CHW Advanced Nurse Practitioner, Candidate Eating Disorders, General Adult, Mental Health Service

Advanced Nurse Practitioner, candidate (cANP)

Eating Disorders - General Adult - Mental Health Services

Job Specification, Terms and Conditions

Job Title, Grade and Grade Code

Advanced Nurse Practitioner, candidate (cANP) Eating Disorders - General Adult - Mental Health Service

Grade Code: 2274

The successful candidate will, on completion of the requirements set out in the section entitled Tenure be appointed to the post of Registered Advanced Nurse Practitioner

Competition Reference

CHW021-cANPED-2024

Whole Time

Equivalent

1

Closing Date

Wednesday 03rd April 2024 at 12 noon

Proposed Interview date(s)

It is proposed to hold interviews the week of 06/05/2024

Taking up Appointment

The successful candidate will be required to take up duty as soon as possible

Duration of Post

The candidate ANP is required to progress to registration with Bord Altranais agus Cnáimhseachais na hÉireann (Nursing and Midwifery Board of Ireland) (NMBI) as a Registered Advanced Nurse Practitioner (RANP) within 3 years of commencement of this post.

Location of Post

There is currently one permanent whole-time vacancy available in Mental Health, Community Healthcare West

A panel may be formed as a result of this campaign for Advanced Nurse Practitioner candidate, Eating Disorders – General Adult, Mental Health Services, Community Healthcare West, from which current and future, permanent and specified purpose vacancies of full or part-time duration may be filled.

Informal Enquires

James Begley, Assistant Director of Nursing, Acute Adult MHS

Email: james.begley@hse.ie

Phone: 087 4138554

Organisational Area

Community Healthcare West

Details of Service

Galway/Roscommon Adult Mental Health Services

· Galway/Roscommon Adult M.H.S. provides Acute Inpatient, Residential and Community M.H Services for a population of 315,000 approximately.

· The service is divided into six sectors in line with “Sharing the Vision”. Each Sector has a population of 50,000 approx. At present Galway/Roscommon M.H.S is extending and developing the Community Services in relation to Homebased Treatment Teams, Crisis Intervention Teams, Rehabilitation Teams and specialist teams in line with the needs of the population and “Sharing the Vision”.

· Areas covered by the services include the urban and rural centres of, Co. Galway (including Galway City) and Co. Roscommon (including Roscommon town). Galway/Roscommon Mental Health Services consists of inpatient and community mental health services strategically located in Co Galway and Co Roscommon.

· Acute Adult Inpatient Units are located in Galway City (attached to University Hospital Galway) and Roscommon town, (attached to Roscommon University Hospital). An inpatient unit for Psychiatry of Later Life is situated in Ballinasloe. There are 5 approved centres in Galway and Roscommon Mental Health Services licensed and regulated under the Mental Health Act 2001.

· Community Mental Health Teams are located in each of the sectors providing mental Health care and treatment in Day centres, Day Hospitals, Residential Units and the individuals who avail of our service at own home.

Service Mission, Vision and Values

Eating disorders have the highest mortality and morbidity of all of the mental health conditions (Arcelus, 2011), and it is estimated that they will affect between 1 to 4% of the population at some point in their lives (NIMH, 2016). They are caused by a combination of genetic, biological and psychosocial factors and occur across gender, age, cultural, ethnic and socioeconomic groupings. Although not common eating disorders result in very high psychosocial and economic cost to individuals, families, healthcare and society when not treated or treated ineffectively (Butterfly Foundation 2012 and 2015).

The service mission, vision and values of the Galway Roscommon Mental Health service include:

• To improve the clinical outcomes and recovery of people with eating disorders in Galway and Roscommon though the provision of evidence based practices by trained, skilled staff.

• To reduce the comorbidity and mortality associated with eating disorders through enhanced clinical risk management and early intervention.

• To remain patient centred by including service user feedback and input in the development of our eating disorder services.

• To support enhanced screening and early recognition of eating disorders.

