Advanced Nurse Practitioner - Clinical Haematology inManchester inManchester PUBLISHED 5 JUN 2024

Detailed job description and main responsibilities

• Perform clinical assessments and request relevant investigations and tests for clinical haematology patients attending for treatments and review within the outpatient service.
• Interpret results and act appropriately to form a management plan.
• Under the supervision of registrars and consultants provides cross cover for clinical haematology across the departments including inpatient services
• Provides expert professional advice to patients/clients, carers, and staff, working in partnerships with patients, families, and other professionals to formulate robust care pathways that are ethically sound and in the interest of the patients.
• Maintain and develop expertise and competence within the field of clinical haematology to enable collaboration with other advanced nurse practitioners and medical staff, and to facilitate the management of patients.
• To consent patients for treatment and procedures as per hospital policy.
• Is a non-medical prescriber, including first line chemotherapy.
• Accept and make appropriate referrals from/to other professional colleagues. Check and interpret the same and act as clinically indicated.
• Arrange or refer the patient for appropriate diagnostic tests and investigations, e.g., radiology, interpret these and act as indicated.
• Communicate complex, sensitive, or contentious information to patients and carers. This may include results of scans, management options and discusses details of prognosis including palliative care.
• Educate patients and their carers on issues surrounding health promotion and illness prevention. Promote and facilitate changes to lifestyle where appropriate.
• Ensure patients receive appropriate information and support in relation to their illness and treatment. Refer to other professionals as appropriate.
• Be an effective communicator with patients, relatives, and members of the multidisciplinary team. Ensure patients' needs are appropriately conveyed and advocated to the team. Work with team members on issues relating to patient management.
• Communicate with the patient's referring specialist, general practitioner and other community-based services at regular intervals, both verbally and in writing.
• Act as an expert resource in providing advice and support to ward/departmental areas, and the wider community, on the management of specific haematological diseases, ensures the working environment is conducive to the development and education of students and other Health Care Professionals.
• Development of patient information specific to own area of expertise.
• Follows an agreed protocol in the management of patient follow
• Prescribes blood products as per hospital policy.
• Presents own patient group at MDTs and delivers agreed plan to the patient and their family.
• Ensures patients, carers and relatives are fully considered in the context of care, activity participating in ethical decision-making.
• Educate patients and their carers on issues surrounding health promotion and illness prevention. Promote and facilitate changes to lifestyle where appropriate.
• Ensure interventions are undertaken in line with best practice guidelines.
• Provide an environment that encourages patient centred involvement.

MANAGEMENT RESPONSIBILITIES

• Provides line management and support for defined team.
• Contribute to the locality management arrangements and delivery of the Trust and department objectives.

• Contribute to wider issues in the Trust such as committee membership, policy development, mentorship, and assessment of colleagues.
• Participate in nursing and clinical developments within the organisation.
• Participate in oncology advisory boards and relevant working groups as invited.

Training and Education

• Provide specialist training and education locally, nationally and internationally and act as an ambassador for the Trust.
• Work within professional codes and policies laid down both nationally and by the Trust.
• Work within professional codes and policies laid down both nationally and by the Trust.
• Participate in clinical supervision as a supervisor and where appropriate a supervisee.
• Identify own development needs in line with service requirements within personal development plan. Undertake continuing professional development to ensure that skills remain optimal and new elements can be added to the skills portfolio.
• To participate in Trust ACP teaching and training program allowing professional and clinical updating to take place e.g., Non-Medical Prescribing
• Assist in the identification of the training needs of colleagues and participate in their continuing education, mentorship, and skills development.
• Contribute to the development and dissemination of new knowledge by submitting papers for publication and/or abstracts for appropriate conferences.
• Have a named mentor from within the medical team for continuing clinical support and development.
• Contributes to the education program to all health care professionals in informal and formal settings relating to haematology practice. This will be training and education locally, nationally, and internationally (e.g., presenting at meetings, study days, conferences).
• Acts as a role model, educator, supervisor, coach, and mentor, seeking to instil and develop the confidence of others.
• The development of patient/carer teaching and information giving session/support groups and education materials.

Leadership

• Works closely with clinical colleagues to propose changes for service redesign with a firm evidence base under the direction of the clinical director and head of directorate services.
• Participate in departmental meetings.
• Demonstrates the agreed set of Christie values and be accountable for own attitude and behaviour.

Research, Audit and Quality

• Undertakes evaluation of the role and utilises evidence to ensure role remains effective.
• Always promotes evidence-based practice and be GCP compliant.
• Promotes recruitment into clinical trials and work closely with the Research and Development Team
• Initiates and assists in clinical audits in own area of practice, including patient satisfaction.
• To understand the quality agenda and how standards of care can be improved utilising current quality systems and standards.
• To assess and monitor the quality of work in own area, raise quality issues and related risks and bring to the attention of others.
• Undertakes investigations into incidents as assigned by senior managers, identify contributing factors and propose methods for addressing them.
• Initiate and participate in relevant research as required. Develop research interests with regards to the specialist role and client group.
• Participate in innovative and research-based practice with the intention of combining medical and nursing duties to promote excellence in patient care.
• Involvement in medical and/or nurse led research within specialist area, in response to an identified need. Disseminate results within department and publish as appropriate. Present at National and International disease group specific educational meetings.

