Important Job Application Information
Thank you for your interest in NHS Tayside vacancies
Please see below Job Description/Person Specification and General Conditions of
Service
Your Application Form must be completed in full. Please note copies of Curriculum
Vitae, Qualifications and Course Certificates will not be accepted at this stage.
Please return your completed Application Form to recruitment.tayside@nhs.net
(quoting the vacancy reference number in the subject box) or to the postal address
given on the General Conditions of Service.
All completed applications are held in Human Resources until the closing date.
After the closing date a panel will meet to prepare an interview shortlist. Once this
decision has been made, all shortlisted applicants will be emailed to invite them to
attend for interview. It is important that you check your emails regularly.
This process takes approximately 6 weeks. Therefore, if you have not been
contacted regarding interview within 6 weeks of the closing date, your application
has been unsuccessful and you will receive no further correspondence from Human
Resources.
ADDITIONAL INFORMATION:Find out more about living and working in Tayside at:
www.dundeecity.gov.uk
www.angus.gov.uk
www.pkc.gov.uk
NHS TAYSIDE
JOB DESCRIPTION
1. JOB IDENTIFICATION
Job Title
Advanced Nurse Practitioner –
Department
Antimicrobial Stewardship
Nursing Directorate 1WTE
Number of job holders
One
2. JOB PURPOSE
The Advanced Nurse Practitioner for Antimicrobial Stewardship will provide strategic and
clinical leadership to NHS Tayside across the spectrum of antimicrobial prescribing and
stewardship ranging across all NHS Tayside services including independent contractors.
The focus of the role will be to drive improvement of antimicrobial practice by empowering
nurses to influence antibiotic management. This will require establishing an effective clinical
evidence base through research and audit of the role of ward nurses in influencing
antimicrobial prescribing, which will improve antimicrobial prescribing for prophylaxis and
treatment.
The Advanced Nurse Practitioner will focus on four main areas: Clinical Practice
 Leadership
 Education, Research & quality improvement/audit
 Practice and Service development/innovation
3.
ORGANISATIONAL POSITION
Associate Nurse Director
NHS Tayside
HAI Portfolio
Antimicrobial Stewardship ANP
Director of Infection
Control &
Management
Lead Clinician
Antimicrobial Management
Team
NHS Tayside NMP
Forum
4.
SCOPE AND RANGE
The Advanced Nurse Practitioner will lead, facilitate and support clinical staff with the
aim of improving the outcomes for patients through antimicrobial stewardship. This
will be achieved through expert knowledge, excellent influencing, negotiation and
communication skills, by offering access to evidence based advice and information,
professional support, clinical and prescribing supervision.
The post holder will be employed by NHS Tayside Nursing Directorate and will work
collaboratively with a wide variety of multi-professional teams including the
Antimicrobial Management Team and Infection Control & Management Team. On a
daily basis the post holder will be a core member of the AMT
Antimicrobial stewardship in Scotland has to date primarily targeted the practices of
doctors and pharmacists and how these professions may impact the development of
antimicrobial resistance and healthcare associated infection. However antimicrobial
stewardship requires a clinical team approach and nursing staff can contribute to this
as part of their routine care of patients. Nursing leadership is required to embed
antimicrobial stewardship within the role of all nursing staff involved in the
administration and monitoring of antibiotic therapy. The Scottish Antimicrobial
Prescribing Group have identified the following aspects of antimicrobial resistance
(AMR) and other patient outcomes in which nurse involvement could impacttreatment specificity; duration of treatment; route of antimicrobial administration;
surgical prophylaxis; timing of antimicrobial administration; therapeutic drug
monitoring, outpatient parenteral therapy (OPAT) and optimising collection of clinical
samples for microbiology.
5.
