About this role
Job summary Advanced practitioner with highly developed knowledge, skills and clinical expertise in diagnosis, management and treatment of Cardiovascular conditions. Providing support to hospital and community based clinical staff, and nursing colleagues, working collaboratively to improve the quality of care and health outcomes for all patients using the clinical pathways within the CDC and PAH Cardiology Services. Acting in a professional and compassionate way to provide clinical advice and professional support to patients, carers and colleagues. Maintain and provide clinical excellence through the use of evidenced based practice, and participation in clinical audit and research.
This is a senior nursing role that leads the drive to improve the quality of patient care across the evolving diagnostic and treatment pathways enabled by the CDC. In conjunction with the Lead Nurse for Cardiology Diagnostic Pathways, Cardiology Medical and Operational teams, the post holder will work across organisational boundaries to ensure appropriate services are in place and to deliver national and local strategic and operational service objectives and quality standards.
They will be responsible for managing their own case load of patients ensuring a high quality, effective, safe and efficient service.
Main duties of the job To work at an advanced level, practising autonomously and independently (as well as within a multi-disciplinary team), to deliver a Cardiology Nurse-Led Diagnostic, Assessment and Treatment service within the CDC and PAH Cardiology service To act as facilitator, educator and role-model in delivering a comprehensive Cardiology Diagnostic and Treatment service To work collaboratively with clinical and nursing colleagues, community teams and designated health and social care organisation in delivering appropriate patient centred treatment and care in line with the evolving strategic vision of PAH NHS Trust Working at an advanced level, drawing from a diverse range of experience and knowledge in making decisions around triaging of referrals, required interventions and treatment, including prescribing medication and developing clinical management plans Promote a high standard of advanced specialist nursing care by initiating and coordinating the assessment, planning, delivery and evaluation of the holistic needs of patients and families through evidence-based practice following agreed policies, protocols and guidelines To initiate and develop strategies to meet the requirements and targets set by national and local statutory bodies. To safeguard and act in the best interests of patients by maintaining the inherent dignity and value of each individual enabling them to make informed choices in order to reach their own potential. (Acknowledgement to the NMC Code).
About us The Princess Alexandra Hospital NHS Trust (PAHT) is proud to care for the communities of West Essex, delivering safe, compassionate, and high-quality services. We are part of the Neighbourhood Wave; a national programme thats changing how care is delivered by focusing on prevention, early support, and more joined-up services across health, social care, and the voluntary sector.
This means were working more closely with local partners to bring care closer to home and support people to live healthier, more independent lives.
Were a supportive and inclusive organisation that values its people. We offer development opportunities, flexible working, and a strong focus on wellbeing. As a Disability Confident and equal opportunities employer, we welcome applicants from all backgrounds and experiences.
Join us and help shape the future of care in West Essex.
Job description Job responsibilities
To act as an autonomous practitioner with full clinical accountability for a caseload and be a recognised clinical leader for the acute Trust in this area of work.
Develop key working relationships with specialist nursing, medical and allied health teams, as well as other primary care teams involved in the care of Cardiology patients.
To assist and support in collaboration with the Cardiology team in the Community and local GP practices in identifying patients at risk of cardiovascular illness and improving their care.
To ensure that evidence-based care is provided to patients with potential cardiovascular cause of their symptoms.
To collaborate with existing Acute/Community Specialist Nurses to enable a strategy to develop the service in line with evidence-based guidelines.
To support and lead Nurse-led diagnostic clinics in the CDC.
To review, initiate and titrate medications according to clinical needs to improve outcomes and reduce mortality and morbidity in Cardiology patient.
To educate patients and their relatives/carers to understand how to self-monitor their condition. Ensuring the needs of our local global majority population are identified and met.
To liaise closely with primary care teams to establish the necessary protocols to facilitate effective disease management within the community.
To develop case management competencies and to case manage relevant numbers of Cardiology patients and support in the management of co-morbidities.
To initiate, support and participate in audit programmes in collaboration with the Acute Trusts audit teams – specifically including the reporting to NHS England on CDC specific activity.
To be able to prescribe evidence-based medications for common Cardiology illness, to enable the effective management of patients with these chronic conditions.