• To provide timely access to consultation for referrers.

• To reduce service user internal and external waiting times to initial assessment and treatment.

• To develop a stepped care model of service delivery based on different patient needs.

• To establish formal pathways between services that will enable more seamless transitions of people with eating disorders when it is needed.

• To evaluate the effectiveness of our services across clinical, activity and service user experience outcomes.

• To reduce the significant long term health, economic and psychosocial cost of eating disorders through early intervention.

• To reduce the duration of illness and promote recovery through the provision of evidence based effective interventions.

• To reduce dependence on inpatient admission (numbers / length of stay) where clinically appropriate, though the provision of alternative less restrictive options for intensive treatment such as day and group programmes.

• • To reduce relapse rates though all of the above measures.

Reporting Arrangements

Is professionally accountable to the Assistant Director of Nursing and Director of Nursing

Is clinically accountable to the supervising Consultant/Clinical Lead/ GP

Clinical Indemnity

Indemnity arrangements for CHO2 Mental Health Services are provided by the State Claims Agency’s Clinical Indemnity Scheme; the Advanced Nurse Practitioner, Candidate (Eating Disorders-General Adult, Mental Health Services) is indemnified under the above scheme.

The RANP will work within defined and agreed scope of practice and in accordance with approved policies, protocols, procedures and guidelines (PPPGs) and established clinical supervision arrangements.

Key Working Relationships

to include but not limited to

Director of Nursing

Assistant Director of Nursing

Clinical Nurse Manager

RANPs and other nursing grades

Nurse Practice Development Co-ordinator

Prescribing site co-ordinator(s)

Medical colleagues

Interprofessional colleagues

Patients/service users/families and/or carers

Nursing and Midwifery Board of Ireland

Higher Education Institution

Nursing and Midwifery Planning and Development Unit

Centres of Nursing and Midwifery Education

National Clinical and Integrated Care Programme

National Clinical Leadership Centre

Other relevant statutory and non-statutory organisations

Clinical Supervision

The cANP Eating Disorders – General Adult Mental Health Services engages in on-going clinical supervision as per a Memorandum of Understanding. The structure, process and outcome of clinical supervision must be explicit.

The cANP Eating Disorders – General Adult Mental Health Services maintains a record of clinical supervision in his/her professional practice portfolio.

Purpose of the Post

The main purpose of the post is to develop the job description and supporting documentation under the direction of the Health Care Provider’s Advanced Practice Stakeholder Governance Group, to enable the individual nurse to meet the NMBI Criteria for Registration as an Advanced Nurse Practitioner as set out in Advanced Practice (Nursing) Standards and Requirements (NMBI, 2017).

The individual will undertake the academic preparation and develop the clinical and leadership skills, competencies and knowledge required to meet the criteria to be registered as a RANP with NMBI. The scope of the cANP role must reflect the incremental development of expertise and as such, the cANP cannot deliver care as an autonomous practitioner.

The individual will complete and submit the necessary documentation for registration as an RANP with NMBI.

The value of the nursing contribution as a distinct profession must be safeguarded and articulated in the development of new services led by advanced nurse practitioners, complementing rather than replacing current services delivered by doctors (NMBI 2017 p.9).

The overall purpose of the post is to provide safe, timely, evidenced based nurse-led care to patients at an advanced nursing level. This involves undertaking and documenting a complete episode of patient care (assess, diagnose, plan, treat and discharge patients) according to collaboratively agreed protocols and scope of practice in the clinical setting; demonstrating advanced clinical and theoretical knowledge, critical thinking, clinical leadership and decision making skills.

The advanced practice role demonstrates a high degree of knowledge, skill and experience that is applied within the nurse-patient/client relationship to achieve optimal outcomes through critical analysis, problem solving and accurate decision-making (NMBI, 2017).

Central to this is the provision of quality care, a safe environment and processes for patients by the use of evidence based clinical guidelines that address patient expectations, promote wellness and evaluate care given.

