We are seeking an enthusiastic, reliable, highly motivated individual to the role of Advanced Nurse Practitioner. You will be joining a well-established team in a well-established practice. The ideal candidate will be an independent, Non-Medical Prescriber and ideally have worked in Primary Care before, although we are happy to support and develop people's knowledge and skill set.
Main duties of the job
* In this role you will work independently, making professional, autonomous decisions.
* You will be responsible for making any necessary referrals, requests for investigations and do these in an appropriate manner and timescale.
* The role will involve initial history taking, clinical assessment, diagnosis, treatment plan and evaluation of patient care.
* You will be responsible for making any necessary referrals, requests for investigations and do these in an appropriate manner and timescale.
* The role will involve independent prescribing within the scope of professional practice.
* The advanced nurse practitioner will support the GP team managing same day appointment requests from patients.
* The nurse practitioner will need to prioritise and triage the needs of patients accordingly, seeking GP input as appropriate where the problem lies outside their professional capability.
* You will demonstrate safe clinical decision making and a high level of independent care including assessment, diagnostic and prescribing skills.
* You will attend patients with urgent medical problems.
About us
We are a large forward-thinking practice with more than 17,200 patients, based in a purpose-built building in the centre of Chorley. Due to a growing list we are now looking to recruit additional Advanced Nurse Practitioners.
We have regular practice meetings, with a structured meeting rota including whole staff meetings, clinical meetings, safeguarding meeting and protected time for training. We have a multidisciplinary clinical team made up of 6 GP Partners, 5 Salaried GPs and 3 Advanced Nurse Practitioners who are supported by a wider team of Paramedics, Pharmacists, First Contact Physios, a range of specialised Nurses and Health Care Assistants. We are a training practice and have a number of junior doctors working at site, including FY2s, ST2s and ST3s. The practice benefits from a well-structured management team which is led by a Practice Business Manager. We would be happy to support and encourage your professional development to add to our diverse and enthusiastic team.
Job responsibilities
JOB DESCRIPTION ADVANCED NURSE PRACTITIONER
Job responsibilities
You will work within your own professional competence in accordance with the Nursing and Midwifery Council (NMC) Code of Conduct. You will provide a service which is flexible, sensitive and responsive to the health needs of those living and working in the area.
Primary Responsibilities
The following are the core responsibilities of the Advanced Nurse Practitioner (ANP). There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
Clinical
1. Provide direct access to patients seeking primary health care; face-to-face, on home visits and on the telephone.
2. Work within the policies and procedures of the practice and with due regard to the NMC Code.
3. Assess, diagnose, plan, implement and evaluate interventions/treatments, and care for patients presenting with an undifferentiated diagnosis, referring to secondary or community care as appropriate.
4. Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs, and maintain knowledge of chronic disease processes and their management.
5. Proactively identify, diagnose and manage treatment for patients at risk of developing long term conditions.
6. Prescribe and review medication for therapeutic effectiveness appropriate to the patients needs, in accordance with national and practice protocols and within scope of practice.
7. Work with patients and pharmacists to support concordance to treatment and provide information and advice on prescribed or over-the-counter medication, side effects and interactions.
8. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations.
9. Support patients to adopt health promotion strategies and self-care, referring as appropriate.
10. Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultations.
11. Prioritise and develop the management of housebound patients, managing complex needs and multi-pathology, and liaising with GPs, voluntary sector, district nurses or community matron as appropriate.
12. Develop models of good practice from internal and external sources to improve clinical care within the practice team, and hence help in reducing admission, prescribing and duplication of work.
Communication
1. Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
2. Maintain effective communication within the practice environment and with external stakeholders.
3. Endorse the practice policy on confidentiality.
Delivering a Quality Service
1. Recognise and work within their own competence and professional Code of Conduct as regulated by the NMC.
2. To use the practice clinical computer, EMIS, to ensure all records of patient episodes are accurate, complete and become permanent.
3. Deliver care according to National Service Framework, NICE and local guidelines and evidence based care, responding to initiatives as appropriate.
4. Assess effectiveness of care delivery through self and peer review.
5. Initiate or contribute to the development and review of practice protocols.
6. Support and participate in shared learning across the practice and the wider locality.
7. Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory health procedures and local guidance.
Management of Risk
1. Manage and assess risk within their areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
2. Shared responsibility for the security and care of equipment.
3. Adhere to health, safety and security regulation.
4. Apply infection control measures within guidelines.
Managing Information
1. Use information technology as an aid to management in planning, implementation and monitoring of care, and presenting and communicating information.
2. Use accurate SNOMED-CT codes.
Learning and Development
1. Increase provision for training of medical and nursing staff/students.
2. Disseminate learning and information gained to other team members.
3. Assess own learning needs and undertake learning as appropriate.
4. Provide an educational role to patients and carers, to identify changes that may occur in their condition that may precipitate exacerbation of their disease, and advise on the action to be taken.
Person Specification
Qualifications
* Registered Nurse
* Post graduate diploma or degree e.g. Advanced Practice Qualification
* An MSC Post Graduate Diploma: Nurse Practitioner in Primary care or equivalent.
* Applicants must have current UK professional registration.
* Qualified Triage Nurse.
Personal Qualities
* Polite and confident
* Flexible and cooperative
* Motivated, forward thinker
* Problem solver with the ability to process information accurately and effectively, interpreting data as required
* High levels of integrity and loyalty
* Sensitive and empathetic in distressing situations
* Ability to work under pressure and in stressful situations
* Effectively able to communicate and understand the needs of patients
* Commitment to ongoing professional development
* Punctual and committed to supporting the team effort
* Excellent communication skills (written and oral)
* Strong information technology skills
* Clear, polite telephone manner
* Competent in the use of Microsoft Office and Outlook
* Effective time management (planning and organising)
* Ability to work as a team member and autonomously
* Good interpersonal skills
* Problem solving & analytical skills
* Ability to follow clinical policy and procedure
* Experience with audit and able to lead audit programs
* Experience with clinical risk management
Experience
* Experience of working as an ANP in GP practice.
* Experience of prescribing and undertaking medication reviews.
* Experience of chronic disease 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.
£55,000 to £60,000 a year Depending on experience
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