Ap

The AP will provide clinical expertise and leadership to deliver same-day pre-operative anaesthetic assessments for complex cancer pathway patients. They will be responsible for triaging patients according to medical complexity, the performance of comprehensive preoperative assessments and utilisation of clinical reasoning to formulate a shared management plan before surgery to help deliver the 62-day cancer pathway standard. The AP will run planned pre-operative assessment clinics for complex pre-operative patients listed for major surgery. They will be skilled in risk stratification, able to refer for targeted investigations, optimisation & high-risk multidisciplinary team input within the limits of their capability & subject to minimum supervisory standards (NHSE, Workplace supervision for advanced practice 2025 refresh) & clinical governance (Advanced Practice Governance Maturity Matrix; NHS employers). The AP will respond to colleague queries for anaesthetic notes reviews at a rate agreed locally depending on clinical responsibilities and workload & within the limits of their capability. The AP will be formally involved in national perioperative audit processes, including NCAPC & PQIP data collections. The AP contributes to & shares responsibility for delivering educational programme for preoperative assessment nursing colleagues, covering clinical priorities, GIRFT standards for training & new policy guidance within the trust with support from anaesthetic colleagues., This job description outlines the core requirements expected of a Band 8a advanced practitioner working in an autonomous advanced practice role. The list below is not exhaustive, and specific requirements related to any specialist area of practice will be outlined with the prospective post holder, in line with professional or service specific training requirements and their professional scope of practice. Clinical The AP post holder will practice with knowledge, skills and behaviours which…

• Practice in compliance with their respective registration's code of professional conduct, being responsible and accountable for their decisions, actions, or omissions at this level of advanced practice
• Demonstrates a critical understanding of their advanced level of responsibility and autonomy, within the limits of their own capability, to include when working with complexity, risk or uncertainty in undifferentiated patient consultations
• Facilitates own professional judgment identifying when to escalate and seek senior support/guidance, critically reflecting on practice, self-awareness and emotional intelligence, Works in partnership with individuals, families and carers, using a range of assessment methods as appropriate (e.g. history-taking and physical assessments, holistic assessments, identifying risk factors, mental health assessments, requesting/ undertaking and/or interpreting diagnostic tests, and conducting health needs assessments)
• Utilises effective communication skills through a variety of methods/settings, supporting people in making decisions, planning care or seeking to make positive health changes, promoting person-centred approaches in health and care
• Delivers effective communication skills with colleagues both internally and/or externally, in verbal, non-verbal and written communication methods, adapting to changing parameters as required; which includes thorough accurate documentation in patient records as required
• Provides and receives highly sensitive, complex or contentious information relating to patient care, and communicates information to patients, families or carers with respect, compassion and empathy, including breaking 'bad news' or facilitating difficult conversations with respect and compassion
• Delivers a high degree of proficiency and clinical acumen in relation to decision-making skills, to inform clinical reasoning approaches when dealing with differentiated and undifferentiated presentations and complex situations; synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses, treating, discharging, referring to alternative specialities or escalating cares as required, within agreed scope of practice and with support from the consultant anaesthetic and clinical leadership team.
• Able to competently perform a range of clinical procedures and lead diagnostic investigations, as required by the service and the scope of practice for the role:
Phlebotomy Peak flow/spirometry ECGs
• Actively endeavours to continually develop, broadening knowledge and skills in advanced clinical practice, in order to initiate, evaluate and modify a range of evidence-based interventions, which may include the prescribing of medications, therapies, lifestyle advice and care, as required by the service and role
• The AP will be registered as a non-medical prescriber, qualified to prescribe medications safely and effectively in line with their scope of practice, utilising local or organisational guidelines, national guidelines, and adhering to the Royal Pharmaceutical Society (RPS) Prescribing Standards, and those of their professional regulatory body (e.g. NMC, HCPC, GPhC), The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.
  
