Advanced Clinical Practitioner inMacclesfield inMacclesfield PUBLISHED 8 JUN 2024

As users of the disability confident scheme, we guarantee to interview all disabled applicants who meet the minimum criteria for the vacancy.
Detailed job description and main responsibilities



Advanced Clinical Practice


1.0 Plan and manage own workload and the workload of the service, in a flexible manner, ensuring that service provision meets the need of patients.

1.1 Recognises and appropriately responds to limitations and gaps in knowledge seeking support where necessary. Demonstrates critical self-reflection, self-awareness, emotional intelligence, and openness to change.

1.2 Develops and undertakes advanced clinical skills in assessing and managing patients. This includes obtaining informed consent, history taking, screening, systematic physical examination, requisition and interpretation of appropriate clinical investigations and formulation of clinical management plans.

1.3 Maintain and develop expertise and competence within the field of oncology to enable collaboration with senior colleagues and medical staff, and to facilitate the management of patients.

1.4Use evidence-based research to support clinical decisions and management plans.

1.5 Prescribe within the capacity of non-medical prescribing, adhering to Trust policy and existing frameworks including first and subsequent cycles of chemotherapy (as per Medicines Practice Operational Policy July 2, unlicensed medication and drugs used within clinical trials as qualified Independent Non-Medical Prescriber. Prescribe appropriate blood products as per Trust policy.

1.9 Liaise with the wider inter-professional teams regarding the management of patients under their care.

1.10 Accept referrals from other health care professionals and refer patients directly to other specialties within the appropriate primary, secondary and tertiary care settings.

1.11 Communicate highly complex and sensitive information to patients and their significant others, this may include diagnosis, results of scans or other investigations, management options and prognosis.

1.12 Work collaboratively with an appropriate range of multi-agency and multi-professional resources, developing, maintaining, and evaluating links to manage risk and issues across organisations and settings.

1.13 Prepare accurate and concise records and reports, both verbal and written. Communicate with the patient's referring specialist, GP, and other community. and hospice-based services at regular intervals as appropriate.

1.14 Contribute to clinical and research governance processes, including adverse incident reporting and the investigation and the management of complaints as appropriate

1.15 Educate patients and their carers on issues surrounding health promotion and illness prevention. Promote and facilitate changes to lifestyle where appropriate.

1.16 Contribute to the coordination and effective management of the admission and discharge process as appropriate for disease group with reference to Bed Management Policy.

1.17 Perform clinical procedures safely according to defined protocols.

1.18 Develop patient specific information and ensure patients receive appropriate information, advice, and support in relation to their illness and treatment. Provide an environment that encourages patient centred involvement.

1.19 Be an active member of relevant Trust committees and groups contributing to developing/implementing local/national strategy.

1.20 Collaborate within the Cancer Network and offer clinical support to colleagues within cancer units, relating to individual patient management, health care delivery, peer review and strategic policy initiatives. Assist in the development of integrated patient pathways (e.g., NICE Guidance on Cancer Services, NHS Guidance etc.).

1.21 Act as an expert resource and provide advice and support to ward/departmental areas and the wider community.

1.22 Demonstrate professionalism in terms of attitude, communication, and appearance at all times.

1.23 Perform authorities as part of a clinical trial and maintain ICH/GCP competence.


LEADERSHIP AND MANAGEMENT


2.0 Contribute as appropriate to the development of strategies within the Division and wider Trust.

2.1 Be a visible role model for advanced clinical practice in research demonstrating a person-centered approach to service delivery and development within the Trust and externally at a National & International level.

2.2 Promote the role of advanced clinical practitioner locally, nationally and internationally.

2.3 Pro-actively initiate and develop effective relationships to empower and inspire staff members, to promote productive working and enhance patient care.

2.4 Provide professional, clinical and academic leadership and supervision to other professionals as appropriate within the scope of the role

2.5 Lead on clinical audit, including service evaluation and clinical service re-design including evaluation of own practice, demonstrating the impact of advanced practice on service function and effectiveness, (e.g. outcomes of care, experience and safety).

2.6 Critically apply advanced clinical expertise to provide consultancy across professional and service boundaries, such as the development of clinical protocols, standards and guidelines to enhance quality and promote sharing and adoption of best practice.

2.7 Demonstrate excellent leadership skills by identifying, leading and implementing change required for service improvement, risk management, governance and quality.

2.8 Contribute to local, regional and national clinical networks including specialty groups and key stakeholders.

2.9 Continually develop practice in response to changing population health and research needs; engaging in horizon scanning for future developments.

2.10 Actively seek feedback and involvement from patients, families and carers by engaging with Patient Participation and Involvement (PPI) groups in all aspects of patient care and research service delivery i.e., focus groups.

