Job summary The ANP/ACP will be an experienced practitioner who holds an appropriate, specific, advanced professional qualification which meets either NMC requirements for high level practice or the multi professional framework for advanced clinical practice in England. The ANP/ACP will work with the practice team to provide high quality care which meets the needs of the practices patient population. Working within defined professional boundaries, they will be able to make safe clinical decisions relating to assessment, diagnosis, treatment and review. They will demonstrate critical thinking ability. The APN/ACP will function as an integral part of the clinical team in the practice, providing advice and guidance to the nursing team to ensure they deliver care based on the needs of the practices population. Main duties of the job Assess/examine patients, diagnose, plan, treat and review/evaluate. Assessment may be face-to-face by appointment or by telephone and will include patients presenting with an undifferentiated diagnosis. Diagnose and manage patients presenting with both acute and chronic conditions based on a management plan which includes a medication plan and other interventions. Identify health priorities and make timely and appropriate interventions to support patients presenting in an emergency and/or with complex/urgent needs. Assess and manage patients physiological and psychological needs, including patients with complex needs, multiple diagnoses and polypharmacy. Identify patients at risk of developing a chronic illness and develop a plan for minimising risk of worsening. Advise and educate patients, promoting understanding, self-management, healthy lifestyle choices and sources of support and compliance with treatment plan and medication. In line with competence and agreed protocols, prescribe medication, review its effectiveness and make appropriate adjustments to treatment, ensuring patient understanding of medication side-effects and interactions, including over-the-counter medication. Ensure that all patients who may be vulnerable or who have mental health needs are appropriately managed and protected by the nursing team. Proficiently manage and prioritise a diverse workload under time pressures and conflicting priorities. About us Moreton Group Practice is part of Moreton & Meols Primary Care Network. We are a forward thinking, friendly, welcoming and supportive place to work with an experienced clinical and admin team. We take care of 13000 patients from our purpose built site at Pasture Road. We are a keen training practice for GPs and also support medical students and nursing students. Date posted 28 October 2024 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Full-time, Part-time Reference number A3387-24-0003 Job locations Pasture Road Health Centre Pasture Road Moreton CH46 8SA Job description Job responsibilities PURPOSE OF JOB: The purpose of the post is to provide advanced clinical services to the patients of the practice. SCOPE OF JOB: The ANP will be an experienced clinician who holds an appropriate, specific, advanced professional qualification which meets NMC requirements for high level practice. The ACP will be a healthcare professional educated to Masters and working at a level of advanced clinical practice that pulls together the four ACP pillars of clinical practice. The ANP/ACP will work with the practice team to provide high quality care which meets the needs of the practices patient population. Working within defined professional boundaries, they will be able to make safe clinical decisions relating to assessment, diagnosis, treatment and review. The ANP will demonstrate critical thinking ability. The APN/ACP will function as an integral part of the clinical leadership team in the practice, providing advice and guidance to the nursing team to ensure they deliver care based on the needs of the practices population. Clinical Practice Assess/examine patients, diagnose, plan, treat and review/evaluate. Assessment may be face-to-face by appointment or by telephone as part of a triage/unscheduled care team and will include patients presenting with an undifferentiated diagnosis. Diagnose and manage patients presenting with both acute and chronic conditions based on a management plan which includes a medication plan and other interventions. Identify health priorities and make timely and appropriate interventions to support patients presenting in an emergency and/or with complex/urgent needs. Assess and manage patients physiological and psychological needs, including patients with complex needs, multiple diagnoses and polypharmacy. Identify patients at risk of developing a chronic illness and develop a plan for minimising risk of worsening. Advise and educate patients, promoting understanding, self-management, healthy lifestyle choices and sources of support and compliance with treatment plan and medication. In line with competence and agreed protocols, prescribe medication, review its effectiveness and make appropriate adjustments to treatment, ensuring patient understanding of medication side-effects and interactions, including over-the-counter medication. Ensure the health needs of all patients presenting to the nursing team are met in a clinically appropriate way and by the team member best qualified to meet their needs. Ensure the nursing team meets the clinical needs of patients presenting with routine and emergency needs and conditions or who require advice and support including chronic disease management, family planning, vaccination and immunisations, health promotion/lifestyle advice, wound care, venepuncture etc. Ensure that all patients who may be vulnerable or who have mental health needs are appropriately managed and protected by the nursing team. Proficiently manage and prioritise a diverse workload under time pressures and