Job summary We would like an ANP to join our clinical team to work alongside the duty doctor on the 'On the day team' to help assess and see patients who need to be seen the same day or manage the most appropriate course of action. Potential to lead the practice nursing team. Main duties of the job To work autonomously and alongside the Duty doctor within their expanded scope of practice to help manage the On The Day list. The Advanced Nurse Practitioner will undertake comprehensive and holistic health assessment of patients with undifferentiated health conditions, makes differential diagnoses, undertakes diagnostic investigations, formulates a diagnosis and negotiates a management plan with the patient and their family. This includes: prescribing treatment; monitoring health outcomes; making onward referrals; and using expert decision-making to care for people presenting with clinical complexity and co-morbidities as well as acute illnesses. In addition,we hope to provide opportunities for leadership and education to General Practice teams. About us Stonecot Surgery provides general practice services to approximately 9800 patients. The practice population is in the second least deprived decile in England.The practice operates from a 3-storey converted residential premises. A small amount of car parking is available at the practice, and there is space to park in the surrounding streets. The practice has recently undergone a full refurbishment and now has 12 clinical rooms and a floor for administrative staff. The practice team at the surgery is made up of three GP Partners, 5 Salaried GPs, 2 Clinical Pharmacists, 2 Practice nurses, 1 HCA and a physicians associate. The practice is a training practice for GPs, nurses, FY2 doctors, PAs and Pharmacists.There is a strong emphasis on support and education alongside personal development. Date posted 30 October 2024 Pay scheme Agenda for change Band Band 7 Salary £46,000 to £55,000 a year depending on experience Contract Permanent Working pattern Full-time Reference number A2785-24-0003 Job locations 115-117 Epsom Road Sutton Surrey SM3 9EY Job description Job responsibilities The post holder is an ANP who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary general practice and attached teams to meet the needs of patients, supporting the delivery of policy and procedures, and providing leadership as required. In order to work at this level, NMC requirements for advanced practice must be met. 1. SCOPE AND PURPOSE OF THE ROLE To deliver a high standard of patient care as an ANP in general practice, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base To manage a clinical caseload, dealing with presenting patients needs in a primary care setting 2. JOB DIMENSIONS To manage own clinical workload in general practice responding effectively to patient need and ensuring patient choice and ease of access to services. The development and use of referral pathways for ANPs to the local acute NHS Trust services and to Diagnostic and Treatment Centres. To mentor and support other nurses in developing and maintaining clinical skills PRIMARY DUTIES & AREAS OF RESPONSIBILITY A. CLINICAL ROLE: The post-holder will: Provide the choice of direct access to an ANP, in the Practice, to Community Team and over the telephone, for the general practice population Make professionally autonomous decisions for which he/she is accountable Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports To prescribe safe, effective and appropriate medication as defined by current legislative framework Provide safe, evidence-based, cost-effective, individualised patient care Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills Refer patients directly to other services/agencies as appropriate Work as part of the Practice team in developing and delivering specialist primary care services Screen patients for disease risk factors and early signs of illness Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks (e.g. Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered Work with multi-disciplinary team within the Practice, and across the wider Operational Unit (Moray Health & Social Care Partnership), to promote integrated and seamless pathways of care Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery Participate in identification of community health needs and develop patient/family-centred strategies to address them Help develop and set up new patient services and participate in initiatives to improve existing patient services Be aware of and contribute to planning and delivery of practice-based commissioning B. TEACHING AND MENTORING ROLE: The post-holder will: Promote a learning environment for patients, nurses and other health professionals. Contribute to the planning and implementation of the teaching for existing staff, such as medical students, NP students, GP registrars, within the Practice. C. PROFESSIONAL ROLE: The post-holder will: Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research. Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review Maintain their professional registration Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained Work within the latest NMC Code of Professional Conduct Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation Work collaboratively with colleagues within and external to the practice. Demonstrate leadership Pro-actively promote the role of the ANP within the Practice, and externally to key stakeholders and agencies D. MANAGERIAL ROLE: The post-holder will: Encourage and develop teamwork within the practice. Participate in multi-disciplinary protocol and Patient Group Directions development Help the practice operate in a cost-effective manner. Identify and manage care risks on a continuing basis. Participate in practice meetings and practice management meetings, reporting progress as required. Participate in audits and inspections as appropriate. Work closely with the doctors and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets. Ensure that all Practice Policys are fully implemented E. AREAS OF PRACTICE EXCLUDED FROM THE POST-HOLDERS REMIT: Depending on skills / experience, it is recognised that there may be some aspects of care which the post-holder