Contents

Section

Section 1: Introduction to Appointment

Section 2: Person Specification

Section 3: Job Description

Section 4: NHS Lothian Values

Section 5: General Information for Candidates

Section 6: Working in Edinburgh and the Lothians

Section 7: Workplace Equality Monitoring

Section 8: Equal Opportunities Policy Statement

Section 9: Code of Conduct for Healthcare Support Workers

Section 1: Introduction to Appointment

Reference Number: NHSL/2018/1544

Job Title: ADVANCED NURSE PRACTITIONER

Grade: (Annex U)* BAND 7

*Please note this is a Trainee post, therefore Annex U applies*

For trainees covered by Annex U where the period of training lasts for between one and four years, pay will be as follows:

up to 12 months prior to completion of training: 75 per cent of the pay band maximum of the fully qualified rate;

more than one but less than two years prior to completion of training: 70 per cent of the pay band maximum of the qualified rate of the qualified;

more than two but less than three years prior to completion of training: 65 per cent of the pay band maximum for the qualified rate.

more than three years from completion of training: 60 per cent of the pay band maximum of the fully qualified rate.

For further guidance on Annex U – follow the link:

ANNEX U – ARRANGEMENTS FOR PAY AND BANDING OF TRAINEES

Location: MUSSELBURGH PRIMARY CARE CENTRE, EAST LOTHIAN

Contract Duration: PERMANENT

Hours: 37.5 per week

Closing Date: 21ST DECEMBER, 2018

Salary Scale: £33,222 - £43,471 per annum

Apply on-line www.jobs.scot.nhs.uk

Please note – the e-mail address you provide on the application form will be used as the primary route of communication for any further correspondence relating to this vacancy so please check your TRASH and SPAM folders. Furthermore, during the course of the whole recruitment process from application to final offer NHS Lothian may need to contact you using the phone number (land or mobile) you have provided. Below are some examples:

by text message prior to a scheduled interview date if no confirmation of attendance has been received by email

if an invalid email address has been provided

in relation to finalising any offer, if an email has been unsuccessful.

This post requires the post holder to have a PVG Scheme membership/ record. If the post holder is not a current PVG member for the required regulatory group (i.e. child and/or adult) then an application will need to be made to Disclosure Scotland and deemed satisfactory before they can begin in post.

NHS LOTHIAN

POST: ADVANCED NURSE PRACTITIONER (L-GEN-NM-NS-ANPC)

In order to be shortlisted you must demonstrate you meet all the essential criteria and as much of the desirable as possible. When a large volume of applications are received for a vacancy and most applicants meet the essential criteria then the desirable criteria is used to produce the shortlist.

Criteria

Essential

Desirable

How

assessed

Personal Traits

Confident and Team player Understands and demonstrates the NHS Lothian’s values of quality, care and compassion, dignity and respect, and openness, honesty and responsibility through the application of appropriate behaviours and attitudes Excellent interpersonal skills with effective listening, decision making and judgemental expertise

Motivated and committed to further develop skills and knowledge

I,P,R

Qualifications and Training

Registered General Nurse V300 nurse prescriber Msc level of advanced practice or working towards this Evidence of Post graduate education in managing LTCs and also family planning and relevant primary care presentations

GP IT systems

Clinical decision making module

Acute illness module or equivalent

I,A,P

Experience and Knowledge

Evidence of effective problem solving skills

In depth understanding of the management of patients with complex health & social needs and long term conditions

Strong organisational skills, particularly relating to treatment requirements and care plans

Primary Care experience

I,A,P

Section 2: Person Specification

Skills and/or Abilities

Can apply critical thinking, logic and reasoning to skills to a wide range of challenges, such as diagnosing patients or identifying early opportunities to reduce risk of letting illnesses worsen. Wide range of clinical examination skills

I, A, P

Specific Job Requirements

Triage , History Taking, patient assessment and ability to manage scheduled appointments and unscheduled work load as it presents in general practice

I,A,P

Key – how assessed

A = Application form I = Interview

C = Copies of certificates T= Test or exercise

P = Presentation R = References

1. JOB IDENTIFICATION

Job Title: Advanced Nurse Practitioner – Community (Band 7) Responsible to (insert job title): Primary Care Manager Department(s): Collaborative Working for Immediate Care (CWIC) Directorate: Primary Care Operating Division: East Lothian Health & Social Care Partnership Job Reference: NHSL/2018/1544 No of Job Holders: 5

2. JOB PURPOSE

To undertake the role of an advanced nurse practitioner, utilising high levels of decision making and clinical judgment. Ensure that patient health needs are met through the provision of the diagnosis and the management of patient conditions through the assessment, treatment and review planning process in partnership with patients and families. Provide specialist advice to healthcare professionals, other agencies, carers, clients and relatives. The ANP role encompasses that of expert clinician, educator and auditor. Lead and develop the service to improve practice and work collaboratively across healthcare boundaries, implementing and evaluating evidence based standards, guidelines and policies.

