Job description

Job responsibilities

Job Purpose and scope

To work as a Senior Nurse within St Lukes Hospice, based within the Integrated Care Coordination Hub, providing a centralised line for patients, families, carers, health and social care professionals.

To be able to provide professional telephone advice and support to patients, families and health and social care professionals.

To support patients and their carers to manage their conditions in their own communities to improve their quality of life.

Where possible work towards preventing avoidable hospital admissions by working collaboratively with internal and external health care colleagues.

To support community staff to enable them to deliver care with additional specialist advice and support.

Provide a resource for advice and support for healthcare professionals in the community and hospital settings

Be responsible for recording activities and maintaining accurate and complete patient notes in the patients electronic clinical record

To always provide a high standard of professional conduct and nursing care in accordance with the Nursing and Midwifery Council Code of Professional Practice, demonstrating leadership in the nursing care of patients within the service.

To demonstrate expertise and a firm knowledge base on which to underpin clinical practice when dealing with patients/carers living with a life limiting illness.

The post holder will play a key role in the raising of clinical standards and quality for patients with life limiting illnesses and in monitoring and improving standards of care.

Together with other members of staff, maintain standards that will ensure that the care provided is of the highest possible quality, within the resources available.

To work collaboratively as part of a multi-disciplinary team, demonstrating the values of St Lukes Hospice.

Work across a 7-day period providing 24 hours a day advice and support as part of a rota on the telephone advice line. 2. Main Duties & Responsibilities Clinical

To holistically assess, plan, implement, and review therapeutic interventions of patients who contact the Pall 24 advice line.

To provide expert advice, information and psychological support to people affected by life limiting illness and members of the multi-disciplinary team.

Demonstrate understanding of palliative and end-of-life care principles, including symptom awareness, psychosocial needs, and holistic assessment.

Recognise red flags, deterioration, and safeguarding concerns, escalating appropriately.

Access the Stack Operational Portal, triaging palliative patients and signposting to teams most suited for patient outcomes and reserving ambulance capacity for emergency life threatening needs.

Work with the wider professionals to ensure the patients shared record is kept up-todate and that key information is available in a timely way

Provide specialist palliative telephone advice and support to patients, families and other health and social care professionals, signpost them, complete appropriate referrals for onward care.

To communicate and consult with other Health and Social Care Professionals and outside agencies and with service users to ensure the provision of a quality service for cancer patients and their families.

Be responsible for updating the patients electronic record and manage patient information sensitively and confidentially.

To use advanced interpersonal and communication skills to communicate and receive specialist and sensitive information.

Ensure the dignity of patients and families is respected at all times

Ensure confidentiality in the best interest of the patient is maintained at all times. Key Working Relationships

Pall 24 Care Co-ordinators / Pall 24 Lead

Hospices Clinical Nurse Specialists

London Ambulance Service

GPs, District Nurses, Community Teams

Social Care and Voluntary Sector Partners

Patients, carers, and families Management and People

Act as a role model and expert resource to the team, wider hospice services and teams / services in primary and acute care on the delivery of high quality end of life care

Be accountable for your professional practice in accordance with the NMC Code.

Work with volunteers to ensure they understand their role within the service providing them with support and advice as required

Ensure the service provided is in accordance with Hospice policies and procedures.

Promote and maintain positive working relationships with all members of the team to ensure positive outcomes with each patient.

To function as a role model to the wider team demonstrating leadership and continuing development of high-quality clinical care and practice, whilst encouraging a culture of innovation and supported risk taking.

Providing and promoting best practice in accordance with local and national end of life care initiatives. Governance, Quality and Service Improvement

Contribute to clinical audits to measure and evaluate all aspects of care.

Ensure sensitive data is stored and transferred securely.

Promote effective evidence based clinical practice.

Ensuring patient records are updated on the patients electronic clinical record in a timely manner to enable all professionals dealing with the patient understand where they are in their care/pathway

To undertake detailed and specialist holistic assessment and analysis of the complex physical, psychological, social and information needs of patients with life limiting illness and their carers. To have up to date knowledge of the various options available.

To have respect for patient confidentiality, autonomy and always need for privacy.

To acknowledge individual needs in spiritual, religious, and cultural matters.

To act in accordance with the NMC Code of Professional Conduct for Nurses/ Midwives and Health Visitors and the scope of Professional Practice. Maintaining records for revalidation and actively participating in such.

Participate in clinical governance activities within the charity to ensure that professional practice and service is continually improved, and high standards of care are maintained and developed.

Acting as a liaison between professionals who do not have access to SystmOne but are caring for the patient to provide them with the necessary information about that patient to enable them to fulfill their responsibilities (whilst maintaining information governance regulations) Education and Professional Development

Participate in the arrangement of induction programs for all new Pall 24 staff.

Maintain an up-to-date knowledge of professional developments in Palliative Care and Community Care.

Attend relevant courses, meetings and conferences ensuring own practice and development.

To take responsibility of own professional and clinical growth and be prepared to attend mandatory training sessions requested at St. Lukes.

Assist in the education of colleagues in end-of-life care issues

To facilitate and enable the education of patients and their carer/s to maximise their quality of life, living with a life limiting illness.

To assess training needs and implement and/or participate in educational programs and competency-based assessment for community nurses, doctors, allied health professionals, patients, and carers as appropriate.

To function as an educational and information resource for other professionals and the public, regarding all aspects of palliative and end of life care.

To actively support the ethos of palliative care in all healthcare settings.

Participate in clinical audits and quality improvement initiatives under the direction of the Matron

To collect and analyse information related to patients, carers, and other healthcare professionals satisfaction of the service. Utilise information as a means of effectively evaluating the service and informing future developments.

Person Specification

Skills and experience

Essential

• Committed to the development of palliative care skills in others
• Calm and objective
• Commitment to the aims and charitable objectives of St Lukes Hospice
• Commitment to equality, diversity and inclusion and understanding of how this applies to own area of work
• Ability to work under pressure and to tight deadlines.
• Highly developed analytical and judgemental skills to deal with complex cases

Qualifications

Essential

• Registered Nurse with NMC registration
• Post registration qualification in community nursing, oncology, palliative care or other relevant area of practice
• Mentorship qualification.
• Recent community experience at least 2 years

Desirable

• Education to degree level or willingness to progress to this
• Post registration qualification in palliative care
• Advanced Assessment Skills

Experience

Essential

• Proven experience at a suitable level of seniority of managing complex cases in either the community or an institutional setting
• Specialist up to date knowledge of palliative care
• Extensive experience of working in palliative care setting or caring for palliative patients.
• In-depth understanding of relevant care pathways
• Understanding of services in both primary and secondary care and the interface between these and with social care
• Ability to work unsupervised and make decisions related to care planning
• Ability to prioritise issues and tasks
• Committed to working in partnership with patients, their relatives and carers and other organisations and agencies
• Ability to delegate tasks to appropriately trained staff
• Understanding and commitment to multi disciplinary team working Excellent written and verbal communication skills

Desirable

• Ability to lead and influence change
• Experience of audit and research
• Experience of telephone triage

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

St Luke's Hospice

Address

St Luke's Hospice

Kenton Ambulance Station

The Mall, Kenton, Harrow

Harrow

Middlesex

HA3 9TD

United Kingdom

Employer's website

https://www.stlukes-hospice.org/join-our-team/current-vacancies/ (Opens in a new tab)

Job description

Job responsibilities

About us

Waterside PCN provides proactive and coordinated care to 43,000 patients. We have a strong focus on health promotion and personalised care, supporting people to make informed decisions about their health and social care.

We are a dynamic, friendly, and supportive PCN with significant experience in training healthcare professionals and offering new models of care utilising a diverse skill mix of professionals

Job Overview

There has never been a more exciting time to work in primary care, and Waterside Primary Care Network (PCN) is expanding its Clinical Team.