2.11 Demonstrate resilience and determination in managing situations which are complex or unpredictable.

2.12 Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals, families, carers, communities and colleagues safety and well-being when necessary.

2.13 Participate in innovative and research-based practice to promote excellence in patient care.

2.14 Maintain professional registration and practice through CPD and relevant professional bodies revalidation/renewal processes.

2.15 Maintain professional portfolio to demonstrate competency in line with the trust competency framework.

2.16 Maintain personal standards of conduct and behaviour consistent with Trust and relevant professional bodies guidelines.

2.17 Recognise and acts as an advocate for patients, carers and service organisation. Lead change as required and ensure resolution of conflict.

2.18 To assume or share management responsibility for colleagues within disease group as required.


EDUCATION


3.0 Critically assess and identify own learning and development needs in line with service requirements. Negotiate an annual personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice and undertake professional development accordingly.

3.1 Engage in self-directed learning, critically reflecting to maximise clinical skills and knowledge. Participate in the on-going advanced clinical practice training and education program both within the organisation and beyond e.g., national/ international conferences.

3.2 Promote and contribute to a culture of organisational learning to inspire future and existing staff

3.3 Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.

3.4 Undergo regular clinical supervision with colleagues from within the organisation e.g. a named mentor from the medical team, as well as seek mentorship externally and coaching where applicable.

3.5 Identify further developmental needs for individuals and the wider team and supporting them to address these.

3.6 Act as an educator, supervisor, coach and mentor, seeking to instill and develop the confidence and skill of others

3.7 Support, supervise and assess clinical competencies of nursing staff and other members of the multidisciplinary/research teams as appropriate

3.8 Provide specialist training and education locally, nationally and internationally (eg organising/hosting/presenting at meetings, study days, conferences etc).


RESEARCH


4.0 Engage in research activity, adhering to good research practice guidance, so that evidence-based strategies are developed and applied to enhance quality, safety, productivity and value for money.

4.1 Contribute to the delivery of the Trust strategic vision for academic nursing and AHP roles.

4.2 Disseminate best practice/research findings and quality improvement projects through appropriate media. For example, via local team and/or national/international peer reviewed publications.

4.3 Evaluate and audit own and others clinical practice, selecting and applying valid, reliable methods, then acting on findings.

4.4 Critically appraise and synthesise the outcome of relevant research, evaluation and audit, using the results to underpin own practice, and to inform that of others.

4.5 Use a critical approach to identify gaps in the evidence base and its applications to practice, alerting appropriate individuals and organisations to these and how they might be addressed in a safe and pragmatic way.

4.6 Actively identify potential need for further research to strengthen evidence for best practice. This may involve acting as an educator, leader, innovator and contributor to research activity and/or applying for research funding.


Person specification



Qualifications



Essential criteria

  • Registered Health Care Professional with clinical responsibilities e.g., - Registered Nurse - Pharmacist - Paramedic - Physiotherapist - Therapeutic Radiographer (This list is not exhaustive)
  • MSc. in Advanced Clinical (or Nursing) Practice (which includes clinical practice hours as defined by the University)

Desirable criteria

  • Advanced Life Support Course
  • Teaching & Mentorship Course
  • Recent evidence of continuing professional development
  • Advanced Communication Skills training
  • Non-medical prescribing

Experience



Essential criteria

  • Post registration experience with some experience at Band 6 or higher (prior to achieving MSc. in Advanced Clinical (or Nursing) Practice)
  • Experience of working autonomously and as part of a team delivering clinical care to unwell patients

Desirable criteria

  • Experience of assessing and managing acute medical problems
  • Experience in oncology/cancer care

Skills



Essential criteria

  • Excellent communication skills: interpersonal, written and verbal.
  • Ability to assess and manage patient risk effectively and safely
  • Ability to work across professional boundaries e.g., experience of working in a multi-disciplinary team
  • Good time management, organisational skills and ability to prioritise a busy/ unpredictable workload.
  • Well-developed IT skills/ word processing/ data collection/ internet skills.
  • Leadership and Management skills.

Desirable criteria

  • Ability to think strategically in relation to long-term service development
  • Presentation skills.
  • Reflective practitioner

Knowledge



Essential criteria

  • Understanding of evidence based practice
  • Working knowledge of clinical governance.
  • Ability to use research findings in clinical practice.
  • Knowledge of national standards and policy that inform best practice (for example: NICE/ Department of Health guidelines).
  • Appreciate the accountability associated with advanced clinical roles.

Desirable criteria

  • Evidence of involvement with research and audit.
  • Experience of policy and procedure writing.

Values



Essential criteria

  • Ability to demonstrate the organisational values and behaviours.
  • Committed to professional development.
  • Confidence to adapt to an evolving and changing service.

