Job summary
- Main area
- Department of Medicine for Older People
- Grade
- Band 8a
- Contract
- Permanent
- Hours
- Full time - 37.5 hours per week
- Job ref
- 287-RMED-86-24-A
- Employer
- Liverpool University Hospitals NHS Foundation Trust
- Employer type
- NHS
- Site
- Royal site
- Town
- Liverpool
- Salary
- £50,952 - £57,349 Per annum
- Salary period
- Yearly
- Closing
- 25/07/2024 23:59
Employer heading
Frailty Advanced Clinical Practitioner
Band 8a
Job overview
As part of the innovative and ongoing development we are looking for an experienced practitioner to join our Acute Frailty Team.
As the population ages increasing numbers of older people living with frailty are presenting to ED departments. 5-10% of all those attending EDs and 30% of patients in AMU are older and frailer. People living with moderate to severe frailty suffer most hospital acquired health care problems with around 20% of patients accounting for 80% of events and disproportionate bed day use. It is recognised that by targeting this high risk group as early as possible during admission provides an opportunity to improve quality of care and optimise patient and service outcomes for a vulnerable population.
The role involves working in the Emergency Department, Acute Medical Unit, and the Acute Integrated Frailty Unit (AIFU), as well as the development of rapid access and ambulatory clinics
Excellent and advanced clinical knowledge of caring for those identified as frail is essential with the determination and drive to make a difference.
Main duties of the job
To take the lead in Ambulatory / Front Door Frailty and same day emergency care
Examination and diagnostics – referring when appropriate to members of the MDT.
To ensure appropriate diagnostic ordering and review.
To perform clinical skills - cannulation / venepuncture, ABG’s, blood cultures, catheterisation.
To safely prescribe medications and perform medication review. Completing VTE and dementia screens. Ordering TTO’s, writing discharge letters.
To support the AIFU and Consultant In - Reach service by assisting in ward rounds.
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.
To provide social, emotional, and psychological support to patients and their carers/relatives from referral and throughout their treatment.
To autonomously manage a patient caseload efficiently and timely, prioritising tasks.
To make appropriate referrals to consultants/other specialists/ members of the multidisciplinary team in primary, secondary, or tertiary care settings.
To provide teaching as an in-house measure to all medical and nursing staff, not only within the Directorate but also from other services.
To partake in service development through audit and data collection.
To maintain personal accountability for professional and ethical actions and ensure compliance with NMC code of professional conduct.
Working for our organisation
Liverpool University Hospitals NHS Foundation Trust was created on 1 October 2019 following the merger of two adult acute Trusts, Aintree University Hospital NHS Foundation Trust and the Royal Liverpool and Broadgreen University Hospitals NHS Trust.
The merger provides an opportunity to reconfigure services in a way that provides the best healthcare services to the city and improves the quality of care and health outcomes that patients experience.
The Trust runs Aintree University Hospital, Broadgreen Hospital, Liverpool University Dental Hospital and the Royal Liverpool University Hospital.
It serves a core population of around 630,000 people across Merseyside as well as providing a range of highly specialist services to a catchment area of more than two million people in the North West region and beyond.
To hear more about our achievements click here https://www.liverpoolft.nhs.uk/media/13089/1606-annual-report-booklet_final.pdf
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Detailed job description and main responsibilities
To maintain personal accountability for professional and ethical actions and
ensure compliance with the standards of professional conduct issued by the relevant regulatory body
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.
To provide and maintain a diagnostic service for the Trust. Ensure clinician led clinics provide for both diagnoses and reporting of subsequent results for identified patients.
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.
To provide a clinician-led clinic service to patients.
To plan and administer treatment to patients as appropriate and ensure
handover of this treatment to community services as necessary.
To provide expert care, advice and support for patients and their relatives/carers and ensure that advice and point of contact is available throughout the patient’s journey.
To refer on to other agencies as appropriate.
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.
To take consent for investigative procedures, manipulate equipment and
perform advanced clinical skills.
The post holder will be expected to work clinical shifts in a ward environment if necessary Management and Quality.
Act as a change agent for the development of the service.
Assisting in the audit and data collection required for developing evidence
based services.
To provide verbal and written reports to appropriate managers and clinical
leads.
To monitor the effectiveness of the service by continuous audit.
To ensure that equipment is maintained and serviced as required.
To develop protocols, documentation, standards and guidelines to enable
best practice for the care of patients. In the identified/specified area.
To be involved in complaints handling according to the Trust’s Complaints
Procedure.
To establish a clear focus, vision and direction for the service, within the Care Group.
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
To promote effective communication within the hospital and to the patient
and/or their relatives.
Act as a point of liaison between all hospital departments involved in the
patient’s journey.
Act as a source of specialist information for clinicians and other members of the multidisciplinary team.
Liaise with other departments/ Trusts regarding services provided and current practises to develop best evidence based practice.
To be skilled to impart distressing information with respect and empathy.
To ensure that all patient records are maintained contemporaneously.
* The post holder shall as necessary provide cover for and undertake duties of absent colleagues.
* The post holder shall follow all the policies and procedures of the organisation.
*Please refer to the detailed Job Description document attached*
Person specification
Qualifications
Essential criteria
- Clinical Professional Qualification. Degree level with appropriate registration
- MSc Advanced Clinical Practice (ACP) or started the MSc ACP pathway/programme and committed to completing within an agreed time frame: Note: Post holder will be in a training post (Annex 21) until evidence of completion of MSc ACP is provided.
- Teaching and assessing qualification
- Relevant post registration qualification/equivalent
- Prescriber
- Evidence of participation in audit and research
Experience
Essential criteria
- Demonstrable relevant experience within the speciality
- Evidence of effective management
- Evidence of effective leadership skills
- Evidence of staff development and can demonstrate knowledge regarding provision and development of education programmes
- Evidence of change management
- Evidence of application of current nursing issues and developments
Knowledge
Essential criteria
- Understanding and application of healthcare governance
- Has an up-to-date Advanced Clinical Practice portfolio
Skills
Essential criteria
- Excellent communication skills
- Committed to delivering high standards of patient care
- Basic IT skills, including e-mail and word processing
Other
Essential criteria
- Supportive of colleagues
- Enthusiastic and motivated with the ability to motivate the team
- High level of personal and professional credibility
- Act as role model for nursing staff
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
Further details / informal visits contact
- Name
- Mat Hood
- Job title
- Associate Director of Nursing
- Email address
- [email protected]
- Telephone number
- 0151 706 2028
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