Advanced Clinical Practitioner Pleural Service | North West Anglia NHS Foundation Trust
| Posting date: | 22 April 2024 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £50,952 - £57,349 Dependant on experience |
| Hours: | Part time |
| Closing date: | 22 May 2024 |
| Location: | Hinchingbrooke, PE29 6NT |
| Company: | North West Anglia NHS Foundation Trust |
| Job type: | Permanent |
| Job reference: | 6248823/176-Med-5818370-B |
Summary
The ACP Pleural Service will deliver effective and expert management of all patients with pleural based disease across the NWAFT to effect safer care, rapid symptom relief and early diagnosis with outreach to support early discharge where possible, according to BTS guidance (2023) with ambulatory out-patient management and support of the virtual ward. This post is based at Hinchingbrooke Hospital.
As an ACP in a sub-speciality they will be a vital resource to junior doctors providing supervision and DOPS skills learning in pleural procedures.
Working to deliver standards of practice within the following four pillars of Excellence and in line with the National Standards;
Clinical –Demonstrate critical understanding of their broadened level of responsibility and autonomy and their own limits of competence and Scope of Practice.
Management and Leadership –able to role model effective leadership behaviours, show resilience and manage effective governance strategies, which support the agenda for change within the Trust.
Education and Training –able to identify, support and develop learning interventions for both self and MDT team members.
Audit and Research– to look at areas for quality improvements to care, use audit processes and both formal and informal research methodsto improve service delivery.
We are committed to ensure a work-life balance to all our staff by offering full time and part time roles, flexible working hours on a shift pattern to fit around your family life.
We welcome and encourage applications from people of all backgrounds. We particularly encourage applications from disabled, Black, Asian and Minority Ethnic (BAME) and candidates form our local communities.
Benefits to you
• 27 days annual leave for new starters, rising to 29 days after five years of service and 33 days after 10 years of service, plus 8 Bank Holidays (pro-rata for part time staff);
• NHS Pension Scheme:
• Flexible working opportunities;
• Increased hourly rates for unsociable hours e.g. night shifts, weekends, bank holidays;
• Career development and training;
• Wellbeing support and activities;
• In-house physiotherapy Service;
• On-site canteens with subsidised meals;
• Subsidised staff parking (currently free).
• Free Stagecoach Bus Travel to and from work within Cambridgeshire and Peterborough
Core Competencies
Functions at an advanced level within healthcare organisation and management systems in line with their scope of practice and sphere of influence.
Able to deal with complex ethical and legal issues relating to patient care
Selects and uses advanced communication skills to articulate and shares their decision making, while maintaining appropriate situational awareness, displaying professional behaviour and exercising professional judgement.
Initiates, leads and delivers effective quality improvements in patient care, focused on maintaining patient safety
Able to critically appraise and undertake research, including managing data appropriately.
Developing within the context of advanced level practice as a learner, teaching and supervisor.
Generic Clinical Competencies
Undertakes an advanced clinical assessment in the face of uncertainty, and utilises critical thinking to inform diagnosis and decision making.
Leads acute intervention for patients, recognising the acutely deteriorating patient and delivering resuscitation
Manages the assessment, diagnosis and plans future management of patients in an outpatient clinic, ambulatory, or community setting, including the management of long term conditions, in the context of complexity and uncertainty.
Manages problems in patients in special cases and other specialities
Manages a multi-professional team, including the planning and management of discharge planning in complex, dynamic situations.
Manages end-of-life care and applies palliative care skills in the context of complexity and uncertainty.
Speciality Clinical – Pleural Services
The post holder will develop competence in Pleural Procedures to include:-
-Diagnosis & therapeutic pleural aspiration
-Seldinger Chest Drain insertion including intra-pleural fibrinolytics, talc pleurodesis and pleural lavage and removal of device
-Surgical Chest Drain insertion and removal
-Indwelling Pleural Catheter Insertion, Care, Troubleshooting, District Nurse Support and removal
- Medical Thoracoscopy assistance
- Simple US guided percutaneous pleural based biopsy and cervical node biopsy
Actively engages in acute medical service development, deliver and evaluation, including as a leader and role model. They will monitor clinical quality and the delivery of KPIs related to the service to effect ongoing service improvement. In particular they will be responsible for reducing the number of Datix Adverse Events related to pleural procedures and nursing after-care.
Develops, supervises and delivers alternative patient pathways, including same-day emergency care (SDEC). Role model systems working and leadership qualities that best manage capacity and patient flow with a focus on ED and ambulatory management/early discharge of pleural conditions.
Prioritises and selects patients appropriately according to the severity of illness, including making decisions about escalation of care, discharge and use of virtual ward.
Integrates with other specialist services – including critical care.
Management the interface with community services, including complex discharge planning. Providing an expert resource and patient support across in-patient and out-patient care including support of DN teams managing IPC drainage systems.
Take responsibility for procedural and clinical policy updating to inform the wider governance framework and safeguard patients.
This advert closes on Monday 6 May 2024