may refer to the Duty GP. Job description Job responsibilities The post holder is an ANP who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary general practice and attached teams to meet the needs of patients, supporting the delivery of policy and procedures, and providing leadership as required. In order to work at this level, NMC requirements for advanced practice must be met. 1. SCOPE AND PURPOSE OF THE ROLE To deliver a high standard of patient care as an ANP in general practice, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base To manage a clinical caseload, dealing with presenting patients needs in a primary care setting 2. JOB DIMENSIONS To manage own clinical workload in general practice responding effectively to patient need and ensuring patient choice and ease of access to services. The development and use of referral pathways for ANPs to the local acute NHS Trust services and to Diagnostic and Treatment Centres. To mentor and support other nurses in developing and maintaining clinical skills PRIMARY DUTIES & AREAS OF RESPONSIBILITY A. CLINICAL ROLE: The post-holder will: Provide the choice of direct access to an ANP, in the Practice, to Community Team and over the telephone, for the general practice population Make professionally autonomous decisions for which he/she is accountable Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports To prescribe safe, effective and appropriate medication as defined by current legislative framework Provide safe, evidence-based, cost-effective, individualised patient care Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills Refer patients directly to other services/agencies as appropriate Work as part of the Practice team in developing and delivering specialist primary care services Screen patients for disease risk factors and early signs of illness Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks (e.g. Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered Work with multi-disciplinary team within the Practice, and across the wider Operational Unit (Moray Health & Social Care Partnership), to promote integrated and seamless pathways of care Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery Participate in identification of community health needs and develop patient/family-centred strategies to address them Help develop and set up new patient services and participate in initiatives to improve existing patient services Be aware of and contribute to planning and delivery of practice-based commissioning B. TEACHING AND MENTORING ROLE: The post-holder will: Promote a learning environment for patients, nurses and other health professionals. Contribute to the planning and implementation of the teaching for existing staff, such as medical students, NP students, GP registrars, within the Practice. C. PROFESSIONAL ROLE: The post-holder will: Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research. Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review Maintain their professional registration Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained Work within the latest NMC Code of Professional Conduct Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation Work collaboratively with colleagues within and external to the practice. Demonstrate leadership Pro-actively promote the role of the ANP within the Practice, and externally to key stakeholders and agencies D. MANAGERIAL ROLE: The post-holder will: Encourage and develop teamwork within the practice. Participate in multi-disciplinary protocol and Patient Group Directions development Help the practice operate in a cost-effective manner. Identify and manage care risks on a continuing basis. Participate in practice meetings and practice management meetings, reporting progress as required. Participate in audits and inspections as appropriate. Work closely with the doctors and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets. Ensure that all Practice Policys are fully implemented E. AREAS OF PRACTICE EXCLUDED FROM THE POST-HOLDERS REMIT: Depending on skills / experience, it is recognised that there may be some aspects of care which the post-holder may refer to the Duty GP. Person Specification Qualifications Essential Registered General Nurse (Currently registered with the Nursing & Midwifery Council) with Recognised NP qualification at minimum of degree level or equivalent Desirable Independent Nurse RGN Advanced Nurse Practitioner programme accreditation Teaching / Mentoring experience and /or qualification Experience Essential Minimum of 5 years post registration experience Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the ANP role Experience in management long term conditions e.g. asthma, COPD, diabetes, CHD Evidence of working autonomously and as part of a team Proven ability to evaluate the safety and effectiveness of their own clinical practice Previous experience of managing and developing a healthcare team Desirable Interpreting and implementing local and National policy agendas for health Person Specification Qualifications Essential Registered General Nurse (Currently registered with the Nursing & Midwifery Council) with Recognised NP qualification at minimum of degree level or equivalent Desirable Independent Nurse RGN Advanced Nurse Practitioner programme accreditation Teaching / Mentoring experience and /or qualification Experience Essential Minimum of 5 years post registration experience Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the ANP role Experience in management long term conditions e.g. asthma, COPD, diabetes, CHD Evidence of working autonomously and as part of a team Proven ability to evaluate the safety and effectiveness of their own clinical practice Previous experience of managing and developing a healthcare team Desirable Interpreting and implementing local and National policy agendas for health 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 NHS Careers website (opens in a new window). 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 NHS Careers website (opens in a new window). Employer details Employer name Stonecot Surgery Address 115-117 Epsom Road Sutton Surrey SM3 9EY Employer's website https://www.stonecotsurgery.co.uk/ (Opens in a new tab)