Other



Essential criteria

  • Committed and flexible with shift patterns and availability.
  • Ability to travel across sites regularly
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, 111.0KB)
  • 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)
Detailed job description and main responsibilities


Advanced Clinical Practice


1.0 Plan and manage own workload and the workload of the service, in a flexible manner, ensuring that service provision meets the need of patients.

1.1 Recognises and appropriately responds to limitations and gaps in knowledge seeking support where necessary. Demonstrates critical self-reflection, self-awareness, emotional intelligence, and openness to change.

1.2 Develops and undertakes advanced clinical skills in assessing and managing patients. This includes obtaining informed consent, history taking, screening, systematic physical examination, requisition and interpretation of appropriate clinical investigations and formulation of clinical management plans.

1.3 Maintain and develop expertise and competence within the field of oncology to enable collaboration with senior colleagues and medical staff, and to facilitate the management of patients.

1.4Use evidence-based research to support clinical decisions and management plans.

1.5 Prescribe within the capacity of non-medical prescribing, adhering to Trust policy and existing frameworks including first and subsequent cycles of chemotherapy (as per Medicines Practice Operational Policy July 2, unlicensed medication and drugs used within clinical trials as qualified Independent Non-Medical Prescriber. Prescribe appropriate blood products as per Trust policy.

1.9 Liaise with the wider inter-professional teams regarding the management of patients under their care.

1.10 Accept referrals from other health care professionals and refer patients directly to other specialties within the appropriate primary, secondary and tertiary care settings.

1.11 Communicate highly complex and sensitive information to patients and their significant others, this may include diagnosis, results of scans or other investigations, management options and prognosis.

1.12 Work collaboratively with an appropriate range of multi-agency and multi-professional resources, developing, maintaining, and evaluating links to manage risk and issues across organisations and settings.

1.13 Prepare accurate and concise records and reports, both verbal and written. Communicate with the patient's referring specialist, GP, and other community. and hospice-based services at regular intervals as appropriate.

1.14 Contribute to clinical and research governance processes, including adverse incident reporting and the investigation and the management of complaints as appropriate

1.15 Educate patients and their carers on issues surrounding health promotion and illness prevention. Promote and facilitate changes to lifestyle where appropriate.

1.16 Contribute to the coordination and effective management of the admission and discharge process as appropriate for disease group with reference to Bed Management Policy.

1.17 Perform clinical procedures safely according to defined protocols.

1.18 Develop patient specific information and ensure patients receive appropriate information, advice, and support in relation to their illness and treatment. Provide an environment that encourages patient centred involvement.

1.19 Be an active member of relevant Trust committees and groups contributing to developing/implementing local/national strategy.

1.20 Collaborate within the Cancer Network and offer clinical support to colleagues within cancer units, relating to individual patient management, health care delivery, peer review and strategic policy initiatives. Assist in the development of integrated patient pathways (e.g., NICE Guidance on Cancer Services, NHS Guidance etc.).

1.21 Act as an expert resource and provide advice and support to ward/departmental areas and the wider community.

1.22 Demonstrate professionalism in terms of attitude, communication, and appearance at all times.

1.23 Perform authorities as part of a clinical trial and maintain ICH/GCP competence.

LEADERSHIP AND MANAGEMENT


2.0 Contribute as appropriate to the development of strategies within the Division and wider Trust.

2.1 Be a visible role model for advanced clinical practice in research demonstrating a person-centered approach to service delivery and development within the Trust and externally at a National & International level.

2.2 Promote the role of advanced clinical practitioner locally, nationally and internationally.

2.3 Pro-actively initiate and develop effective relationships to empower and inspire staff members, to promote productive working and enhance patient care.

2.4 Provide professional, clinical and academic leadership and supervision to other professionals as appropriate within the scope of the role

2.5 Lead on clinical audit, including service evaluation and clinical service re-design including evaluation of own practice, demonstrating the impact of advanced practice on service function and effectiveness, (e.g. outcomes of care, experience and safety).

2.6 Critically apply advanced clinical expertise to provide consultancy across professional and service boundaries, such as the development of clinical protocols, standards and guidelines to enhance quality and promote sharing and adoption of best practice.

2.7 Demonstrate excellent leadership skills by identifying, leading and implementing change required for service improvement, risk management, governance and quality.

2.8 Contribute to local, regional and national clinical networks including specialty groups and key stakeholders.

2.9 Continually develop practice in response to changing population health and research needs; engaging in horizon scanning for future developments.

2.10 Actively seek feedback and involvement from patients, families and carers by engaging with Patient Participation and Involvement (PPI) groups in all aspects of patient care and research service delivery i.e., focus groups.

2.11 Demonstrate resilience and determination in managing situations which are complex or unpredictable.

2.12 Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals, families, carers, communities and colleagues safety and well-being when necessary.