We are seeking to recruit a positive, caring and self-motivated individual to take on the role and work in our Urgent Care Centre.

Main duties of the job

As an Urgent Care Paramedic you will be a leading example of clinical excellence, with a minimum of two years experience, supporting colleagues in the department, and providing advanced level clinical assessment and care. With a range of diagnostics available to aid your clinical examination, the UCC environment is an ideal place to consolidate previous experience of Emergency Department, Walk in Centres, GP Practices or OOH environments.

Qualifications

Registered Paramedic Qualification (HCPC), Degree in MSc modules in Advanced Clinical Skills/Diagnostics.

Has completed their two-year consolidation of learning period as a newly qualified paramedic.

Currently working towards developing at masters level or equivalent, capability in paramedic areas of practice

Within six months of commencement complete their clinical pillar competencies of paramedics. FCP/AP road map to practice

Interested?

For an informal discussion please contact Dr Jessica Pickford, PCN Clinical Director ; via email [email protected]

Person Specification

Qualifications

Essential

• - Registered Paramedic Qualification (HCPC), Degree in MSc modules in Advanced Clinical Skills/Diagnostics.
• - Has completed their two-year consolidation of learning period as a newly qualified paramedic.
• - Currently working towards developing at masters level or equivalent, capability in paramedic areas of practice
• - Within six months of commencement complete their clinical pillar competencies of paramedics. FCP/AP road map to practice

Experience

Essential

• - Ability to work flexibly to meet UCH & Practice demands
• - Ability to communicate effectively with colleagues, patients, relatives, nurses, other staff, and agencies.
• - Caring attitude to patients
• - Must value and appreciate the worth of others.
• - A recognition of the importance of showing respect, dignity and compassion to patients and colleagues.
• - Commitment to continuing clinical education and professional development.
• - Minimum of 2 years post qualification experience,
• - An appreciation of the nature of GPs and general practices
• - Experience of managing / developing a team
• - Understand the aims of current healthcare policy within primary care
• - Has attention to detail, able to work accurately, identifying errors quickly and easily
• - Can effectively manage allocated resources
• - Produce timely and informative reports
• - Excellent understanding of data protection and confidentiality issues
• - Able to think analytically; anticipating obstacles and thinking ahead; using analytical techniques to come up with solutions
• - Excellent verbal and written communication skills with team members, patients, carers, and other healthcare professionals.
• - Excellent organisational and time management skills
• - Understanding of budget and health and social care data
• - Committed to own continuing personal development and an ability to support others to develop and progress

Desirable

• - Computer literate with an ability to use the required GP clinical systems
• - Has a planned and organised approach with an ability to prioritise their own workload to meet strict deadlines
• - Politically astute with an ability to sensitively manage complexity and uncertainty

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

The Red & Green Practice

Address

Hythe Hospital

Beaulieu Road

Hythe

Southampton

SO45 5WX

United Kingdom

Employer's website

https://www.redandgreenpractice.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

To view role requirements and role responsibilities in full, please view the Job description and person specification attached to this vacancy in the supporting documents.

Person Specification

Education/ Qualifications

Essential

• Registered Nurse or Paramedic with a current professional registration
• Non-medical prescribing
• Significant post graduate training (i.e MSc in Palliative Care / Geriatric care) in a related subject or equivalent experience

Desirable

• Management/leadership qualification/development programme.

Skills and Knowledge

Essential

• Advanced clinical assessment, triage and decision making skills
• Good and comprehensive awareness of community services and good networking ability
• Competence in using electronic patient record systems and good IT skills

Desirable

• Able to undertake audit and write reports

Experience

Essential

• Significant post-registration experience within community nursing, urgent care, integrated care, or care coordination services.
• Demonstrates the ability to problem solve highly complex situations to include effective and sensitive handling of difficult information and situations
• Evidence of risk management skills and experience.

Desirable

• Experience of working within urgent community response, admission avoidance, or discharge pathways.
• Experience of service improvement, audit, or quality improvement initiatives.

Service requirements

Essential

• Able to work flexible shifts including days, nights weekends, and bank holidays as required
• Able to work independently and exercise professional autonomy.
• Demonstrates the ability to work collaboratively within multidisciplinary teams

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Wye Valley NHS Trust

Address

Community Referral Hub, Single Point of Access

Nelson House, 6-10 Whitecross Road

Hereford

HR4 0DG

United Kingdom

Employer's website

https://www.wyevalley.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

* To work as the Clinical Pharmacist working on Practice needs and helping to develop the current Pharmacist Team, and to further develop and maximise patient health while reducing the workload of GPs

* To act within their professional boundaries, supporting and working alongside Pharmacy Technician(s) in General Practice to develop, manage and mentor them

* The post holder will work as part of a multi-disciplinary team in a patient-facing role. The post holder will take responsibility for areas of chronic disease management within the Practice and undertake clinical medication reviews, including structured medication reviews (SMR), monitor electronic repeat dispensing (eRD) prescribing, evaluate prescribing in line with local and national guidelines, review emerging evidence/research and liaise with community pharmacy representatives to proactively manage patients with complex polypharmacy

* The post holder will provide primary support to General Practice staff with regards to prescription and medication queries. They will help support the repeat prescriptions system, deal with acute prescription requests, and medicines reconciliation on transfer of care and systems for safer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patients in the GP Practice

* The post holder will provide clinical leadership on medicines optimisation and quality improvement and manage some aspects of the quality and outcomes framework (QOF) and enhanced services, including the Investment and Impact Fund (IIF)

* The post holder will ensure that the Practice integrates with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare and help manage workload, which may involve optimising the use of digital technologies. The role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver excellent service within General Practice

* The post holder will already be a non-medical prescriber but will be supported to develop their scope of practice in line with the needs of the Practice but also their own training needs analysis discussed with their Line Manager

* See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. chronic obstructive pulmonary disease (COPD), asthma). Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e. medicines optimisation). Make appropriate recommendations to GPs/other clinical colleagues or prescribe autonomously where appropriate for medicine improvement

* Undertake clinical medication reviews with patients and make appropriate recommendations to GPs/other clinical colleagues or prescribe autonomously where appropriate for medicine improvement

* Lead on the development of the SMR plan working collaboratively with the Clinical Pharmacists, key PCN colleagues such as Care Home Matrons and the ICB Medicines Management Team. Lead on collating progress reports from each Practice to feedback to the PCN and Practices

* Managing caseload for patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs/other clinical colleagues where appropriate. Working with colleagues (including community pharmacies) to promote the use of the Community Pharmacist Consultation Service (CPCS)

* Provide patient facing clinics for those with questions, queries and concerns about their medicines in the Practice

* Answer all medicine-related enquiries from GPs, other Practice staff, other Healthcare Teams (e.g. community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions. Providing follow-up for patients to monitor the effect of any changes

* Lead on coordinating (where appropriate) and contribute at Practice level to review of the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups

* To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge. Set up and manage systems to ensure continuity of medicines supply to high-risk groups of patients (e.g. those with medicine compliance aids or those in care homes)

* Ensure that patients are referred to the appropriate Healthcare Professional for the appropriate level of care within an appropriate period of time e.g. pathology results, common/minor ailments, acute conditions, long term condition reviews etc.

