Job summary
The successful candidate will join the PML/Banbury Cross Health Centres (BCHC) multi-disciplinary health care team delivering primary care and community services to the Practices registered patient population. A can do approach, is required in what can be a busy, often demanding, but highly rewarding environment.
As an Advanced Nurse Practitioner or Emergency Care Practitioner, the post-holder will be expected to demonstrate advanced clinical competence and a knowledge base beyond those associated with conventional nursing roles. The focus of the role is the provision of urgent/acute care, both on-site and possibly through visiting patients at home; with opportunities for development of the role. You will work as an autonomous practitioner, providing high quality and timely patient-centred care to the practices patient population and to be responsible for the delivery of evidence-based clinical care and nursing services, within your scope of practice.
You will adhere to professional standards, lead by example and maintain a positive, collaborative working relationship with the practices multidisciplinary healthcare team, as well as supporting the management team in the reviewing and implementation of clinical policy and procedure.
Main duties of the job
1. To act as a self-directed practitioner who directs, provides and evaluates the highest standard of evidence based clinical care to patients in all settings within their own home, founded on agreed management care plans and protocols.
2. To work independently, without direct supervision and perform comprehensive patient assessments based upon history taking and physical examination in a variety of clinical settings and in the home environment, prioritising workload to meet the regular unpredictable situations that may occur within this role.
3. Demonstrate highly developed clinical reasoning and decision-making.
About us
PML is a successful not-for-profit, GP-led organisation providing various NHS community and primary care clinical services to patients across Oxfordshire and Northamptonshire. We have evolved as a NHS healthcare provider since 2004 and in the last few years have grown significantly, now employing around 300 staff with a turnover of circa £16m. PML holds GMS contracts, as well as being a GP Federation representing circa 50 GP practices covering approximately 650,000 patients.
We welcome applicants from a diverse range of backgrounds and circumstances and people with protected characteristics under the Equality Act 2010
Job description
Job responsibilities
Clinical Responsibilities
4. Work in close collaboration with the Clinical Lead for the delivery of an effective service by defining and overseeing the development of service standards in-line with CQC, NMC/HCPC guidelines and PML/BCHC Policy.
5. Undertaking home visits and liaise with patients, carers and colleagues to assess the safety of a patients home environment, acting quickly to protect patients and staff from potential risk
6. To ensure that appropriate, consistent and realistic information is provided to patients and families.
7. Be a clinical resource for the patient/carer especially
8. Work within a multi-disciplinary team, to provide a coordinated, high quality and responsive service to patients.
9. Undertake consultations with patients as an autonomous practitioner, using own clinical judgment to diagnose, treat, refer and/or discharge patients
10. Deliver timely, high quality, clinical care
11. Triage, assess and diagnose patients
12. Develop, implement and evaluate individual care management plans
13. (For those with a prescribing qualification) Prescribe and review medication in accordance with PGD and within own scope of practice
14. Maintain complete and accurate clinical records in respect of all patient contacts
15. Make direct referrals to primary, secondary and social services within locally agreed pathways, guidance and protocols.
16. Arrange further investigations, as necessary
17. Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
18. Request pathology services as necessary, processing and interpreting results as required
19. Where required, provide supervision and mentoring to other staff in order to help them develop their knowledge, skills and abilities.
20. Provide clinical advice and guidance to Reception staff, as needed
21. Understand practice and local policies for substance abuse and addictive behaviour,
22. referring patients appropriately
23. Prioritise health issues and intervene appropriately
24. Recognise, assess and refer patients presenting with mental health needs
25. Recognise, assess and refer patients with community health needs, developing strategies for effective care pathways
26. Compliance with all safeguarding matters, in accordance with local and national policies
27. Provide routine nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
28. Support the team in dealing with clinical emergencies
29. As a qualified Clinical Practitioner you will:
30. Adhere to NMC or HCPC Code of Professional Conduct and at all times practice within the scope of professional practice
31. Participate in local initiatives to enhance service delivery and patient care
32. Support and participate in shared learning within the practice
33. Continually review clinical practices, responding to national policies and initiatives where appropriate
34. Participate in the review of significant and near-miss events applying a structured approach root cause analysis (RCA).
35. Maintain professional registration and adhere to revalidation requirements
Professional
36. Represent their profession in accordance with best practice standards and code of conduct with their relevant regulatory body.
37. Approach Continuing Professional Development and appraisal in an open and constructive manner
This job description seeks to outline the key duties and responsibilities of the post holder and is not a definitive document and does not form part of the main statement of terms and conditions. This job will be reviewed periodically and changes may be made in consultation with the postholder.
Person Specification
Qualifications
Essential
38. Relevant professional qualification Emergency Care/Advanced Nurse Practitioner qualification or equivalent.
39. Nurse degree or level 6 degree module in minor illness/injury assessment, diagnosis and management.
40. Portfolio of evidence showing achievements in practice/speciality
41. Non-Medical Prescriber Qualification
Desirable
42. Assessor/Mentorship course
Experience
Essential
43. Evidence of working within acute clinical practice
44. Evidence of working in a community setting
45. Minimum of three years post registration with
46. demonstrable experience of using diagnostic skills
47. Experience of, or a willingness to undertake advanced
48. clinical practice
49. Evidence of excellent clinical record keeping
50. Evidence of clinical leadership development
51. Ability to support patients during acute episodes of illness
52. and to self-manage long term conditions where feasible
Desirable
53. Experience in teaching & supporting junior staff/students
Skills
Essential
54. Competence in the use of IT packages including clinical
55. databases.
56. Experience of clinical information systems
57. Ability to relate to people from differing backgrounds
58. Ability to motivate others
59. Demonstrate positive attitude towards patients & staff
Desirable
60. Competent in databases and spreadsheets
61. Demonstrates ability and knowledge on how to undertake
62. audit and feedback to clinicians