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Job overview

An exciting opportunity is available to become part of our Breast Care team at Southmead and Weston as an Advanced Clinical Practitioner (ACP).

The job is an ACP band 8A but willing to take anyone interested in undertaking the trainee ACP as band 7. Please see the detailed Job descriptions for both.

The role involves autonomous, independent clinical practice. With a background of Nursing or Allied Health Professionals (AHP), the post holder will have completed training to practice as an autonomous Advanced Clinical Practitioner (ACP).

This will have incorporated the progressive development of history taking, clinical examination, clinical investigations, and interpretation and subsequently the diagnosis and management planning of the patient specific to Breast care.

This will have incorporated the progressive development of history taking, clinical examination, clinical investigations and interpretation and subsequently the diagnosis and management planning of the patient specific to the clinical specialty of Breast care.

To be responsible for the rapid assessment, diagnostics, and treatment of individuals within the Breast Surgery service using an advanced level of professional accountability, autonomy, and judgement, underpinned by Master’s level theory and experience. 

Main duties of the job

·Assess, differentially diagnose, plan, implement and evaluate individual treatment interventions for patients by virtue of expert clinical judgement and close liaison with members of the MDT.

·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 Breast MDT to clearly define values, direction and policies impacting upon care.

·Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate.

·Be able to demonstrate a critical understanding of their broadened level of responsibility and autonomy. 

·Be responsible and accountable for their decisions, actions and omissions at this level of practice.

·Demonstrate critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.

·Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education England’s framework to promote person-centred approaches in health and care.

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Working for our organisation

North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities.

Our vision is that by enabling our teams to be the best that they can be, we will provide exceptional healthcare, personally delivered.

We commit to treating each patient as an individual with respect and dignity, aiming to deliver excellent clinical outcomes and a first-class experience for everyone who uses our services.

North Bristol NHS Trust values all people as individuals. We aim to be an anti-discriminatory organisation and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We welcome applicants from all underrepresented groups.

Detailed job description and main responsibilities

·Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.

·Actively implement effective systems and processes for infection control management whilst working clinically and be a role model for other members of the clinical team.

·Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with the legal framework you work under to supply and prescribe medicines (if from professional group legally entitled to prescribe.

·Evidence of post graduate Masters level in Advanced Practice, to include breast examination, Physical assessment and diagnostic reasoning.

·Further Specialist training in Breast care.

·Communication skills training at level 2 or equivalent.

·Role model the trust values, demonstrating a person-centred approach to service delivery and development.

·Contribute and where possible lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence.

·Critically apply advanced 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 advanced clinical practice on service function and 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.

Person specification

Essential

Essential criteria

Active professional registered qualification with a professional body eg: NMC, HCPC MSc in advanced clinical practice Evidence of ongoing professional development through maintenance of professional portfolio and registration revalidation Excellent organisation and leadership skills A sound understanding of professional priorities and issues

Desirable criteria

Msc in advanced clinical practice - desirable for trainee ACP applicants

The successful applicant(s) will normally commence at the minimum of the scale unless they have previous NHS service at the same band. Progression through the scale is by annual increments.

At North Bristol Trust (NBT), we know diverse and inclusive environments lead to happier and healthier teams and improved patient care and outcomes. We are committed to equality of opportunity, to being fair and inclusive, and to being a place where we all belong. We therefore particularly encourage applications from candidates who are currently underrepresented in NBT’s workforce at Band 8a and above. These include people from Black, Asian and minority ethnic backgrounds, disabled people and LGBTQIA+ people.

Please note that stringent pre-employment checks are undertaken on all successful applicants prior to commencement in post.

Employer certification / accreditation badges

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.