3. DIMENSIONS

This is a key role for the success of clinical case management including more complex cases within Primary Care. This post will be a key part of the multi disciplinary team with an expectation that the ANP undertake nursing staff development and supervision responsibilities. These responsibilities have been reflected in the key result areas and will apply as required. The postholder is employed within NHS Lothian and there may be a requirement to work flexibly across Lothian to meet service demands. .

Section 3: Job Description

4. ORGANISATIONAL POSITION

Key: ------------ represents professional accountability

5. ROLE OF DEPARTMENT

The Collaborative Working for Immediate Care (CWIC) Service will deliver same day care for the community by a clinical team compromised of Nurses, Advanced Physiotherapy Practitioners, CPNs, and others. This is a new approach to Primary Care Delivery and is set up in partnership with NHS 24, as well as GP Practices in East Lothian. This clinical hub will operate within MPCC. This innovative project is about delivering high quality same day care efficiently and supporting General Practice in the delivery of primary care to the local population.

6. KEY RESULT AREAS

Advanced Clinical Practice 1. Responsible for providing a diagnosis for a patient condition, using advanced critical thinking and

diagnostic reasoning skills, including instigating appropriate clinical investigations and interpreting results to enable the development of an enhanced care package / immediate management plan which will meet the physical and psychological needs of the patient.

2. Provide high level anticipatory care through the early identification of disease exacerbation in order to

reduce the likelihood of acute illness, risks and prevent hospital admission incorporating current Telehealth/Telecare methodologies where appropriate. Acting as an advocate by working in partnership with patients and carers at all levels of care delivery in order to promote self management.

3. Initiate medication prescribing, administration and management in line with Patient Group Directive’s

or Independent Supplementary Prescribing competence. 4. Provide expert clinical advice to the multidisciplinary team, patients and their families. Participate in

strategy development at National specialist groups, which facilitate net-working and sharing best practice through the provision of specialist professional advice.

5. Apply principles of epidemiology and demography in clinical practice recognising risks, patterns of

disease and work collaboratively with a variety of stakeholders to develop health promotion strategies and reduce health inequalities.

6. To undertake risk assessment (including patient behaviours and working environment) and incident

management within community setting including implementation of action plans and associated learning to ensure ongoing compliance with related legislation and guidelines, including Health and Safety at Work Act and NHS Lothian Health and Safety policy and reporting systems, to safeguard patients, visitors and staff.

Leadership and Management 7. Provide clinical leadership in relation to the management of Long Term Conditions working at

advanced practice level to provide mentoring, supervision and clinical advice where required to the multidisciplinary team within the Health and Social Care Partnership.

8. Lead appraisal process and Personal Development Plan Review in line with the Knowledge and Skills

Framework. Address performance management issues for area of responsibility. Provide and participate in clinical and peer supervision.

9. Develop effective partnerships and positive working relationships with a variety of internal and external

agencies in order to support seamless care provision across all agencies. 10. Contribute to business continuity, workforce planning and skills profiling to ensure the targeting of

resources to meet the needs of the team, individuals, families and communities. 11. Responsible for the development of local procedures, protocols and standards ensuring compliance

with National legislation and NHS Lothian policies and identify opportunities for the continuous development of service.

12. To support NHS Lothian’s values of quality, teamwork, care and compassion, dignity and respect, and openness, honesty and responsibility through the application of appropriate behaviours and attitudes.

Practice Development and Facilitated Learning 13. In an advisory and teaching capacity demonstrate advanced clinical knowledge and skills in relation

to clinical interventions to the multidisciplinary team in area of responsibility and working in collaboration with education providers and other key stakeholders contribute to development of training and education.

Research and Development 14. Promotes, develops and undertakes clinical audit programmes to support own and the teams best

practice which is research and evidence based leading to continuous improvement in care. 15. Interprets newly generated research findings and decides how they are implemented for practice

using advanced knowledge and skills and disseminates findings internally to influence best practice. 16. Initiate and contribute towards research in area of expertise and critically appraise, evaluate and

apply knowledge of theoretical frameworks, evidence and research findings.