conflicting priorities. Work with patients and carers to develop comprehensive care plans. Utilise and demonstrate sensitive communication styles and empathy to ensure patients are fully informed and consent to treatment. MANAGING RESOURCES The ANP will contribute towards effective resource management in the practice by: Working with the management team and within budget, regularly reviewing equipment needs including identifying need for replacements and introduction of new technologies. Working with the management team, contributing to managing the nursing skill mix within available budget. Supporting the nursing team in ensuring that good stock control measures are in place and equipment is ordered and used in an economical manner, within available budgets. Working with the management team, ensuring adequate provision of patient access to nursing team services within availability standards. CONFIDENTIALITY In the course of their duties, the ANP will have access to confidential information relating to patients, their carers and relatives and colleagues within and outside the practice. They may also have access to information relating to the practice as a business. All such information from any source whatsoever will be treated as strictly confidential. Information relating to patients, their carers and relatives and colleagues within and outside the practice and in relation to the practice as a business will only be shared in accordance with the practices Confidentiality Policy, the Data Protection Act and the Freedom of Information Act and in such a way that personal and sensitive patient-identifiable data is protected. QUALITY AND LEARNING Provide services to the practices patient population to the highest possible standard. Comply with NMC Code of Conduct and keep registration up to date, documented and checked in the practice on an annual basis. Provide care that is evidence-based, working to agreed and established clinical guidelines and supporting others to do the same. Work to agreed standards, monitor and maintain the standard of care offered. Take action if standards are not met (self or others) Manage own and others workload to maintain priorities and service level. Undertake training needed to ensure competencies for delivering all responsibilities and ensure nursing colleagues are supported in doing the same. Lead and contribute to clinical governance activities/clinical audit to ensure continual improvement of service delivery and assessment of impact of changes on patient care. Participate in clinical supervision Provide training, support, supervision and mentoring for more junior members of staff. Lead and contribute to complaints responses/reviews, significant event, peer review and other shared learning activities Identify opportunities for shared learning. Ensure learning from outside educational events is effectively cascaded to the team and resultant changes to practice implemented. Support and mentor staff in training, assess against standards Support the performance and development of team members including giving and receiving effective feedback. Lead and contribute to in-house training events based on learning needs analysis. Take responsibility for own development including maintenance of a Personal Development Plan and record of learning, clinical supervision, staff appraisals, giving and receiving feedback. Challenge under performance or poor skills/inappropriate actions and implement performance management of team members in consultation with management team and GPs. Undertake regular mandatory training and ensure the competence of nursing team colleagues (child protection, vulnerable adults, basic life support, moving and handling etc). Job description Job responsibilities PURPOSE OF JOB: The purpose of the post is to provide advanced clinical services to the patients of the practice. SCOPE OF JOB: The ANP will be an experienced clinician who holds an appropriate, specific, advanced professional qualification which meets NMC requirements for high level practice. The ACP will be a healthcare professional educated to Masters and working at a level of advanced clinical practice that pulls together the four ACP pillars of clinical practice. The ANP/ACP will work with the practice team to provide high quality care which meets the needs of the practices patient population. Working within defined professional boundaries, they will be able to make safe clinical decisions relating to assessment, diagnosis, treatment and review. The ANP will demonstrate critical thinking ability. The APN/ACP will function as an integral part of the clinical leadership team in the practice, providing advice and guidance to the nursing team to ensure they deliver care based on the needs of the practices population. Clinical Practice Assess/examine patients, diagnose, plan, treat and review/evaluate. Assessment may be face-to-face by appointment or by telephone as part of a triage/unscheduled care team and will include patients presenting with an undifferentiated diagnosis. Diagnose and manage patients presenting with both acute and chronic conditions based on a management plan which includes a medication plan and other interventions. Identify health priorities and make timely and appropriate interventions to support patients presenting in an emergency and/or with complex/urgent needs. Assess and manage patients physiological and psychological needs, including patients with complex needs, multiple diagnoses and polypharmacy. Identify patients at risk of developing a chronic illness and develop a plan for minimising risk of worsening. Advise and educate patients, promoting understanding, self-management, healthy lifestyle choices and sources of support and compliance with treatment plan and medication. In line with competence and agreed protocols, prescribe medication, review its