Senior Advanced Neonatal Nurse Practitione

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King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of c£1 billion, 1.5 million patient contacts a year and more than 13,500 staff based across 5 main sites in South East London. The Trust provides a full range of local hospital services across its different sites, and specialist services from King's College Hospital (KCH) sites at Denmark Hill in Camberwell and at the Princess Royal University Hospital (PRUH) site in the London Borough of Bromley.

Job overview

This is a rare yet exciting opportunity to join one of the largest Foundation Trusts in the UK with an international reputation and a tradition of innovation.

We are inviting applicants to join our dynamic team of Advanced Neonatal Nurse Practitioners (ANNP). The successful candidate will already be a qualified ANNP through completion of the MSc in Advanced Clinical Practice and have worked on the Tier 1/2 medical rota

The Neonatal Unit at King's College hospital operates cross site with a tertiary unit at Denmark Hill site which is recognised as one of two Level III Perinatal Centres in the SE London neonatal network and Level II neonatal unit at Princess Royal University Hospital site. Its subspecialties include respiratory medicine, neurology, neurosurgery, and thoracic, abdominal and ophthalmic surgery. Currently there are 24 ITU/HDU cots and 12 SCBU cots with over 800 admissions per annum at DH site and 4 HDU and 8 SCBU cots at PRUH site with 500 admissions per year. We provide level 3 Medical and Surgical care to sick term babies and preterm babies born as early as 22 weeks gestation. We are a major referral centre providing a first class intensive care service to South East London, Kent and the Medway towns, Brighton and West Sussex and beyond

There are approximately 5500 deliveries per annum at the Denmark hill. With a planned expansion and redevelopment at both sites we aim to become one of the largest neonatal units in the country.

Main duties of the job

Our Senior Advanced Neonatal Clinical practitioners have the responsibility for autonomously planning, managing and coordinating clinical care for babies requiring complex level medical and surgical interventions and supporting both medical and nursing to develop these skills on the unit. We focus on developing leaders for the future and therefore alongside a full team of Neonatologist, senior clinical fellows and nursing leads, provide individualised professional leadership, research and clinical development.

Our goal to be a hospital of choice by improving all aspects of the patient experience relies upon us having a highly skilled, motivated, diverse, productive and patient focused workforce

Why not work for an acute Trust committed to flexible working and diversity in employment?

Working for our organisation

King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of £1 billion, 1.5 million patient contacts a year and more than 15,000 staff based across South East London. The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.

We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.

King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.

Detailed job description and main responsibilities

Clinical

1. Work as a senior Neonatal advanced practitioner within the specialty, managing a caseload of patients .
2. Direct responsibility for attending high-risk/emergency deliveries, leading basic and advanced resuscitation procedures, assessment, examination, investigation and diagnosis of patients within their area of work.
3. Autonomously manage Neonatal patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations..
4. Participate in multidisciplinary clinics, ward rounds, patient reviews and multidisciplinary team meetings and provide complex case presentations
5. Undertake a variety of clinical skills procedures such as endotracheal intubation, umbilical venous catheterisation for circulatory support, and the prescribing of resuscitation drugs and fluids as required and provide treatment/ advice as per speciality and scope of practice. Using agreed protocols of clinical practice and professional guidelines.
6. Utilise scope of practice to undertake Non-Medical Prescribing role and provide advice on medicine management issues associated with the patient specialty group. Work within Trust policy for Medicines Management
7. Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review, referring to other specialists as required.
8. Use highly developed communication skills to effectively communicate with colleagues, patients and their relatives/carers.
9. Use professional judgement to act as an advocate for patients to ensure a patient focused approach to the delivery of care. Support and enable patients and carers to make informed decisions relating to their treatment and management.
10. Respond to calls from the postnatal, transitional care and labour ward on the request of a midwife to assess the condition of a baby and provide specialist advice, to be clinically able to undertake and direct high quality research based clinical nursing care.
11. Report and raise concerns related to Safeguarding, accessing advice and support as required. Be conversant with Trust policies.
12. Ensure that high standards of all documentation are maintained, with accurate, complete and up-to-date information regarding patient care are kept in accordance with Trust standards.
13. Plan and perform highly skilled and intricate diagnostic and therapeutic procedures adhering to agreed protocols and guidelines and under aseptic conditions where
14. Monitor the quality and standard of care provided by all members of the team and all staff in clinical areas. Identifying any skills or training gaps and escalating to the appropriate Senior Nurse or Matron.
15. Undertake training to develop further advanced clinical practice roles required by the service in order to provide a high standard of patient care.
16. Practice within the scope of professional registration (i.e. NMC, HCPC)