MAIN DUTIES AND RESPONSIBILITIES
a)
EXPERT PRACTICE
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b)
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The post holder will:
Act as an expert practitioner, demonstrating advanced theoretical and practical
knowledge and skill beyond that associated with traditional nursing roles, including
the integration of research evidence into practice via the process of expert clinical
reasoning and decision-making
Develop, establish and implement guidelines and nurse led initiatives, particularly
where precedents do not exist
Contribute to the development and promotion of, with other members of the multiprofessional team, care pathways for referral of particular groups of patients with the
aim of disseminating good practice and improving patient outcomes throughout NHS
Tayside
Make independent clinical decisions and initiate investigations, care and treatment.
As part of the AMT, review of key antibiotics and usage [ALERT] or management of
key HAI’s [e.g CDI, SAB], particularly in important therapeutic areas, will be a key
element of the post
Interpret and analyse complex clinical and non clinical facts to regularly provide
expert advice and second opinion to other health care professionals, including when
views may differ or conflict
Utilise expert reassessment to ensure that the management of planned interventions
with other colleagues is maintained
PROFESSIONAL LEADERSHIP
The post holder will:
Provide professional leadership and vision to nursing staff and others and
consultancy services to all stakeholders in context of antimicrobial stewardship.
Act in an advisory capacity to NHS Tayside regarding issues related to antimicrobial
practiceprescribing and stewardship.
In collaboration with colleagues create an effective evidence base of the role of
nursing in antimicrobial stewardship and improved patient outcomes
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c)
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d)
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6.
Be an active participant in professional organisations and national networks in order to
influence and lead professional and service development
Ensure publications in journals to reflect research and development activity within
antimicrobial stewardship
Represent NHS Tayside at relevant meetings and conferences
EDUCATION, TRAINING AND DEVELOPMENT
The post holder will further disseminate models of practice through conference
presentations and local teaching activities
In collaboration with academic institutions, medical and nursing colleagues contribute to
the development of undergraduate and post graduate training programmes locally and
nationally
In collaboration with the University of Dundee, the post holder will undertake teaching
duties (including research supervision) and contribute to increasing research capacity in
the field of antimicrobial stewardship.
Disseminate good practice and service innovation by means of lecturing, research and
publication
In collaboration with a number of national professional networks e.g. NES Health
Scotland contribute to developments in training and education
PRACTICE AND SERVICE DEVELOPMENT, AUDIT, RESEARCH AND EVALUATION
Analyse, appraise and act upon contemporary research evidence
Promote a research environment within NHS Tayside offering support and guidance to
staff undertaking research projects relating to antimicrobial stewardship
Work alongside the antimicrobial management team by initiating and supporting the
development of monitoring systems/audit tools to ensure the provision of high quality
practice of antimicrobial management.
Championing the use of continuous quality improvement approaches, innovation and
wider service redesign techniques to identify gaps in service and work in collaboration
with relevant colleagues to address gaps highlighted.
Participate and support the organisation in the collection & analysis of antimicrobial
prescribing pattern data to identify areas for improvement and involvement in audit e.g.
point prevalence survey’s.
Develop strong links with colleagues in the Antimicrobial Management Team and
Infection Control & Management Team offering nurse leadership enabling a multidisciplinary approach to stewardship.
COMMUNICATIONS AND RELATIONSHIPS
Communication
The Advanced Nurse Practitioner requires to have highly developed communication skills and
to be adept at working with a wide range of clinical teams, e.g. Infectious Disease Service,
Medical, Nursing, Pharmacy, Microbiologists, Infection Control & Management and Allied
Health Professionals in relation to all aspects of antimicrobial stewardship, and to have the
ability to form effective working relationships across all levels of staff both within NHS Tayside
and nationally.
The post holder will
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Demonstrate excellent verbal and communication skills with colleagues, other health
professionals and partner agencies
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Provide support, reassurance and guidance to staff involved in antimicrobial prescribing
and administration within a change management environment
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Demonstrate effective use of information technology systems within the work place
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7.
Be able to motivate and persuade others through advanced communication skills,
using written and electronic information where needed
Demonstrate an expert ability to communicate highly complex and sensitive
information to patients and staff. This must be done while ensuring confidentiality at all
times and ensuring sensitivity to the patient’s level of understanding and prior
knowledge.