To provide reports on service delivery, patient outcomes and key performance indicators on a regular basis to the Integrated Emergency and Medical Pathways Triumvirate
To work with and refer appropriately to other agencies to enable identified patients to be managed in a pro-active way, with the aim of improving the overall patient and care experience.
To foster a culture that encourages continuous learning and develop skills in quality improvement
To be a champion for the Cardiology Nurse-Led Diagnostic, Assessment and Treatment service, and empower team members to enhance patient care delivery
Responsibility for Staff:
To co-ordinate an ongoing education and support programme for health professionals working within the acute trust related to Cardiology Nurse-Led Diagnostic, Assessment and Treatment services.
To keep up to date with developments and initiatives within nursing as a whole and in the care of Cardiology chronic disease management.
To develop, deliver and evaluate the training and education for healthcare professionals in The Princess Alexandra Trust and Primary Care services who would refer to the Cardiology Nurse-Led Diagnostic, Assessment and Treatment services, with the aim of standardising the training and education related to new diagnostic and treatment pathways provided in the CDC.
To use skills acquired through accredited trainer courses to improve teaching and learning.
To provide mentorship, to mentor junior nurses and other health professionals within the team or related services.
To undertake Clinical Supervision in line with Trust Guidelines identifying an appropriate supervisor and taking responsibility for ensuring supervision is undertaken.
Responsibility for Patients:
To triage referrals, plan and co-ordinate a caseload of patient’s referred to the Cardiology Nurse-Led Diagnostic, Assessment and Treatment services. And be responsible for assessing patients’ physical and social circumstances and the need for intervention/investigations, and communicate findings to the original referrer, patient and wider MDT.
To create a suitable learning environment for all patients/relatives/carers. This includes providing information and support to other health professionals on latest evidence-based care recommendations, in accordance to national and local guidelines.
To speak at hospital & local community events to disseminate good practice.
Responsibility for Administration:
To maintain accurate, contemporaneous and legible patient records and prepare reports as required.
Following training to co-ordinate data collection and input to any relevant local and national audit programmes
Responsibility for Strategic and Service Development:
To work as appropriate with Cardiology lead and Clinical Governance leads to ensure the highest quality of care to patients with Cardiovascular Conditions within the area.
To ensure the highest level of care for patients accessing the Cardiology Nurse-Led Diagnostic, Assessment and Treatment services in the CDC.
Responsibility for Research and Development:
Initiate, support and participate in research programmes and the implementation of research-based practice.
Other
To uphold the nurse’s professional responsibilities in delivering skilled nursing care to include being responsible for own professional development/update in accordance with revalidation and maintaining current registration of the post with the NMC.
In addition to the duties and responsibilities listed, the post holder may be required to perform other duties to facilitate the smooth running of the organisation.
The job description will be revised regularly to take account of changes within the organisational structures and the Trust’s business plan.
All duties must be carried out in accordance with the Trust’s policies and procedures.
PERSONAL DEVELOPMENT
Be aware of own development needs and take appropriate action.
Keep updated of evidence-based practice and government policies related to care.
Act as an effective role model at all times.
This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and the manager. All duties must be carried out under supervision or within Trust policy and procedure.
Person Specification
Qualifications Essential
Educated to diploma/ degree level Highly developed specialist professional knowledge in managing Cardiology patients, acquired through post graduate specialist training (to a masters or equivalent level) or by demonstrable working experience Non-Medical Prescriber Qualification Ability to interpret relevant investigations including, ECGs, Echocardiogram and Chest X Ray Immediate Life Support Course E
Desirable
IRMER Qualification/ Certificate or equivalent Recognised management/ leadership course Research qualification/ experience Recognised qualification in teaching and assessing in clinical practice
Experience Essential
Demonstrable evidence of strong clinical experience within the Cardiology field working at a specialist level Experience in introducing and managing nurse-led practice Working in Cardiology diagnostics/treatment pathways Evidence of advanced patient assessment skills Evidence of the ability to work autonomously and make sound clinical decisions Experience of leading service development and successfully managing change
Desirable
Experience/ participation in clinical research. Experience of budgetary management.
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.
Employer details Employer name The Princess Alexandra Hospital NHS Trust
Address The Princess Alexandra Hospital
Harlow
Essex
CM20 1QX
United Kingdom
Employer's website https://www.pah.nhs.uk (Opens in a new tab)