* Produce and implement a Practice repeat prescribing policy. Manage the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review. Ensure patients have appropriate monitoring tests in place when required. Ensure, where appropriate, that electronic repeat dispensing (eRD) systems are used and policies are in place

* Identification of cohorts of patients at high risk of harm from medicines through pre--prepared Practice computer searches. This might include risks that are patient related, medicine related, or both. These patients will be prioritised for a SMR as per the practices local implementation of the plan

* Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets). Also contribute to further development of and recruitment to the Clinical Pharmacy team

* Analyse, interpret and present medicines data to highlight issues and risks to support decision making

* Lead on coordinating (where appropriate) and contribute at Practice level to the undertaking of simple audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the Practice team

* Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance

* Monitor Practice prescribing against the local health economys red/amber/green (RAG) list and make recommendations to GPs/other clinical colleagues for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care or specialist recommendation/initiation (amber 1 and 2 drugs). Assist the Practice in seeing and maintaining a Practice formulary that is hosted on the Practices computer system. Auditing Practices compliance against National Institute for Health and Care Excellence (NICE) technology assessment guidance. Provide newsletters or bulletins on important prescribing messages

* Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Support the continuing professional development of pharmacy colleagues, professionals in training and foster an environment of learning for trainees or students who may be hosted by the Practice. Show willingness to support NHS research (e.g. through the completion of NIHR Good Clinical Practice e-learning)

* Work with the General Practice team to ensure the Practice is compliant with care quality commission (CQC) standards where medicines are involved

* To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public. To advise on social media campaigns (such as posts to Facebook or websites) to improve population health in regards to prescribing or medication

Person Specification

Qualifications

Essential

• * Bachelor or Masters degree in pharmacy (BPharm/MPharm)
• * Minimum of 3 years experience as a Pharmacist, demonstrated within a practice portfolio
• * Mandatory registration with General Pharmaceutical Council
• * Minimum of 3 years post-qualification experience working in General Practice
• * Non-Medical Prescriber
• * In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare
• * An appreciation of the nature of Primary Care prescribing, concepts of rational prescribing and strategies for improving prescribing
• * Excellent interpersonal, influencing and negotiating skills
• * Excellent written and verbal communication skills
• * Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients)
• * Good IT skills
• * Able to obtain and analyse

Desirable

• * Specialist knowledge acquired through post-graduate diploma level or equivalent training/experience
• * Good Clinical Practice certificate
• * Membership of the Royal Pharmaceutical Society or working towards Faculty membership of the Royal Pharmaceutical Society
• * Previous experience of clinical mentorship and/or line management of other pharmacists, pre-registration pharmacists and pharmacy technicians
• * Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions
• * Excellent oral and written communication skills with people from a variety of backgrounds
• * Good presentation skills and ability to work effectively with individuals and groups
• * Advanced clinical reasoning skills
• * Good motivational skills
• * Ability to present complex information in a clear and logical manner
• * Excellent listening skills
• * Good organisational skills to manage and prioritise a caseload
• * Experience in using a Primary Care IT system, e.g. SystmOne
• * Proficient in the use of web-based applications or programmes

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Highcroft Surgery

Address

High Street

Arnold

Nottingham

NG5 7BQ

United Kingdom

Employer's website

https://www.highcroftsurgery.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

Key Requirements & Vetting

• Flexibility & Travel: Due to the countywide nature of the role, a full driving licence and access to reliable transport are essential to travel across Kent and Medway.

• Vetting: Because this post involves working within custody and prison environments, the successful candidate will be subject to full Kent Police and HMP vetting procedures.

• Induction & Training: A comprehensive local induction programme covering all areas of practice will be provided upon appointment.

Please refer to the attached job description for the full details on the responsibilities and person specification

Person Specification

Qualifications

Essential

• NVQ level 4 or relevant qualification

Experience

Essential

• Experience of working to address the health & social care needs of service users
• Experience of working within a multi disciplinary team
• Experience of working and liaising with other partnership agencies

Desirable

• Experience of working with offenders

Skills and knowledge

Essential

• Problem solving skills
• Excellent written communication skills

Desirable

• Team working skills within a disciplinary group
• Evidence of sustained enthusiasm for learning and development

Knowledge

Essential

• Knowledge of health and social care services and provisions

Desirable

• Knowledge of the social care needs of people
• Knowledge of the policies and guidance underpinning the provision of services to people with mental illness
• Knowledge of the welfare and benefits system
• Knowledge of the types of resource available in the community to patients of the Forensic Service
• Knowledge of Adult Protection Procedures

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

Kent and Medway Mental Health NHS Trust

Address

The Red House, Maidstone

Oakapple Lane, Maidstone, Kent ME16 9NW

Countywide

ME16 9NW

United Kingdom

Employer's website

https://www.kentmedwaymentalhealth.nhs.uk (Opens in a new tab)

Job description

Job responsibilities

Key duties include:

• Providing autonomous assessment and management of patients presenting with undifferentiated and undiagnosed health problems.
• Taking comprehensive clinical histories, undertaking physical examinations and making appropriate clinical assessments.
• Formulating differential diagnoses and developing appropriate treatment and management plans.
• Requesting, interpreting and acting upon appropriate diagnostic investigations and test results within scope of practice.
• Prescribing medication as an Independent Prescriber, where appropriately qualified, in accordance with current legislation, local formularies and evidence-based guidance.
• Managing patients presenting with acute illness, minor illness, minor injuries and exacerbations of long-term conditions.
• Providing appropriate follow-up, safety-netting and onward referral to secondary care, community services or other healthcare professionals where required.
• Recognising clinical deterioration, red flags and emergency presentations and taking appropriate and timely action.
• Supporting the management of long-term conditions and complex patients where this falls within the postholder's competencies and experience.
• Providing health promotion, lifestyle advice, disease prevention and patient education.
• Working collaboratively with GPs, Practice Nurses, Nurse Associates, HCAs, pharmacists, First Contact Practitioners, social prescribers and other members of the wider multidisciplinary team.
• Providing clinical advice, support and supervision to less experienced members of the nursing and clinical team where appropriate.
• Supporting the professional development of the Nurse Associate, HCA and other members of the practice team as required.
• Participating in clinical meetings, significant event reviews, case discussions and multidisciplinary team meetings.
• Contributing to clinical audit, quality improvement initiatives, medicines optimisation and improvements in patient safety.
• Supporting the development and implementation of clinical protocols, pathways and evidence-based practice.
• Maintaining accurate, comprehensive and timely clinical records using the practice clinical system.
• Ensuring appropriate coding, documentation and follow-up of patient care.
• Working in accordance with safeguarding requirements and taking appropriate action where concerns are identified.
• Ensuring compliance with NHS requirements, practice policies, infection prevention and control, information governance, confidentiality and professional standards.
• Managing workload effectively, prioritising clinical risk and appropriately escalating or seeking support for cases outside individual competence or scope of practice.
• Maintaining professional competence through continuing professional development, clinical supervision, reflective practice and appropriate revalidation requirements.
• Supporting the wider clinical and operational needs of the practice and contributing positively to service development.

Qualifications

Essential

• Registered Nurse with current NMC registration.
• Recognised Advanced Clinical Practice / Advanced Nurse Practitioner qualification, normally at postgraduate or Master's level, or equivalent demonstrable advanced practice competencies.
• Independent Prescribing qualification with current prescribing competence.
• Advanced clinical assessment and consultation skills.
• Evidence of competence in clinical examination, diagnosis and management of patients presenting with undifferentiated conditions.
• Evidence of ongoing continuing professional development relevant to advanced practice.
• Sound knowledge of evidence-based practice and current clinical guidelines.
• Understanding of professional accountability, clinical governance, confidentiality and safeguarding responsibilities.

Desirable

• Previous experience working as an Advanced Nurse Practitioner within General Practice, Primary Care or an Urgent Care setting.
• Master's degree in Advanced Clinical Practice or equivalent.
• Experience managing both acute presentations and long-term conditions.
• Experience of supervising, mentoring or supporting the development of other clinical staff.
• Experience undertaking clinical audit and quality improvement activity.
• Experience contributing to the development of clinical pathways, protocols or services.
• Knowledge and experience of NICE guidance, local prescribing guidance and primary care pathways.
• Experience using clinical systems such as EMIS.
• Teaching, mentorship, supervision or coaching qualification or experience.

