Job summary To work on behalf of a federation of General Practices across Blackburn with Darwen in a variety ofservices to facilitate at scale working and drive quality improvement. To act as an experienced, autonomous advanced practitioner who is able to work independently andin conjunction with other members of the clinical team. The post holder will be an experienced caring nurse who can demonstrate highly developed clinicalskills and be able to demonstrate critical thinking whilst working within their professionalboundaries. They will work within a multidisciplinary team consisting of GPs, PAs, ClinicalPharmacists and the wider practice team to deliver excellent primary care services in and acrosspractices and as part of integrated neighbourhood teams in BwD. They will also have a key role insupporting the PCN to deliver the Network Contract DES specifications for care homes and enhancedaccess requirements. The post holder will work collaboratively to meet the needs of patients, support the delivery ofpolicy and procedures, and provide nurse leadership as required. In order to work at this level, NMC requirements for advanced practice must be met. Main duties of the job Assess, diagnose, plan, implement and evaluate treatment/interventions and care forpatients presenting with an undifferentiated diagnosis and/or with complex needs Clinically examine and assess patient needs from a physiological and psychologicalperspective, and plan clinical care accordingly Proactively identify, diagnose and manage treatment plans for patients at risk of developinga long-term condition (as appropriate) Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan As an independent prescriber, prescribe safe, effective and appropriate medication asdefined by current legislative framework and within scope of practice Prioritise health problems and intervene appropriately to assist the patient in complex,urgent or emergency situations, including initiation of effective emergency care Support patients to adopt health promotion strategies that promote healthy lifestyles, andapply principles of self-care Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation Assess, identify and refer patients presenting with mental health needs Implement and participate in vaccination and immunisation programmes for both adults andchildren Provide expert nursing advice to other nurses working Participate in MDT virtual care home ward rounds, proactively identifying patients to beassessed About us Local Primary Care works with member practices to provide excellent services to patients. Supporting practices to develop their workforce and leadership. Our Focus Is On: Working with practices at scale to provides primary care services. Preserving personalised healthcare and improving continuity of care. Support practices to develop their practices, their workforce and their leadership. Working in partnership with other health and care organisations in promoting new collaborations. In order to achieve the best care outcomes for patients, Local Primary Care believes we must all work towards our core values. Our Core Values Are: Caring Excellence Ethical Transparency Trust Date posted 21 October 2024 Pay scheme Other Salary Depending on experience Equivalent to AfC 8A Contract Permanent Working pattern Part-time, Flexible working Reference number B0131-24-0009 Job locations Suite 5, Blackburn Enterprise Centre Furthergate Blackburn Lancashire BB1 3HQ Job description Job responsibilities Participate in MDT virtual care home ward rounds, proactively identifying patients to be assessed in conjunction with care home staff. Work as part of the MDT to optimise patient care and refer to or liaise with other keyservices such as the dietetics team, Specialist care home nurse, district nursing teams andthe palliative care team. Attend any training courses which are identified as being key to current practice. Utilise and demonstrate sensitive communication styles to ensure patients are fullyinformed and to gain appropriate consent to treatment. Communicate effectively with patients and carers, recognising the need for alternativemethods of communication to overcome different levels of understanding, culturalbackground and preferred ways of communicating. Anticipate barriers to communication and take action to improve communication. Maintain effective communication within the practice environment and with externalstakeholders. Act as an advocate for patients and colleagues. Ensure awareness of sources of support and guidance and provide information in anacceptable form to all patients, recognising any difficulties and referring where appropriate. Communicate suggested management plans to the patients registered GP practice. Work closely with the wider MDT. Recognise and work within own competence and professional code of conduct as regulatedby the NMC. Produce accurate, contemporaneous and complete records of patient consultation,consistent with legislation, policies and procedures. Prioritise, organise and manage own workload in a manner that maintains and promotesquality. Deliver care according to NICE guidelines and evidence-based care. In partnership with other clinical teams, collaborate on improving the quality of health careresponding to local and national policies and initiatives as appropriate. Work as an effective and responsible team member, supporting others and exploring themechanisms to develop new ways of working. Create clear referral mechanisms to meet patient need. Enable others to promote equality and diversity in a non-discriminatory culture Understand own role and scope and identify how this may develop over time Work as an effective and responsible team member, supporting others and exploring themechanisms to develop new ways of working Delegate clearly and appropriately, adopting the principles of safe practice and assessmentof competence Prioritise own workload and ensure effective time-management strategies are embeddedwithin the culture of the team Work effectively with others to clearly define values, direction and policies impacting uponcare delivery Discuss, highlight and work with the team to create opportunities to improve patient care Manage and lead on the delivery of specifically identified services or projects as agreed withthe management team Agree plans and outcomes by which to measure success Demonstrate understanding of the nurses role in governance and is able to implement thisappropriately within the workplace Demonstrate understanding of, and contribute to, the workplace vision Demonstrate an ability to improve quality within limitations of service Provide an educational role to patients, carers, families and colleagues in an environmentthat facilitates learning Review