Advanced Neonatal Nurse Practitioner

NHS; Walsall; On-site; GBP 53,000 - 61,000; Full time

Job description

Job summary

We are looking for an exceptional, highly motivated, innovative individual to join our team of ANNPs at our Level 2 LNU.

On our unit we have a strong commitment to QI and work closely with our colleagues in maternity including in the West Midlands Perinatal Network, LMNS programmes of work.

The successful candidate would use highly specialised clinical and theoretical knowledge to undertake a comprehensive health history and examination of any neonate in order to diagnose and treat. Work in partnership with the medical team to deliver a holistic approach to the care of neonates throughout the patient pathway from admission to discharge. Use specialised clinical and theoretical knowledge to regularly weigh up differential diagnosis and the potential range of treatment options available, ensuring that the care provided to all neonates is safe and effective. Attend high-risk deliveries and other emergencies as an autonomous practitioner, ensuring that neonates receive safe and effective advanced resuscitation. Undertake non-medical prescribing. Act on results and develop management plans. Participates in, and perform, clinical procedures for ill and premature neonates. Participates in the stabilisation, transfer and admission of the extremely ill neonate. Provide regular communication and support with parents regarding their baby's condition and promoting family integrated care.

Main duties of the job

The post holder will join a team of West Midlands deanery senior and junior specialty trainees and Advanced Neonatal Nurse Practitioners to provide cover on Tier 1 rota. The post holder will have an overall responsibility for the assessment of care needs and the delivery of optimal care at a level equivalent to that of a junior grade doctor.

There is a full shift system in operation. The post holder will form part of this rota working shifts as designated on our neonatal unit and will be accountable for improving and complying with infection control practices. There are 3.33 WTE ANNPs plus 2 WTE student ANNPs. The ANNP team contribute to the junior grade rota. The successful post holder would provide cover in the neonatal department support colleagues and attend deliveries as required. Duties will be split between Intensive care, high dependency, special care, transitional care and post-natal ward.

About us

Walsall Healthcare NHS Trust is an integrated Trust and the only provider of NHS acute care in Walsall, serving a population of 286,700, providing inpatient and outpatient services at the Manor Hospital as well as a wide range of services in the community. Walsall Manor houses the full range of district general hospital services under one roof. The £170 million development was completed in 2010 and the continued upgrading of existing areas ensures the Trust now has a state-of-the-art Critical Care Unit, Neonatal Unit, Obstetric Theatre, and Integrated Assessment Unit facilities. Work is completed on our multi-million pound new Urgent and Emergency Care Centre which houses a new Emergency Department (including Children's Emergency Department), co-located Paediatric Assessment Unit, Acute Medical Unit and Urgent Care Centre.

Date posted: 27 March 2025

Pay scheme: Agenda for change

Band: Band 8a

Salary: £53,755 to £60,504 a year Per Annum

Contract: Permanent

Working pattern: Full-time

Reference number: C9407-25-0084

Job locations

Ward 28 Neonatal Unit Walsall Healthcare Trust, Moat Road, Walsall, WS2 9PS

Job description Job responsibilities

Leads in the assessment, planning, implementation and evaluation of the holistic, evidence based care of the sick neonates and their families within Postnatal Wards, SCBU, High Dependency, Intensive Care area including stabilisation and transportation.

Leads in the monitoring and maintenance of practice standards in accordance with Trust, Network and NMC policies and procedures.

Maintains and advances own and others clinical competency in line with the NMC Code and Revalidation requirements.

Acts as clinical advisor to NNU staff and Antenatal / Postnatal / Delivery Suite midwives.

Positively develops and maintains communication networks within the Trust, Network and other Neonatal units hence establishing good collaborative working relationship.

This involves:

1. Communicating the role of the Advanced Neonatal Nurse Practitioner to nursing / medical staff, senior management and user groups.
2. Communicating effectively with a wide range of people including nursing, allied health professions, medical and social work colleagues, patients, carers and managers at all levels.
3. Contributing to complex decision making within the directorate and divisional management team.
4. Presenting and discussing service developments to various groups.
5. Breaking bad news and supporting those giving and receiving it.
6. Promoting and modelling good practice consistent with legislation relating to communication.
7. Recognising barriers to effective communication and modifying method, content and environment to enable good communication at the appropriate knowledge and skill level.