7a. EQUIPMENT AND MACHINERY

The postholder will be expected to be responsible and knowledgeable in the safe use of all clinical and non clinical equipment used within the area ensuring this is checked and maintained and where problem are identified these resolved so that all equipment is fit for purpose. Note: New equipment may be introduced as the organisation and technology develops, however training will be provided.

7b. SYSTEMS

The following are examples of systems which will be used when undertaking the role:

To maintain accurate and up to date clinical records complying with patient confidentiality and provide data for core surveillance.

To be responsible for recording all activity/contact on appropriate local system.

To update and maintain a range of information databases.

Responsible for regularly completing and signing off timesheets/mileage forms.

Responsible for ordering supplies e.g. supplies and equipment.

To be proficient in the use of IT systems - internet/intranet including use of email.

Risk assessments.

Note: New systems may be introduced as the organisation and technology develops, however training will be provided.

8. ASSIGNMENT AND REVIEW OF WORK

Will have a Professional Personal Development Plan, including an assessment of clinical competence which will be reviewed annually by the responsible line manager. Works within broad occupational, national and local policies and guidelines. Governance of clinical competence is undertaken in line with arrangements determined through the organisational structure which will provide professional nursing advice and Specialty Consultant or designee will manage assessment of clinical competence. The post is self directed, organising own workload in relation to specialist caseload to meet the demands of the service. The clinical workload is generated from the service area e.g. hospitals, acute services, GPs, Health and Social Care providers in line with legislation and performance indicators set by the Scottish Government Health Department.

9. DECISIONS AND JUDGEMENTS

Makes complex autonomous clinical decisions including analysis, diagnosis, and clinical management, based on an in-depth broad expert knowledge and interpretation of clinical and other findings such as laboratory investigations and x-rays. Agree referral protocols, undertake risk assessments and using advanced clinical reasoning skills, make further referrals to Clinicians when it is identified that further clinical intervention is required. Uses own initiative and acts independently within the boundaries of own knowledge and Skills. Participate in the appraisal process through Personal Development Planning and Review in line with the Knowledge and Skills Framework. Address performance management issues for area of responsibility.

10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

Continued development and promotion of the Advanced Nurse Practitioner role through challenging the boundaries of the current parameters of practice.

11. COMMUNICATIONS AND RELATIONSHIPS

Communicates sensitive, complex clinical condition related information to patients, relatives and carers in relation to specialist area of expertise.

Communicate verbally and in writing to members of the multidisciplinary team - members of Primary and Secondary Health Care Teams, Social Care; statutory and non-statutory services with the ability to express professional views within group settings and support client advocacy.

In addition to the above other contact falls into the following main categories in relation to healthcare, staffing and service issues:

The patient, their relatives and the multidisciplinary team involved in the provision of care.

Nursing staff regarding patient care, allocation of work, workload issues.

Partnership, Trade Union and Professional Organisation representatives in relation to service and

staffing issues. Acts as a patient /staff advocate through the application of ethical, legal and professional knowledge and skills.

12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB

This section may vary depending on clinical area. Examples may include:

Physical Skills: Administer medicines, injections, syringe drivers, intravenous infusions and blood transfusions. Administer enteral tube feeding. Insert urinary catheters. Apply wound dressings. Manual handling techniques. Keyboard skills.

Physical Demands:

Physical manual handling of patient, patient movement with use of mechanical aides. Push wheelchairs and other mobile equipment. Stand/walk for the majority of shift.

Mental Demands:

Concentration is required at all times when caring for patients and undertaking clinical decision making. Maintenance of precise and accurate records and report writing. Frequent interruptions from patients / relatives / team members. Concentration required when observing patient behaviours which may be unpredictable.

Emotional Demands:

Communicating with distressed / anxious / worried patients and relatives.

Caring for patients and relatives following receipt of bad news and

supporting them in identifying realistic expectations in relation to long term conditions.

Motivating and supporting junior staff / colleagues in the work environment. Communicating with and caring for patients who have reduced understanding and insight due to cognitive impairments. Caring for the terminally ill.

Working Conditions:

Exposure to body fluids. Potential exposure to verbal and physical aggression from patients and relatives / other visitors. Exposure to infections and temperature variations.