CommunicatioN

• To form relationships with other staff and managers across the Trust and build trust and enhance the reputation of The Christie.
• To ensure awareness of sources of support and guidance such as PALS and provide information.
• Maintains patient care records.
• Maintain confidentiality as required by professional, local, and national policy, but acknowledge situations where there can be a breach of confidentiality.
• Able to recognise and defuse potentially aggressive and violent individuals/situations in line with local policy and legal frameworks
• To sensitively explain the results of investigations including the possible need for intervention, poor prognosis, or the existence of chronic/fatal pathology.
• Involvement in breaking bad news, related to diagnosis, prognosis and end of life decision making.
• Involvement in Advanced Care Planning, preferred place of care, preferred place of death
• Safeguarding, reporting, and receiving highly sensitive confidential information is an integral part of the role, to ensure both the nurse clinician and others follow robust policy and procedures in this regard.
• To ensure that essential information on the patients' condition and progress is recorded by self and team members appropriately according to NMC guidelines.

Responsibility for Human Resources

• Identifies staff training needs for quality team to support the development in a supportive environment.
• Ensures Quality Team compliance with mandatory and essential training.
• Undertakes staff appraisal, recruitment, retention, and job planning.

Responsibility for financial resources

• Contribute to department cost improvement by ensuring efficient service delivery in line with department objectives.

Physical Effort

• Will be required to examine patients, during and after treatment.
• Perform clinical procedures safely according to defined protocols. These may include bone marrow aspirate biopsies, trephines and harvests, and skin biopsies.

Mental Effort

• Produces reports and information that may require multiple sources of data being utilised.
• Responds to situations quickly that may require interruptions to schedule of work particularly due to the nature of the role.

Equality and Diversity

• To provide support and care for the patient and his/her family respecting their need for privacy and dignity.
• To recognize and promote the importance of people's rights and interpret them in a way that is consistent with the Trust policy, procedures and legislation.
• To challenge behaviour that infringes the rights of others.
• To identify and take action where necessary to address discrimination and oppression.

Freedom to Act

• Ability to form own expert clinical judgments, working autonomously as an advanced practitioner within professional boundaries and Trust policies, procedures and legislation.

Person specification



Qualifications



Essential criteria

• Current 1st level registration with the UK Nursing and Midwifery Council
• Educated to MSc level in Advanced clinical practice or equivalent
• Non-medical prescriber qualification
• Specialist-specific professional qualifications commensurate with role
• Evidence of continued professional development-reviewing current practice and research developments within cancer.

Desirable criteria

• Advanced communication skills Management qualification, e.g
• Diploma in cancer care or haematology/BMT
• Has relevant publications
• Teaching qualification e.g., PGCE, ENB998 or equivalent
• Good Clinical Practice (GCP)

Experience



Essential criteria

• Expert knowledge of nursing practice and multidisciplinary teamwork within consultancy area

Desirable criteria

• Senior clinical practice at expert level in clinical haematology
• Can demonstrate assertiveness, tact and diplomacy appropriately.
• Evidence of involvement in policy and practice change.
• Knowledge of service improvement techniques and implementing large scale change

Skills



Essential criteria

• Teaching and presentation skills and have excellent interpersonal and communication skills for conveying complex concepts.
• Ability to coach, motivate and inspire
• Networking amongst internal and external professional/organisation
• Able to work efficiently and use own initiative and have good time management
• Work within and always promote the Trusts values and behaviours

Desirable criteria

• Ability to teach and assess bone marrows
• Computer literacy.

Knowledge



Essential criteria

• Evidence of a sound clinical knowledge base in clinical haematology and haemato oncology.
• Knowledge of clinical governance

Values



Essential criteria

• Ability to demonstrate the organisational values and behaviours

Other



Essential criteria

• Quality
• clinical governance and risk assessment abilities
• Patient and customer focus
• Continuous Improvement

Desirable criteria

• Demonstrates clinical governance

The closing date for this post may be extended if there are insufficient applicants or brought forward if there is a high volume of applicants.

We want to ensure that everyone who works at the Christie or uses our services is welcomed, valued and treated with dignity and respect. The Christie values diversity and is committed to ensuring equal opportunities for all and fair representation across the organisation at all levels. In support of these commitments, we particularly welcome applications from Black, Asian and other ethnic minority people and people with disabilities for this post. Appointment will be only on merit.

We are committed to creating a balanced and diverse workforce. As such we welcome and encourage applications from people of all backgrounds. Together we will foster inclusion and tackle inequity and health inequalities in cancer care.

As users of the disability confident scheme, we guarantee to interview all disabled applicants who meet the minimum criteria for the vacancy

All positions within the Christie are subject to the receipt of satisfactory written references, medical clearance and evidence of your Right to Work in the UK. Some roles will require a Disclosure & Barring Service (DBS) check. Please note if you are successfully appointed to a post with this Trust, you will be required to pay for your own DBS Disclosure.

By applying for this post you are agreeing to The Christie NHS Foundation Trust transferring the information contained in this application to its preferred applicant management system. If you are offered a job information will also be transferred into the national NHS Electronic Staff Records system. Please note, all communication regarding your application will be made via email, please ensure you check your junk/spam folders as emails are sometimes filtered there.

If you have not heard from us within four weeks of the closing date, I regret that on this occasion your application will have been unsuccessful.

The Inter-Authority Transfer (IAT) process is a critical and beneficial component of ESR and will form part of the recruitment process. In the event that you are successful following interview your previous NHS employment data, if applicable will be transferred from your current / most recent employer.

Overseas candidates wishing to apply for this position and who would require immigration sponsorship, may wish to self-assess the likelihood of obtaining a Certificate of Sponsorship for the post on the UKVI website.

You should be aware the Trust operates a No Smoking Policy and therefore employees are not permitted to smoke at work.


Employer certification / accreditation badges



Applicant requirements


You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.


Documents to download

• Job Description and Person Specification (PDF, 192.4KB)
• The Christie Values and Behaviours (PDF, 919.5KB)
• Strategy Brochure (PDF, 1.0MB)
• Trust Membership - Christie Talent (PDF, 23.0KB)
• Travel to The Christie (PDF, 3.8MB)