Requirements

The successful candidate will be an experienced, approachable and patient-focused Advanced Nurse Practitioner who is able to provide high standards of autonomous clinical care within a busy General Practice environment.

They will demonstrate a high level of clinical reasoning and professional judgement and will be confident managing patients presenting with both straightforward and complex healthcare needs. They will recognise the limits of their own competence and seek appropriate clinical advice or escalation when required.

The successful candidate will demonstrate:

• Excellent advanced clinical assessment, consultation and diagnostic skills.
• The ability to manage patients presenting with undifferentiated and undiagnosed conditions.
• Strong clinical reasoning and decision-making skills.
• Safe and effective prescribing practice.
• The ability to recognise and manage clinical risk, deterioration and red-flag symptoms.
• A caring, compassionate and professional approach to patient care.
• Excellent communication and interpersonal skills.
• The ability to build effective therapeutic relationships and involve patients in decisions about their care.
• Confidence working autonomously while recognising the importance of multidisciplinary working and appropriate escalation.
• Strong organisational, prioritisation and time-management skills.
• The ability to manage a demanding clinical workload safely and effectively.
• Excellent clinical record keeping and appropriate use of clinical coding.
• Good IT skills and confidence using electronic clinical systems.
• A sound understanding of safeguarding, confidentiality, information governance and professional accountability.
• The ability to provide clinical support, supervision and leadership to other members of the practice team.
• A commitment to evidence-based practice, reflective learning and continuous professional development.
• A positive approach to clinical governance, quality improvement and patient safety.
• Resilience and the ability to remain calm and professional when managing challenging or complex situations.
• Flexibility and willingness to contribute to the wider clinical and operational needs of the practice.

Person Specification

Qualifications

Essential

• Registered Nurse with current NMC registration
• Recognised Advanced Clinical Practice qualification - normally at postgraduate or Masters level
• Advanced clinical assessment and consultation skills
• Please see recruitment pack for further essential attributes

Desirable

• Desirable
• Previous experience working as an Advanced Nurse Practitioner within General Practice
• Please see recruitment pack for further desirable attributes

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Spinney Medical Centre

Address

23 Whittle Street

Toll Bar

St Helens

Merseyside

WA10 3EE

United Kingdom

Employer's website

https://www.spinneymedicalcentre.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

As part of this role, and under the supervision of and as directed by the Principal Investigator(s), the postholders responsibilities could include;

Undertake the Associate PI scheme (https://www.nihr.ac.uk/career-development/clinical-research-courses-and-support/associate-principal-investigator-scheme)

To conduct all aspects (experimental planning, the gaining of ethical approval, laboratory work, data analysis) of the research project

To develop relevant research and clinical skills

To develop aims and objectives for a higher degree, to register and prepare grant submissions

To record, analyse and communicate scientific data together with a clear interpretation of results

To write scientific papers communicating the results of the work, and to present at scientific meetings nationally and internationally

To contribute to teaching in the department

To join multidisciplinary meetings and participate in clinical governance activities and audit

To participate as part of the larger research group as required

To participate in departmental managerial activities as required

To budget and keep records of expenditure on laboratory consumables

Compliance with intellectual property rights, the Data Protection Act 2000, COSHH Health and Safety Guidelines within the laboratory and all other relevant Imperial College policies, including Financial Regulations, the Equal Opportunities Policy, the Promoting Race Equality Policy, the Health and Safety Policy, the Information Systems Security Policy, and the Intellectual Property rights and Register of Interests Policies

The postholder will be responsible for accurate record-keeping and documentation of results, and for preparing research reports and papers arising from their research.

Person Specification

Qualifications

Essential

• MBBS, preferably with intercalated BSc Full GMC registration Advanced Life Support training completed within six months prior to appointment
• An acceptable postgraduate qualification, such as MRCP or MRCPCH

Knowledge and Experience

Essential

• Career track in relevant specialty, i.e. Haematology Familiarity with the area of study of Haematology
• Proven experience in acute hospital setting Sound knowledge and experience in the management of critically ill patients

Desirable

• Knowledge of basic research methods and statistical procedures
• Laboratory experience relevant to the proposed area of study

Skills/Abilities

Essential

• Ability to exercise initiative
• Ability to collaborate with and relate to others
• Creative approach to problem-solving
• Excellent presentation skills
• Excellent verbal communication skills and the ability to deal with a wide range of people
• Ability to develop and apply new concepts

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Imperial College Healthcare NHS Trust

Address

Hammersmith Hospital

Du Cane Road

London

W12 0HS

United Kingdom

Employer's website

https://www.imperial.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

The Advanced Clinical Practitioner will provide autonomous clinical care across NEMS urgent care services. The role is designed to provide a true mix of telephone and face-to-face consultations, supporting patients across Integrated Urgent Care Services, urgent treatment centres and other agreed service models.

The post holder will be an experienced registered clinician, able to assess, diagnose, treat, refer and discharge patients with undifferentiated urgent care presentations. They will work within their professional registration, agreed scope of practice, NEMS policies and local clinical pathways.

Telephone consultations will usually be undertaken within Integrated Urgent Care Services. Following induction, and where agreed by the service, some telephone consultation work may be undertaken remotely from home, provided that the post holder is meeting agreed KPIs, quality standards, governance requirements and information governance expectations.

Face-to-face work will include assessment and management of patients presenting to NEMS urgent treatment services. The post holder will be expected to recognise serious illness, clinical deterioration, safeguarding concerns, mental health risk and presentations requiring escalation or transfer to another service.

The post holder will work flexibly across NEMS sites and services in line with service need. They will also support clinical supervision, learning, audit, incident review and service improvement, ensuring that care remains safe, effective, patient centred and financially sustainable.

The post holder will have responsibility for the following areas:

o Autonomous telephone and face-to-face assessment of patients with urgent care needs

o Safe clinical decision-making, including treatment, discharge, referral, transfer and safety-netting

o Recognition and escalation of serious illness, clinical risk and safeguarding concerns

o Clinical leadership, supervision and support for the wider team

o Participation in governance, audit, learning and service improvement activity

Clinical Practice and Service Delivery

Work as an autonomous Advanced Clinical Practitioner across NEMS urgent care services, providing both telephone and face-to-face consultations.

Assess, examine, diagnose, treat and safely discharge or refer patients with undifferentiated urgent care presentations.

Make safe decisions around admission, transfer, referral, follow-up and safety-netting, working within professional competence and agreed local pathways.

Recognise and act on serious illness, clinical deterioration, safeguarding concerns, mental health risk and presentations that require escalation to another service.

Request and interpret appropriate investigations, including blood tests, urine tests, ECGs and imaging, in line with local policy, competence and relevant regulations.

Prescribe, review and advise on medicines where qualified to do so, or use agreed local medicines mechanisms within scope.

Maintain clear, accurate and timely clinical records, including assessment findings, clinical reasoning, advice given, decisions made and onward plans.

Telephone Consultations

Undertake telephone consultations within Integrated Urgent Care Services, using safe clinical assessment, decision-making and documentation.

Recognise the limitations of remote assessment and arrange face-to-face review, ED attendance, ambulance response or other escalation where clinically required.

Provide clear advice and safety-netting to patients and carers, ensuring that the plan is understood and documented.

Undertake remote work from home where agreed after induction, provided that performance, KPIs, quality standards and information governance requirements are being met.

Face-to-Face Urgent Care

Undertake face-to-face consultations across NEMS urgent care services, including assessment of minor illness, minor injury and other appropriate urgent care presentations.