The role will provide clinical leadership and professional scholarship in order to develop nursing practice and health policy at local, regional and national level.

The role will contribute to nursing research to shape and advance nursing practice, education and health care policy at local, national and international levels.

Principle Duties and Responsibilities

The post holder’s practice is based on developing a higher level of capability across the six domains of competences as defined by Bord Altranais agus Cnáimhseachais na hÉireann Advanced Practice (Nursing) Standards and Requirements (NMBI 2017)

The domains are:

• Professional Values and Conduct
• Clinical-Decision Making
• Knowledge and Cognitive Competences
• Communication and Interpersonal Competences
• Management and Team Competences
• Leadership and Professional Scholarship Competences

Domain 1: Professional Values and Conduct

Standard 1

The cANP Eating Disorders – General Adult, Mental Health Survives will gain increased competence in applying ethically sound solutions to complex issues related to individuals and populations by:

• Demonstrating accountability and responsibility for professional practice as a lead healthcare professional in the care of patients with an Eating Disorder.

· Collaborating with his/her supervisor and local stakeholder group to scope the caseload and scope of practice for the RANP Eating Disorders- General Adult Mental Health Services

• Collaborating with his/her supervisor and local stakeholder group to determine the inclusion criteria for the RANP Eating Disorders – General Adult, Mental Health Services
• Collaborating with his/her supervisor and local stakeholder group to determine the exclusion criteria for the RANP Eating Disorders – General Adult, Mental Health Services

· Articulating safe boundaries and engaging in timely referral and collaboration for those areas outside his/her scope of practice, experience, and competence by establishing, in collaboration with key stakeholders, referral pathways and locally agreed policies, procedures, protocols and guidelines to support and guide the RANP Eating Disorders- General Adult Mental Health Services

• Demonstrating leadership by practising compassionately to facilitate, optimise, promote and support the health, comfort, quality of life and wellbeing of persons whose lives are affected by altered health, chronic disorders, disability, distress or life-limiting conditions
• Selecting a professional practice model that provides him/her latitude to control his/her own practice, focusing on person centred care, interpersonal interactions and the promotion of healing environments
• The chosen professional practice model for nursing will emphasise a caring therapeutic relationship between the cANP/RANP Eating Disorders- General Adult Mental Health Services and his/her patients, recognising that cANPs/RANPs work in partnership with their multidisciplinary colleagues (Slatyer et. Al (2016)).
• Articulating and promoting the advanced practice nursing service in clinical, political and professional contexts {for example presenting key performance outcomes locally and nationally; contributing to the service’s annual report; participating in local and national committees to ensure best practice as per the relevant national clinical and integrated care programme}.

Domain 2: Clinical-Decision Making Competences

Standard 2

The cANP Eating Disorders- General Adult Mental Health Services will enhance his/her advanced knowledge, skills, and abilities to engage in senior clinical decision-making by increasing his/her capability to:

• Conduct a comprehensive holistic health assessment using evidenced based frameworks, policies, procedures, protocols and guidelines to determine diagnoses and inform autonomous advanced nursing care
• Synthesise and interpret assessment information particularly history including prior treatment outcomes, physical findings and diagnostic data to identify normal, at risk and subnormal states of health
• Demonstrate timely use of diagnostic investigations / additional evidence-based advanced assessments to inform clinical-decision making
• Exhibit comprehensive knowledge of therapeutic interventions including pharmacological and non-pharmacological advanced nursing interventions, supported by evidence-based policies, procedures, protocols, and guidelines, relevant legislation, and relevant professional regulatory standards and requirements
• Initiate and implement health promotion activities and self-management plans in accordance with the wider public health agenda

· Discharge patients from the service as per an agreed supporting policy, procedure, protocols, guidelines and referral pathways

Domain 3: Knowledge and Cognitive Competences

Standard 3

The cANP Eating Disorders- General Adult Mental Health Services will actively contribute to the professional body of knowledge related to his/her area of advanced practice by enhancing his/her capability to:

• Provide leadership in the translation of new knowledge to clinical practice (for example teaching sessions; journal clubs; case reviews; facilitating clinical supervision to other members of the team)
• Educate others using an advanced expert knowledge base derived from clinical experience, on-going reflection, clinical supervision and engagement in continuous professional development
• Demonstrate a vision for advanced practice nursing based on service need and a competent expert knowledge base that is developed through research, critical thinking, and experiential learning
• Demonstrate accountability in considering access, cost and clinical effectiveness when planning, delivering and evaluating care (for example key performance areas, key performance indicators, metrics).

