Advanced Nurse Practitioner candidate (cANP), Diabetes, Cork University Hospital, Cork - Start Immed

Company : Hse South West

Job Type : Full Time

Cork Cork

Number of Applicants

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000+

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Job Description - Advanced Nurse Practitioner candidate (cANP), Diabetes, Cork University Hospital, Cork - Start Immed

We are looking to hire an ambitious Advanced Nurse Practitioner candidate (cANP), Diabetes, Cork University Hospital, Cork to join our awesome team at Hse South West in Cork Cork
Growing your career as a Full Time Advanced Nurse Practitioner candidate (cANP), Diabetes, Cork University Hospital, Cork is an awesome opportunity to develop excellent skills.
If you are strong in project management, creativity and have the right drive for the job, then apply for the position of Advanced Nurse Practitioner candidate (cANP), Diabetes, Cork University Hospital, Cork at Hse South West today!

Location of Post Diabetes Service, Cork University Hospital (CUH). There is currently one permanent and whole time vacancy available. A panel may be formed as a result of this campaign for Candidate Advanced Nurse Practitioner (Diabetes) from which current and future, permanent and specified purpose vacancies of full or part-time duration may be filled. Details of Service In line with Sláintecare (2017) and the Department of Health’s Capacity review (2018), a shift in healthcare service provision is now required to place the focus on integrated, person-centred care, based as close to home as possible. In order to enable this, the Integrated Care Programme for the Prevention and Management of Chronic Disease (ICPCD) is supporting the national implementation of a model of integrated care for the prevention and management of chronic disease as part of the Enhanced Community Care Programme (ECC). The Model of Care for the Integrated Prevention and Management of Chronic Disease has a particular focus on preventive healthcare, early intervention and the provision of supports to live well with chronic disease. The investment in the ECC programme will be delivered on a phased basis with a view to national coverage being achieved within a two- to three- year period. Three priority areas have been identified as follows: <ol> <li>Structural reform of healthcare delivery within the community with Community Health Networks (CHNs) becoming the basic building blocks for the organisation, management and delivery of community services across the country;</li> <li>Creating Specialist Ambulatory Care Hubs within the community to support primary care management of chronic disease and older people with complex needs; and,</li> <li>Scaling Integrated Care for Older People and Chronic Disease through the recruitment of specialist integrated care teams including Frailty at the Front Door Teams.</li> </ol> The focus is on providing an end-to-end pathway that will reduce admissions to acute hospitals by providing access to diagnostics and specialist services in the ambulatory care hubs in a timely manner. For patients who require hospital admission, the emphasis is on minimising the hospital length of stay, with the provision of post-discharge follow up and support for people in the community and in their own homes, where required. A shared local governance structure across the local acute hospitals and the associated CHO will ensure the development of a fully integrated service and end-to-end pathway for individuals living with chronic disease. The ECC Programme is underpinned by a set of key principles including: <ul> <li>Eighty percent of services delivered in Primary Care are through the GP and CHNs;</li> <li>Identifying and building health needs assessments at a CHN level (approximate population of 50,000) based on a population stratification approach to include identification of people with chronic disease and frequent service users, thereby ensuring the right people get the right service based on the complexity of their health care needs;</li> <li>Utilisation of a whole system approach to integrating care based on person centred models, while promoting self-care in the community;</li> <li>The Older Persons and Chronic Disease Service Models set out an end to end service architecture for the identification and management of frail older adults with complex care needs and people living with chronic disease;</li> <li>Learning from, and delivering services, based on best practice models and the extensive work of the integrated care clinical programmes to date, particularly in the areas of Older Persons and Chronic Disease;</li> <li>Embed preventive approach to chronic disease into all services;</li> <li>Availability of a timely response to early presentations of identified conditions and the ability to manage appropriate levels of complexity related to same in the community;</li> <li>Resources applied intensively in a targeted manner to a defined population, implementing best practice models of care to demonstrate the delivery of specific outcomes and sustainable services; and,</li> <li>The need to frontload investment, coupled with reform to strengthen community services.