Senior Advanced Neonatal Nurse Practitioner

Job description

Job summary

An exciting opportunity has arisen for an experienced, ambitiousSenior Advanced Neonatal Nurse Practitioner (ANNP) to join our neonatal team atWorcestershire Royal Hospital and play a key role in shaping the future ofneonatal care.

We are looking for an accomplished ANNP who combines expertneonatal clinical practice with compassionate leadership. You will practisewith a high degree of professional autonomy as an integral member of theneonatal multidisciplinary team, working on the middle-grade rota and providingadvanced assessment, diagnosis and management for premature and sick newbornbabies.

Our Neonatal Unit providesintensive, high-dependency and special care, alongside a 9-cot TransitionalCare Unit co-located in the postnatal ward. Our Neonatal Outreach teamsupports babies and families following discharge, including those requiringongoing care in the community. We are proud of our multidisciplinary approach,with dedicated family integrated care, education and allied health professionalsupport.

This is an exciting time to join our service. We are developingour ANNP workforce to strengthen senior neonatal clinical cover and support ourambition for a sustainable 7 day ANNP rota. This role offers theopportunity to make a visible contribution to clinical care, workforcedevelopment, education, research and service improvement while working within asupportive and forward-looking neonatal team.

Main duties of the job

As Senior Advanced Neonatal Nurse Practitioner (ANNP), you will:

Provide autonomous, evidence-based assessment and management of premature and sick newborn babies across the neonatal pathway.

Work as part of the middle-grade rota and provide senior clinical leadership within the neonatal multidisciplinary team.

Support safe, effective and family-centred care across the Neonatal Unit, delivery areas, Transitional Care and postnatal services.

Provide supervision, education and mentorship to ANNPs, junior medical colleagues, nurses and other members of the multidisciplinary team.

Contribute to clinical governance, audit, quality improvement, guideline development and research.

Lead and influence service development, helping to embed innovation and evidence-based practice across neonatal services.

This is an excitingtime to join our service. We are developing our ANNP workforce to strengthensenior neonatal clinical cover and support our ambition for a sustainableseven-day ANNP rota. This role offers the opportunity to make a visiblecontribution to clinical care, workforce development, education, research andservice improvement while working within a supportive and forward-lookingneonatal team.

About us

Worcestershire Acute Hospitals NHS Trust is a largeacute and specialised hospital trust that provides a range of local acuteservices to the residents of Worcestershire and more specialised services to alarger population in Herefordshire and beyond.

The Trust operates hospital-based services fromthree sites in Kidderminster, Redditch and Worcester

Our workforce is more than 7,000 strong, and ourcaring staff are recognised as providing good and outstanding patient-centredcare. You could be one of them.

We are committed to recruiting the best people towork with us. Our values, which we ask all staff to demonstrate, underpin oureveryday work and remain firmly at the heart of all we do.

Being open and honest

Ensuring people feel cared for

Showing respect to everyone

We are committed to developing a culture of continuous improvement by embedding the principles of our Improvement System.

We are proud to have achieved Timewiseaccreditation - this means we are committed to embedding flexible workingwithin our organisation as a flex positive employer.

DBS Checks and Costs

Any applicants who are offered posts requiring aDBS check as part of their employment check will have the cost of this check(at the current rate) deducted from their salary. Please see link in SupportingInformation section for more details on DBS checks and costs.

Job description

Job responsibilities

Job Purpose:

The postholder is an experienced Advanced NeonatalNurse Practitioner (ANNP) and an integrated member of the neonatalmultidisciplinary team.

They will practise with a high degree ofprofessional and personal autonomy, working independently with an agreed scopeof practice, with clinical supervision from a Consultant Neonatologist, whenrequired. Care delivery will be evidence-based, underpinned by advancedclinical skills and sound clinical reasoning.

In addition to advanced clinical practiceresponsibilities, the post holder will lead a designated service portfolio,assuming accountability for the development, implementation, monitoring andreporting of associated objectives, standards and service improvementinitiatives across the neonatal service.

The postholder will work on the middle grade rota,holding the neonatal bleep and will work to an agreed job plan.

Key responsibilities

Exerciseindependent judgement to assess, investigate, diagnose, plan, implement andevaluate the care of premature, sick newborns.

Makejudgements involving complex information, using analysis and interpretation to ensuresafe, effective, and family centred care.

Manage andcoordinate care in complex clinical situations when a neonatal consultant isnot immediately available, escalating appropriately when required.

Act as anindependent non-medical prescriber in line with NMC and professional standards.

