Advanced Clinical Practitioner - Spines (AHP/ Nursing)inLiverpoolinLiverpoolPUBLISHED FRI 21 MAR 2025

As part of the Cheshire and Merseyside provider programme, an exciting opportunity has arisen for experienced AHP's or Nurses to develop and work in our new, citywide, Non-medical led Spinal Service at University Hospitals of Liverpool Group.

You will undertake a significant clinical spinal caseload to an advanced professional standard using specialist knowledge from theoretical and practical experience and develop an extended scope of practice beyond your primary profession.

Delivered across the Aintree and Royal Liverpool sites, the posts are permanent, with flexibility for full or part time, extended scope roles.

If you would like to be part of this exciting journey; enjoy problem solving but don't yet have all the requisite knowledge and experience, training/apprenticeship MSc ACP posts will be considered.

You will be responsible for:

• Taking a lead role in the advanced clinical assessment and treatment of a diverse and undetermined caseload of spinal patients, who may have highly complex and/or chronic presentations
• Determining clinical diagnosis and treatments indicated
• Provide expertise for developing and enhancing the newly established service, supporting the redesign of patient referrals from secondary to tertiary care
• Preventing unnecessary admissions from AED.
• In reaching to meet the specific needs of this patient cohort from the AED and in-patient wards.
• Work closely with the medical and surgical teams to provide a specialist spinal management service.
• Triaging referrals either independently or with medical colleagues and make onward referrals
• Supporting early discharge from hospital; working closely with The Walton Centre, Clatterbridge Cancer Centre, community partners and our Therapy outpatient services.

The above list is not exhaustive. This is a new and developing role - we would welcome applicants who can bring their own experience, ideas and innovation to make this a success.

About us

1. To improve the experience and outcomes of care for patients by taking the lead in investigations and treatments prescribed.2. To provide a consistent and personalised service by ensuring that the patients receive the best care, in the best place from the best person or team.3. To provide social, emotional and psychological support for patients from referral and throughout their treatment.4. To deliver expert specialist evidence based care including: development, assessment, planning, implementing, evaluating programmes of evidence based care for a defined caseload.5. To make appropriate referral to consultants/other specialist/members of the multidisciplinary team in primary, secondary or tertiary care settings.6. To be aware of risk management issues both locally and nationally and develop strategies to address identified issues.

Key responsibilities

Clinical.

1. To maintain personal accountability for professional and ethical actions and ensure compliance with the standards of professional conduct issued by the relevant regulatory body2. To maintain and develop a specialist service for patients within the caseload, ensuring that the treatment and follow up of this group of patients is delivered in a timely manner.3. To provide and maintain a diagnostic service for the Trust. Ensure clinician-June 2022 led clinics provide for both diagnoses and reporting of subsequent results for identified patients.4. To provide teaching as an in-house measure to all medical and clinical staff, not only within the Care Group but also from other services.5. To provide a clinician-led clinic service to patients.6. To plan and administer treatment to patients as appropriate and ensure handover of this treatment to community services as necessary.7. To provide expert care, advice and support for patients and theirrelatives/carers and ensure that advice and point of contact is available throughout the patients journey.8. To refer on to other agencies as appropriate.9. To operate as clinical specialist and expert practitioner in issues relating to the identified area of care. To direct and delegate care based on accurate assessment and evaluation.10. To take consent for investigative procedures, manipulate equipment and perform advanced clinical skills.Management and Quality.11. Act as a change agent for the development of the service.12. Assisting in the audit and data collection required for developing evidence based services.13. To provide verbal and written reports to appropriate managers and clinical leads.14. To monitor the effectiveness of the service by continuous audit.15. To ensure that equipment is maintained and serviced as required.16. To develop protocols, documentation, standards and guidelines to enable best practice for the care of patients. In the identified/specified area.17. To be involved in complaints handling according to the Trusts Complaints Procedure.18. To establish a clear focus, vision and direction for the service, within the Care Group.19. To ensure effective and efficient use of financial resources, contributing to increasing the efficiency and controlling cost within the departmental budget. Making recommendations regarding supplies and purchasing of equipment.

Communication and Liaison

20. To promote effective communication within the hospital and to the patient and/or their relatives.21. Act as a point of liaison between all hospital departments involved in the patients journey.22. Act as a source of specialist information for clinicians and other members of the multidisciplinary team.23. Liaise with other departments/ Trusts regarding services provided and current practises to develop best evidence based practice.24. To be skilled to impart distressing information with respect and empathy.25. To ensure that all patient records are maintained contemporaneously.