Carry out clinical procedures where trained, competent and required for patient care.

Provide safe clinical handover to ED, specialties, GPs, community services or other colleagues where ongoing care is required.

Support patient flow, streaming and redirection decisions where this forms part of the service model.

Clinical Leadership and Team Working

Act as a senior clinical presence on shift, supporting colleagues and contributing to the safe running of the service.

Provide advice, supervision and support to trainee ACPs, UCPs, nurses, AHPs, UCAs and non-registered staff.

Support induction, training, clinical supervision and competency development across the wider team.

Escalate clinical or operational concerns early, particularly where patient safety, staffing, flow or professional practice may be affected.

Address unsafe practice or poor behaviour in a professional and proportionate way, escalating concerns where required.

Governance, Quality and Service Improvement

Contribute to a culture where incidents, complaints, audit, feedback and day-to-day operational learning are used to improve care.

Take part in incident reviews, significant event analysis, complaint responses and shared learning activity where required.

Support audit, quality improvement and service evaluation work across NEMS urgent care services.

Contribute to the development and review of clinical guidelines, SOPs, pathways and local standards, ensuring they are practical, evidence-based and relevant to the way services are delivered.

Use available data, feedback and clinical experience to support improvements in patient flow, clinical quality, productivity and patient experience.

Education and Professional Development

Maintain professional registration, mandatory training, clinical supervision, CPD and revalidation requirements.

Maintain an up-to-date portfolio showing competence, scope of practice, reflective learning and prescribing practice where applicable.

Share learning with colleagues through teaching, case discussion, supervision, peer review and practical shift-based support.

Support students, trainees and developing practitioners in a safe and constructive way, recognising their competence and learning needs.

Professional Responsibilities

Work within relevant NMC, HCPC or equivalent code of conduct NEMS policies and agreed scope of practice.

Communicate clearly with patients, carers and colleagues, particularly where information is complex, sensitive or distressing.

Involve patients in decisions about their care and ensure that consent, capacity and best-interest issues are considered and documented appropriately.

Maintain confidentiality and information governance standards at all times.

Work flexibly across NEMS sites and services where reasonably required, in line with service need, competence and contractual arrangements.

Undertake any other reasonable duties requested by a manager, where these are appropriate to the role, grade and competence of the post holder.

Act in a manner that reflects and promotes the values of NEMS.

Person Specification

Values

Essential

• Values and respects others, treats everyone as an individual, is non-judgemental
• Motivated to be genuinely kind and caring
• Helps and co-operates with colleagues
• Pro-active and takes responsibility
• Willing to learn, open to change
• Motivated to make a difference

Experience

Essential

• Experience of working clinically in a primary, community, urgent care, emergency care or out-of-hospital setting
• Experience of autonomous assessment and management of undifferentiated patients
• Experience of telephone or remote clinical assessment
• Experience of face-to-face urgent care consultations
• Experience of supervising, supporting or teaching other clinical staff or students

Desirable

• Experience working in Urgent Treatment Centres, GP Out-of-Hours, Clinical Assessment Services or Emergency Departments
• Experience of acting as shift lead, clinical co-ordinator or senior clinician on duty

Knowledge

Essential

• NMC, HCPC or equivalent professional standards
• Medico-legal aspects of advanced practice
• Assessment and management of urgent care presentations, including recognition of red flags and clinical deterioration
• Safeguarding adults and children
• Mental capacity, consent and mental health risk
• Confidentiality and information governance
• Clinical governance, audit, incident learning and quality improvement

Desirable

• Knowledge of NEMS services, local urgent care pathways and system partners
• National standards relevant to urgent care, out-of-hours and clinical assessment services

Qualifications

Essential

• Current professional registration with NMC, HCPC or equivalent professional body
• Evidence of working at an advanced level of clinical practice
• Masters level qualification in Advanced Clinical Practice, or equivalent evidence of advanced practice capability
• Independent non-medical prescribing qualification, or willingness to complete where required for the role
• Evidence of continuing professional development

Desirable

• Minor illness or minor injury qualification
• IR(ME)R / imaging requesting training where relevant
• ILS, ALS or equivalent urgent care training

Other

Essential

• Full driving licence and the ability to travel between locations
• The ability to work flexibly when required in line with the demands of the role
• Ability to work across NEMS sites and services, including telephone and face-to-face clinical work
• Ability to work remotely for telephone consultations where agreed following induction, and where KPIs and quality standards are being met

Skills & Abilities

Essential

• Able to make safe, autonomous clinical decisions and recognise when to seek advice or escalate
• Able to undertake safe telephone and face-to-face clinical assessment
• Explains complex situations in ways that are accessible to patients, carers and colleagues
• Maintains clear, accurate and timely clinical records
• Able to work under pressure and manage competing clinical priorities
• Able to work collaboratively with teams across professional and organisational boundaries
• Flexible and adaptable to changing service needs
• Commitment to patient centred care and safe service delivery

Desirable

• Competent in the use of Adastra, SystmOne, EMIS, Nervecentre or other relevant clinical systems
• Able to contribute to audit, service improvement and pathway development

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

NEMS Community Benefit Services Ltd

Address

Forward House

Station Street

Nottingham

NG2 3AJ

United Kingdom

Employer's website

https://nemscbs.net/ (Opens in a new tab)

Job description

Job responsibilities

Clinical Practice and Service Delivery

Work as an autonomous Urgent Care Practitioner across NEMS urgent care services, providing both telephone and face-to-face consultations.

Assess, examine, diagnose, treat and safely discharge or refer patients with undifferentiated urgent care presentations.

Make safe decisions around admission, transfer, referral, follow-up and safety-netting, working within professional competence and agreed local pathways.

Recognise and act on serious illness, clinical deterioration, safeguarding concerns, mental health risk and presentations that require escalation to another service.

Request and interpret appropriate investigations, including blood tests, urine tests, ECGs and imaging, in line with local policy, competence and relevant regulations.

Prescribe, review and advise on medicines within the post holders independent non-medical prescribing qualification, professional competence and agreed scope of practice.

Maintain clear, accurate and timely clinical records, including assessment findings, clinical reasoning, advice given, decisions made and onward plans.

Telephone Consultations

Undertake telephone consultations within Integrated Urgent Care Services, using safe clinical assessment, decision-making and documentation.

Recognise the limitations of remote assessment and arrange face-to-face review, ED attendance, ambulance response or other escalation where clinically required.

Provide clear advice and safety-netting to patients and carers, ensuring that the plan is understood and documented.

Undertake remote work from home where agreed after induction, provided that performance, KPIs, quality standards and information governance requirements are being met.

Face-to-Face Urgent Care

Undertake face-to-face consultations across NEMS urgent care services, including assessment of minor illness, minor injury and other appropriate urgent care presentations.

Carry out clinical procedures where trained, competent and required for patient care.

Provide safe clinical handover to ED, specialties, GPs, community services or other colleagues where ongoing care is required.

Support patient flow, streaming and redirection decisions where this forms part of the service model.

Team Working and Clinical Support

Work as an experienced member of the clinical team, supporting colleagues and the safe running of the service.

Provide advice and support to trainees, nurses, AHPs, UCAs and non-registered staff within own competence.

Support induction, learning and competency development where appropriate.

Escalate clinical or operational concerns early, particularly where patient safety, staffing, flow or professional practice may be affected.

Address unsafe practice or poor behaviour in a professional and proportionate way, escalating concerns where required.

Governance, Quality and Service Improvement

Contribute to a culture where incidents, complaints, audit, feedback and day-to-day operational learning are used to improve care.

Take part in incident reviews, significant event analysis, complaint responses and shared learning activity where required.

