Clinical Nurse Practitioner

PRINCIPAL ACCOUNTABILITIES After a period of training with an experienced CNP, the successful candidate will perform a comprehensive clinical assessment of patients undergoing elective admission for cardiothoracic and cardiology procedures and will be accountable for the quality of care delivered in line with NMC and Liverpool Heart and Chest Hospital trusts policies, ensuring the highest standards of care for patients during their pre op journey., After a period of training, complete a full clinical evaluation and assessment, including history taking and comprehensive physical examination of all patients undergoing elective cardiothoracic and cardiology procedures, identify appropriate investigations, including X-ray and Echocardiogram. Interpret and act upon complex clinical findings and investigation results, including discussing with or notifying consultants, GP or other healthcare providers. The core responsibilities of the role involve initiating individualised plans of care, addressing any complex health and well-being needs. Refer to, liaise with, and maintain effective communication with patients, carers, other members of the multi-disciplinary team and primary / secondary care services. Assess patient/ family understanding of information provided using appropriate techniques. Identify complex patients who are at high risk of re-admission and escalate accordingly. Plan for a safe and timely discharge
with patients, family and carers. The CNP provides medicines management advice to patients and their families/carers at all points of the pre op pathway, e.g. before the patient is seen in clinic or following their pre assessment. The practitioner must also demonstrate an understanding of competing and sometimes complex medication regimes including anticoagulation advice, and how to adapt these for individual patients in collaboration with the assigned consultant. This requires a basic understanding of commonly used drugs in cardiothoracic/cardiology services. The successful candidates will work towards completion of non-medical prescriber training or reactivation of current qualifications in line with Trust policy. Following appropriate training, the nurse practitioners also consent patients for identified procedures on behalf of the supervising consultant. Provide a telephone help-line service for advice and support for patients and their families waiting for
and following procedures. Produce, update and contribute to patient information literature, policies and protocols which are Trust wide in their scope. The team collaborate with and contribute to Trust wide projects that impact the pre op pathway. Contribute to the development and management of nurse led services and role development in line with strategic targets and national and local guidelines.CLINICAL
QUALITY
Utilise an evidence based approach to the management of patient health and illness Ensure practice complies with trust policies, procedures and clinical guidelines Engage in clinical supervision, self-reflection, audit and quality initiatives that contribute to improvements in care and practice Analyse audit information to assess activity and quality and share across relevant forums. Continually monitor standards of care and evaluate service delivery, identifying areas for improvement and initiate changes as indicated. Network and liaise with other Trusts to ensure best practice and disseminate new ideas. Work with national and regional agencies to develop services. Participate in the clinical supervision of hospital staff, attend relevant national, regional and local meetings to advocate and promote best practice. Support and take an active role in Trust and Department of Health initiatives such as Benchmarking and Clinical Quality.
MANAGERIAL/LEADERSHIP
Actively lead and manage projects to enhance the Clinical Nurse Practitioner (CNP) role and improve services in line with local and national agendas. Collaboratively work across health care sectors to improve the patient experience and maximise the efficiency of service delivery. Take a proactive approach to planning the CNP workload to ensure smooth running of service. Co-ordinate and manage the daily running of the clinics, negotiate with clinical and non-clinical personnel. Provide specialist, expert clinical knowledge to colleagues, patients and carers/relatives. Participate in professional and policy making activities that contributes to the development of the CNP role and the health and wellbeing of patients.
EDUCATIONAL AND DEVELOPMENT
Identify own learning needs with subsequent planning, implementation and evaluation of programmes/ strategies to meet identified need(s) Attend appropriate conferences, study days and courses to keep up to date with local, regional and national initiatives and objectives. Participate in the education of pre and post registered nurses and specifically contribute to the development of future CNPs. Provide expert teaching and support for staff undertaking specialist courses. Support and teach MSc students during their placement at Liverpool Heart and Chest hospital.
GENERAL STATEMENTS CONFIDENTIALITY
All employees must adhere to policies and procedures relating to Information Governance, Confidentiality and Information Security.
RISK MANAGEMENT
The Trust is committed to approaching the control of risks in a strategic and organised manner. The postholder must be aware of their individual responsibilities as detailed in the Trusts Risk Management, Health & Safety and Incident policies, and those under the Health and Safety at Work Act. This includes the reporting of any untoward incident, accident, potential or actual hazard identified.
SAFEGUARDING
All staff are required to be familiar with the arrangements for safeguarding children, young people and vulnerable adults and support the organisation in promoting the welfare of children, young people and vulnerable adults. Staff working directly with children, young people and vulnerable adults will have a responsibility to ensure safeguarding and promoting their welfare forms an integral part of their duties. Staff who come into contact with children, vulnerable adults, parents and carers in the course of their work and/or have access to records will have responsibilities to safeguard and promote the welfare of children, young people and vulnerable adults. Staff who come into contact in the course of their duties, with parents, carers or other significant adults or children, young people and vulnerable adults should always be mindful of safeguarding and promotion of the welfare of these individuals.
HEALTH AND WELLBEING
The Trust is a Health Promoting Hospital. The Trust expects that when you are presented with opportunities to improve the lifestyle of our patients you seek help from appropriately trained clinical staff to ensure patients are supported and assisted in making the necessary lifestyle changes. This is in accordance with best practice as described in the DoH white paper Choosing Health Making Healthy Choices Easier. EQUAL OPPORTUNITIES The Liverpool Heart & Chest Hospital NHS Foundation Trust is committed to achieving equal opportunities. All employees are expected to observe this policy in relation to the public and fellow employees. All staff are expected to adhere to, and act in accordance with, the values & behaviours of the Trust. This document is intended to be used as a guide to the general scope of duties involved in this post. It is not exhaustive and should not therefore be used as a rigid specification. It will be kept under review and
amended as required in consultation with the postholder.
We reserve the right to close this vacancy early. Therefore, interested applicants are advised to apply as early as possible.
Please review the job description and person specification carefully before applying to ensure that you meet the essential requirements for the post.
All applicants will be contacted and informed by email whether they were successfully shortlisted for interview.
As part of you pre-employment checks we will be required to obtain satisfactory references. We require at least one written reference from your current or most recent employer. We are only able to accept references from a professional work email address.
From April 2017 the Government plans to extend the requirement to provide a criminal record certificate to Tier 2 visa applicants coming to work in Education, Health and Social Care sectors and to their adult dependants.
If you are a Tier 2 visa applicant and you are coming to work in an occupation defined by the relevant Standard Occupational Classification (SOC) code, you will be required to provide a criminal record certificate from any country you have lived in for 12 months or more in the last 10 years, this is also applicable for your adult dependants.
Employers are expected to implement the Care Certificate for all applicable new starters from April 2015. The Care Certificate aims to equip health and social care support workers with the knowledge and skills which they need to provide safe, compassionate care. We expect all new starters in clinical, patient facing posts (bands 1-4) to complete all 15 standards of the Care Certificate, within their first 6 months with the Trust.
Flexible Working applications will be considered in line the Trusts flexible working policies.
The Trust is a no-smoking site.
We reserve the right to close adverts earlier than the closing date should we receive sufficient applications and so urge you to submit your application as soon as possible.
Please note UKVI guidelines prohibits sponsorship for all Band 2 posts. Guidelines state that many non-clinical posts are also not eligible for sponsorship. Please use UKVI guidance on Skilled Worker Visas to determine whether you would be eligible for sponsorship if you were to gain a conditional offer for this role.