Domain 4: Communication and Interpersonal Competences

Standard 4

The cANP Eating Disorders- General Adult Mental Health Services will negotiate and advocate with other health professionals to ensure the beliefs, rights and wishes of the person are respected by gaining increased competence and capability to:

• Communicate effectively with the healthcare team through sharing of information in accordance with legal, professional and regulatory requirements as per established referral pathways
• Demonstrate leadership in professional practice by using professional language (verbally and in writing) that represents the plan of care, which is developed in collaboration with the person and shared with the other members of the inter-professional team as per the organisation’s policies, procedures, protocols and guidelines
• Facilitate clinical supervision and mentorship through utilising one’s expert knowledge and clinical competences
• Utilise information technology, in accordance with legislation and organisational policies, procedures, protocols and guidelines to record all aspects of advanced nursing care.

Domain 5: Management and Team Competences

Standard 5

The cANP Eating Disorders- General Adult Mental Health Services will manage risk to those who access the service through collaborative risk assessments and promotion of a safe environment by:

• Promoting a culture of quality care
• Proactively seeking feedback from persons receiving care, families and staff on their experiences and suggestions for improvement
• Implementing practice changes using negotiation and consensus building, in collaboration with the multidisciplinary team and persons receiving care.

Domain 6: Leadership and Professional Scholarship Competences

Standard 6

The cANP Eating Disorders- General Adult Mental Health Services will lead in multidisciplinary team planning for transitions across the continuum of care by enhancing his/her competence and capability to:

• Demonstrate clinical leadership in the design and evaluation of services (for example findings from research, audit, metrics, new evidence)
• Engage in health policy development, implementation, and evaluation (for example key performance indicators from national clinical and integrated care programme/HSE national service plan/ local service need to influence and shape the future development and direction of advanced practice in {cite speciality})
• Identify gaps in the provision of care and services pertaining to his/her area of advanced practice and expand the service to enhance the quality, effectiveness and safety of the service in response to emerging healthcare needs
• Lead in managing and implementing change.

Advanced Practice Performance Management and Evaluation

Performance Indicators (PI’s) are required to evaluate nursing interventions and implement initiatives to improve quality and quantity of the nursing care provided. They should have a clinical nursing focus as well as a breakdown of activity, including patients seen and treated. In addition, they identify areas of good practice that must be recognised and celebrated (HSE 2015).

The Department of Health (2017) Framework for National Performance Indicators for Nursing and Midwifery provides a guiding framework for the development of Nursing and Midwifery PI’s.

In collaboration with the Director of Nursing and the Assistant Director of Nursing, the cANP will identify and develop Nursing PI’s for their area of practice, collect and collate data that will provide evidence of the impact and effectiveness of the interventions undertaken. (insert agreed PI’s/clinical targets/structure, process and outcome measures)

The cANP will evaluate audit results and research findings to identify areas for quality improvement in collaboration with nursing management and multidisciplinary team colleagues (primary and secondary care).

Professional / Clinical

The cANP Eating Disorders- General Adult Mental Health Services will practice nursing according to:

· Professional clinical guidelines

· National Health Policy

· Local policies, procedures, protocols and guidelines

· Current legislation

· Values for Nursing and Midwifery – Care, Compassion and Commitment (DoH, 2016).

Education and Training

The cANP Eating Disorders- General Adult Mental Health Services will:

· Contribute to service development through appropriate continuous education, research initiatives, keeping up to date with nursing literature, recent nursing research and new developments in nursing practice, education and management.