yearly progress and develop clear plans to achieve results within priorities set byothers. Demonstrate ability to motivate self to achieve goals Follow professional and organisational policies/procedures relating to performancemanagement Demonstrate ability to extend boundaries of service delivery Promote diversity and equality in people management techniques and lead by example Understand and demonstrate the characteristics of a role Demonstrate understanding of the mentorship process Demonstrate ability to conduct teaching and assessment effectively according to a learningplan Demonstrate self-development through continuous professional development activity;working alongside senior managers to identifying areas to develop Demonstrate an understanding of current educational policies relevant to working areas ofpractice and keeps up to date with relevant clinical practice The post-holder will participate in any training programme implemented by the federationas part of this employment Demonstrate ability to critically evaluate and review literature Demonstrate ability to identify where there is a gap in the evidence base to support practice Demonstrate ability to generate evidence suitable for presentations locally and at place Demonstrate ability to apply research evidence base into working place Demonstrate understanding of principles of research governance. Comply at all times with Health and Safety policies, in particular by following agreed safeworking procedures and reporting incidents using the organisations Incident ReportingSystem. Advocate for policies that reduce environmental health risks, are culturally sensitive andincrease access to health care for all Interpret national strategies and policies into local implementation strategies that arealigned to the values and culture of general practice Comply with the Data Protection Act (1984) and the Access to Health Records Act (1990). Ensure the confidentiality and security of all information that is dealt with in the course ofperforming duties Ensure that all systems for Information Governance, GDPR, and confidentiality aremaintained at all times All employees must comply with Prevention and Control of Infection Policies and completeany related mandatory training. The post-holder must co-operate with all policies and procedures designed to ensureequality of employment. Co-workers, patients and visitors must be treated equallyirrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc. It is the responsibility of every member of staff to safeguard and protect vulnerable adults,children and young people from abuse. All staff are expected to undertake mandatorytraining relevant to the role. All members of staff are bound by the requirements of the Data Protection Act 1998. Information relating to patients, carers, colleagues, other healthcare workers or the businessof the organisation may only be divulged to authorised persons in accordance withorganisational policies and procedures, IG regulations and Data Protection Act relating toconfidentiality and the protection of personal and sensitive data The post-holder is required to travel independently between sites (where applicable), and toattend meetings etc. hosted by other agencies. The post-holder may have contact with body fluids i.e. wound exudates; urine etc. while inclinical practice. Key performance objectives, development needs and completion of a Personal DevelopmentPlan will be discussed and agreed at Annual Appraisal Reviews. Job description Job responsibilities Participate in MDT virtual care home ward rounds, proactively identifying patients to be assessed in conjunction with care home staff. Work as part of the MDT to optimise patient care and refer to or liaise with other keyservices such as the dietetics team, Specialist care home nurse, district nursing teams andthe palliative care team. Attend any training courses which are identified as being key to current practice. Utilise and demonstrate sensitive communication styles to ensure patients are fullyinformed and to gain appropriate consent to treatment. Communicate effectively with patients and carers, recognising the need for alternativemethods of communication to overcome different levels of understanding, culturalbackground and preferred ways of communicating. Anticipate barriers to communication and take action to improve communication. Maintain effective communication within the practice environment and with externalstakeholders. Act as an advocate for patients and colleagues. Ensure awareness of sources of support and guidance and provide information in anacceptable form to all patients, recognising any difficulties and referring where appropriate. Communicate suggested management plans to the patients registered GP practice. Work closely with the wider MDT. Recognise and work within own competence and professional code of conduct as regulatedby the NMC. Produce accurate, contemporaneous and complete records of patient consultation,consistent with legislation, policies and procedures. Prioritise, organise and manage own workload in a manner that maintains and promotesquality. Deliver care according to NICE guidelines and evidence-based care. In partnership with other clinical teams, collaborate on improving the quality of health careresponding to local and national policies and initiatives as appropriate. Work as an effective and responsible team member, supporting others and exploring themechanisms to develop new ways of working. Create clear referral mechanisms to meet patient need. Enable others to promote equality and diversity in a non-discriminatory culture Understand own role and scope and identify how this may develop over time Work as an effective and responsible team member, supporting others and exploring themechanisms to develop new ways of working Delegate clearly and appropriately, adopting the principles of safe practice and assessmentof competence Prioritise own workload and ensure effective time-management strategies are embeddedwithin the culture of the team Work effectively with others to clearly define values, direction and policies impacting uponcare delivery Discuss, highlight and work with the team to create opportunities to improve patient care Manage and lead on the delivery of specifically identified services or projects as agreed withthe management team Agree plans and outcomes by which to measure success Demonstrate understanding of the nurses role in governance and is able to implement thisappropriately within the workplace Demonstrate understanding of, and contribute to, the workplace vision Demonstrate an ability to improve quality within limitations of service Provide an educational role to patients, carers, families and colleagues in an