Effectively articulate an expert perspective on a patients antimicrobial management
with colleagues, when various management options are available
Be prepared to challenge behaviour or attitudes amongst staff that may prejudice the
care of any person attending the service
Use strategic communication and influencing skills to improve the standard of care for
people requiring antimicrobial therapy throughout NHS Tayside
KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
Qualifications
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Registered General Nurse
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Registered Non Medical Prescriber
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Degree and to complete a Masters within 3 years
Experience
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Experience in senior post at Band 7 (or equivalent) or above working in a clinical
environment
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Experience of working across inter-agency and organisational boundaries at both local
and national level
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Experience of presenting clinical practice and research at local /national/international
level
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Proven experience of managing staff and developing clinical services
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Experience of active involvement in research
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The post holder will have experience of working across professional boundaries in a
flexible, creative way, pertinent to antimicrobial stewardship
Knowledge and Competencies
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Extensive and expert knowledge and experience of health, nursing and antimicrobial
management
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Evidence of continuing professional and clinical development within the sphere of
health, nursing, leadership and nonmedical prescribing
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Excellent presentation skills
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Extensive knowledge and practice of research process
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Highly effective interpersonal and communication skills
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Skilled leadership which would include negotiating and influencing skills
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Extremely competent in all aspects of Information Technology
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Evidence of national and international publications
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Wide teaching experience including within a higher academic institution
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Ability to work autonomously and make independent clinical judgements and decisions
prioritising concurrent and competing issues
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Ability to initiate evaluation strategies of services and developments
8.
SYSTEMS AND EQUIPMENT
The post holder requires to develop systems both manually and by use of complex databases
and provide management
Equipment
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All aspects of Information Technology would be used very frequently e.g. PC and
keyboard will be used daily, including word processing, data input, literature
searching, email, and preparation of presentation using power-point and CD burning
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Audio visual equipment to be used when teaching and presenting e.g. overhead
projector, PC, laptop, Power-point projector
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Telephone and answering machine and mobile telephone will be used daily
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If post holder is using a car for travel throughout Tayside and throughout Scotland to
attend appropriate meetings, they will be responsible for safe maintenance of vehicle
Systems
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Learn to use and interrogate the AMIDS database
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Use of relevant antimicrobial IT reporting system
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Use of Microsoft office including spreadsheets, word processing, reports, procedures,
forms, notices, posters
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Use of ICE or LIMS as appropriate
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May include use of other data sources (e.g. OPERA, Qlikview )
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Adhere to, accurate management, storage, monitoring and retrieval of patient records
in accordance with professional standards, data protection and IT policy and security
RESPONSIBILITY FOR RECORDS MANAGEMENT
All records created in the course of the business of NHS Tayside are corporate records and
are public records under the terms of the Public Records (Scotland) Act 1937. This includes
email messages and other electronic records. It is your responsibility to ensure that you keep
appropriate records of your work in NHS Tayside and manage those records in keeping with
the NHS Tayside Records Management Policy and with any guidance produced by NHS
Tayside specific to your employment.
9.
PHYSICAL DEMANDS OF THE JOB
Physical demands:
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Keyboard skills
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Driving or other travel requirements which may include travel for long distances
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Carrying equipment and training materials e.g. laptop computers, projectors, flipcharts,
overhead projectors and photocopied materials and packs
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Personal safety
Mental demands:
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Assimilation, retention and communication of vital clinical, strategic policy and
theoretical knowledge and information
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Concentration required when checking reports, documents/patients notes including
legislative changes, national networks, ongoing national work, individual family
situations and working partnerships: NHS networks, developments and the progress
of action plans
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Requirement to meet deadlines often within tight timescales
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Concentration and analytical skill required when dealing with clients with complex
psychological/physical/psychiatric problems
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Concentration and sensitivity required when dealing with anxious clients
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Diplomacy, quick thinking, courtesy and authority all demanded simultaneously when
dealing with complaints by telephone or face to face.
