Advanced clinical practice is delivered by experienced, registered health and care practitioners. It is a level of practice characterised by a high degree of autonomy and complex decision making.
A fantastic opportunity to join our Enhanced Access Team and be a part of the overall vision of Coventry & Rugby GP Alliance has become available, and we are currently seeking a driven and dedicated individual to fill the role of Bank Advanced Nurse Practitioner.
Our Advanced Nurse Practitioners play a vital role as part of a busy team. In this position, you will play a pivotal role in providing exceptional patient care in a variety of settings, working alongside other members of the organisation or wider health and social care team. You will be responsible for assessing, planning, and delivering care to patients across various age groups and clinical conditions, ensuring they receive the highest standard of treatment and support.
Main duties of the job
Clinical responsibilities:
* Safely manage undifferentiated and undiagnosed presentations using data gathering, assessing for red flags, investigation, diagnosis, management, and review within their agreed scope of practice and capabilities.
* Must demonstrate complex clinical reasoning skills, to use problem solving approaches to analyse and synthesise information, manage medical and clinical uncertainty particularly in relation to a wide range of contexts and clinical presentations, and to include physical, mental, and social problems.
* Have a sound understanding of referral pathways including routine, urgent, 2-week wait and emergency admissions.
* Use resources appropriately and effectively.
* Manage acute/chronic presentations and medical complexity.
* Safely and effectively use a range of consultation modes to include telephone, video, online and face to face.
* Prescribe treatment and medication safely in line with local and national guidelines (where professional regulation and training permits i.e., an independent prescriber).
* Offer personalised care to people and signpost to and link with other members of the organisation or wider health and social care team.
* Provide accurate, contemporaneous, and complete records of patient consultations, consistent with legislation policies and procedures.
* Support the practices on-call triage system.
About us
The Coventry and Rugby GP Alliance is a private company limited by shares, wholly owned by local Coventry and Rugby GP practices. As a GP led organisation, we represent 54 GP practice shareholders and cover nearly 420,000 patients. We describe our work in terms of Supporting, Innovating, Developing and Educating - we are on the S.I.D.E. of general practice and we have developed our Operational Plan to describe what we do to ensure that we continue to deliver high quality, accessible and responsive services for both practices and patients.
We have identified key areas that we will focus on to build upon and improve our existing services. These are our Strategic Priorities:
* Clinical Service Improvement & Delivery
* Clinical Innovation
* Primary Care Development Practice and Network Support
* Training and Education
* Integrated Care
* Good Governance
The CRGPA offers excellent company benefits including:
* NHS company pension
* Annual leave 27 days a year plus bank holidays, rising to 33 days after 10 years.
* Viv up Scheme including Employee Assistance Programme and various discounts to national retailers and NHS blue light card.
Job responsibilities
Summary of Responsibilities:
Advanced clinical practice is delivered by experienced, registered health and care practitioners. It is a level of practice characterised by a high degree of autonomy and complex decision making.
This is underpinned by a masters level 7 award or equivalent that encompasses the four pillars of; clinical practice; leadership and management; education and research, with demonstration of core capabilities and area specific clinical competence.
A non-medical prescriber with a minor injury and illness qualification essential and the ability to maintain and monitor high standards of care.
Advanced clinical practice embodies the ability to manage clinical care in partnership with individuals, families, and carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance people's experience and improve outcomes.
Definition of advanced clinical practice provided by the Advanced Clinical Practice HEE Multi-professional (ACP) Framework (2017).
Main Duties & Responsibilities:
* Work as part of the multidisciplinary clinical team, for the provision of health care services to the patients of the organisation.
* Work as an autonomous practitioner, responsible for the delivery of evidence-based practice for patients within the scope of your capabilities.
* The post holder will take professional accountability for working at advanced level within the remit of qualifications and capabilities, as defined by the appropriate Framework for Advanced Practice, and working within the organisations standards and protocols, and local and national frameworks for best practice.
* Develop a portfolio of evidence demonstrating competencies and capabilities in the four pillars for nurses as defined in the Core Framework for Advanced Clinical practice ACP Primary Care Nurse 2020.pdf (hee.nhs.uk):
o Clinical practice
o Leadership and Management
o Education
o Research
* Demonstrate highly developed interpersonal and communication skills.
* Develop critical thinking, complex clinical reasoning, and problem-solving skills.
* Be a caring, compassionate clinician that is committed to high quality patient care.
* Practice, without direct supervision, as an autonomous primary care healthcare practitioner.
* Safely manage undifferentiated and undiagnosed presentations using data gathering, clinical examinations, diagnosis, organising investigations, safe prescribing, management, completing referrals, and follow-up within their agreed scope of practice and capabilities.
* Manage own and others pathology results in accordance with own level of capabilities and following shared care pathology guidance and organisations policies and procedures.
* Safely and effectively manage documents (clinical letters/hospital discharges) in accordance with own level of clinical capabilities and following organisations policies and procedures.
Person Specification
Qualifications
* MSc Advanced Practice from University or Credentialing via RCN, or completion of HEE pathway that provides a Digital Badge - Credentials - Advanced Practice (hee.nhs.uk)
* Health Assessment
* Non-Medical Prescribing Qualification
* Registered with NMC
Experience
* Experience of working in community / primary care
* Management of long-term conditions
* Involvement in implementing and using protocols and clinical guidelines
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.
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