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Enhanced Nurse Practitioner

Mersey Care NHS Foundation Trust
£43,742 to £50,056 per annum
Closing date
17 May 2024

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Band 7
Contract Type
Full Time
Integrated Community Reablement Assessment Service (ICRAS) covering Liverpool and South Sefton areas provides admission avoidance, early supported discharge and reablement to patients. The role of the Enhanced Nurse Practitioner is to work alongside the Advanced Clinical practitioners to provide a 2-hour response to assess patients to enable them to be managed at home and prevent a hospital attendance, provide clinical support to the ICRAS teams and to work alongside colleagues in the acute hospitals to provide early supported discharge from the emergency floor to support with discharging patients and providing follow up advice and support in their home environment.

Shortlisting planned for 20 May 2024

Interview planned for 31 May 2024

Main duties of the job

You will demonstrate at all times a comprehensive knowledge base and promote excellence in nursing practice in a dynamic healthcare environment working within the Urgent Care service alongside Advanced Clinical Practitioners to lead on optimising care, admission avoidance and complex supported discharge pathways. As an active part of a team, you are expected to lead, manage and provide direct patient care, acting as an expert practitioner and a role model to the whole team. Itis essential that you demonstrate excellent leadership and communication skills, ensuring that you use initiative and work autonomously.

You will be responsible for standards of safe, high-quality care consistently delivering evidence-based practice. You will support the delivery of care, which is patient focused, promotes self -care and ensures that the service adapts/develops in response to the needs of the local population.

About us

Mersey Care is one of the largest trusts providing physical health and mental health services in the North West, serving more than 11 million people.

We offer specialist inpatient and community services that support physical and mental health and specialist inpatient mental health, learning disability, addiction and brain injury services. Mersey Care is one of only three trusts in the UK that offer high secure mental health facilities.

At the heart of all we do is our commitment to 'perfect care' - care that is safe, effective, positively experienced, timely, equitable and efficient. We support our staff to do the best job they can and work alongside service users, their families, and carers to design and develop future services together. We're currently delivering a programme of organisational and service transformation to significantly improve the quality of the services we provide and safely reduce cost as we do so.

Job description

Job responsibilities

To lead the processes for delivering, monitoring and improving the quality of care provided to patients. This includes risk management, complying with and contributing to CQC requirements, incidents and clinical audit.

Delivers effectively skilled Holistic assessments and case management including care coordination, care planning and treatment for complex patients as part of the integrated community nursing service.

Identify risks to service delivery and problem solve to ensure resources are allocated across the team(s) to appropriately prioritise care.

Ensure clinical research is conducted in line with Merseycare NHS Foundation Trust protocols and in liaison with the research team, ensuring that the research has had ethical approval.

Ensure that patients receive the information they need and are treated with dignity and respect for their privacy.

Carry out risk assessments and adhere to safe systems of work. This includes understanding and adhering to the reporting procedures for clinical and nonclinical incidents/near misses. Employees must attend relevant courses and mandatory updates, take a pro-active role in contributing to risk identification and management and be responsive to lessons learned from incidents and near misses.

Reports clinical and non-clinical incidents and proactively manages risk to patients including vulnerable adults and staff. Supports, monitors and challenges caseload management processes to ensure quality, safeand effective care delivery.

To promote an environment conducive to effective learning and to comply with statutory and mandatory responsibilities in line with current local and National monitoring requirements

To attend Statutory/Mandatory Training as required.

Teach and educate patients, carers and other healthcare professionals to recognise subtle changes in condition that could lead to exacerbation or acute deterioration and take appropriate actions.

Acts as a clinical expert and information resource, leading in training, education and orientation programmes for staff, students and others.

Acts as a practice mentor for staff and students.

Responsible for proactively seeking & providing learning opportunities for the team.

Proactively develop, implement and monitor public health and health promotion activities in accordance with national and local priorities.

Incorporates relevant evidenced based findings with practice and participates in Merseycare NHS Foundation Trust approved research programmes.

To identify ongoing training and updating needs of other health care professionalism the team.

Initiates and implements change using quality improvement methodology.

Be responsible for the performance review of ICRAS nursing staff which includes annual appraisal and individual development plans. Monitor staff against objectives set, giving feedback regularly via the supervision process.

Challenge professional and organisational boundaries, identifying areas for skill/knowledge development and apply these to practice to provide continuity and high-quality patient centred health care.

Leads the development, implementation and audit of protocols, policies and integrated pathways using current evidenced based practice / research that facilitates change in practice and improves clinical outcomes, meeting the needs of patients and carers.

Inputs activity onto the recognised Trust database in order to support service development and meet contractual requirements.

Manages risk and maintains service delivery through liaison with colleagues and by reporting unresolved clinical/staffing issues to the Team Leader.

Refer to attached Job Description for full list of duties.

Person Specification



  • First level Registered Nurse
  • Evidence of study at degree level
  • Non- medical/supplementary prescriber V300
  • Advanced Physical Assessment/Diagnostics Masters Module
  • Mentoring Course or equivalent / evidence of support of othersin practice


  • Leadership qualification and experience of change management in a clinical role



  • Continuous Improvement
  • Accountability
  • Respectfulness
  • Enthusiasm
  • Support
  • High professional standards
  • Responsive to service users
  • Engaging leadership style
  • Strong customer service belief
  • Transparency and honesty
  • Discreet
  • Change oriented



  • Advanced physical assessment
  • Independent or supplementary prescribing and medication reviews
  • Evidence of ability to direct and co-ordinate care working autonomously and collaboratively
  • Able to analyse complex situations and problem solve as necessary
  • Evidence of the ability to identify and manage risk.
  • Evidence of knowledge and experience of team dynamics/ leadership role
  • Evidence of ability to work with a multidisciplinary team
  • Evidence of knowledge and experience of working between acute and Community Care settings
  • Evidence of working in partnership and collaboration with other professionals
  • Evidence of effective team leadership and organisational skills
  • Evidence of embracing and implementing change to provide high quality health outcomes
  • Ability to work autonomously and make own decisions
  • Evidence of the ability to work in a changing, demanding situation
  • Ability to appropriately challenge a variety of professionals about an individual's care
  • Evidence of advanced communication skills, able to understand

Knowledge/ Experience


  • Extensive clinical experience in responsive services/ teams of at least 5 years
  • Complex admission avoidance and supported discharge management experience.
  • Evidence of collaborative working with multiprofessional colleagues
  • Highly skilled in conflict awareness and team dynamics
  • Evidence of effective Communication across all levels of the organisation and with all stake holders
  • Awareness of current initiatives within the local & National health economy and of applicable guidelines, protocols and pathways
  • Evidence of continuing professional development
  • Able to demonstrate Clinical leadership experience at a senior level.
  • Evidence of ability to maintain and monitor high standards of care


  • Research & Development experience

Employer details

Employer name

Mersey Care NHS Foundation Trust



Goodlass Road


L24 9HJ

Any attachments will be accessible after you click to apply.


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