Support audit, quality improvement and service evaluation work across NEMS urgent care services.

Contribute to the development and review of clinical guidelines, SOPs, pathways and local standards, ensuring they are practical, evidence-based and relevant to the way services are delivered.

Use available data, feedback and clinical experience to support improvements in patient flow, clinical quality, productivity and patient experience.

Education and Professional Development

Maintain professional registration, mandatory training, clinical supervision, CPD and revalidation requirements.

Maintain an up-to-date portfolio showing competence, scope of practice, reflective learning and prescribing practice where applicable.

Share learning with colleagues through teaching, case discussion, supervision, peer review and practical shift-based support.

Support students, trainees and developing practitioners in a safe and constructive way, recognising their competence and learning needs.

Professional Responsibilities

Work within relevant NMC, HCPC or equivalent code of conduct NEMS policies and agreed scope of practice.

Communicate clearly with patients, carers and colleagues, particularly where information is complex, sensitive or distressing.

Involve patients in decisions about their care and ensure that consent, capacity and best-interest issues are considered and documented appropriately.

Maintain confidentiality and information governance standards at all times.

Work flexibly across NEMS sites and services where reasonably required, in line with service need, competence and contractual arrangements.

Undertake any other reasonable duties requested by a manager, where these are appropriate to the role, grade and competence of the post holder.

Act in a manner that reflects and promotes the values of NEMS.

Person Specification

Qualifications

Essential

• NMC, HCPC or equivalent professional standards
• Medico-legal aspects of autonomous urgent care practice and independent non-medical prescribing
• Assessment and management of urgent care presentations, including recognition of red flags and clinical deterioration
• Safeguarding adults and children
• Mental capacity, consent and mental health risk
• Confidentiality and information governance
• Clinical governance, audit, incident learning and quality improvement

Desirable

• Knowledge of NEMS services, local urgent care pathways and system partners
• National standards relevant to urgent care, out-of-hours and clinical assessment services

Skills and Abilities

Essential

• Able to make safe, autonomous clinical decisions and recognise when to seek advice or escalate
• Able to undertake safe telephone and face-to-face clinical assessment
• Explains complex situations in ways that are accessible to patients, carers and colleagues
• Maintains clear, accurate and timely clinical records
• Able to work under pressure and manage competing clinical priorities
• Able to work collaboratively with teams across professional and organisational boundaries
• Flexible and adaptable to changing service needs
• Commitment to patient centred care and safe service delivery

Desirable

• Competent in the use of Adastra, SystmOne, EMIS, Nervecentre or other relevant clinical systems
• Able to contribute to audit, service improvement and pathway development

Experience

Essential

• Experience of working clinically in a primary, community, urgent care, emergency care or out-of-hospital setting
• Experience of autonomous assessment and management of patients with undifferentiated urgent care presentations
• Experience of telephone or remote clinical assessment
• Experience of face-to-face urgent care consultations
• Experience of independent non-medical prescribing within professional competence and scope of practice

Desirable

• Experience working in Urgent Treatment Centres, GP Out-of-Hours, Clinical Assessment Services or Emergency Departments
• Experience of supervising, supporting or teaching other clinical staff or students

Knowledge

Essential

• NMC, HCPC or equivalent professional standards
• Medico-legal aspects of autonomous urgent care practice and independent non-medical prescribing
• Assessment and management of urgent care presentations, including recognition of red flags and clinical deterioration
• Safeguarding adults and children
• Mental capacity, consent and mental health risk
• Confidentiality and information governance
• Clinical governance, audit, incident learning and quality improvement

Desirable

• Knowledge of NEMS services, local urgent care pathways and system partners
• National standards relevant to urgent care, out-of-hours and clinical assessment services

Other

Essential

• The ability to work flexibly when required in line with the demands of the role
• Ability to undertake both telephone and face-to-face clinical work across NEMS services
• Willingness and ability to work across more than one NEMS site where this forms part of the agreed working pattern
• Ability to work remotely for telephone consultations where agreed following induction, and where KPIs and quality standards are being met

Desirable

• Full driving licence and the ability to travel between locations where multisite working is agreed

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

NEMS Community Benefit Services Ltd

Address

Forward House

Station Street

Nottingham

NG2 3AJ

United Kingdom

Employer's website

https://nemscbs.net/ (Opens in a new tab)

Job description

Job responsibilities

Key Duties and Responsibilities

The Consultant Gynaecologist will provide consultant-led assessment, diagnosis, treatment and follow-up for patients with moderate to high-complexity benign gynaecological conditions suitable for management within a Tier 3 Community Gynaecology Service.

The post holder will:

• Assess and manage patients escalated from Tier 2 services due to persistent symptoms, treatment failure, abnormal investigation results or diagnostic uncertainty that remain suitable for ambulatory management.
• Provide specialist assessment and treatment for complex heavy menstrual bleeding and abnormal uterine bleeding, including the investigation and management of suspected fibroids, adenomyosis, endometrial polyps and other intrauterine pathology not meeting urgent cancer criteria.
• Deliver consultant-led outpatient hysteroscopy services, including endometrial biopsy and approved see-and-treat procedures such as selected polypectomy, resection or ablation of suitable intrauterine lesions where commissioned.
• Provide specialist menopause and hormone management services, including the assessment and treatment of premature ovarian insufficiency, early menopause, treatment-resistant menopausal symptoms and complex HRT management.
• Manage patients with persistent dysmenorrhoea, pelvic pain, dyspareunia and suspected endometriosis requiring consultant review and targeted investigation, where management remains appropriate within a community setting.
• Undertake specialist assessment and management of complex PCOS, amenorrhoea and endocrine-related gynaecological conditions, working collaboratively with endocrinology and fertility services where appropriate.
• Assess and manage severe or treatment-resistant PMS and PMDD, ensuring appropriate liaison with mental health and other specialist services where required.
• Provide specialist assessment of persistent benign vulval conditions and undertake vulval biopsy where clinically indicated and commissioned.
• Assess and manage patients with urinary incontinence and pelvic organ prolapse who have not responded to conservative management, including determining the need for further specialist intervention or surgery.
• Review and manage Trust waiting-list patients who have been pre-assessed as suitable for consultant-led ambulatory diagnostic and treatment pathways.
• Interpret diagnostic investigations, pathology and imaging results and formulate evidence-based management plans.
• Participate in multidisciplinary working, clinical governance, audit, service development and quality improvement activities.

Exclusions and Onward Referral

The Consultant Gynaecologist will ensure that patients whose clinical needs fall outside the commissioned Tier 3 Community Gynaecology Service are identified promptly and referred to the appropriate secondary, tertiary, urgent or specialist pathway. This includes:

• Suspected gynaecological cancer, postmenopausal bleeding requiring an urgent pathway, concerning pelvic or adnexal masses, ascites, or other urgent malignancy concerns.
• Emergency presentations including uncontrolled bleeding, severe anaemia or haemodynamic instability, acute abdomen, sepsis, pregnancy-related emergencies, or patients requiring same-day hospital assessment.
• Patients requiring major open, laparoscopic or complex hysteroscopic surgery, hysterectomy, pelvic floor surgery, inpatient admission or general anaesthesia outside the commissioned service model.
• Complex adnexal masses, deep infiltrating endometriosis, severe pelvic adhesions, fistulae, mesh complications or conditions requiring specialist multidisciplinary or tertiary care.
• Fertility treatment, recurrent miscarriage services, abortion or miscarriage management and obstetric care, unless separately commissioned.
• Complex colposcopy services or cervical dysplasia treatment outside the commissioned service scope.
• Patients requiring MRI, CT, urodynamic studies or other advanced diagnostics where no agreed pathway exists.
• Patients with significant anaesthetic, medical or safeguarding risks that make ambulatory assessment or treatment inappropriate.
• Cases requiring MDT review, persistent diagnostic uncertainty following Tier 3 assessment, pathology requiring specialist review, or findings that exceed the clinical or procedural scope of the service.
• Any patient who develops new red-flag symptoms or clinical deterioration during their care pathway requiring immediate escalation to an urgent, cancer or Tier 4 service.