· Provide support and advice to those engaging in continuous professional development in his/her area of advanced nursing practice.

Legislation, Regulations, Policies and Guidelines

The cANP Eating Disorders- General Adult Mental Health Services practises nursing according to:

· The Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (NMBI 2014);

· Scope of Nursing and Midwifery Practice Framework (NMBI 2015);

· Values for Nurses and Midwives in Ireland – Care, Compassion and Commitment (Department of Health 2016);

· Advanced Practice Nursing Standards and Requirements (NMBI 2017);

· National Health Policies and Procedures (latest versions) {list as relevant to the service for example: Houses of the Oireachtas Committee on the Future of Healthcare (Sláintecare 2017), National Consent Policy (HSE 2013, revised 2016);

· Local policies, procedures, protocols and guidelines;

· Current legislation to include but not limited to:

Assisted Decision-Making Capacity Act (Government of Ireland 2015) and Mental Health Act 2001

Professional Practice Portfolio

The cANP Eating Disorders- General Adult Mental Health Services must develop a professional practice portfolio, incorporating evidence of learning from continuing professional development, clinical supervision, reflective practice and review of his/her own scope of practice in accordance with regulatory requirements and service need.

Health and Safety

The cANP Eating Disorders- General Adult Mental Health Services will:

• Ensure adherence to established policies and procedures e.g. health and safety, infection control, storage and use of controlled drugs etc.
• Ensure completion of incident and near miss forms.
• Ensure adherence to department policies in relation to the care and safety of any equipment supplied for the fulfilment of duty.
• Have a working knowledge of the Health Information and Quality Authority (HIQA) Standards Have a working knowledge of the Health Information and Quality Authority (HIQA) Standards or Mental Health Commission (MHC) as they apply to the role, for example; Standards for Healthcare, National Standards for the Prevention and Control of Healthcare Associated Infections, Hygiene Standards etc. and comply with associated HSE protocols for implementing and maintaining these standards as appropriate to the role.
• Support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health service.

Management / Administration:

The cANP Eating Disorders- General Adult Mental Health Services will:

• Provide support, advice and direction to staff as required.
• Engage with the wider healthcare team and facilitate team building.
• Facilitate communication with the healthcare team across services and within the senior nurse team.
• Provide staff leadership and motivation which is conducive to good working relations and work performance.
• Promote a culture that values diversity and respect in the workplace.
• Manage and promote liaisons with internal and external bodies as appropriate, for example; intra-hospital service, community services, or voluntary organisations.
• Contribute to the strategic management and planning process.
• Formulate service plans and budgets in co-operation with the wider healthcare team.
• Provide reports on activity and services as required.
• Engage in digital developments as they apply to service user and service administration.

Eligibility Criteria

Qualifications and/or Experience

1.Professional Qualifications, Experience, etc.

(a) Eligible applicants will be those who on the closing date for the competition are:

(i)

Be a registered nurse with the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) or entitled to be so registered

And

(ii)

Be registered in the division(s) of the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) Register for which the application is being made or entitled to be so registered.

Or

In recognition of services that span several patient/client groups and/or division(s) of the register, provide evidence of validated competences relevant to the context of practice

And

(iii)

Have a broad base of clinical experience relevant to the advanced field of practice

And

(iv)

Be eligible to undertake a Master’s Degree (or higher) in Nursing or a Master’s Degree, which is relevant, or applicable, to the advanced field of practice. The Master’s programme must be at Level 9 on the National Framework of Qualifications (Quality & Qualifications Ireland), or equivalent. Educational preparation must include at least three modular components pertaining to the relevant area of advanced practice, in addition to clinical practicum.

Or

(v)

(vi)

Be currently undertaking a Master’s Degree in Nursing (Advanced Practice Pathway) or be eligible to register to undertake additional Level 9 National Framework of Qualifications (Quality and Qualifications Ireland) specific modules of a Master’s Degree in Nursing (Advanced Practice Pathway) within an agreed timeframe. Educational preparation must include at least three modular components pertaining to the relevant area of advanced practice, in addition to clinical practicum.

