and synthesise the outcomes of relevant research,
evaluations and audits and apply the information when seeking to improve
practice.
Participate in and contribute to any regional and national research to evaluate
the effectiveness of care strategies related to the patient experience within
urgent care
Alert appropriate individuals to gaps in evidence and/or practice knowledge and
support and conduct research that is likely to enhance practice.
Use financial acumen in patient/client, team, organisation and system level
decision making and demonstrate appropriate strategies to enhance quality,
productivity and value.
Developing Self and Others
Actively seek and participate in peer review of own practice.
The Trust reserves the right to require employees to work either temporarily or permanently at or from any other of the Trust’s
establishments at any time
AfC number (2097)
Directly responsible for the development and delivery of trainee advanced
practitioners and junior members of the multidisciplinary team.
Enable patients/clients to learn by designing and co-ordinating the
implementation of evidence based plans appropriate to their preferred approach
to learning, motivation and developmental stage.
Develop robust governance systems by contributing to the development and
implementation of evidence-based protocols, documentation processes,
standards, policies and clinical guidelines through interpreting and synthesising
information from a variety of sources and promoting their use in practice.
Work in collaboration with others to plan and deliver interventions to meet the
learning and development needs of own and other professions.
Involvement in the development and delivery of training and education
programmes that cross traditional professional boundaries.
Advocate and contribute to the development of an organisational culture that
supports continuous learning and development, evidence-based practice and
succession planning.
Have high level communication skills and contribute to the wider development of
those working in the area of clinical practice by publicising and disseminating
work through presentations at conference and articles in the professional press.
Undertake continuous professional and clinical
opportunities to enhance own knowledge and skills.
development,
seeking
Health and Safety/Risk Management
All staff are responsible for working with their colleagues to maintain and
improve the quality of services provided to our patients and other service users.
This includes complying at all times with the Leeds Teaching Hospitals NHS
Trust Policies, including Health and Safety policies, in particular by following
agreed safe working procedures, and reporting incidents using the Trust
Incident Reporting system.
Infection Prevention and Control
The jobholder must comply at all times with the Leeds Teaching Hospitals NHS
Trust Infection Control policies, in particular by practising Universal Infection
Control Precautions. Hand hygiene must be performed before and after contact
with patients and their environment.
Equality and Diversity
The jobholder must comply with all policies and procedures designed to ensure
equality of employment and that services are delivered in ways that meet the
individual needs of patients and their families. No person whether they are
staff, patient or visitor should receive less favourable treatment because of their
The Trust reserves the right to require employees to work either temporarily or permanently at or from any other of the Trust’s
establishments at any time
AfC number (2097)
disability, gender reassignment, religion or belief, race, sex, sexual orientation,
pregnancy or breast feeding, or age.
Patient and Public Involvement
The Trust has a statutory duty to involve patients and public in evaluating and
planning services. All staff have a responsibility to listen to the views of patients
and to contribute to service improvements based on patient feedback.
Training and
Development
Personal
Development
–
Continuous
Professional
The jobholder must take responsibility, in agreement with his/her line manager,
for his/her own personal development by ensuring that Continuous Professional
Development remains a priority. The job holder will undertake all mandatory
training required for the role.
Respect for Patient Confidentiality
The job holder should respect patient confidentiality at all times and not divulge
patient information unless sanctioned by the requirements of the role.
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COMMUNICATION & WORKING RELATIONSHIPS
Patients & carers
Matron
Ward sister/Charge Nurse
Junior, middle grade and consultant medical staff
Radiology & pathology
Pharmacist
In-patient placement team
Primary care teams (GPs, ICT, social work, etc).
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SPECIAL WORKING CONDITIONS
Physical Effort
Working in a hospital ward or department environment, with highly developed
physical skills including the requirement to perform clinical consultations and
examinations, intubation, suturing, arterial lines, PICC and central lines, joint
aspirations. Undertake clinical procedures which will require movement of
patients from trolley/bed to standing and to chair, and back to trolley/bed.
Mental Effort
Work in a clinical environment where there is a frequent requirement for
concentration for long periods of the day on clinical consultations and decision
making and with frequent interruptions that require a change in activity in order
to respond to emergency patient needs.
Emotional Effort
Working with patients with a wide range of physical, emotional and spiritual
needs. Daily exposure to patients presenting with serious, life threatening
The Trust reserves the right to require employees to work either temporarily or permanently at or from any other of the Trust’s
establishments at any time
AfC number (2097)
conditions and injuries, including dealing with patients with severely challenging
behaviour.
Working Conditions
Working in an urgent care department, with daily exposure to blood, body fluids
severely injured patients etc.
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Job Description Agreement
Jobholder’s Signature: ……………………………… Date:………………………
Head of Department’s Signature: …………………… Date:………………………
Head of Department’s Name and Job Title: ………………………………………
………
The Trust reserves the right to require employees to work either temporarily or permanently at or from any other of the Trust’s
establishments at any time