About this role
Job summary
We are seeking a motivated, professional and enthusiastic practitioner to join our well established, friendly and successful team of Masters qualified Advanced Clinical Practitioners. We are very sociable, love the outdoors and enjoy the benefits of costal living.
As a qualified member of the surgical team you will be expected to manage and support pre-operative and post-operative care under the supervision of a senior surgeon.
As an Advanced Clinical Practitioner within our team, you will work closely with Consultant Surgeons, providing expert clinical care and advanced practice. You will demonstrate autonomy in patient assessment, diagnosis, and management, supported by defined competencies and trust protocols. Your role will also encompass leadership, education, research, and quality improvement to enhance patient outcomes and service delivery.
This opportunity is open to qualified Advanced Clinical Practitioners, trainee Advanced Clinical Practitioners with an interest in Cardiothoracic and allied health professionals who would like to train to become Advanced Clinical Practitioners with the relevant qualifications to train.
This is a post for a qualified or trainee position, with the Banding reflecting experience and qualification. Applicants should be able to demonstrate level 7 education or relevant demonstrable experience at this level within the past 3 years.
Main duties of the job
***Preference will be given to internal Trust staff, as well as 'Priority' and 'At Risk' status including NHS At Risk staff throughout Devon who are able to display recent relevant experience as dictated by the Person Specification.***
Once qualified as an Advanced Clinical Practitioner you will be a dynamic, driven practitioner with advanced clinical expertise and a passion for continuous improvement in surgical services. You will adapt and thrive in a collaborative environment and demonstrate leadership in practice, education, and research.
To participate in pre and post-operative care of surgical patients, with particular attention to appropriate work up of patients and the establishment of effective pathways for complex procedures, wound care, wound healing and the prevention of infection in surgical wounds.
Deliver advanced perioperative and postoperative care with a focus on complex surgical pathways.
Lead on clinical governance activities, including audit and research.
Collaborate with the multidisciplinary team to optimise patient pathways and ensure adherence to cancer waiting times where appropriate.
Provide mentorship and education to junior staff while maintaining a high standard of patient-centred care.
To be an expert clinical practitioner, ensuring patients receive high quality clinical care whilst undertaking defined invasive procedures, utilising specialist knowledge and skills.
About us
We are a people business - where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. We offer all of this in a vibrant, modern city with a historic reputation for adventure. PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY. If you have any issues with applying online and need additional support including reasonable adjustments with the application process please contact the recruitment team on 01752 432100. We recognise that work life balance is important for our colleagues and so we invite requests from applicants around less than full time/flexible working for our advertised roles. Please contact the recruiting manager to discuss this prior to your application submission. We commit to giving this full consideration in each case. We encourage people from diverse backgrounds to apply for our roles, as diversity strengthens our teams. It is sometimes necessary to close vacancies before the closing date. If you have not heard from us within 4 weeks of the closing date, please assume that you have not been shortlisted.
Job description Job responsibilities
The post-holder will be supported to develop skills, practices and behaviours which include:
Clinical Practice
Assess, differentially diagnose, plan, implement and evaluate individual treatment interventions for patients by virtue of expert clinical judgement and close liaison with members of the MDT. Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses. Initiate, evaluate, and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care. Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers. Ensure compliance with their respective code of professional conduct and work within their scope of practice. Works in conjunction with the MDT to clearly define values, direction and policies impacting upon care. Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate. Be able to demonstrate a critical understanding of their broadened level of responsibility and autonomy. This includes being critically aware of their limits of their own competence and professional scope of practice, including when working with complexity, risk, uncertainty, and incomplete information. Be responsible and accountable for their decisions, actions and omissions at this level of practice. Utilise professional judgement and maturity, understanding when to seek help. Demonstrate critical reflection on own practice, self-awareness, emotional intelligence, and openness to change. Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care. Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining, and evaluating links to manage risk and issues across organisations and settings. Evidence the underpinning subject-specific competencies i.e., knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope. Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks. Actively implement effective systems and processes for infection control management whilst working clinically and be a role model forother members of the clinical team. Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with the legal framework you work under to supply and prescribe medicines (if from professional group legally entitled to prescribe). This is desirable but not essential. Upon completion of training, pre-assess patients for upcoming surgery, including undertaking a clinical examination, ordering, interpreting, acting upon and documenting investigations and findings, helping to facilitate informed clinical decision making. Accurately document findings in patient notes and clinical systems, enabling appropriate clinical decision making. With appropriate training and supervision, clinically examine a patient in routine follow up, making the appropriate checks on their recovery, requesting and interpreting further investigations such as Blood tests, Chest X-rays, ECGs and Echocardiograms, initialising readmission seeking appropriate medical opinion when needed. Documentation and communication of findings to Consultant Surgeon, dictation of letters to referring Cardiologist and General Practitioner. Communicating with the patient highly sensitive and complex information regarding risks and benefits of Surgery as part of the pre-operative consent process. Following training and appropriate supervision, competently establish invasive and non-invasive monitoring. With appropriate training and supervision contribute to the clinical management of the postoperative patient, including early recognition of common post-operative complications, requesting, interpreting further investigations and acting upon findings, seeking senior advice if required. Assist in the resuscitation of arrested or compromised patients, performing Advanced life support and when required emergency chest openings in CITU/HDU working in the role of Advanced Life Support Provider. Following training and appropriate supervision perform the removal of central lines, pacing wires and chest drains. Following training and appropriate supervision undertake the removal of IABP. Perform both male and female catheterisation. With appropriate training assist and lead in emergency CALS and chest opening situations. For further details please see the attached JD & PS
Person Specification
Knowledge & Experience Essential
Extensive demonstrable experience within speciality or clear identification of transferrable skills based on extensive demonstrable experience in another field. Influencing policy and clinical guidance Recent demonstrable experience in clinical audit and quality improvement Proven evidence of practice in line with the HEE (2017) multi-professional framework Management ability and leadership experience Demonstrable experience of education and supervision Excellent clinical and practical skills
Desirable
Change management skills Appraisal skills Implementing policy and clinical guidance Multi-professional supervision
Qualifications Essential
Masters Degree in Advanced Practice or equivalent (as defined by Trust AP policy) Statutory Professional Registration. Significant contribution to a Portfolio of Evidence Advanced Life Support/ (or Paediatric/Neonatal Life Support if applicable)
Desirable
Management package oInstructor on life support courses Education/Mentorship/ Supervision Course Leadership course Independent non-medical prescribing
Aptitude & Abilities Essential
Ability to recognise and analyse complex situations and take appropriate action. Ability to manage own case load working to priorities and deadlines Proven evidence of relevant, recent study and continuing professional development Ability to work with complex and diverse health informatics systems Ability to communicate effectively both in written and verbal form Demonstrates understanding and incorporates customer care Flexible and responsive to changing environments
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.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name University Hospitals Plymouth NHS Trust
Address Derriford Hospital
Derriford Hospital
Plymouth
PL6 8DH
Employer's website https://www.plymouthhospitals.nhs.uk/ (Opens in a new tab)