  Registered Healthcare Professional (NMC, HCPC or GPhC)
• First level degree (HEI Level 5 or 6) or equivalent, in undergraduate base profession
• Completed MSc L7 Advanced Practice or equivalent - in relevant Advanced Practice field; including independent prescribing
• Specialist post-graduate education / qualifications, or training relevant to area of clinical practice for AP role (e.g. IRMER)
• Registered Independent/Non-medical Prescriber
Desirable criteria
• Mentoring, Facilitating Workplace Learning or Clinical Supervision Qualification
• Leadership Course or Qualification
• Life Support Course relevant to speciality (ILS, BLS, ALS)
• Professional AP Credential - From recognised professional body pathways, or NHSE, Significant experience and expertise within pre-operative assessment for the AP role (at AP or tAP level), following consolidation and application of required advanced practice training
• Proven evidence of management ability and leadership skills
• Evidence of ongoing CPD, including multi-source feedback and workplace-based assessments and evidence of capabilities, within own professional portfolio
• Excellent clinical acumen and practical procedural skills (with evidence of competency and capability) as an independent practitioner, as per Job Description for role
• Knowledge of clinical governance issues and measures of quality
• Experience of clinical audit, service evaluation or improvements in practice
• Ability to appraise evidence, using analytical and problem-solving skills to inform decision-making, and ability to respond to sudden unexpected demands
Desirable criteria
• Experience of change management
• Demonstrable evidence of research capability, or the application of research evidence to own clinical practice
• Existing technical clinical procedural or interpretation skills relevant to clinical service (e.g. overnight oximetry monitoring)
• Experience of writing for publication and/or conference presentations
• Experience in frailty assessments, Commitment to CPD practices for own development, and the development and support of others
• Commitment to evidencing own professional development, capabilities and competency development via work-based assessments and use of a portfolio
• Willingness to engage in clinical supervision to develop knowledge, skills and behaviours across the breadth of the four pillars of advanced practice
• Ability to recognise and analyse complex situations, utilising decision-making skills to take appropriate action
• Evidence of teaching and sharing knowledge with others in the MDT or externally to organisation
• Demonstration of leadership in clinical practice
• Ability to recognise own limitations, working within scope of practice, acting on feedback linked to practice change when required
• Flexibility to work a variety of shifts, which may include days/weekends, as required to fulfil the AP role, and dependent on service needs
• Evidence of effective team working and team leadership (when required) as part of a multi-disciplinary professional team
Desirable criteria
• Ability to work with a high level of attention to detail, supporting ability to deliver service measurement and improvement
• Evidence of leadership skills in relation to delivering educational teaching or lecturers, with associated feedback and evaluations, internally and/or externally to the organisation (e.g. HEIs)
• Experience running a teaching programme in chosen field of specialty
Behavioural SkillsEssential criteria
• Demonstrates a clear vision of the AP role within the clinical service, and organisationally
• Aligned to the Trust values, conducts themselves in a professional manner at all times
• Positive attitude to all tasks and stakeholders, excellent communication skills (all channels)
• Willingness and enthusiasm towards working as part of a multi-disciplinary team in delivering care, Computer literate with experience of working with Microsoft Office packages
• Advanced keyboard skills to ensure fluent documentation
Desirable criteria
• Evidence of e-portfolio use
• Competence with EPR systems, You must have appropriate UK professional registration.
  
  Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.
The Trust comprises of four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury. Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence., Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury. Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence, and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel. In 2023 NHS England launched its first sexual safety charter, and our Trust proudly signed it. We pledge zero tolerance for inappropriate sexual behaviour and commit to the ten core principles Oxford University Hospitals promotes a safe, respectful hiring environment. If you want to make a difference with us, come and join our team. Together, we will uphold the highest standards of care and professionalism., Sexual Safety Charter: In 2023 NHS England launched its first sexual safety charter, and our Trust proudly signed it. We pledge zero tolerance for inappropriate sexual behaviour and commit to the ten core principles Oxford University Hospitals promotes a safe, respectful hiring environment. If you want to make a difference with us, come and join our team. Together, we will uphold the highest standards of care and professionalism.