The Clinical Nurse Practitioner works as part of the Multidisciplinary Team within the Outpatient Department. As a senior nurse, you will be responsible for completing a holistic patient assessment as part of the preparation prior to patients undergoing elective surgery and cardiology procedures. A passion for delivering excellent standards of nursing care is essential. The successful candidate will be reliable, flexible, enthusiastic and motivated to work within our different specialty areas.

As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.
We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine including adult cystic fibrosis and diagnostic imaging, both in the hospital and out in the community.
We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.
Heart and lung disease continue to be amongst the biggest killers in the UK and the communities we serve are marked by increased prevalence of cardiovascular disease, higher levels of heart failure, hypertension, coronary artery disease and an ageing population.
Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and facilitated by technology. New and upgraded clinical areas are designed with patients and families fully involved to deliver their needs.
As part of our long term plan, we aim to form strong clinical and organisational relationships where possible. There is clear evidence that partnerships improve patient care and enhance quality and we aim to collaborate with a range of other providers and professionals with the aim to extending access and improve quality.
Our vision is underpinned by five strategic goals:
+ Quality: to deliver the highest quality, safest and best experience for patients and their families by providing reliable care
+ Service and Innovation: to develop our service portfolio for patients by developing innovative models of care
+ Value: to maintain financial viability, enhance service delivery and develop new models of care to improve the health of our patients and safely reduce costs
+ Workforce: to be the best NHS Employer by 2019 by attracting and retaining the best staff to deliver excellent patient care
+ Stakeholders: to develop productive relationships with key stakeholders in order to enhance our profile and reputation.
Our Mission
"Excellent, Compassionate and Safe care for every patient, every day", As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.
We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine both in the hospital and out in the community.
We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.
Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and our encouragement of flexible working in a variety of forms.
Please visit our website - https://www.lhch.nhs.uk/
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