Person Specification

Experience

Essential

• GMC registration with licence to practise
• Current GMC Specialist Registration or substantive experience working at SAS Grade level
• MRCOG or equivalent specialist qualification
• Significant experience in benign gynaecology
• Experience of ambulatory and outpatient procedures
• Strong clinical leadership and decision-making skills
• Commitment to patient-centred care and clinical excellence

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

HealthHarmonie

Address

Abercromby Health Centre

Grove Street

Edge Hill

Liverpool

L7 7HG

United Kingdom

Employer's website

https://www.healthharmonie.com/ (Opens in a new tab)

Job description

Job responsibilities

Please see the attached Job Description for a full list of duties and responsibilities before applying for this position.

Sirona care & health currently recruit overseas nursing and therapy staff through an NHS Trust Supplier and we adhere to the NHSE Code of Practice in relation to applicants from Red List countries. We are therefore, unable to accept any direct applications to this advert from candidates who are not already based in the UK.

This post is not an Advanced Practice role that is mapped to the HEE Multi-professional Framework for Advancing Practice. These posts are currently under review and are likely to undergo a name change in the near future. This is because these roles do not require candidates to work across all 4 pillars of Advanced Practice to MSc level and are therefore banded at AFC Band 7. They do, however require a skillset working at or towards MSc level in the Advanced Practice Clinical Pillar. This role will not be eligible for training funding for an MSc in Advanced Practice however training may be supported on a modular basis depending on individual learning needs identified following Sirona CPD funding application processes.

If you refer to qualifications or employment within your supporting statement, that has not been included in your Qualifications, Training or Employment History, this information may be discounted.

Person Specification

Skills, Knowledge & Experience

Essential

• Expert knowledge of complex case management
• Developed skills and experience of managing service users with long term conditions and urgent care needs
• Experience of using clinical examination and diagnostic reasoning skills
• Experience in a relevant primary care, community or secondary care setting.
• Ability to work with a high level of autonomy and shared decision making.
• Ability to effectively communicate complex clinical information.
• Experience of working across organisational and professional boundaries to improve care, including challenging service delivery and provision.
• Experience of managing and leading people.

Desirable

• Experience of remote assessment
• Experience of clinical risk assessment

Qualification and Training

Essential

• Successful completion of a relevant post-graduate L7 (or higher) course or appropriate equivalent modules.
• Evidence of continuous personal and professional development and the commitment to undertake level 7 masters academic learning that supports the skillset required for this role.
• Knowledge of local, national, strategic and operational policy developments and an awareness of their implications.
• Willingness to undertake training required for the role.

Desirable

• Post registration module at master's level.
• Coaching / Teaching and Assessing qualification / experience.
• Understanding of the primary care, secondary care and provider interface.
• Knowledge of legal issues relating to the care of people such as Data Protection Act, Adult Protection procedures and the Mental Capacity Act

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Sirona care & health CIC

Address

Withywood Centre

Queens Road

Bristol

BS13 8QA

United Kingdom

Employer's website

https://www.sirona-cic.org.uk/ (Opens in a new tab)

Job description

Job responsibilities

Job Role - may include the following:

Management of medicines at discharge from hospital

• To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge.
• Set up and manage systems to ensure continuity of medicines supply to high-risk groups of patients (e.g., those with medicine compliance aids or those in care homes).

Risk stratification

• Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both.

Unplanned hospital admissions

• Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews.
• Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.

Repeat prescribing

• Produce and implement a repeat prescribing policy.
• Manage the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review to the GP. Monitor and manage patients with polypharmacy.

Telephone and patient facing medicines support

• Provide a telephone help line for patients with questions, queries and concerns about their medicines.
• Hold clinics for patients requiring face-to-face medicines use reviews

Medication review

• Undertake clinical medication reviews with patients and produce recommendations for the GPs on prescribing and monitoring.

Care home medication reviews

• Undertake clinical medication reviews with patients and produce recommendations for the GP on prescribing and monitoring.
• Work with care home staff to improve safety of medicines ordering and administration.
• Domiciliary clinical medication review
• Undertake clinical medication reviews with patients and produce recommendations for the GPs on prescribing and monitoring.

Long-term condition clinics

• See patients with single medical problems where medicine optimisation is required (e.g., COPD, asthma).
• Make recommendations to GPs for medicine improvements.

Service development

• Contribute pharmaceutical advice for the development and
• implementation of new services that have medicinal components (e.g., advise on treatment pathways and patient information leaflets).

Care Quality Commission

• Work with the Federation and Member Practices to ensure compliance with CQC standards where medicines are involved.
• Undertake risk assessment and management and ensure compliance with medicines legislation.

Public health

• To contribute to public health campaigns, including flu vaccinations and adult immunisation programmes.

Cost saving programmes

• Undertake changes to medicines (switches) designed to save on medicine costs where a medicine or product with lower acquisition cost is now available.

Medicine information to practice staff and patients

• Answers all medicine-related enquiries from GPs, other practice staff and patients with queries about medicines.

Information management

• Analyse, interpret and present medicines data to highlight issues and risks to support decision making.

Medicines quality improvement

• Undertake simple audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.

Training

• Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
• Implementation of local and national guidelines and formulary recommendations
• Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).
• Assist practices in setting and maintaining a practice formulary that is hosted on the practices computer system.
• Auditing practices compliance against NICE technology assessment guidance.
• Provide newsletters or bulletins on important prescribing messages.

Medicines safety

• Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.

Person Specification

Experience

Essential

• In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based

Desirable

• An appreciation of the nature of GPs and general practice

Skills

Essential

• Excellent written and verbal communication skills
• Good IT skills
• Able to recognise priorities
• Able to work under pressure and to meet deadlines
• Full Driving License / willingness to travel across patch
• Strong analytical and judgement skills
• Ability to analyse and interpret information and present results in a clear and concise manner
• Experienced working with EMIS Web Medical Record system

Desirable

• Able to effectively influence others to complete agreed actions

Personal Qualities

Essential

• Professional attitude, calm and efficient manner
• Conscientious, hardworking, self- motivated, work with minimal supervision
• Creative and tenacious in finding solutions to difficult problems
• Ability to work with both clinical and administrative staff
• Ability to meet deadlines and work under pressure
• Ability to engage and sustain relationships with all professionals, other organisations and service-users
• Honest, reliable and enthusiastic, has a flexible approach
• Committed to personal development, willingness to undergo further training or development
• Car user and willing to travel between PCN GP practices

Qualifications

Essential

• Pharmacy Degree
• Minimum 2 years post qualification experience in Pharmacy
• Experience of / familiarity with clinical systems such as Emis
• Current GPhC registration

Desirable

• Independent Prescribing

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Bolton GP Federation

Address

Bolton Primary Care Hub

Chorley Street

BOLTON

BL1 4AL

United Kingdom

Employer's website

http://www.boltongpfed.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

The post-holder will work closely with the established Myeloid Team (Dr Jain, Dr Teh and Dr Khan) and will also have opportunities to support the nationally recognised PNH Service (Dr Kelly, Dr Griffin, Dr Muss and Dr Munir). The successful candidate will contribute to:

Specialist inpatient and outpatient care for patients with myeloid disorders and/or PNH. General Haematology services, including outpatient clinics and inpatient consultations. Participation in the consultant on-call rota (approximately 1:12). Provision of advisory and liaison haematology services across Leeds Teaching Hospitals NHS Trust. Referral triage, advice and guidance services for hospital clinicians and primary care colleagues. Shared responsibility for benign and general haematology pathways. There will be opportunities to become involved in:

Regional and local Myeloid Multidisciplinary Team (MDT) meetings. National PNH MDT discussions. PNH outreach clinics. Clinical research and trials, with Leeds Haematology actively recruiting to a broad portfolio of commercial and non-commercial studies. Teaching, training and service development initiatives. The successful applicant should hold accreditation in MBBS or an equivalent medical qualification from the Royal College of Pathologists or equivalent and should be on the Specialist Register or within six months of being admitted to the Register for trainees if currently in a training programme within the UK or have references which have been authorised by the Deputy Medical Director and Clinical Director.