Or

Possess a Master’s Degree (or higher) in Nursing or a Master’s Degree which is relevant, or applicable, to the advanced field of practice. The Master’s programme must be at Level 9 on the National Framework of Qualifications (Quality & Qualifications Ireland), or equivalent. Educational preparation must include at least three modular components pertaining to the relevant area of advanced practice, in addition to clinical practicum.

And

(b) Candidates must possess the requisite knowledge and ability including a high standard of suitability and clinical, professional and administrative capacity to properly discharge the functions of the role.

2.Annual Registration

(i)

Practitioners must maintain active annual registration on the appropriate/relevant Division of the register of Nurses and Midwives maintained by the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) for the role

And

(ii)

Confirm annual registration with NMBI to the HSE by way of the annual Patient Safety Assurance Certificate (PSAC).

3.Health

Candidates for and any person holding the office must be fully competent and capable of undertaking the duties attached to the office and be in a state of health such as would indicate a reasonable prospect of ability to render regular and efficient service.

4.Character

Candidates for and any person holding the office must be of good character.

Post Specific Requirements, Additional Qualifications and/or Experience

Required

• The candidate must demonstrate the depth and breadth of experience in the area of Eating Disorders- General Adult Mental Health Services as relevant to the role.

AND

• Be a registered nurse prescriber (RNP) or agree to undertake, within the agreed timeframe as specified by the Area Director of Nursing, the Nurse Prescribing of Medicinal Products Certificate.

Essential Skills, Competencies and/or Knowledge

Demonstrate the specialist knowledge and clinical skills in the specific area of practice Eating Disorders General Adult, Mental Health Services

The cANP must demonstrate:

Professional/Clinical Knowledge

• Demonstrate a high degree of commitment, professionalism and dedication to the philosophy of quality health care provision
• Demonstrate evidence of Policy, Procedure, Protocol, Guideline (PPPG) development and the translation of PPPGs into action
• Demonstrate knowledge and experience of quality audit/assurance systems
• Demonstrate experience in developing, implementing and evaluating quality improvement initiatives
• Demonstrate awareness of relevant legislation and policy developments
• Demonstrate commitment to continuing professional development.

Planning and Organising Resources

• Demonstrate ability to proactively plan, organise, deliver and evaluate a nursing service in an efficient, effective and resourceful manner, within a model of person-centred care and value for money
• Demonstrate ability to manage deadlines and effectively handle multiple tasks.

Building and Maintaining Relationships: Leadership, Staff Management and Team Work

• Demonstrate flexibility and openness to change and ability to lead and support others in a changing environment
• Demonstrate the ability to communicate a change vision and engage stakeholders in a sustainable change process
• Demonstrate ability to foster a learning culture among staff and colleagues to drive continuous improvement
• Demonstrate ability to work effectively within multi-disciplinary teams.

Evaluation Information and Judging Situations

• Demonstrate the ability to evaluate information and solve problems.

Commitment to Providing Quality Services

• Demonstrate understanding of, and commitment to, the underpinning requirements and key processes in providing quality, person-centred care
• Demonstrate the ability to lead on clinical practice and service quality.

Communication and Interpersonal Skills

• Demonstrate effective communication and interpersonal skills, including the ability to present information in a clear and concise manner
• Demonstrate ability to engage collaboratively and influence others
• Demonstrate competency in the general use of information technology for example computers, office functions, internet for research purposes, email and preparation of presentation materials
• Demonstrate evidence of skills in data management and report writing.

Other Requirements Specific to Post

Access to own transport as the post may involve travel.

Competition Specific Selection Process

Short listing / Interview

A ranking and or shortlisting exercise may be carried out on the basis of information supplied in your application form. The criteria for ranking and or shortlisting are based on the requirements of the post as outlined in the eligibility criteria and skills, competencies and/or knowledge section of this job specification. Therefore it is very important that you think about your experience in light of those requirements.