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Managing competing priorities
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Thinking quickly at strategic meetings
Emotional demands:
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Post holder would be the only worker at Nurse Consultant level within the organisation
therefore may lead to feelings of isolation
Counselling on a variety of issues
Emotional aspects of working autonomously
Dealing with relationship difficulties
Frequent exposure to a variety of extreme emotions, distress and complex longstanding difficulties
Working with and supervising professionals who are constantly dealing competing
clinical demands
Communication with anxious and distressed health professionals
Working with professionals who may have high resistance to change
Dealing with self imposed and other’s high expectations of the new role of Nurse
Consultant in antimicrobial stewardship
Working Conditions
This job has a variety of settings each with their own working conditions and some would be
experienced more frequently than others.
During a time that the Advanced Nurse Practitioner would be working/visiting the ward
environment and community clinical settings possible exposure to bodily fluids including urine,
faeces, blood unpleasant smells and occasionally physical or verbal aggression
10.
DECISIONS AND JUDGEMENTS
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Practice will be autonomous and the post holder will adhere to the legal and ethical
framework established by the NMC and national legislation, and work within NHS
Tayside’s local policies, procedures and guidelines
Expert judgement is required when dealing with sensitive and contentious information
at strategic/policy level
Expert judgement is required when dealing with sensitive information during a
patient/family consultation in order to maintain a therapeutic relationship and to enable
the patient/family decision making process
Clinical decisions will be taken within the post holder’s scope of practice and in
consultation with nursing and medical colleagues
The post holder will have a high level of clinical judgement and apply this in all aspects
of clinical need
The post will be line managed and professionally supervised by an Associate Nurse Director
with other supervision being provided by
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Peer review with the extended team to include the lead clinician for Antimicrobial
Management and Infection Control & Management
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Lead Antimicrobial Pharmacist
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Lead Clinician and Management Team
11.
MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
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Leading, improving and developing a service during a time of change and challenge
professionally and financially within the NHS
Developing the service alongside NHS changes, where nursing roles are expanding
and there are recruitment and retention issues
Juggling a very wide remit and working across a number of organisations and
structures while meeting the demands of spending 50% of the time in direct patient
contact
Promoting the role of Nurse Consultant amongst colleagues within a number of
statutory and voluntary agencies
Exhibiting leadership within a well established network of professionals, locally and
nationally
Managing resistance to change
Providing a service across a large geographical urban and rural area where services
for people requiring antimicrobial therapy are at different stages of development
POST REF NO:
JOB TITLE/BAND:
LOCATION:
P/JG/85A
Advanced Nurse Practitioner Band 8A
Nursing Directorate
HOURS:
37.5 hrs per week
CRITERIA
EXPERIENCE:
ESSENTIAL
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QUALIFICATIONS:
(Training; Research;
Publications)
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KNOWLEDGE &
SKILLS:
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DESIRABLE
Post-registration
experience at band 7
level or equivalent
Caseload/workload
management
Evidence of leadership
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Registered General
Nurse
Registered Non Medical
Prescriber
Degree

Masters or a
commitment to
complete within 3
years
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Interest in
research
Physical and
Clinical
Assessment
Computer literate
Venepuncture
IV Antibiotics
IV/IM Injections
Highly effective
interpersonal and
communication skills
Skilled leadership
which would include
negotiating and
influencing skills
Wide teaching
experience including
within a higher
academic institution
Extensive and expert
knowledge and experience
of health, nursing and
antimicrobial management
Evidence of continuing
professional and clinical
development within the
sphere of health, nursing,
leadership and nonmedical
prescribing
Extremely competent in all
aspects of Information
Technology
Evidence of national and
international publications
Ability to work
autonomously and make
independent clinical
judgements and decisions
prioritising concurrent and
competing issues
Ability to initiate
evaluation strategies of
services and
developments
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Experience of
working across
organisational and
professional
boundaries.