Clinical:

Works within agreed medical / nursing protocols to meet the responsibilities of senior and junior specialty doctors as required.

Attends high-risk deliveries for emergency management of sick neonates as required.

Assesses the need of the neonate, admitting to and discharging from the unit as necessary.

Assesses neonates health status, to include medical history, physical examination, and social history.

Plans and implements individual management according to unit guidelines and protocols.

Requests and interprets investigations including laboratory tests, x-rays and ultrasound scans, and act on results as appropriate.

Prescribes and administers drugs according to unit guidelines and agreed clinical management plans including independent prescribing.

Practical Procedures:

The Advanced Neonatal Nurse Practitioner will be expected to undertake practical procedures within the usual medical role, as agreed with the consultant Neonatologists. This will include:

1. Venepuncture / venous cannulation
2. Percutaneous arterial line insertion and sampling
3. Blood gases / adjustment of ventilator and respiratory support settings
4. Insertion and removal of percutaneous long line
5. Umbilical venous and arterial catheterization and removal
6. Endotracheal intubation and extubation
7. Emergency needle aspiration/ chest drain insertion for pneumothorax/ pleural effusion
8. Maintain contemporaneous records (nursing and medical)
9. Undertake and interpret bedside therapeutic and diagnostic procedures (blood tests, transillumination, lumbar puncture, supra pubic aspirations, urinary catheterisation)
10. Requesting and interpreting chest and abdominal x rays
11. Request, perform and interpret cranial ultrasounds.
12. Emergency drug administration, according to unit guidelines.
13. Initiation of treatment with prescribed drugs as stated within protocols and according to agreed Clinical Management Plans and Independent prescribing.
14. Request and prescribe parenteral fluids, electrolyte solutions and blood products and volume expanders adhering to local guidelines
15. Follow newborn life support algorithm and advanced resuscitation of the newborn.
16. Administer newborn immunisations.
17. Commence CFM Monitoring and interpretation of trace.

In addition to providing clinical cover you would also be responsible for maintaining up to date clinical records, updating Badgernet summaries, and communication with parents and colleagues. There is continuous clinical supervision provided by senior Advanced Neonatal Nurse Practitioners and Consultants. Consultants are present on site from 0900 2200 hours on weekdays and 0900 1400 hours on weekends and bank holidays. All consultants are easily approachable out of hours.

Successful candidate would be expected to work independently and contribute to the delivery of the newborn service, participate in undergraduate and post graduate teaching, quality improvement, governance activities, research and development of the service for the population of Walsall.

Person Specification

Qualifications

Essential

• Degree/Masters in Nursing studies /Neonatal studies or equivalent
• A19 or equivalent
• 997/998 or equivalent
• NLS provider course certification
• specialist neonatal training to master's level or equivalent experience

Desirable

• Leadership/management qualification
• NLS instructor

Experience

Essential

• Significant Neonatal intensive care nursing experience

Desirable

• Evidence of service development or change management

Knowledge

Essential

• Expert knowledge of Neonatal care
• Knowledge of clinical governance and a commitment to clinical supervision and reflective practice
• Awareness of research methodologies

Desirable

• Evidence of recent teaching ability
• Awareness of current issues within Neonatal care

Skills

Essential

• Able to prioritise workload
• Analyses problems and implements appropriate solutions
• Experience in management of neonatal emergencies, resuscitation, stabilisation and common conditions
• Experience in clinical procedures and techniques with the ability to supervise and support colleagues
• Good understanding of IT systems

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details

Employer name: Walsall Healthcare NHS Trust

Address: Ward 28 Neonatal Unit Walsall Healthcare Trust, Moat Road, Walsall, WS2 9PS

Employer's website

https://walsallhealthcare.nhs.uk