</li> </ul> The role of the ANP will differ according to the needs and configuration of existing services at the local level. The successful candidate work across the acute hospital and integrated services providing support to the integrated diabetes consultant and the ambulatory hubs and specialist teams to manage diabetes, and associated co-morbidities, within the acute and community setting, where appropriate. Ambulatory care hubs are sites identified outside of the hospital setting that will provide access to specialist services within the community. Each hub will be affiliated with a local hospital and will serve a population of approximately 150,000 and will focus primarily on the prevention and management of complex chronic disease. These hubs will be established to support the provision of care closer to home and to facilitate ready access to diagnostics, specialist services and specialist opinions in order to enhance the delivery of patient-centred care, support early intervention and avoid hospital admission where possible. A suite of alternative outpatient pathways, support from multidisciplinary Chronic Disease Specialist Teams and access to diagnostics including radiology and laboratory testing will support the work within each hub and the provision of the right care, in the right place, at the right time. The Integrated Diabetes Service will support: · A holistic, multidisciplinary approach to the care of individuals with diabetes · Provision of a reformed outpatient services that utilise telehealth and other ICT measures to facilitate more effective and efficient delivery of care; · Reduced waiting times for patients for hospital outpatient services; · Timely access to specialist services and specialist opinion for patients with diabetes and associated co-morbidities ; · Early intervention pathways/ rapid access clinics for acute, chronic or newly-presenting diabetes conditions; · Development of pathways for the management of chronic conditions. The early assessment and implementation of pathways that will support GP-led primary care, efficient discharge back to the community where appropriate, and reduce the need for repeated hospital-based outpatient reviews; · Provision of oversight and implementation of self-management support services for diabetes in the ambulatory care hubs; · Increased access to diabetes specialist opinion and diagnostics for GPs; The person appointed to this post will develop and lead the cANP services as part of the overall integrated diabetes service. The cANP will provide leadership in the provision of chronic disease ambulatory care within the ambulatory care hub and support the development of integrated services across the wider region. They will work in the acute setting as well as delivering some services and clinics in the ambulatory care hub, supporting and working with the community specialist teams. The post holder will work as part of a multidisciplinary team delivering coordinated evidence based care for diabetes patients. Please note a portion of the appointees work will be carried out “offsite”. This means that the appointee will travel to the hubs to perform duties related to the role. Please note more post specific information on services provided, team structures, possible future developments etc. will be provided to candidates at the ‘expression of interest’ stage of the recruitment process. Purpose of the Post Background to the Post As outlined above, the need to reform the healthcare services in Ireland in order to provide a more sustainable, integrated and patient-centred approach has come to the fore in recent health policies and strategies. Integrated care requires health and social care services to work together across different levels and sites in order to provide end-to-end care that meets patient need. As described in the Sláintecare report (2017), integrated care involves: · Ensuring appropriate care pathways are developed with a focus on person-centred service planning to ensure services are built around patients; · Supporting timely access to all health and social care services according to · medical need; and, · Patients accessing care at the most appropriate, cost effective service level with a strong emphasis on prevention and public health. The cANP Diabetes will develop and lead a service for patients / service users with diabetes, with an emphasis on providing care across the acute hospital and community setting. The registered advanced practice service is provided by nurses who practice at a higher level of capability, autonomy and provide expert advanced decision making The overall purpose of the ANP Diabetes service is to provide safe, timely, evidenced based nurse-led care to patients at an advanced nursing level .This involves undertaking and documenting complete episodes of patient care, which includes comprehensively assessing, diagnosing, planning, treating and discharging patients in accordance with collaboratively agreed local policies, procedures, protocols and guidelines and/or service level agreements/ memoranda of understanding. The cANP (Diabetes) demonstrates advanced clinical and theoretical knowledge, critical thinking, clinical leadership and complex decision-making abilities. The cANP (Diabetes) practices in accordance with the Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (NMBI 2021), the Scope of Nursing and Midwifery Practice Framework (NMBI 2015), Advanced Practice (Nursing) Standards and Requirements (NMBI 2017), and the Values for Nurses and Midwives in Ireland (Department of Health 2016). The cANP (Diabetes) service provides clinical leadership and professional scholarship in the delivery of optimal nursing services and informs the development of evidence based health policy at local, regional and national levels. The cANP (Diabetes) contributes to nursing research that shapes and advances nursing practice, education and health care policy at local, national and international levels. The post requires a cANP (Diabetes) with the scope of practice that represents the diverse inpatient population of the hospital; reflecting diabetes care across age groups and diabetes types In collaboration with dietetic colleagues, the cANP (Diabetes) will take a lead role in the co-ordination, delivery and reporting of diabetes self-management education for individuals with Type 1 diabetes within the hospital and associated networks. Informal Enquiries Nora Twomey, Assistant Director of Nursing, CUH <a href="mailto:Nora.Twomey@hse.ie" target="_self">Nora.Twomey@hse.ie</a> 087 218 6170