Advanced Clinical Practitioner

Overview Are you an experienced and motivatedAdvanced Clinical Practitioner looking to work within a compassionate and expert multi-disciplinary team?

At Cornwall Hospice Care, we provide specialist care for people living with life-limiting conditions, and we're looking for someone just like you to join our growing clinical team. This is a fantastic opportunity to make a real difference in specialist palliative care.

Are you:

• Passionate about specialist palliative care?
• Experienced in caring for patients with life-limiting illnesses?
• Committed to delivering expert, high-quality assessment and care in our hospice settings complementing our team of medics, Nurses and AHPs?

Main duties of the job To champion innovative practice within the field of palliative and end of life care, developing the Advanced Clinical Practitioner role within hospice care. The post holder will work at an advanced practice level applying their extended knowledge and skills in the principles and practices of palliative end of life care to support patients with the most complex needs. The Advanced Clinical Practitioner will work across the clinical teams at Mount Edgecumbe Hospice and St Julias Hospice.

The Advanced Clinical Practitioner will join the existing medical team rota for the inpatient unit contributing to the twenty four hour service as part of the first on call tier with the hospice medical team that includes specialty doctors, resident doctors, senior hospice doctors, specialist palliative care trainees and doctors rotating through the hospice as part of their general practice training.

The Post Holder will be a key member of the Multidisciplinary team providing specialist palliative care to patients and families, supporting education, audit and research to influence the delivery of high-quality care and identify innovative ways of working which improve and develop the service offered.

About us Working for us

Our employees and volunteers are essential to the care we provide. In return, for joining a team of people having such a positive impact on others, we provide:

A chance to make a real difference

Supportive working environment

Access to a wide range of training and development opportunities

Generous annual leave entitlement of 35 days including bank holidays, which increases with service.

Contributory pension scheme

Life Assurance

Non-contributory medical cash plan, with the option to include your family members

Employee Assistance Programme

Early Pay

Contact Mel Daily Hunt or Lisa Shephard for informal visits or calls.

For an application form please email the HR Team on

Registered Charity No

Job responsibilities The post holder will have responsibilities in four main areas of work:

Clinical Practice

Works as part of the Hospice Palliative Care Team, carrying out a high standard of holistic clinical assessment, determining and providing plans, treatment, interventions, advice or support as appropriate.

As an independent prescriber prescribes medicines for patients in accordance with local policies, national standards and formularies relating to independent prescribing.

Undertakes medication reviews with patients and takes a proactive approach in ensuring patients understanding of their medication.

Participates fully as part of the 24 hour team as 1st on call, accountable to 2nd on call medical consultant to ensure effective co-ordination of care and appropriate and timely responses for patients.

When on call on Sat/Sun/ BH will complete a ward round to assess, reassess and review patients, instigating treatment for symptom control and psychological support.

Admit patients with reference to 2nd on call at weekends, out of hours as appropriate.

Provide a source of expertise to all health care practitioners including undertaking joint assessments as required.

Identify clinical issues and incidents within the specialty that may affect the quality of palliative care services, raising concerns with the Head or Clinical Services Director of Clinical Services, Lead Hospice Doctor or Medical consultant as appropriate to ensure the delivery of safe, effective services.

Liaise daily with the clinical team and ensure they are briefed on the changing needs of their palliative patients activity.

Work as part of the multidisciplinary team to support and identify patients who may require referral to protection services such as adult safeguarding support or deprivation of Liberty assessment and referral.

Maintain clinical records in line with hospice and NMC guidance, Health and Care Professions Council standards.

Use advanced clinical skills and judgment to diagnose, plan, implement and evaluate the needs for patients with complex palliative symptoms, anticipating problems and risks and act before crisis arise.

NON-MEDICAL PRESCRIBING

Duties and Responsibilities

Communication & Working Relationships

To maintain effective verbal and written communication with the clinical team and to keep staff informed of changes to prescribing intervention or treatment provided to service-users. Following the RPS guidance and using the EPMA system, reporting any changes to the nursing and medical teams and ensuring information is communicated efficiently and effectively in relation to medication safety.

Planning and Organisation

• To be aware of the current legislation and prescribing developments that may impact on the delivery of services to service users
• Have a good knowledge of, and apply current Hospice Medicine Controlled Drug and Non-Medical prescribing Policies and associated Standard Operating Procedures

Responsibility for Patient Client Care, Treatment And Therapy

• Comply with the Nursing and Midwifery Council Professional Code of Conduct, Royal Pharmaceutical Society Code of Ethics, relevant legislation procedures and policies
• To attend and contribute effectively to relevant professional forums minimum of 6 per year
• To review and make changes to prescribed medication, in collaboration with the service-user wherever this is possible
• To prescribe and change medications as clinically appropriate within the scope of the independent practitioners clinical expertise

Responsibility for Finance Equipment And Other Resources

• To contribute to financial governance through knowledge and appropriate resource management of allocated prescribing budget for the service in collaboration with clinical leads and medical colleagues

Responsibility for Supervision Leadership Management

• To develop strategies for continued professional development as a Non-Medical Prescriber, ensuring attendance to the Southwest NMP Forum quarterly meetings

Information Resources and Administrative Duties

• Ensure accurate electronic record keeping and e-prescribing compliance as detailed in Hospice Medicines Management Policy

2. Leadership and Consultancy

• Demonstrate leadership behaviours in line with Hospices Leadership Code
• Demonstrate leadership skills when undertaking the clinical assessment process and when planning and delivering care
• Actively promote the rehabilitative and therapeutic approaches of palliative care
• Motivate all staff and others through providing training supervision and mentorship
• Apply a range of interpersonal skills in response to the different needs of patients, families, staff and colleagues
• Encourage proactivity, innovation and can-do attitude amongst the MDT, demonstrating flexibility within the parameters of hospice policies
• Act as role model, accountable for your own professional actions and decisions
• Work with the medical team, Heads of Departments, Clinical Director and senior clinicians to ensure the development of progressive professional practice

3. Evidenced Based Practice and Quality Improvement

• Be a learning event facilitator and lead on teaching events to ensure lessons are learned and cascaded throughout the clinical teams
• Be an active participant of clinical audit and quality improvement, working closely with the Ward Managers and Clinical Governance Team to ensure the delivery of high quality, clinically safe and effective care, which is evidence based in research and audit
• Support quality improvement initiatives participating in projects wherever possible
• Critically evaluate research findings to develop practice
• Represent Cornwall Hospice Care and the work of the hospice at local, regional and national level as required

4. Education and Development

• Meet your own continuous professional development needs and maintain an annual personal development plan detailing hours of CPD learning and reflection
• Maintain professional NMC / Health and Care Professions Council requirements for non-medical prescribing and log these activities on LMS e.g. yearly updates
• Actively contribute to the delivery of the hospice education programme
• Actively participate in clinical supervision
• Support the learning of medical students and other professionals who come to the hospice on work-based placements

Person Specification Qualifications

• Current registration on Part 1 of NMC register or AHP HCPC
• 1st Degree in healthcare related subject
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