Failure to include information regarding these requirements may result in you not being called forward to the next stage of the selection process.

Those successful at the ranking stage of this process (where applied) will be placed on an order of merit and will be called to interview in ‘bands’ depending on the service needs of the organisation.

Diversity, Equality and Inclusion

The HSE is an equal opportunities employer.

Employees of the HSE bring a range of skills, talents, diverse thinking and experience to the organisation. The HSE believes passionately that employing a diverse workforce is central to its success – we aim to develop the workforce of the HSE so that it reflects the diversity of HSE service users and to strengthen it through accommodating and valuing different perspectives. Ultimately this will result in improved service user and employee experience.

The HSE is committed to creating a positive working environment whereby all employees inclusive of age, civil status, disability, ethnicity and race, family status, gender, membership of the Traveller community, religion and sexual orientation are respected, valued and can reach their full potential. The HSE aims to achieve this through development of an organisational culture where injustice, bias and discrimination are not tolerated.

The HSE welcomes people with diverse backgrounds and offers a range of supports and resources to staff, such as those who require a reasonable accommodation at work because of a disability or long term health condition.

For further information on the HSE commitment to Diversity, Equality and Inclusion, please visit the Diversity, Equality and Inclusion web page at https://www.hse.ie/eng/staff/resources/diversity/

Code of Practice

The Health Service Executive will run this campaign in compliance with the Code of Practice prepared by the Commission for Public Service Appointments (CPSA). The Code of Practice sets out how the core principles of probity, merit, equity and fairness might be applied on a principle basis. The Code also specifies the responsibilities placed on candidates, feedback facilities for candidates on matters relating to their application, when requested, and outlines procedures in relation to requests for a review of the recruitment and selection process, and review in relation to allegations of a breach of the Code of Practice. Additional information on the HSE’s review process is available in the document posted with each vacancy entitled “Code of Practice, Information for Candidates”.

Codes of Practice are published by the CPSA and are available on www.hse.ie in the document posted with each vacancy entitled “Code of Practice, Information For Candidates” or on www.cpsa-online.ie.

The reform programme outlined for the health services may impact on this role and as structures change the job description may be reviewed.

This job description is a guide to the general range of duties assigned to the post holder. It is intended to be neither definitive nor restrictive and is subject to periodic review with the employee concerned.

Advanced Nurse Practitioner candidate, Eating Disorders General Adult, Mental Health Services

Community Healthcare West

Terms and Conditions of Employment

Tenure

The appointment is whole-time and candidate ANP is required to have progressed to being eligible to be registered as an ANP with NMBI within 3 years of commencement of the post.

Given the developmental nature of this service the successful advanced nurse practitioner candidate will be required to adhere to the terms as set out below which are specific to this appointment.

• In line with requirements and standards set out by NMBI (2017) Advanced Practice (Nursing) Standards and Requirements the successful candidate will be required to engage in a process of self-development and structured education and clinical supervision specific to (area of practice to be inserted) in order to develop advanced clinical nursing knowledge and critical thinking skills to gain competence necessary to independently provide efficient, effective, safe patient care to a specific caseload which has been previously agreed.
• The candidate Advanced Nurse Practitioner is expected to demonstrate the core and specific competencies deemed necessary to manage the particular scope of practice. The candidate must undertake formal competency assessment in order to meet the criteria for registration as an ANP with NMBI.
• On successful completion of the above requirements and on acquiring registration with NMBI as an ANP, the candidate will be appointed as an RANP in a permanent capacity.
• Failure to successfully achieve essential milestones (outlined above) within an agreed timeframe will result in termination of the ANP career pathway and return to a previously held substantive post OR re-deployment within the organisation.

Appointment as an employee of the Health Service Executive is governed by the Health Act 2004 and the Public Service Management (Recruitment and Appointment) Act 2004.

