Advanced Clinical Practitioner

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

Utilise

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

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

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

Experience

Skills and Knowledge

Qualifications