Professional Leadership & Management

1. Provide highly visible and accessible professional leadership and demonstrate expert knowledge and standards of clinical practice
2. Lead and develop a defined area of Advanced Clinical practice within the designated area of practice , promoting interdisciplinary team and collaborative working practices
3. Promote team working, build rapport and collaborative working practices with multidisciplinary team. Liaise with inter-hospital departments and personnel across organisational and professional groups. Ensuring effective communication and interpersonal skills with other disciplines and organisations.
4. Lead and support the development of the role according to changing patient's needs, service requirements and evidence base practice.
5. Lead and actively participate in service/ departmental projects, quality initiatives and statutory accreditation processes. This will include the setting and monitoring of clinical standards of care.
6. Ensure that all resources are managed in an efficient and cost-effective manner to achieve maximum effect for patients and staff.
7. Lead in the implementation of multidisciplinary service objectives that reflect Trust strategies for patient care.
8. Demonstrate effective leadership skills, supporting the senior management team (Nurse/AHP Consultant/ Lead ACP/ Matron/ Lead Nurse/ Clinical Director) in service development and lead as delegated on the implementation of any of these changes.
9. Undertakes annual appraisal for nursing staff as requested by the Neonatal Lead Nurse. Ensuring that they have a Personal Development Plan, and to assist with the appraisal of other staff in liaison with the Neonatal Lead Nurse
10. Monitor standards and maintain high quality care. Report any clinical incidents via the Trust electronic reporting system and escalate issues promptly and appropriately
11. Maintain an awareness of professional and ethical issues to ensure care is delivered in a professional timely and courteous manner by all members of the team, respecting the different spiritual and cultural backgrounds of colleagues, patients and relatives.
12. Escalate any concerns or complaints promptly
13. Responsibility for completing or delegating the preparation and daily review of staff duty rota's, ensuring that the team provides most effective service provision.
14. Accountable for own practice, acting at all times within the Professional Code of Professional Conduct (NMC,HCPC)
15. Model excellence in nursing and medical clinical practice
16. Attend and when required chair multidisciplinary meetings as a representative of the service. Ensure minutes and agreed actions are communicated to stakeholders according to agreed timescales

Education & Training

1. Act as an expert educational resource for clinical staff, patients, and carers by providing formal and informal education. Promote and develop a positive, lifelong learning environment throughout the Trust.
2. Provide supervision, advice, support and training for junior medical staff and less experienced ANNPs in the organisation and delivery of clinical medical care
3. Develop programmes of learning and facilitate delivery for neonatal nurses in enhanced and advanced practice and further developments for care delivery.
4. Lead and actively participate in the delivery of educational programmes for all grades of nursing, medical and allied health professional staff.
5. Contribute to the orientation programme of the junior doctors and senior nurses allocated to the unit, and visitors to the unit by other members of the multi-professional team
6. Participate in education and practice development on a Trust wide basis liaising with Trust wide educational leads to ensure overall Trust educational objectives are delivered
7. Recognise the limits of own professional practice and competence, undertake further training and academic qualifications as required to maintain own specialist knowledge
8. Take responsibility for ensuring personal and completion of any statutory or mandatory training as required for.
9. Participate in the annual appraisal process, delegating duties to team members as appropriate to ensure all staff within the team have personal development plans which support revalidation
10. Maintain close links with local HEI's and participate in in the development and delivery of new and established advanced practice programmes

Research & Audit

1. Participate and where required lead or assist in research projects as required, disseminating and ensuring utilisation of research results to change practice.
2. Be aware of research /trials being undertaken within the specialist field of practice and utilise research findings to delivery advanced care
3. Participate and where required lead audit projects as required by the specialty, involving collating, analysing and reporting on results of the audit process.
4. Collate, analyse and present reports on varying aspects of the speciality activity as required by directorate or divisional team
5. Ensure the results of audit and research conducted by the team are disseminated at local, regional and national level.
6. To share best practice; through publications and attendance/presentation opportunities at conference level.