Remuneration

The salary scale for this post is in accordance with HSE approved salary scales (aligned to Clinical Nurse Manager 3 salary scale) as of 31/10/2023:

€65,818 €67,121 €70,413 €71,708 €73,010 €74,329

Candidates who are successful at interview and subsequently meet the necessary registration requirements with NMBI will automatically be appointed into the approved post of RANP Eating Disorders General Adult – Mental health Nursing

Working Week

The standard working week applying to the post is 37.5 hours

Annual Leave

The annual leave associated with the post is in accordance with approved HSE policy

Superannuation

All pensionable staff become members of the pension scheme.

Applicants for posts in the Mental Health service are advised that Section 65 of the Mental Treatment Act, 1945, does not apply to new entrants to the Mental Health Services as defined by the Public Service Superannuation(Miscellaneous Provisions) Act, 2004 (Section 12 of that Act) New entrants

Age

The Public Service Superannuation (Age of Retirement) Act, 2018* set 70 years as the compulsory retirement age for public servants.

* Public Servants not affected by this legislation:

Public servants joining the public service or re-joining the public service with a 26 week break in service, between 1 April 2004 and 31 December 2012 (new entrants) have no compulsory retirement age.

Public servants, joining the public service or re-joining the public service after a 26 week break, after 1 January 2013 are members of the Single Pension Scheme and have a compulsory retirement age of 70.

Probation

Every appointment of a person who is not already a permanent officer of the Health Service Executive or of a Local Authority shall be subject to a probationary period of 12 months as stipulated in the Department of Health Circular No.10/71.

Protection of Children Guidance and Legislation

The welfare and protection of children is the responsibility of all HSE staff. You must be aware of and understand your specific responsibilities under the Children First Act 2015, the Protections for Persons Reporting Child Abuse Act 1998 in accordance with Section 2, Children First National Guidance and other relevant child safeguarding legislation and policies.

Some staff have additional responsibilities such as Line Managers, Designated Officers and Mandated Persons. You should check if you are a Designated Officer and / or a Mandated Person and be familiar with the related roles and legal responsibilities.

For further information, guidance and resources please visit: HSE Children First webpage.

Infection Control

Have a working knowledge of Health Information and Quality Authority (HIQA) Standards as they apply to the role for example, Standards for Healthcare, National Standards for the Prevention and Control of Healthcare Associated Infections, Hygiene Standards etc. and comply with associated HSE protocols for implementing and maintaining these standards as appropriate to the role.

Health & Safety

It is the responsibility of line managers to ensure that the management of safety, health and welfare is successfully integrated into all activities undertaken within their area of responsibility, so far as is reasonably practicable. Line managers are named and roles and responsibilities detailed in the relevant Site Specific Safety Statement (SSSS).

Key responsibilities include:

· Developing a SSSS for the department/service[1], as applicable, based on the identification of hazards and the assessment of risks, and reviewing/updating same on a regular basis (at least annually) and in the event of any significant change in the work activity or place of work.

· Ensuring that Occupational Safety and Health (OSH) is integrated into day-to-day business, providing Systems Of Work (SOW) that are planned, organised, performed, maintained, and revised as appropriate, and ensuring that all safety related records are maintained and available for inspection.

· Consulting and communicating with staff and safety representatives on OSH matters.

· Ensuring a training needs assessment (TNA) is undertaken for employees, facilitating their attendance at statutory OSH training, and ensuring records are maintained for each employee.

· Ensuring that all incidents occurring within the relevant department/service are appropriately managed and investigated in accordance with HSE procedures[2].

· Seeking advice from health and safety professionals through the National Health and Safety Function Helpdesk as appropriate.

· Reviewing the health and safety performance of the ward/department/service and staff through, respectively, local audit and performance achievement meetings for example.

Note: Detailed roles and responsibilities of Line Managers are outlined in local SSSS.

[1] A template SSSS and guidelines are available on the National Health and Safety Function, here: https://www.hse.ie/eng/staff/safetywellbeing/about%20us/

[2]See link on health and safety web-pages to latest Incident Management Policy