13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

Registered nurse. Completion of relevant postgraduate courses to master’s degree level (level 11) appropriate to Primary care. Advanced clinical practice and examination skills Independent Supplementary Prescribing (v300) experience. In depth understanding of the management of Long term Conditions. Evidence of management, education and training. Effective listening and interpersonal skills. Time management skills/ability to prioritise workload. Evidence of research /audit experience. Evidence of effective problem solving skills. Competent in standard IT packages e.g. Microsoft Word & Excel.

14. JOB DESCRIPTION AGREEMENT

A separate job description will need to be signed off by each jobholder to whom

the job description applies.

Job Holder’s Signature: Head of Department Signature:

Date: Date:

Section 4: NHS Lothian Values into Action

NHS Lothian is determined to improve the way their staff works so they have developed a set of common values and ways of working which they now need to turn into everyday reality - to the benefit of everyone working in the organisation and, most importantly, to the benefit of their patients. Our Values are:

Quality

Dignity and Respect

Care and Compassion

Openness, Honesty and Responsibility

Teamwork Throughout the recruitment process candidates will need to demonstrate they meet all of Our Values. More information on Our Values can be found by clicking on the link at the bottom of our Careers website front page: www.careers.nhslothian.scot.nhs.uk

Section 5: General Information for Candidates

Data Protection Act During the course of our activities we will collect, store and process personal information about our prospective, current and former staff. The law determines how organisations can use personal information. For further information on the type of data that is handled, what the purpose is of processing the data and where and why we share data, please see the NHS Lothian Staff Privacy Notice, found at https://www.nhslothian.scot.nhs.uk/YourRights/DataProtection/Pages/StaffPrivacyNotice.aspx. For the purposes of this privacy notice, 'staff' includes applicants, employees, workers (including agency, casual and contracted staff), volunteers, trainees and those carrying out work experience. Counter Fraud NHS Lothian is under a duty to protect the public funds it administers, and to this end will use the information you have provided on your application form for the prevention and detection of fraud. It will also share this information with other bodies responsible for auditing or administering public funds for these purposes. More detail on this responsibility is on NHS Lothian’s intranet (Counter-Fraud and Theft page) and further information is available on the Audit Scotland website: www.audit-scotland.gov.uk/ References All jobs are only offered following receipt of two satisfactory written references. At least one reference must be from your current/most recent employer, or your course tutor if you are currently a student. If you have not been employed or have been out of employment for a considerable period of time, you may give the name of someone who knows you well enough to confirm information given and to comment on your ability to do the job. Changes to Disclosure and Rehabilitation Regime In September 2015 the Scottish Government made changes about what conviction information needs to be disclosed. The rules are complicated, so it is important you read the guidance below as part of making your application.

NHS Scotland is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) (Scotland) Order 2003. As part of any offer of employment candidates will be subject to one of the following:

For posts in regulated work – Protection of Vulnerable Groups Scheme membership

For all other posts which are subject to a criminal conviction record check – A Police Act check

For posts not subject to a criminal conviction record check – A self-declaration For further information please visit our careers site: http://careers.nhslothian.scot.nhs.uk/HelpAndAdvice/Recruitmentofpeoplewithconvictions/FAQsdisclosurescotlandandselfassessmentform/Pages/default.aspx

Disclosure Scotland Where a Police Act Disclosure or Protection of Vulnerable Groups Check is deemed necessary for a post, the successful candidate will be required to undergo an appropriate check. Further details on the Recruitment of Ex-Offenders are available on our careers webpage: http://careers.nhslothian.scot.nhs.uk/HelpAndAdvice/Recruitmentofpeoplewithconvictions/Pages/default.aspx

Work Visa If you require a Work Visa, please seek further guidance on current immigration rules which can be found on the Home Office website: www.gov.uk/government/organisations/uk-visas-and-immigration or visit our Careers website: www.careers.nhslothian.scot.nhs.uk/pathwaysintoemployment/OverseasWorkers/Pages/default.aspx Overseas Registration and Qualifications NHS Lothian will check you have the necessary professional registration, where appropriate. If you require a qualification for this role but are not regulated by a professional body (e.g. NMC, GMC, HCPC etc), you will need to provide an official translation, notarised by a solicitor, of your overseas qualifications to be checked by the recruiting manager. Please ensure that this is available before applying for this post. Job Interview Guarantee Scheme As a Disability Symbol user we recognise the contribution that all individuals can make to the organisation regardless of their abilities. As part of our ongoing commitment to extending employment opportunities, all applicants who are disabled and who meet the minimum criteria expressed in the job description will be guaranteed an interview. Terms and Conditions For an overview of our Agenda for Change terms and conditions please click on this link: www.msg.scot.nhs.uk/pay/agenda-for-change

Travel Expenses Travel expenses are not normally reimbursed for interviews, if you are selected for interview and wish to enquire about the possibility of being reimbursed then the request should be directed to the recruiting manager or interview panel chair. Application Form Completion The purpose of an application form is to help evidence that the applicant has all the requirements applicable to carry out the job applied for. (7500 is the character limit for statement in support of application.)