Consideration will be given to applicants who wish to work full- or part-time and to those wishing to job share. Prospective applicants are encouraged to visit the hospital, which can be arranged by contacting:

Dr Manish Jain, Lead Clinician and Consultant Haematologist

[email protected]

Tel: 0113 2067564

Dr Richard Kelly, Consultant Haematologist

[email protected]

Tel: 0113 2068139

Why you should join our Team

The post holder will work with colleagues in the Myeloid team to help provide and support this large established service. Consultant staffing currently is Dr Manish Jain, Dr Chun Teh, Dr Richard Kelly (Myeloid and PNH), Dr Anjum Khan (Myeloid and transplant) and Dr Quentin Hill (Red cell disorder). The service is also supported by number of other consultants (including Dr Catherine Cargo (HMDS), Dr Marina Karakantza (Transfusion), Dr Alesia Kahn (HMDS) and Dr Katja Kimberger (ALL CAR-T). The post holder will have some shared input into benign General Haematology services, which may include hospital and GP liaison, referral review / triage and provision of advice and guidance. The post will also have some input in inpatient and outpatient red cell disorder work.

What you will bring to the role

The appointee’s role will be to further develop and support the established specialist services in Leeds for Myeloid and Red Cell Disorders in Haematology. The main clinical focus will be in Myeloid (Leukaemia) however the postholder will also have significant duties within the MPD clinic and in the support of benign red cell haematology. This will include Myeloid inpatient cover.

The appointee will be based principally at St James’s University Hospital with responsibilities as a member of the Leeds Teaching Hospitals NHS Trust Clinical and

The laboratory haematology consultant team is providing an integrated pan-Leeds service. The post duties will include inpatient care, outpatient clinic work and a

shared on-call commitment (approx. 1:11). The post-holder will be part of the Leeds Teaching Hospitals NHS Trust haematology team, providing advisory and

liaison haematology services in their area of expertise. There may be occasional need to visit other areas of the trust (e.g., Leeds General Infirmary and other sites

within the city) but no regular commitments occur out with the St James’s site.

We provide inpatient high-dose chemotherapy for patient in Leeds, Harrogate, Huddersfield, and York (Acute Lymphoblastic Leukaemia) including newer

immunotherapies. We are also regional CAR-T service for eligible people with Acute Lymphoblastic Leukaemia.

The post holder may support the national PNH service (this will be fully supported by the Leeds PNH team) or may have more involvement in general / non-malignant haematology services with a reduced involvement in the PNH service. This can be tailored to individual preference and experience. This will be discussed at the time of the interview.

About Leeds Teaching Hospital NHS Trust Our Trust values

The Leeds Way is working together to support each other and deliver the best possible care to patients.

We are….

Responsible Open and Honest One Team Kind

Our Trust priorities

Our purpose: Excellent, safe and sustainable care for every patient every time

Our priorities:

People Improvement and Innovation Partnerships Outcomes

Sponsorship Eligibility To comply with UK Government regulations on Skilled Worker sponsorship, Leeds Teaching Hospital NHS Trust is unable to provide sponsorship to applicants who do not meet the eligibility criteria or the salary threshold concessions set out under the Skilled Worker visa route. Please take this into consideration before submitting your application. Full guidance on these concessions, including details of who may qualify, can be found here.

We reserve the right to close this advert early if we receive a high number of suitable applications.

Person Specification

Qualifications

Essential

• Click on apply for full details

Desirable

• Click on apply for full details

Experience

Essential

• Click on apply for full details

Desirable

• Click on apply for full details

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

Leeds Teaching Hospitals

Address

St James’s University Hospital

Leeds

West Yorkshire

LS9 7TF

United Kingdom

Employer's website

https://www.leedsth.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view as attached

The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.

Person Specification

Knowledge

Essential

• Demonstrates strong knowledge of spinal, peripheral and systemic red flags and appropriate escalation
• Demonstrates strong knowledge of MSK conditions

Qualifications

Essential

• Diploma/Degree in physiotherapy or other relevant physiotherapy qualification
• Current HPC registration
• Have an understanding of the concepts of clinical governance and their implications for clinical effectiveness/best practice
• Understanding of group/team dynamics

Experience

Essential

• Relevant pre-registration physiotherapy experience to include all core rotations (including MSK)

Skills

Essential

• Ability to present information, either written as per CSP standards or orally, in a clear and logical manner
• To work as an autonomous practitioner and have the ability to manage time, prioritise and delegate work
• Commitment to own self development and learning, demonstrate by CPD portfolio
• Ability to comprehend and work within the Trust's policies of data protection, equal opportunities and health and safety and meet the differing needs of the patients.
• demonstrate a flexible and adaptable approach to patient care

Other Requirements

Essential

• ability to work flexible hours and weekends

Desirable

• Car driver/owner

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

West London NHS Trust

Address

West London NHS Trust

London

TW7 6AF

United Kingdom

Employer's website

https://www.westlondon.nhs.uk (Opens in a new tab)

Job description

Job responsibilities

Please see the job description and person specification attached for further information on the role.

Sirona care & health currently recruit overseas nursing and therapy staff through an NHS Trust Supplier and we adhere to the NHSE Code of Practice in relation to applicants from Red List countries. We are therefore, unable to accept any direct applications to this advert from candidates who are not already based in the UK.

Please note, we cannot offer a Certificate of Sponsorship for this role.If you currently require a visa to work in the UK, there must be a minimum of 14 months remaining until the expiry date. If you do not disclose your expiry date within your application, it may not be considered. Please only provide the expiry date and not your share code within your application.

If you refer to qualifications or employment within your supporting statement, that has not been included in your Qualifications, Training or Employment History, this information may be discounted.

Please use your 'Supporting Information' to demonstrate and provide evidence in how you meet the Person Specification below.

Person Specification

Qualifications

Essential

• Professional Qualification in Nursing, Occupational Therapy or Physiotherapy. Registered with NMC, HCPC or RCN

Skills, knowledge and experience

Essential

• Able to work across professional and organisational boundaries recognising when there are barriers to partnership working and able to implement solutions to overcome these
• The ability to interpret clinical information, use analytical and problem-solving skills to inform decision making
• Able to demonstrate innovative practice
• Ability to coordinate and manage a caseload including prioritising the workload, appropriate use of escalation plan, time management and delegation.
• When required to be able to present information to the CCG to support the requirement of additional funding (e.g., 1-1 support) to enable a hospital discharge
• Ability to complete mental capacity assessments when required and if the patient lacks capacity act as the lead for making a best interest decision as part of a multi-disciplinary team

Desirable

• Ability to present self and service in a professional manner promoting the service at all times
• Experience of working within hospital and community settings
• Ability to build, and maintain, effective working relationships at all levels

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Sirona care & health CIC

Address

Cadbury Garden Centre Offices

Smallway

Congresbury

BS49 5AA

United Kingdom

Employer's website

https://www.sirona-cic.org.uk/ (Opens in a new tab)