2.13 Participate in innovative and research-based practice to promote excellence in patient care.

2.14 Maintain professional registration and practice through CPD and relevant professional bodies revalidation/renewal processes.

2.15 Maintain professional portfolio to demonstrate competency in line with the trust competency framework.

2.16 Maintain personal standards of conduct and behaviour consistent with Trust and relevant professional bodies guidelines.

2.17 Recognise and acts as an advocate for patients, carers and service organisation. Lead change as required and ensure resolution of conflict.

2.18 To assume or share management responsibility for colleagues within disease group as required.

EDUCATION


3.0 Critically assess and identify own learning and development needs in line with service requirements. Negotiate an annual personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice and undertake professional development accordingly.

3.1 Engage in self-directed learning, critically reflecting to maximise clinical skills and knowledge. Participate in the on-going advanced clinical practice training and education program both within the organisation and beyond e.g., national/ international conferences.

3.2 Promote and contribute to a culture of organisational learning to inspire future and existing staff

3.3 Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.

3.4 Undergo regular clinical supervision with colleagues from within the organisation e.g. a named mentor from the medical team, as well as seek mentorship externally and coaching where applicable.

3.5 Identify further developmental needs for individuals and the wider team and supporting them to address these.

3.6 Act as an educator, supervisor, coach and mentor, seeking to instill and develop the confidence and skill of others

3.7 Support, supervise and assess clinical competencies of nursing staff and other members of the multidisciplinary/research teams as appropriate

3.8 Provide specialist training and education locally, nationally and internationally (eg organising/hosting/presenting at meetings, study days, conferences etc).

RESEARCH


4.0 Engage in research activity, adhering to good research practice guidance, so that evidence-based strategies are developed and applied to enhance quality, safety, productivity and value for money.

4.1 Contribute to the delivery of the Trust strategic vision for academic nursing and AHP roles.

4.2 Disseminate best practice/research findings and quality improvement projects through appropriate media. For example, via local team and/or national/international peer reviewed publications.

4.3 Evaluate and audit own and others clinical practice, selecting and applying valid, reliable methods, then acting on findings.

4.4 Critically appraise and synthesise the outcome of relevant research, evaluation and audit, using the results to underpin own practice, and to inform that of others.

4.5 Use a critical approach to identify gaps in the evidence base and its applications to practice, alerting appropriate individuals and organisations to these and how they might be addressed in a safe and pragmatic way.

4.6 Actively identify potential need for further research to strengthen evidence for best practice. This may involve acting as an educator, leader, innovator and contributor to research activity and/or applying for research funding.

Person specification


Qualifications


Essential criteria

  • Registered Health Care Professional with clinical responsibilities e.g., - Registered Nurse - Pharmacist - Paramedic - Physiotherapist - Therapeutic Radiographer (This list is not exhaustive)
  • MSc. in Advanced Clinical (or Nursing) Practice (which includes clinical practice hours as defined by the University)

Desirable criteria

  • Advanced Life Support Course
  • Teaching & Mentorship Course
  • Recent evidence of continuing professional development
  • Advanced Communication Skills training
  • Non-medical prescribing

Experience


Essential criteria

  • Post registration experience with some experience at Band 6 or higher (prior to achieving MSc. in Advanced Clinical (or Nursing) Practice)
  • Experience of working autonomously and as part of a team delivering clinical care to unwell patients

Desirable criteria

  • Experience of assessing and managing acute medical problems
  • Experience in oncology/cancer care

Skills


Essential criteria

  • Excellent communication skills: interpersonal, written and verbal.
  • Ability to assess and manage patient risk effectively and safely
  • Ability to work across professional boundaries e.g., experience of working in a multi-disciplinary team
  • Good time management, organisational skills and ability to prioritise a busy/ unpredictable workload.
  • Well-developed IT skills/ word processing/ data collection/ internet skills.
  • Leadership and Management skills.

Desirable criteria

  • Ability to think strategically in relation to long-term service development
  • Presentation skills.
  • Reflective practitioner

Knowledge


Essential criteria

  • Understanding of evidence based practice
  • Working knowledge of clinical governance.
  • Ability to use research findings in clinical practice.
  • Knowledge of national standards and policy that inform best practice (for example: NICE/ Department of Health guidelines).
  • Appreciate the accountability associated with advanced clinical roles.

Desirable criteria

  • Evidence of involvement with research and audit.
  • Experience of policy and procedure writing.

Values


Essential criteria

  • Ability to demonstrate the organisational values and behaviours.
  • Committed to professional development.
  • Confidence to adapt to an evolving and changing service.

Other


Essential criteria

  • Committed and flexible with shift patterns and availability.
  • Ability to travel across sites regularly
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, 111.0KB)
  • 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)


Locations are approximate. Learn more