environmentthat facilitates learning Review yearly progress and develop clear plans to achieve results within priorities set byothers. Demonstrate ability to motivate self to achieve goals Follow professional and organisational policies/procedures relating to performancemanagement Demonstrate ability to extend boundaries of service delivery Promote diversity and equality in people management techniques and lead by example Understand and demonstrate the characteristics of a role Demonstrate understanding of the mentorship process Demonstrate ability to conduct teaching and assessment effectively according to a learningplan Demonstrate self-development through continuous professional development activity;working alongside senior managers to identifying areas to develop Demonstrate an understanding of current educational policies relevant to working areas ofpractice and keeps up to date with relevant clinical practice The post-holder will participate in any training programme implemented by the federationas part of this employment Demonstrate ability to critically evaluate and review literature Demonstrate ability to identify where there is a gap in the evidence base to support practice Demonstrate ability to generate evidence suitable for presentations locally and at place Demonstrate ability to apply research evidence base into working place Demonstrate understanding of principles of research governance. Comply at all times with Health and Safety policies, in particular by following agreed safeworking procedures and reporting incidents using the organisations Incident ReportingSystem. Advocate for policies that reduce environmental health risks, are culturally sensitive andincrease access to health care for all Interpret national strategies and policies into local implementation strategies that arealigned to the values and culture of general practice Comply with the Data Protection Act (1984) and the Access to Health Records Act (1990). Ensure the confidentiality and security of all information that is dealt with in the course ofperforming duties Ensure that all systems for Information Governance, GDPR, and confidentiality aremaintained at all times All employees must comply with Prevention and Control of Infection Policies and completeany related mandatory training. The post-holder must co-operate with all policies and procedures designed to ensureequality of employment. Co-workers, patients and visitors must be treated equallyirrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc. It is the responsibility of every member of staff to safeguard and protect vulnerable adults,children and young people from abuse. All staff are expected to undertake mandatorytraining relevant to the role. All members of staff are bound by the requirements of the Data Protection Act 1998. Information relating to patients, carers, colleagues, other healthcare workers or the businessof the organisation may only be divulged to authorised persons in accordance withorganisational policies and procedures, IG regulations and Data Protection Act relating toconfidentiality and the protection of personal and sensitive data The post-holder is required to travel independently between sites (where applicable), and toattend meetings etc. hosted by other agencies. The post-holder may have contact with body fluids i.e. wound exudates; urine etc. while inclinical practice. Key performance objectives, development needs and completion of a Personal DevelopmentPlan will be discussed and agreed at Annual Appraisal Reviews. Person Specification Qualifications Essential Registered First level Nurse Msc or equivalent Relevant Nursing/Health degree Clinical Supervision Training Independent Prescribing Qualification Desirable Mentor / Teaching qualification Knowledge Essential Advanced Clinical practical skills Management of patients with long term conditions Management of patients with complex needs Clinical examinations skills Accountability of own and others roles in nurse- led service Clinical Governance issues in primary care Desirable Knowledge of Public Health issues in the area Able to identify social determinants of health in the area Awareness of local and national health policy Experience Essential Working autonomously in an advanced nursing role Significant post registration experience Recent primary and community nursing experience Nurse-led management of minor illness, minor ailments and injuries Nurse-led triage Compiling protocols and clinical guidelines Clinical Leadership Audit Research Nurse prescribing Desirable Working with community development initiatives Health needs assessment Experience of working within primary care or General Practice Experience of case led management Skills Essential Clinical Leadership Skills Communication skills, both written and verbal Communication of difficult messages to patients and families Negotiation and conflict management skills Change management Teaching and mentorship in a clinical setting Resource management Person Specification Qualifications Essential Registered First level Nurse Msc or equivalent Relevant Nursing/Health degree Clinical Supervision Training Independent Prescribing Qualification Desirable Mentor / Teaching qualification Knowledge Essential Advanced Clinical practical skills Management of patients with long term conditions Management of patients with complex needs Clinical examinations skills Accountability of own and others roles in nurse- led service Clinical Governance issues in primary care Desirable Knowledge of Public Health issues in the area Able to identify social determinants of health in the area Awareness of local and national health policy Experience Essential Working autonomously in an advanced nursing role Significant post registration experience Recent primary and community nursing experience Nurse-led management of minor illness, minor ailments and injuries Nurse-led triage Compiling protocols and clinical guidelines Clinical Leadership Audit Research Nurse prescribing Desirable Working with community development initiatives Health needs assessment Experience of working within primary care or General Practice Experience of case led management Skills Essential Clinical Leadership Skills Communication skills, both written and verbal Communication of difficult messages to patients and families Negotiation and conflict management skills Change management Teaching and mentorship in a clinical setting Resource management Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). 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 Local Primary Care GP Federation Address Suite 5, Blackburn Enterprise Centre Furthergate Blackburn Lancashire BB1 3HQ Employer's website https://lpcfederate.co.uk/ (Opens in a new tab)