Providesupervision, teaching, and educational support to members of the neonatal teamwithin the clinical environment.

Participatein relevant research activity to inform and improve clinical care.

Key Duties

The post holder will

Provide continuity of care by sharing patient andfamily information effectively with the rotating neonatal services team.

Coordinate discharge planning including arrangingmedical follow up for complex and/or long-term neonatal patients.

Provides day-to-day clinical leadership, guidance,and mentorship to junior medical staff and ANNPs under the supervision of theNeonatal Consultants.

Support the supervision and professional developmentof junior ANNPs in clinical practice, including participation in annualpersonal development reviews in collaboration with the neonatal lead consultant.

Undertake clinical review of babies in the NeonatalUnit (NNU), Delivery Suite, Transitional Care Unit, Postnatal ward, and MeadowBirth Centre under the supervision of the Neonatal Consultant.

Work collaboratively with the multidisciplinary teamincluding paediatrics, nursing, midwifery, obstetrics, and allied healthcareprofessionals to deliver high quality, family integrated care within neonatalservices.

Practices within neonatal guidelines, exercising advancedclinical judgement to assess, diagnose, plan, implement and evaluate the careof premature and sick babies and their families.

Demonstrates expertise in advanced neonatal skillsand knowledge in clinical practice.

Supports the education and skills development ofmedical, nursing, and allied health professional staff within the neonatalservice.

Contributes to neonatal service improvement byengaging in audit, quality improvement and guideline development activities.

Assess the clinical need for admission and transfer,including stabilisation for transport, of preterm or critically ill neonate.

Maintains Nursing and Midwifery Council (NMC)registration and revalidation requirements.

Works in line with the British Association ofPerinatal Medicine (BAPM) ANNP Capabilities Framework at Senior/Expert level(2021).

Holds non-medical prescribing qualification and practisewithin NMC and Royal Pharmaceutical Society standards for prescribers.

MainDuties and ResponsibilitiesClinicalPractice AreasNeonatalUnit and Transitional Care UnitDeliverySuite including obstetric theatres.PostNatal Ward and Meadow Birth Centre

LocalDelegated Clinical Responsibilities

Thepostholder will:

Undertakesdaily responsibilities on the middle grade rota, including holding the bleep.

Participatesin daily neonatal ward rounds, engaging with parents/caregivers, medical andnursing team members to provide holistic assessment, formulate differentialdiagnosis, plan care and evaluate outcomes.

Providetimely senior review for junior medical staff, ANNPs, nursing/midwifery staffas required.

Attendhigh-risk deliveries and emergency calls to leading the immediate management ofsick or premature infants in line with local protocols.

Useadvanced knowledge and skills to manage emergency situations within neonatalclinical areas, escalating to the consultant as appropriate.

Applyclinical reasoning underpinned by a comprehensive understanding of neonatal physiologyand pathophysiology to plan and manage care episodes from birth to discharge.

Assessthe health status of through physical examination, medical history, and social assessmentto establish differential diagnosis.

Plan,implement and evaluate care in accordance with best evidence, national guidance,and local protocols.

Providesenior clinical advice regarding admission, transfer, and discharge fromneonatal services to optimise patient safety, acuity management and cotcapacity.

Requestand interpret clinical investigations, acting on results appropriately withinscope of practice.

Referto specialist healthcare professionals and centres, seeking guidance from the neonatalconsultant when required.

Liaisewith medical and transport teams for neonates requiring transfer to otherneonatal or childrens hospitals.

Coordinatethe stabilisation of sick and/or extremely preterm neonates for urgent transferto tertiary centres in collaboration with the local consultant and tertiary / transportteams.

Workwith families, neonatal consultants, the multidisciplinary team, communityoutreach services and relevant community organisations to facilitate safe andeffective discharge planning.

Leaddischarge planning for complex and/or long-term neonatal patients inpartnership with the neonatal community outreach service and neonatalconsultants.

Identifyand document the psychosocial needs of each family and baby in collaborationwith the multidisciplinary team.

Promotefamily centred care through regular communication with parents about theirbabys progress and by encouraging active involvement in care planning anddelivery.

Ensureall aspects of care and communication are documented accurately and contemporaneouslyin both written and electronic records.

PracticalProcedures

Thesenior ANNP will perform advanced practical and diagnostic procedures, seeking adviceand support from a consultant and in accordance with local and nationalclinical guidelines. Procedures will include, but are not limited to:

Initiationand ongoing management of neonates receiving mechanical ventilation, includingintubation and insertion of alternative airway devices.