effectiveness and make appropriate adjustments to treatment, ensuring patient understanding of medication side-effects and interactions, including over-the-counter medication. Ensure the health needs of all patients presenting to the nursing team are met in a clinically appropriate way and by the team member best qualified to meet their needs. Ensure the nursing team meets the clinical needs of patients presenting with routine and emergency needs and conditions or who require advice and support including chronic disease management, family planning, vaccination and immunisations, health promotion/lifestyle advice, wound care, venepuncture etc. Ensure that all patients who may be vulnerable or who have mental health needs are appropriately managed and protected by the nursing team. Proficiently manage and prioritise a diverse workload under time pressures and conflicting priorities. Work with patients and carers to develop comprehensive care plans. Utilise and demonstrate sensitive communication styles and empathy to ensure patients are fully informed and consent to treatment. MANAGING RESOURCES The ANP will contribute towards effective resource management in the practice by: Working with the management team and within budget, regularly reviewing equipment needs including identifying need for replacements and introduction of new technologies. Working with the management team, contributing to managing the nursing skill mix within available budget. Supporting the nursing team in ensuring that good stock control measures are in place and equipment is ordered and used in an economical manner, within available budgets. Working with the management team, ensuring adequate provision of patient access to nursing team services within availability standards. CONFIDENTIALITY In the course of their duties, the ANP will have access to confidential information relating to patients, their carers and relatives and colleagues within and outside the practice. They may also have access to information relating to the practice as a business. All such information from any source whatsoever will be treated as strictly confidential. Information relating to patients, their carers and relatives and colleagues within and outside the practice and in relation to the practice as a business will only be shared in accordance with the practices Confidentiality Policy, the Data Protection Act and the Freedom of Information Act and in such a way that personal and sensitive patient-identifiable data is protected. QUALITY AND LEARNING Provide services to the practices patient population to the highest possible standard. Comply with NMC Code of Conduct and keep registration up to date, documented and checked in the practice on an annual basis. Provide care that is evidence-based, working to agreed and established clinical guidelines and supporting others to do the same. Work to agreed standards, monitor and maintain the standard of care offered. Take action if standards are not met (self or others) Manage own and others workload to maintain priorities and service level. Undertake training needed to ensure competencies for delivering all responsibilities and ensure nursing colleagues are supported in doing the same. Lead and contribute to clinical governance activities/clinical audit to ensure continual improvement of service delivery and assessment of impact of changes on patient care. Participate in clinical supervision Provide training, support, supervision and mentoring for more junior members of staff. Lead and contribute to complaints responses/reviews, significant event, peer review and other shared learning activities Identify opportunities for shared learning. Ensure learning from outside educational events is effectively cascaded to the team and resultant changes to practice implemented. Support and mentor staff in training, assess against standards Support the performance and development of team members including giving and receiving effective feedback. Lead and contribute to in-house training events based on learning needs analysis. Take responsibility for own development including maintenance of a Personal Development Plan and record of learning, clinical supervision, staff appraisals, giving and receiving feedback. Challenge under performance or poor skills/inappropriate actions and implement performance management of team members in consultation with management team and GPs. Undertake regular mandatory training and ensure the competence of nursing team colleagues (child protection, vulnerable adults, basic life support, moving and handling etc). Person Specification Qualifications Essential ANP - MSc Advance Practice or equivalent Independent Prescriber ACP - Advanced clinical practitioners (ACPs) will be a healthcare professional educated to Masters level or equivalent, with the the skills and knowledge to allow them to expand their scope of practice to better meet the needs of the people they care for. ACP shoud work at a level of advanced clinical practice that pulls together the four ACP pillars of clinical practice, leadership and management, education and research. Person Specification Qualifications Essential ANP - MSc Advance Practice or equivalent Independent Prescriber ACP - Advanced clinical practitioners (ACPs) will be a healthcare professional educated to Masters level or equivalent, with the the skills and knowledge to allow them to expand their scope of practice to better meet the needs of the people they care for. ACP shoud work at a level of advanced clinical practice that pulls together the four ACP pillars of clinical practice, leadership and management, education and research. 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 Moreton Group Practice Address Pasture Road Health Centre Pasture Road Moreton CH46 8SA Employer's website https://moretongrouppractice.co.uk/ (Opens in a new tab)