Job summary We have an exciting opportunity for an experienced Enhanced Nurse Practitioner to join our established Primary Care Network (PCN). We serve the people of South Somerset West PCN, with a population of approximately 37,000 patients. We are an expanding and progressive organisation with excellent patient care as our central value. You will be based at ourSouth Somerset West PCN practices; South Petherton and Martock Surgeries Buttercross (Somerton) and Ilchester Surgeries Hamdon Medical Centre Crewkerne Health Centre The hours available are from 25 hours per week (part time) up to 37.5 hours per week (full time). Working pattern to be discussed at interview. The salary is £58,465.34 -£61,820.74 pro rata, per annum, depending on experience with a NHS or NEST Pension offered. Interviews will be week commencing 4th December 2024. Main duties of the job The post holder will be an experienced Nurse Practitioner working at enhanced level within primary care who is able to deliver quality individualised care to our patients. You will be expected to utilise your skills in clinical assessment and diagnostics reasoning to make decisions to determine and initiate changes to treatment. A keen interest in acute Frailty or Urgent Care would be advantageous. The Enhanced Nurse Practitioner is funded through the ARRS funding scheme and as such there are core requirements for the individual as listed below. The Enhanced Nurse will have a Level 7 Post Graduate Certificate in Clinical Practice along with: Full NMC Registration with no restrictions Non-Medical Prescriber V300 Clinical Examination and Diagnostics Level 7 Urgent Care Level 7 module Experience of working in urgent care and/or primary care About us Symphony Healthcare Services Ltd. is a growing primary care organisation based in Somerset which aims to improve and develop the best patient-centred care and services in the country, and we are embracing change within general practice by implementing new and innovative models of care. If you are passionate about delivering outstanding healthcare and share our values, join us to support the achievement of our goals. Date posted 05 November 2024 Pay scheme Other Salary £58,465.34 to £61,820.74 a year Pro rata, Depending on experience Contract Permanent Working pattern Full-time, Part-time Reference number E0215-24-0267 Job locations South Petherton Medical Centre Bernard Way South Petherton Somerset TA13 5EG Church Street Surgery Church Street Martock Somerset TA12 6JL Buttercross Health Centre Behind Berry Somerton Somerset TA11 7PB Hamdon Medical Centre Matts Lane Stoke-sub-hamdon Somerset TA14 6QE Crewkerne Health Centre Middle Path Crewkerne Somerset TA18 8BX Job description Job responsibilities MAIN DUTIES AND RESPONSIBILITIES The following are the core responsibilities of the Enhanced Nurse Practitioner. There may be on occasion a requirement to carry out other tasks; this will be dependent on factors such as workload and staffing levels. You will work within your own scope of clinical practice and: Work alongside the multi-disciplinary team (including GP support) in accordance with clinically based evidence, NICE guidance, the Direct Enhanced Services contract of the Network. To lead on the vaccination programme for SSWPCN in alignment with the practices and the clinical teams within the practices. Providing advice, support and guidance alongside leading the housebound and care home vaccination provision. Provide leadership and oversight to the community investigation hub (CIH). As required, be able to prescribe for the caseload of patients within your proven scope of practice. Using your knowledge, you will provide information and advice on prescribed or over the-counter medication on medication regimens, side-effects, and interactions. Be able to perform investigatory procedures, including laboratory and radiology. Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required. There may be a requirement to undertake home visiting and triage duties when required for the PCN (this would be in liaison with the practices within the PCN) Collaborate with other members of the PCN including doctors, nurses and AHPs, accepting referrals, using clinical reasoning skills to recognise when referral to them for specialist care may be required. Maintain accurate and contemporaneous health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associate with patient health care and registration with the practice. Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly. 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. Enhance their own performance through continuous professional development, keep up to date with current evidence-based practice Impart own knowledge and skills to PCN colleagues to meet the needs of the service. Work in partnership with other clinical teams to collaborate on improving the quality of health care by responding to local and national policies and initiatives as appropriate. Participate in clinical audits, research projects, and implement changes as required, including the development, and updating of practice protocols / guidelines and procedures locally. Participate in the review of significant and near-miss events. Take personal responsibility for own learning and development, including the requirement to maintain currency, achieving all targets set in own Personal Development Plan (PDP). Job description Job responsibilities MAIN DUTIES AND RESPONSIBILITIES The following are the core responsibilities of the Enhanced Nurse