Research
experience
PERSONAL QUALITIES:
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OTHER:
(eg travel across Tayside)
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Ability to function as a
team player
Innovative
Ability to function
autonomously
Ability to be mobile
throughout Tayside
General Conditions of Service
POST REF NO:
P/JG/85A
JOB TITLE/GRADE:
Advanced
Nurse
Practitioner
in
Antimicrobial
Stewardships – Indicative Band 8A*
LOCATION:
Conditions of Service
Remuneration
Tayside
The terms and conditions of service for this post are those
determined by the NHS Staff Council.
The current salary scale for the post is £39,239 to £47,088
per annum (pro rata for part-time staff). Placing on the scale
on appointment is normally at the minimum but may be
higher subject to verification of previous relevant service.
Please note the salary and band for this post are indicative
only and are subject to Agenda for Change Job Evaluation.
Hours of Duty
Superannuation
Salary is paid monthly by Bank Credit Transfer.
The hours of the post are 37.5 hours per week.
Start and finish times will be determined by the needs of the
service.
Membership of the NHS Superannuation Scheme is not
compulsory but is open to all staff between the ages of 16
and 70 (65 in some instances).
The contributions paid are a percentage of superannuable
pay, which is essentially basic pay excluding, for example,
overtime or travelling expenses.
Contribution rates with effect from 01.04.13 are as follows:
Annual Pensionable Pay
(Full-time equivalent)
Up to £15,278
£15,279 to £21,175
£21,176 to £26,557
£26,558 to £48,982
£48,983 to £69,931
£69,932 to £110,273
£110,274 and over
Annual Leave
Contribution
5%
5.3%
6.8%
9.0%
11.3%
12.3%
13.3%
Contributions are subject to tax relief and reduced National
Insurance contributions.
NHS Tayside also makes a
substantial contribution towards scheme benefits – currently
around 14% of basic pay.
On appointment = 27 days (pro rata for part-time Staff) or 5.4
weeks per year.
After 5 years aggregated service = 29 days (pro rata for part-
time staff) or 5.8 weeks per year
After 10 years aggregated service = 33 days (pro rata for
part-time staff) or 6.6 weeks per year
References
Public Holidays = 8 days (pro rata for part-time staff) or 1.6
weeks per year
All offers of appointment are subject to receipt of two
satisfactory references
Occupational Health
Clearance
All offers of appointment to new entrants to the National
Health Service are subject to a medical examination.
Medical examinations are arranged and undertaken by the
Occupational Health and Safety Advisory Service (OHSAS).
Rehabilitation of
Offenders Act 1974
(Exclusions and
Exceptions)
(Scotland) Order 2003
All current or spent criminal convictions, cautions, warnings
or any case pending must be disclosed prior to commencing
in employment as detailed on the application form.
Disclosure Scotland
Immigration, Asylum
and Nationality Act
2006
Please note that having a conviction will not automatically
debar you from obtaining employment with NHS Tayside.
Careful consideration will be given to the relevance of the
offence to the particular post in question. However, if you are
appointed, and it is found that you did not reveal a previous
conviction your employment may be terminated.
The successful applicant will be required to become a
member of the Protecting Vulnerable Groups Scheme (PVG)
in respect of regulated work with protected adults.
It is a criminal offence for an employer to employ anyone who
does not have permission to live or work in the UK.
Shortlisted applicants will be asked to produce specific
original documentation at interview e.g. Passport, or full birth
certificate together with an official document giving the
applicants permanent National Insurance Number and name
issued by a Government Agency or a previous employer, as
well as photocopies of these documents.
Professional Registration/
you should have current and continuing professional
Induction Standards & registration with NMC and hold the appropriate
Code of Conduct
qualification(s).
Smoking Policy
Smoking is prohibited within NHS premises and grounds.
Applications
Completed forms should be returned to:
recruitment.tayside@nhs.net quoting the job reference in
the subject line
or Human Resources, Management Offices, Perth
Royal Infirmary, Taymount Terrace, Perth PH1 1NX
By closing date of Wednesday 12 February 2014