Applicationof ventilation strategies appropriate to clinical conditions, adjustment ofventilation settings and extubation.

Administrationof surfactant via endotracheal tube (ETT) or alternative less invasivetechniques.

Investigationand management of suspected pneumothorax, including needle aspiration, chestdrain placement and removal.

Initiationand prescribing of treatment, intravenous fluids, and parenteral nutritionwithin local and national guidance.

Advancedresuscitation including emergency drug administration in line with local neonatalguidelines.

Bloodsampling via capillary, venous, arterial, and indwelling arterial/venouscatheters.

Insertionand removal of intravenous cannulas and longlines (percutaneous central venouslines).

Insertionand removal of peripheral arterial line, umbilical venous lines, and umbilical arteriallines.

Lumbarpuncture with interpretation and action of results.

Insertionand removal of urinary catheters and suprapubic aspiration of the bladder whenclinically indicated.

Clinicalexamination and assessment including examination of the newborn.

Ordering,interpretation and acting upon laboratory tests, radiological imaging, andother investigations.

Diagnosispathophysiology conditions and undertaking dilution and/or exchange transfusionas appropriate.

Performanceand interpretation of cranial ultrasound. Electrocardiogram (ECG) and cerebralfunction monitoring (CFM) recording and interpretation.

Leadership/Management

Thesenior ANNP fulfils BAPM (2021) Leadership and Management CapabilitiesFramework while working on the middle grade rota providing clinical leadership underthe supervision of the Neonatal Consultants.

Job description
Job responsibilities

Job Purpose:

The postholder is an experienced Advanced NeonatalNurse Practitioner (ANNP) and an integrated member of the neonatalmultidisciplinary team.

They will practise with a high degree ofprofessional and personal autonomy, working independently with an agreed scopeof practice, with clinical supervision from a Consultant Neonatologist, whenrequired. Care delivery will be evidence-based, underpinned by advancedclinical skills and sound clinical reasoning.

In addition to advanced clinical practiceresponsibilities, the post holder will lead a designated service portfolio,assuming accountability for the development, implementation, monitoring andreporting of associated objectives, standards and service improvementinitiatives across the neonatal service.

The postholder will work on the middle grade rota,holding the neonatal bleep and will work to an agreed job plan.

Key responsibilities

Exerciseindependent judgement to assess, investigate, diagnose, plan, implement andevaluate the care of premature, sick newborns.

Makejudgements involving complex information, using analysis and interpretation to ensuresafe, effective, and family centred care.

Manage andcoordinate care in complex clinical situations when a neonatal consultant isnot immediately available, escalating appropriately when required.

Act as anindependent non-medical prescriber in line with NMC and professional standards.

Providesupervision, teaching, and educational support to members of the neonatal teamwithin the clinical environment.

Participatein relevant research activity to inform and improve clinical care.

Key Duties

The post holder will

Provide continuity of care by sharing patient andfamily information effectively with the rotating neonatal services team.

Coordinate discharge planning including arrangingmedical follow up for complex and/or long-term neonatal patients.

Provides day-to-day clinical leadership, guidance,and mentorship to junior medical staff and ANNPs under the supervision of theNeonatal Consultants.

Support the supervision and professional developmentof junior ANNPs in clinical practice, including participation in annualpersonal development reviews in collaboration with the neonatal lead consultant.

Undertake clinical review of babies in the NeonatalUnit (NNU), Delivery Suite, Transitional Care Unit, Postnatal ward, and MeadowBirth Centre under the supervision of the Neonatal Consultant.

Work collaboratively with the multidisciplinary teamincluding paediatrics, nursing, midwifery, obstetrics, and allied healthcareprofessionals to deliver high quality, family integrated care within neonatalservices.

Practices within neonatal guidelines, exercising advancedclinical judgement to assess, diagnose, plan, implement and evaluate the careof premature and sick babies and their families.

Demonstrates expertise in advanced neonatal skillsand knowledge in clinical practice.

Supports the education and skills development ofmedical, nursing, and allied health professional staff within the neonatalservice.

Contributes to neonatal service improvement byengaging in audit, quality improvement and guideline development activities.

Assess the clinical need for admission and transfer,including stabilisation for transport, of preterm or critically ill neonate.

Maintains Nursing and Midwifery Council (NMC)registration and revalidation requirements.

Works in line with the British Association ofPerinatal Medicine (BAPM) ANNP Capabilities Framework at Senior/Expert level(2021).

Holds non-medical prescribing qualification and practisewithin NMC and Royal Pharmaceutical Society standards for prescribers.

