Job Overview
- Enhanced level practice describes a level that can only be delivered by registered professionals with statutory registration who have gained additional post-registration education and experiential learning in a relevant subject area. This level can be applied to the full range of registered professional careers. The enhanced level is differentiated from other levels by one’s expertise in applying specific knowledge and skills to a designated area. This role will manage caseloads of patients, providing intervention as part of a designated pathway.
- Registered professional working at an enhanced level are expected to be able to manage discrete activities in complex, challenging and changing situations and environments. They should also be confident to seek further guidance when they reach the boundaries of their competence
- This role will involve autonomous, independent clinical practice, as well as leadership of the enhanced practitioners working in the department. They will have significant post-registration clinical experience in hepatology and/or cancer care.
- Advanced knowledge of HCC surveillance, early detection of liver cancer, liver disease and cancer pathways.
Main duties of the job
- Assess, differentially diagnose, plan, implement and evaluate individual treatment interventions within a set field of practice for patients by virtue of enhanced clinical judgement and close liaison with members of the MDT.
- Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.
- Initiate, evaluate, and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care.
- Provide specialist, expert clinical knowledge to colleagues, patients and carers/relatives both within and outside the Trust.
- Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families, and carers.
- Ensure compliance with their respective code of professional conduct and work within their scope of practice.
- Works in conjunction with the MDT to clearly define values, direction and policies impacting upon care.
Working for our organisation
NBT Cares. It’s a very simple statement; one which epitomises how everybody across our organisation goes the extra mile to ensure our patients get the best possible care.
NBT Cares is also an acronym, standing for caring, ambitious, r
espectful, and supportive – our organisational values.
And our NBT Cares values are underpinned by our positive behaviour’s framework – a framework that provides clear guidance on how colleagues can work with one another in a constructive and supportive way.
Detailed Job Description And Main Responsibilities
Role model the trust values, demonstrating a person-centred approach to service delivery and development.
To work as the
senior enhanced practitioner by sharing knowledge and information and supporting colleagues to promote a cohesive team and the achievement of objectives for the service.
To supervise staff, ensuring that they have systems in place to manage the efficient and effective use of supplies, provisions and equipment of the Department within the designated budgets. This includes management of temporary staf.
Support on the promotion of the trusts hepatology early detection of liver cancer service across the organisation and to other NHS/health organisations or regulating bodies.
Critically apply enhanced clinical expertise to influence clinical practice to enhance quality, reduce unwarranted variation and promote the sharing and adoption of best practice.
Evaluate their own practice, and participate in multi-disciplinary service and team evaluation, demonstrating the impact of enhanced clinical practice on service function, effectiveness, and quality.
Continually develop practice in response to changing population health need, engaging in horizon scanning for future developments.
Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working.
Actively engage in peer review to inform own and other’s practice, formulating and implementing strategies to act on learning and make improvements.
Actively seek feedback and involvement from individuals, families, carers, communities, and colleagues in the co-production of service improvements.
Demonstrate team leadership, resilience, and determination, managing situations that are unfamiliar, complex, or unpredictable and seeking to build confidence in others.
Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals’, families’, carers’, communities’ and colleagues’ safety and well-being when necessary.
Negotiate an individual scope of practice within legal, ethical, professional, and organisational policies, governance, and procedures, with a focus on managing risk and upholding safety, utilising a shared portfolio of evidence and appraisal.
Discuss patient and relatives' experiences with them to prevent complaints from developing and to assist the management team in investigating and responding to complaints when they arise.
Support team members from a managerial perspective including direct line manger responsibilities, such as sickness management, appraisals, and conduct management of the enhanced practitioner workforce in Hepatology Early detection of liver cancer.
Delegate tasks and activities to a range of team members, recognising their development needs, ensuring that staff have the appropriate training and coaching to take on projects. Ensure that all projects are facilitated, and outcomes are evaluated. This will impact on succession plans.
The design, implementation, and evaluation of a nurse-led liver cancer surveillance clinic.
Operational delivery of two separate clinics: one for hard-to-reach patients and one for HCC surveillance. advanced service and clinic planning responsibilities.
Person specification
Education/Training/Qualifications
Essential criteria
- Active Professional Registered Qualification with a Professional body e.g., NMC, HCPC
- Post registration qualifications/CPD in area of practice as a minimum.
- Non-medical prescriber (If appropriate for statutory profession and role).
- Proven leadership experience
- Evidence of ongoing professional development through maintenance of professional portfolio and registration revalidation.
Desirable criteria
- Enhanced Clinical Practitioner Level 6 or above qualification
Work Experience
Essential criteria
- Grounded knowledge of the Hepatology environment
- Demonstrable experience of service improvement and transformation, achieving cultural change to improve service quality
- Experience of implementing local/specialist objectives
- Proven track record of successful management of change and leadership
Knowledge/Skills/Abilities
Essential criteria
- Excellent organisation and leadership skills
- Ability to act independently, resolve complex clinical situations and have good decision-making skills
- Experience of management of the Hepatology patients especially but not exclusive to stable cirrhosis patients requiring HCC screening , general hepatology patients ,patients requiring paracentesis based in outpatients with some reach and service development
- Experience of involvement in research and audit at a local level within current or previous roles.
- Ability to interpret and apply best practice and promote its use with others
- A sound understanding of professional priorities and issues
Leadership
Essential criteria
- Demonstrates ability to question and challenge practice in a constructive way so that standards of patient and staff care, health and wellbeing are continually evaluated and improved
- Professional approach to work and instil confidence
- Motivated, with the ability to motivate others
- Communicating and working across the wider system
- Team leadership responsibility
- Able to work within a team or independently
- Able to be flexible within the role and prioritise the needs of the service
- Able to demonstrate behaviours consistent with the Trust values