Practitioner. There may be on occasion a requirement to carry out other tasks; this will be dependent on factors such as workload and staffing levels. You will work within your own scope of clinical practice and: Work alongside the multi-disciplinary team (including GP support) in accordance with clinically based evidence, NICE guidance, the Direct Enhanced Services contract of the Network. To lead on the vaccination programme for SSWPCN in alignment with the practices and the clinical teams within the practices. Providing advice, support and guidance alongside leading the housebound and care home vaccination provision. Provide leadership and oversight to the community investigation hub (CIH). As required, be able to prescribe for the caseload of patients within your proven scope of practice. Using your knowledge, you will provide information and advice on prescribed or over the-counter medication on medication regimens, side-effects, and interactions. Be able to perform investigatory procedures, including laboratory and radiology. Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required. There may be a requirement to undertake home visiting and triage duties when required for the PCN (this would be in liaison with the practices within the PCN) Collaborate with other members of the PCN including doctors, nurses and AHPs, accepting referrals, using clinical reasoning skills to recognise when referral to them for specialist care may be required. Maintain accurate and contemporaneous health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associate with patient health care and registration with the practice. Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly. 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. Enhance their own performance through continuous professional development, keep up to date with current evidence-based practice Impart own knowledge and skills to PCN colleagues to meet the needs of the service. Work in partnership with other clinical teams to collaborate on improving the quality of health care by responding to local and national policies and initiatives as appropriate. Participate in clinical audits, research projects, and implement changes as required, including the development, and updating of practice protocols / guidelines and procedures locally. Participate in the review of significant and near-miss events. Take personal responsibility for own learning and development, including the requirement to maintain currency, achieving all targets set in own Personal Development Plan (PDP). Person Specification Other Essential Self-directed practitioner Highly motivated Flexibility Enthusiasm Team player Ability to work across boundaries Qualifications Essential Registered first level nurse (degree or RNDA route) MSc or equivalent (level 7 related study) Independent/supplementary Nurse prescribing qualification Advanced nursing specialist qualification Relevant nursing/health degree Clinical supervision training and experience Desirable Mentor/teaching qualification Knowledge, experience and Skills Essential Advanced clinical practice skills Management of patients with long-term conditions Management of patients with complex needs Clinical examination skills Accountability of own role and other roles in a nurse-led service Local and national health policy Clinical governance issues in primary care Patient group directives and associated policy Communication skills, both written and verbal Communication of difficult messages to patients and families Negotiation and conflict management skills Change management Resource management Minimum 5 years post-registration experience At least 2 years recent primary / community nursing experience Nurse prescribing Nurse-led management of minor illness, minor ailments and injuries Nurse-led triage Compiling protocols and clinical guidelines Audit Research QI Desirable Health-needs assessment Person Specification Other Essential Self-directed practitioner Highly motivated Flexibility Enthusiasm Team player Ability to work across boundaries Qualifications Essential Registered first level nurse (degree or RNDA route) MSc or equivalent (level 7 related study) Independent/supplementary Nurse prescribing qualification Advanced nursing specialist qualification Relevant nursing/health degree Clinical supervision training and experience Desirable Mentor/teaching qualification Knowledge, experience and Skills Essential Advanced clinical practice skills Management of patients with long-term conditions Management of patients with complex needs Clinical examination skills Accountability of own role and other roles in a nurse-led service Local and national health policy Clinical governance issues in primary care Patient group directives and associated policy Communication skills, both written and verbal Communication of difficult messages to patients and families Negotiation and conflict management skills Change management Resource management Minimum 5 years post-registration experience At least 2 years recent primary / community nursing experience Nurse prescribing Nurse-led management of minor illness, minor ailments and injuries Nurse-led triage Compiling protocols and clinical guidelines Audit Research QI Desirable Health-needs assessment 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 Symphony Healthcare Services Limited Address South Petherton Medical Centre Bernard Way South Petherton Somerset TA13 5EG Employer's website https://www.symphonyhealthcareservices.com/ (Opens in a new tab)