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    Advanced Care Practitioner - London, United Kingdom - King's College Hospital NHS Foundation Trust

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    Part time
    Description

    The post holder will provide expertise in their area of clinical practice, professional leadership and education in the field of Acute Oncology.

    The aim of the post is to ensure quality standards for AOS is deliveredconsistently throughout the trust and in line with South East London Accountable Cancer Network (SEL ACN) guidance and operational policy.


    The post holder will ensure that patients presenting with metastatic malignancy of unknown origin (MUO) have access to rapid expert oncology input to avoid unnecessary, inappropriate investigations are discussed in an MUO MDT and receive rapid treatment for their disease and/orsymptom control decisions.

    The post holder will be expected to monitor the impact of the Acute Oncology Service, using a number of key metrics including length of stay and work with the Lead Acute Oncology Clinician to ensure the Acute Oncology Service meets Peer Review Quality Standards and SELCAguidance/safety measures and is of a demonstrably high standard and will influence patient care through expert clinical practice, management,leadership, education research, audit and professional activities
    Provide early input in to coordination of care ensuring patients access right care at the right time and deliver high quality AOS specialist nursing care
    Support the provision of the telephone triage advice for patients and health professionals with complications of their systemic anti cancer treatment and provide high quality advice to support self-care or prevent serious consequences by directing care (earlyrecognition, better access to treatment, early discharge)
    Work as part of the ambulatory clinic for all patients requiring review post ED attendance or on demand presentation of symptomaticpatients to avoid ED admission
    Review patients as a part of the oncology daily ward round and ensure delivery of the appropriate care plan (ensure appropriateinvestigations are requested and reviewed or unnecessary Investigations are avoided timely referral to palliative care team)
    Act as a resource for colleagues within the Trust, those from other hospital Trusts

    AOS service will offer direct access for community colleagues, providing advice on investigation and treatment pathways for new andsuspected cancer diagnosis.

    The Trust provides a full range of local hospitalservices across its different sites, and specialist services from King's College Hospital (KCH) sites at Denmark Hill in Camberwell and at thePrincess Royal University Hospital (PRUH) site in Bromley.

    King's is committed to delivering Sustainable Healthcare for All via our Green Plan.

    In line with national Greener NHS ambitions, we have set netzero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus.

    Everyone's contribution is required inorder to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust'scarbon emissions, waste and pollution wherever possible.

    The trust-wide strategy Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovationand Education, Diversity, Equality and Inclusion at the heart of everything we do.

    Work within and across multi-professional teams and draw on the expertise of all members (including health and social care) to support and meet the persons needs and best interests to optimise the integration of their care.

    Establish and maintain effective communication to ensure collaborative working with other professionals and agencies (e.g. members of the MDT, CNS, specialist palliative care, hospice, community palliative care teams, primary care, AHP, cancer centre, social services)to ensure seamless, streamlined patient care.
    Manage and escalate medical emergencies appropriately.
    Assess, diagnose and collaboratively agree a way forward, including shared decision making and personalised care and support planning.
    Manage medical complexity.

    Use interactions with each person to facilitate and enable changes in behaviour that can have a positive impact on the persons health and wellbeing.

    Leadership, Education and Training
    Provide leadership and vision to ensure a high quality coordinated service.

    This will include supporting the further development of AcuteOncology services within the hospital and community to expedite diagnosis and where possible reduce length of stay.

    Be responsible for development and implementation of policies, procedures and guidelines for the AOS, in conjunction with the Clinicallead for AOS and Lead Nurse for Cancer.

    Be the senior practitioner leading and line managing any additional AOS nursing staff, ensuring managerial responsibilities are fulfilledand discharged.

    Ensuring the Acute Oncology Service communication links, pathways and methods of referral between primary, secondary and tertiarycare and specialist services including palliative care is readily available to staff.

    To lead on the promotion of the AOS across the trust, into primary, secondary and tertiary care working with the trusts communicationdepartments and cancer information centres and local contacts.

    Evaluate service delivery against agreed key performance targets, National Quality Measures, identify areas for improvement andinitiate change.
    Work with the lead clinician to support preparation of Cancer Peer Review and implementation of agreed action plans.
    Attend appropriate SEL ACN AOS specific delivery groups, projects and initiatives.

    To be core member of the local CUP MDM work closely with GSTT CUP MDM (via tele link or in person if required).

    Proactively participate in the prevention and investigation of complaints and take constructive action to change practice whennecessary.
    To proactively manage risk and be familiar with risk management processes and escalation procedures.

    Take a lead role in monitoring and reviewing of the competency based training programmes and the completion of assessment skills forall staff who require these skills and knowledge.

    Support the AOS/CUP team and oncology cancer CNSs workforce
    Deliver on going AOS teaching at the trust doctors induction ED and acute assessment units medical and nursing staff
    Participate in the cancer nurses training programme delivering AOS specific training for ward nurses chemotherapy team andcommunity nursing team

    Provide expert advice and education to nurses, medical staff and AHPs with particular focus on delivery of AOS in challenged areas orwhen concerns arises.

    Disseminate expert knowledge and support nursing and medical staff by providing placement experience, giving insight into specialistrole.
    Clinical Governance, Quality and Evaluation of Patient Experience

    Work with Head of Nursing Cancer on clinical governance and quality assurance across the trust for all aspects of Acute Oncologynursing services.

    Lead on development of a programme of ongoing audits and patient evaluation surveys for the Acute Oncology Service, in line withservice objectives, Trust key performance indicators, ACN, Acute Oncology Group audits and the Cancer peer review process.

    Collect, collate and report activity data. Produce and present regular formal reports to key stakeholders, professional groups, SEL ACNAcute Oncology Group.

    Actively engage service users through the facilitation of user groups and open days in the planning and delivery of care anddevelopment of services.

    Promote peoples equality, diversity and rights.
    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 under performance is addressed.

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

    Ensure the team is compliance with all statutory, mandatory training together with any professional training requirements, ensuring theyare up to date and fully compliant.

    Manage team absences including sickness in line with Trust policy ensuring the appropriate return to work meetings occur, e-roster isupdated and productivity is at keep to the highest possible level.

    Identify and fill any vacancies that arise within the team in line with the Trusts recruitment policy and process.

    Ensure overall wellbeing of the team is maintained. Post Graduate Qualification in cancer care, acute medicine or equivalent experience
    Chemotherapy Training Qualifications
    Significant post registration experience at a senior level (Band 7 or above) in cancer or acute care
    Experience in participation in service development and implementation of change
    Current expert level of knowledge of Acute Oncology or Acute Medicine

    Publication in healthcare journals

    Ability to develop effective interpersonal relationships with colleagues across health and social care setting

    King's College Hospital NHS Foundation Trust
    Kings College Hospital


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