Quality & Safety

1. Support the maintenance of KPI's NHSLA compliance, CQC compliance and local and national clinical governance initiatives in close collaboration with the directorate senior nursing, medical and management and in collaboration with clinical governance teams.
2. Maintain improvements in patient safety by supporting implementation of patient safety initiatives, prompt and appropriate response to complaints resolution and escalation where appropriate
3. Ensure patient safety by escalating any risks with staffing or service provision to directorate management team
4. May be deployed to work in any part of the Trust/ across site should the need arise to ensure patient safety is maintained

This job description is not exhaustive and is seen as a guideline for the post. The post holder may be required to undertake other duties to achieve the Trust objectives which are commensurate with the grading of the post

Review of the role

This job description will be subject to review and amendment, in consultation with the post holder, to meet the changing needs of the service and the organisation

People Management and Performance

• Lead, coach and manage the performance of the team in line with good people management practices. Ensuring excellence is recognised and underperformance is addressed.

• Participate in regular performance appraisal meetings and ensure each member of the team has a clear set of objectives and development plans.

Person specification

Education Qualifications and Skills

Essential criteria

• Professional registration (RN adult RSCN,RN Child
• MScLevel qualification (Neonatal pathway)
• Non Medical Prescribing course
• Post graduate Qualified in Speciality in Neonatal Nursing (QIS)
• Neonatal Advanced Life Support qualification(s)
• Teaching and Mentoring qualification

Desirable criteria

• NLS instructor
• ARNI Course provider
• Recognised Leadership Qualification

Knowledge and Experience

Essential criteria

• Extensive post registration experience at a senior level (Band 7 or above) in a tertiary level neonatal care unit
• (Band 7 or above) in a tertiary level neonatal care unit
• Evidence of on-going CPD
• Evidence of teaching and presentations in a variety of environments
• Advanced Clinical Assessment skills
• Evidence of research & audit
• Evidence of dissemination of knowledge in wider healthcare organisations
• Previous experience working on Tier 1/2 medical rota as an ANNP

Desirable criteria

• Publication in healthcare journals

Skills and Competencies

Essential criteria

• Excellent communication skills Advanced skills in all aspect of Neonatal Care to allow medical registrar cover and rota
• Ability to perform in stressful and complex situation
• Sound clinical reasoning & decision making
• Can demonstrate an enthusiastic, approachable and friendly manner
• Able to communicate sensitive information to parents and families

IMPORTANT

• Check your email account regularly as this is how we will communicate with you
• If you delete the job from any of your accounts, you may be prevented from accessing further communications
• To enquire about your application or inform us of any changes in your circumstances, please contact the named person on this advert
• Please provide email addresses for referees where possible
• Click here to see the range of benefits we offer
• Please review the documentation on our recruitment microsite, particularly the Trust's criminal records checking policy
• All staff have a responsibility for safeguarding children and vulnerable adults and for ensuring they are aware of the specific duties relating to their role.
• Due to a high volume of applications, this advert might close before the displayed closing date. It is therefore recommended that you apply promptly

Equality and Diversity Information

King's College Hospital NHS Foundation Trust Annual Reports and Other Corporate Publications

King's Health Partners Academic Health Science Centre Website

King's College Hospital is part of King's Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between King's College London, and Guy's and St Thomas', King's College Hospital and South London and Maudsley NHS Foundation Trusts.

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.

Documents to download

• Job Description and Person Specification (PDF, 264.4KB)
• Denmark Hill Site Map (PDF, 1.2MB)
• Princess Royal (PRUH) Site map (PDF, 1.4MB)
• Candidate Brochure DH (PDF, 225.6KB)
• Visa and Sponsorship Information (PDF, 352.6KB)