Once in receipt of the application pack it is essential to read both the job description and person specification to gain a full understanding of what the job entails and the minimum criteria required. Please note for equal opportunity purposes NHS Lothian do not accept CV’s as a form of application. For general help and advice on how to complete an application form please visit our careers website: www.careers.nhslothian.scot.nhs.uk/HelpAndAdvice/ApplyingForPosts/Pages/default.aspx

NHS Staff Benefits As a staff member in NHS Lothian, you will have access to a wide variety of offers and discounts from local and national businesses. For more information and to view these discounts, visit www.nhsstaffbenefits.co.uk - new offers are added on a weekly basis.

NHS Lothian offers excellent career prospects and a wide range of job opportunities for potential employees. It employs approximately 24,000 staff and offers training and development opportunities as well as excellent staff benefits. The information provided below aims to help support and guide both prospective applicants and new employees unfamiliar with Edinburgh and the Lothians. Edinburgh and the Lothians Edinburgh and the Lothians are on the eastern side of Scotland’s central belt in the heart of the country. Four main areas make up Edinburgh and the Lothians – Edinburgh, East, Mid and West Lothian. NHS Lothian serves a population of approximately 850,000 people living in and around Edinburgh, Scotland’s historic capital city. The geographical area known as Lothian region covers 700 square miles, comprising the City of Edinburgh, Midlothian, East Lothian and West Lothian. It is a region of exceptional beauty and contrast, from the splendour of Edinburgh to the beauty and variety of the hills, countryside and coastline. The nearest major town outside of Edinburgh is Livingston, a thriving location in the heart of West Lothian. As well as many sites of historic interest, the region boasts a host of recreational activities for all ages. For further information on relocating to Edinburgh please visit our careers website: www.careers.nhslothian.scot.nhs.uk/AboutNHSLothian/Location/RelocatingToLothian/Pages/default.aspx

Section 7: Workplace Equality Monitoring

NHS Lothian is committed to supporting and promoting dignity at work by creating an inclusive working environment. We believe that all staff should be able to fulfil their potential in a workplace free from discrimination and harassment where diverse skills, perspectives and backgrounds are valued. In order to measure and monitor our performance as an equal opportunities employer, it is important that we collect, store and analyse data about staff. Personal, confidential information will be collected

Section 6: Working in Edinburgh and the Lothians

and used to help us to understand the make-up of our workforce which will enable us to make comparisons locally, regionally and nationally.

NHS Lothian considers that it has an important role to play as a major employer and provider of services in Lothian and accepts its obligations both legal and moral by stating commitment to the promotion of equal opportunities and elimination of discrimination. The objectives of its policy are that no person or employee receives less favourable treatment on the grounds of sex, disability, marital status, age, race (including colour, nationality, ethnic or national origin), creed, sexuality, responsibility for dependants, political party or trade union membership or activity, HIV/AIDS status or is disadvantaged by conditions or requirements which cannot be shown to be justifiable. Our Equal Opportunities in Employment policy can be viewed on our careers website: www.careers.nhslothian.scot.nhs.uk/AboutNHSLothian/EqualOpportunities/Pages/default.aspx

If this post is a healthcare support worker position the post holder will need to follow the Code of Conduct for Healthcare Support Workers. A Healthcare Support Worker is defined as any healthcare worker working within NHS Scotland who is not currently statutorily regulated or in a role that has been recommended for statutory regulation by the Government. The Code of Conduct sets the standard of conduct expected of healthcare support workers and adult social care workers. It outlines the behaviour and attitudes that you should expect to experience from those workers signed up to the code. It helps them to provide safe, compassionate care and support. For more information on the Code of Conduct for Healthcare Support Workers please read the guidance: www.gov.scot/resource/doc/288853/0088360.pdf

Section 8: Equal Opportunities Policy Statement

Section 9: Code of Conduct for Healthcare Support Workers