MainDuties and ResponsibilitiesClinicalPractice AreasNeonatalUnit and Transitional Care UnitDeliverySuite including obstetric theatres.PostNatal Ward and Meadow Birth Centre

LocalDelegated Clinical Responsibilities

Thepostholder will:

Undertakesdaily responsibilities on the middle grade rota, including holding the bleep.

Participatesin daily neonatal ward rounds, engaging with parents/caregivers, medical andnursing team members to provide holistic assessment, formulate differentialdiagnosis, plan care and evaluate outcomes.

Providetimely senior review for junior medical staff, ANNPs, nursing/midwifery staffas required.

Attendhigh-risk deliveries and emergency calls to leading the immediate management ofsick or premature infants in line with local protocols.

Useadvanced knowledge and skills to manage emergency situations within neonatalclinical areas, escalating to the consultant as appropriate.

Applyclinical reasoning underpinned by a comprehensive understanding of neonatal physiologyand pathophysiology to plan and manage care episodes from birth to discharge.

Assessthe health status of through physical examination, medical history, and social assessmentto establish differential diagnosis.

Plan,implement and evaluate care in accordance with best evidence, national guidance,and local protocols.

Providesenior clinical advice regarding admission, transfer, and discharge fromneonatal services to optimise patient safety, acuity management and cotcapacity.

Requestand interpret clinical investigations, acting on results appropriately withinscope of practice.

Referto specialist healthcare professionals and centres, seeking guidance from the neonatalconsultant when required.

Liaisewith medical and transport teams for neonates requiring transfer to otherneonatal or childrens hospitals.

Coordinatethe stabilisation of sick and/or extremely preterm neonates for urgent transferto tertiary centres in collaboration with the local consultant and tertiary / transportteams.

Workwith families, neonatal consultants, the multidisciplinary team, communityoutreach services and relevant community organisations to facilitate safe andeffective discharge planning.

Leaddischarge planning for complex and/or long-term neonatal patients inpartnership with the neonatal community outreach service and neonatalconsultants.

Identifyand document the psychosocial needs of each family and baby in collaborationwith the multidisciplinary team.

Promotefamily centred care through regular communication with parents about theirbabys progress and by encouraging active involvement in care planning anddelivery.

Ensureall aspects of care and communication are documented accurately and contemporaneouslyin both written and electronic records.

PracticalProcedures

Thesenior ANNP will perform advanced practical and diagnostic procedures, seeking adviceand support from a consultant and in accordance with local and nationalclinical guidelines. Procedures will include, but are not limited to:

Initiationand ongoing management of neonates receiving mechanical ventilation, includingintubation and insertion of alternative airway devices.

Applicationof ventilation strategies appropriate to clinical conditions, adjustment ofventilation settings and extubation.

Administrationof surfactant via endotracheal tube (ETT) or alternative less invasivetechniques.

Investigationand management of suspected pneumothorax, including needle aspiration, chestdrain placement and removal.

Initiationand prescribing of treatment, intravenous fluids, and parenteral nutritionwithin local and national guidance.

Advancedresuscitation including emergency drug administration in line with local neonatalguidelines.

Bloodsampling via capillary, venous, arterial, and indwelling arterial/venouscatheters.

Insertionand removal of intravenous cannulas and longlines (percutaneous central venouslines).

Insertionand removal of peripheral arterial line, umbilical venous lines, and umbilical arteriallines.

Lumbarpuncture with interpretation and action of results.

Insertionand removal of urinary catheters and suprapubic aspiration of the bladder whenclinically indicated.

Clinicalexamination and assessment including examination of the newborn.

Ordering,interpretation and acting upon laboratory tests, radiological imaging, andother investigations.

Diagnosispathophysiology conditions and undertaking dilution and/or exchange transfusionas appropriate.

Performanceand interpretation of cranial ultrasound. Electrocardiogram (ECG) and cerebralfunction monitoring (CFM) recording and interpretation.

Leadership/Management

Thesenior ANNP fulfils BAPM (2021) Leadership and Management CapabilitiesFramework while working on the middle grade rota providing clinical leadership underthe supervision of the Neonatal Consultants.

