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Job Overview
Training at Band 7 until completion of ACP training then move to Band 8a (Neurovascular). We are looking for a motivated Advanced Clinical Practitioner (ACP) to join our expanding Neurovascular and Skull base Neurosurgical service, working alongside Consultant Neurosurgeons, Interventional Radiology, and Allied Health Professionals in a well-established MDT. You will be supporting patients undergoing surgical and interventional neurovascular procedures.
The post holder will lead on a Neurovascular research portfolio, supporting the development of a research-based culture, coordinating sub-speciality research trials, patient experience and audit. The post holder will need to have Neurosciences experience and have undertaken an MSc degree (level 7) in Advanced Clinical Practice or equivalent. You must be able to work independently within the four pillars of advanced practice: clinical practice, management and leadership, education and research.
You will lead the team on coordination of care for patients recovering from subarachnoid haemorrhage, working with the MDT to ensure optimal treatment outcomes. You will work across Neurosurgical and Interventional Neuro-radiology services to enhance continuity of patient care across the inpatient critical care journey. You will have expertise in coordinating patient care pathways, patient education and supporting patients and families on their recovery journey.
Main duties of the job
The post holder will have excellent leadership and clinical skills, with evidence of continuing professional development. Your role will involve independent and autonomous practice of history taking, clinical examination, clinical investigations and interpretation, and subsequently the diagnosis and management planning of differentiated and undifferentiated patients. You will be integral to the patient journey from outpatient assessment, preoperative planning, inpatient, postoperative supportive care and outpatient surveillance.
The post holder will work as a highly skilled autonomous practitioner across the Neurovascular and Skull Base service as part of a well-established specialist MDT spanning inpatient neurosurgical teams, Advanced Clinical Practitioners, Consultant Neurosurgeons, Interventional Radiologists, Gamma Knife Surgery Radiographers and Radiologists, and Allied health professionals. You will manage and support a broad range of complex patient cases with neurovascular pathologies, including cerebral aneurysms, AVMs, dural AV fistulas and Moyamoya disease, undergoing surgery, interventional procedures, Gamma Knife Surgery and surveillance, as well as emergency presentations including subarachnoid haemorrhage.
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. We are the regional Major Trauma Centre and an internationally recognised centre of excellence. Our vision is to enable our teams to be the best they can be to provide exceptional healthcare, personally delivered. We value all people as individuals and are committed to building a diverse and inclusive team.
Detailed Job Description And Main Responsibilities
Demonstrating a high level of expertise within the sub-speciality, you will manage and coordinate care pathways for elective patients and acute neurovascular presentations with subarachnoid haemorrhage, providing autonomous clinical review of all neurovascular patients on the Neurosurgical Ward and Intensive Care Unit, in collaboration with the MDT to ensure optimal outcomes. You will work across Neurosurgical and Interventional Neuro-radiology services to enhance continuity of patient care across inpatient critical care journeys or elective pathways. You will have expertise in coordinating patient care pathways, patient education and supporting patients and families on their recovery journey.
With collaboration across two NHS Trusts, you will help develop a newly established Gamma Knife Surgery Service for patients with Arteriovenous Malformations, and contribute to Moyamoya disease management with extensive pre-operative work-up and ongoing radiological surveillance. You will lead Neurovascular research and service development initiatives, promoting a research-based culture to inform practice, influence policy and drive innovation. You will coordinate sub-speciality research trials and contribute to patient experience and audit.
With Neurosciences experience, you must have undertaken an MSc degree (level 7) in Advanced Clinical Practice (or be working towards) and will complete a portfolio of evidence to achieve accreditation/digital badge status. You must be able to work independently within the four pillars of advanced practice: clinical practice, management and leadership, education and research. Your role will involve independent and autonomous practice of history taking, clinical examination, non-medical prescribing, clinical investigations and interpretation, and the diagnosis and management planning of differentiated and undifferentiated conditions. The ACP role will be integral to the patient journey from outpatient assessment, preoperative planning, inpatient admission, postoperative care and outpatient surveillance. You will work as part of a well-established MDT including neurosurgical teams, Advanced Clinical Practitioners, Consultant Neurosurgeons, Interventional Radiologists, Gamma Knife Radiographers and Radiologists, and Allied Health Professionals.
Person specification
Essential criteria
* Professional registration
* MSc Advanced Practice working towards successful completion of ACP apprenticeship (PACR, PADRAP and NMP)
* Postgraduate qualification in specific specialty or equivalent experience
* Teaching and mentoring recognised qualification
* Minimum 3 years’ experience within Neurosciences - band 7
* Able to demonstrate specialist knowledge in Neurovascular / Skull base Neurosurgery
* Evidence of ongoing CPD / clinical portfolio
* Evidence of maintaining competence of Advanced Clinical Skills
* Autonomous clinical reasoning and decision making in inpatient and outpatient settings
Desirable criteria
* Intermediate / Advanced Life Support qualification or willingness to undertake
* Evidence of acting as clinical skills assessor
Please note that North Bristol NHS Trust does not reimburse travel expenses relating to interview attendance.
North Bristol NHS Trust is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment.
The successful applicant(s) will normally commence at the minimum of the scale unless they have prior 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 and to being a place where we all belong. We particularly encourage applications from candidates who are currently underrepresented in NBT’s workforce at Band 8a and above, including 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.
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