Job summary North West Surrey Integrated Care services (NICS) is a GP federation in North West Surrey consisting of 37 practices who work together to improve access to primary care patients in the local area. Main duties of the job The post holder will demonstrate courageous and critical thinking and is a caring, compassionate and committed experienced advanced clinician who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within a clinic setting. Main duties of the job Shift Patterns 09:30-16:00 & 16:00-20:30 Mon-Sat The post holder will commit to demonstrating critical thinking in the safe clinical decision-making process. They will communicate and work collaboratively with the multi-disciplinary team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required. About us Our Mission is to support our practices and patients by being a leading provider of innovative, responsive and high-quality GP led primary care services in North West Surrey, delivering equitable access to primary care services and improving the healthcare of our population. Our Vision is to support our practices and their patients by providing high quality, responsive and compassionate health care services. We do this by working collaboratively with our practices and other health providers across Surrey. Our Values Commitment to quality of care Working together for our patients Everyone counts Improving Lives We offer a number of benefits as an organisation to enhance staff experience and well-being: Lease car scheme for substantive staff NHS pension scheme Employee discount via the NHS Blue Light card Enhanced maternity leave Free flu jabs Health & wellbeing programme Sabbatical Enhanced company sick pay Work from home Date posted 31 March 2025 Pay scheme Other Salary £45 an hour Contract Bank Working pattern Full-time, Part-time Reference number M0050-25-0007 Job locations Acute Illness Hub Chertsey Surrey KT160PZ Job description Job responsibilities Clinical Practice Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care according to need Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex need Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a 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 Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice Work with patients in order to support compliance with and adherence to prescribed treatments Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects, and interactions 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, and apply principles of self-care Support and manage health needs of women presenting for family planning, or sexual health consultation Meet the needs of patients presenting for opportunistic wound care Undertake minor surgery as appropriate to competence Communications Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment Communicate with and support patients who are receiving bad news Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating Delivering a Quality Service Recognise and work within own competence and professional code of conduct as regulated by the appropriate governing body Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies, and procedures Deliver care according to NSF, NICE guidelines, and evidence-based care Work with others on improving the quality of health care by applying NICS policies, standards and guidance and national policies and initiatives as appropriate. Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation including clinical audits, supporting the implementation of improvements where required Evaluate patients response to health care provision and the effectiveness of care Support investigation reviews and management, and identify learning from patient complaints, clinical incidents, and near-miss events to be shared across the service and wider organisation. Participate in the ongoing maintenance of quality governance systems and processes across the organisation and its activities Work with Lead Nurse to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support as appropriate. Leadership personal and people development: Take responsibility for own learning and performance, participating in clinical supervision and in yearly appraisal, personal development plans and revalidation Adhere to the development of local guidelines, protocols and standards as required. Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice and acting as a positive role model Team working: 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 the mechanisms to develop new ways of working Delegate clearly and appropriately, where necessary, adopting the principles of safe practice and assessment of competence Create clear referral mechanisms to meet patient need Prioritise own workload and employ effective time-management strategies Management of Risk: Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines Apply infection-control measures according to local and national guidelines Learning and development: Attend mandatory training courses and take responsibility for own professional development, undertaking learning as appropriate Participate in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development including revalidation Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning and sharing good practice. Other responsibilities include (this list is not exhaustive): Management of long-term conditions: involvement, implementing and using protocols and clinical guidelines by providing leadership and mentorship to the Advanced Nurse Practitioner if within scope of practice. Work with patients to support compliance with, and adherence to, prescribed treatments. If needed Lead in Infection Prevention Control (IPC) within the service Support the fulfilment of the Quality Outcomes Framework and local Quality Improvement Schemes. To take responsibility for own professional development and undertaking training for specific clinical tasks Attend mandatory training courses and updates and any study days as appropriate to post Participate in yearly appraisal, personal development plan and revalidation. Follow NICE guidance and ensure this is embedded in practice. You may be requested to undertake other duties/tasks that have not been identified in this job description and these will be discussed prior to undertaking them. Job description Job responsibilities Clinical Practice Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care according to need Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex need Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a 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 Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice Work with patients in order to support compliance with and adherence to prescribed treatments Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects, and interactions 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, and apply principles of self-care Support and manage health needs of women presenting for family planning, or sexual health consultation Meet the needs of patients presenting for opportunistic wound care Undertake minor surgery as appropriate to competence Communications Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment Communicate with and support patients who are receiving bad news Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating Delivering a Quality Service Recognise and work within own competence and professional code of conduct as regulated by the appropriate governing body Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies, and procedures Deliver care according to NSF, NICE guidelines, and evidence-based care Work with others on improving the quality of health care by applying NICS policies, standards and guidance and national policies and initiatives as appropriate. Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation including clinical audits, supporting the implementation of improvements where required Evaluate patients response to health care provision and the effectiveness of care Support investigation reviews and management, and identify learning from patient complaints, clinical incidents, and near-miss events to be shared across the service and wider organisation. Participate in the ongoing maintenance of quality governance systems and processes across the organisation and its activities Work with Lead Nurse to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support as appropriate. Leadership personal and people development: Take responsibility for own learning and performance, participating in clinical supervision and in yearly appraisal, personal development plans and revalidation Adhere to the development of local guidelines, protocols and standards as required. Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice and acting as a positive role model Team working: 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 the mechanisms to develop new ways of working Delegate clearly and appropriately, where necessary, adopting the principles of safe practice and assessment of competence Create clear referral mechanisms to meet patient need Prioritise own workload and employ effective time-management strategies Management of Risk: Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines Apply infection-control measures according to local and national guidelines Learning and development: Attend mandatory training courses and take responsibility for own professional development, undertaking learning as appropriate Participate in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development including revalidation Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning and sharing good practice. Other responsibilities include (this list is not exhaustive): Management of long-term conditions: involvement, implementing and using protocols and clinical guidelines by providing leadership and mentorship to the Advanced Nurse Practitioner if within scope of practice. Work with patients to support compliance with, and adherence to, prescribed treatments. If needed Lead in Infection Prevention Control (IPC) within the service Support the fulfilment of the Quality Outcomes Framework and local Quality Improvement Schemes. To take responsibility for own professional development and undertaking training for specific clinical tasks Attend mandatory training courses and updates and any study days as appropriate to post Participate in yearly appraisal, personal development plan and revalidation. Follow NICE guidance and ensure this is embedded in practice. You may be requested to undertake other duties/tasks that have not been identified in this job description and these will be discussed prior to undertaking them. Person Specification Qualifications Essential RGN/ RSCN/ RM or Registered Healthcare Professional Independent Prescriber Masters Level of Advanced Clinical Practice or Equivalent (Cadential/portfolio route Desirable Leadership Qualification Teaching Course City & Guilds 7307/ENB 998 NMCs 'Academic Assessors', 'Practice Supervisors', and 'Practice Assessors accreditations Advance Life Support Experience Essential Evidence of Working as a Clinical Practitioner with skills and knowledge of Working in GP practice as an ACP. Nurse-led management of minor illness, minor ailments, and injuries Nurse-led triage Minimum of 2 years working at Band 5 or equivalent with experience in urgent or emergency care desirable. Experience of chronic disease management Experience of EMIS is essential Demonstrate commitment and ability to support staff teaching, research, and education. Demonstrates the ability to effectively manage resources. Demonstrate experience within the strategic planning process. Computer literate Patient focused. Ability to work independently and to specific deliverables. Interest in primary care services, workforce and at scale provision Ability to work within own scope of practice and understanding when to refer to GPs Able to demonstrate clinical knowledge, skills, and expertise. Desirable Working in the local area Designing/ developing new services Clinical Supervision IT Clinical systems Experience of Resource Management Experience of audit and research Knowledge of primary and urgent care pathways Familiarity with commissioning pathways Knowledge of local services Personal Qualities Essential Team player Self-motivated Tolerant, tactful, and co-operative Demonstrates strong self-awareness and emotional intelligence. Problem solver with the ability to process information accurately and effectively, interpreting data as required Ability to motivate a team. Ability to communicate effectively in challenging situations. Values align with NICS. Person Specification Qualifications Essential RGN/ RSCN/ RM or Registered Healthcare Professional Independent Prescriber Masters Level of Advanced Clinical Practice or Equivalent (Cadential/portfolio route Desirable Leadership Qualification Teaching Course City & Guilds 7307/ENB 998 NMCs 'Academic Assessors', 'Practice Supervisors', and 'Practice Assessors accreditations Advance Life Support Experience Essential Evidence of Working as a Clinical Practitioner with skills and knowledge of Working in GP practice as an ACP. Nurse-led management of minor illness, minor ailments, and injuries Nurse-led triage Minimum of 2 years working at Band 5 or equivalent with experience in urgent or emergency care desirable. Experience of chronic disease management Experience of EMIS is essential Demonstrate commitment and ability to support staff teaching, research, and education. Demonstrates the ability to effectively manage resources. Demonstrate experience within the strategic planning process. Computer literate Patient focused. Ability to work independently and to specific deliverables. Interest in primary care services, workforce and at scale provision Ability to work within own scope of practice and understanding when to refer to GPs Able to demonstrate clinical knowledge, skills, and expertise. Desirable Working in the local area Designing/ developing new services Clinical Supervision IT Clinical systems Experience of Resource Management Experience of audit and research Knowledge of primary and urgent care pathways Familiarity with commissioning pathways Knowledge of local services Personal Qualities Essential Team player Self-motivated Tolerant, tactful, and co-operative Demonstrates strong self-awareness and emotional intelligence. Problem solver with the ability to process information accurately and effectively, interpreting data as required Ability to motivate a team. Ability to communicate effectively in challenging situations. Values align with NICS. 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 North West Surrey Integrated Care Services Address Acute Illness Hub Chertsey Surrey KT160PZ Employer's website https://www.nicsfed.co.uk/ (Opens in a new tab)