Person Specification

Personal Qualities

Essential

• Demonstrates emotional resilience and composure under pressure
• Acts with openness, honesty, and integrity in all professional practice
• Constructive and receptive to challenge; committed to continuous improvement
• Flexible and adaptable to changing priorities and service needs
• Builds and sustains positive, collaborative relationships across teams and services
• Demonstrates empathy, compassion, and support for colleagues, families, and service users

Qualifications

Essential

• Registered Nurse, RSCN, RN Child
• ENB 405
• MSc in Advanced Clinical Practice (Neonatal Pathway)
• Recognised mentor/assessor or teaching qualification.
• Independent non-medical prescriber
• Accredited New-born Infant Physical Examination
• Current NLS certification

Desirable

• NLS Instructor
• ARNI qualification
• Counselling/
• Bereavement training
• Qualification in leadership/management

Experience

Essential

• Extensive ANNP experience (Tier 1 rota or equivalent)
• Expert knowledge of neonatal pathophysiology, diagnostics, and evidence-based care
• Advanced clinical decision-making and autonomous practice in complex neonatal cases
• Proficient in advanced neonatal clinical skills (e.g. Intubation, lumber puncture)
• Proven experience implementing evidence-based practice and service improvements
• Active participation in clinical audit, governance, and quality improvement initiatives
• Experience delivering and assessing Neonatal Life Support
• Teaching, mentorship, and supervision of colleagues and trainees
• Clinical leadership with ability to coordinate, influence and support multi-disciplinary teams
• Non- medical prescribing experience Ongoing professional development and maintenance of advanced practice portfolio

Desirable

• Neonatal transport experience
• Cranial Ultrasound competence
• Intubation
• Research

Skills and Attributes

Essential

• Strong clinical leadership and role modelling with a positive, supportive style
• Effective management, organisational, and interpersonal skills
• Highly organised with excellent time management abilities
• Emotionally resilient and able to manage complex, sensitive situations
• Open, honest, and acts with integrity in all professional practice
• Open to constructive challenge and committed to continuous improvement
• Flexible and adaptable to meet changing clinical and service priorities
• Builds collaborative relationships across multidisciplinary and partner services
• Empathetic, supportive, and committed to family-centred neonatal care

Desirable

• Neonatal transport experience
• Cranial Ultrasound competence
• Intubation
• Research

Person Specification
Personal Qualities

Essential

• Demonstrates emotional resilience and composure under pressure
• Acts with openness, honesty, and integrity in all professional practice
• Constructive and receptive to challenge; committed to continuous improvement
• Flexible and adaptable to changing priorities and service needs
• Builds and sustains positive, collaborative relationships across teams and services
• Demonstrates empathy, compassion, and support for colleagues, families, and service users

Qualifications

Essential

• Registered Nurse, RSCN, RN Child
• ENB 405
• MSc in Advanced Clinical Practice (Neonatal Pathway)
• Recognised mentor/assessor or teaching qualification.
• Independent non-medical prescriber
• Accredited New-born Infant Physical Examination
• Current NLS certification

Desirable

• NLS Instructor
• ARNI qualification
• Counselling/
• Bereavement training
• Qualification in leadership/management

Experience

Essential

• Extensive ANNP experience (Tier 1 rota or equivalent)
• Expert knowledge of neonatal pathophysiology, diagnostics, and evidence-based care
• Advanced clinical decision-making and autonomous practice in complex neonatal cases
• Proficient in advanced neonatal clinical skills (e.g. Intubation, lumber puncture)
• Proven experience implementing evidence-based practice and service improvements
• Active participation in clinical audit, governance, and quality improvement initiatives
• Experience delivering and assessing Neonatal Life Support
• Teaching, mentorship, and supervision of colleagues and trainees
• Clinical leadership with ability to coordinate, influence and support multi-disciplinary teams
• Non- medical prescribing experience Ongoing professional development and maintenance of advanced practice portfolio

Desirable

• Neonatal transport experience
• Cranial Ultrasound competence
• Intubation
• Research

Skills and Attributes

Essential

• Strong clinical leadership and role modelling with a positive, supportive style
• Effective management, organisational, and interpersonal skills
• Highly organised with excellent time management abilities
• Emotionally resilient and able to manage complex, sensitive situations
• Open, honest, and acts with integrity in all professional practice
• Open to constructive challenge and committed to continuous improvement
• Flexible and adaptable to meet changing clinical and service priorities
• Builds collaborative relationships across multidisciplinary and partner services
• Empathetic, supportive, and committed to family-centred neonatal care

Desirable

• Neonatal transport experience
• Cranial Ultrasound competence
• Intubation
• Research

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.
UK Registration

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

Additional information
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.
UK Registration

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

Employer details

Employer name

Worcestershire Acute Hospitals NHS Trust
Address

Charles Hastings Way

Worcester

Worcestershire

WR5 1DD

United Kingdom

Employer's website