Job summary This is an excellent opportunity for a registered Advanced Nurse Practitioner wishing to join Primary care. We have a rapidly expanding team of healthcare professionals within the Practice, including GPs, Nurses, health care assistants, Assistant Practitioners, Care-co-ordinators and clinical pharmacists. We are also a training practice for GP Registrars and regularly have medical students with us from both the University of Oxford and University of Buckingham. Main duties of the job Job Purpose The responsibilities will include direct patient contact through assessment, examination, investigation, diagnosis, and treatment. The post-holder will provide holistic clinical services with support from the multi-disciplinary team. The ANP will work within their scope of clinical practice and provide care for patients presenting with undifferentiated, undiagnosed problems, utilising history-taking, physical examinations, and clinical decision-making skills to establish a working diagnosis and management plan in partnership with the patient. Working to a professional code of ethics you will be able to demonstrate flexibility in the role and have a calm and caring attitude towards patients. About us The Windrush Medical Practice sits at the edge of the Cotswolds with a practice population of over 21,289 patients. We are a well respected, patient centred, dispensing GP practice with an outstanding CQC rating. Our clinical team comprises of 17 GP's, Nurse Prescribers, Nurses, Health Care Assistants, Assistant Practitioners and Clinical Pharmacists and we are looking for an additional Advanced Nurse Practitioner to join our forward thinking team. The Practice participates in medical research projects which are vital in helping to improve clinical care and knowledge. We are also a Postgraduate GP Training practice. The practice prioritises staff wellbeing and has a dynamic, proactive wellbeing team along with an Employee Assistance Programme. Date posted 10 December 2024 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Part-time Reference number A1808-24-0006 Job locations Welch Way Witney Oxfordshire OX28 6JS Job description Job responsibilities Job Title: Advanced Nurse Practitioner Responsible to: Practice Manager Accountable to: Nursing Operations Manager Grade/Pay: Dependent on exprience Hours: 20 hours per week Holiday: 25 days holiday (pro rata) Job Purpose The responsibilities will include direct patient contact through assessment, examination, investigation, diagnosis, and treatment. The post-holder will provide holistic clinical services with support from the multi-disciplinary team. The ANP will work within their scope of clinical practice and provide care for patients presenting with undifferentiated, undiagnosed problems, utilising history-taking, physical examinations, and clinical decision-making skills to establish a working diagnosis and management plan in partnership with the patient. Working to a professional code of ethics you will be able to demonstrate flexibility in the role and have a calm and caring attitude towards patients. Key working relationships Patients Windrush Medical Practice Staff GP Clinical Lead(s) PCN Clinical Director Community nurses and other allied health professionals Secondary care clinicians. Responsibilities underpinning the role The following are the core responsibilities expected of the ANP fulfilling this role. On occasion there may be a requirement to carry out other tasks; this will be dependent on factors such as workload and staffing levels: Provide care for patients presenting with undifferentiated, undiagnosed problems, utilising history-taking, physical examinations and clinical decision-making skills to establish a working diagnosis and management plan in partnership with the patient (and their carers where applicable). Patients will have been initially triaged by the Duty GP, to ensure suitability in line with clinicians scope of competenc Undertake face to face consultations for emergency problems, as determined by the Practice, including management of patients with long-term conditions. Participate in all treatment and preventative healthcare services in the Practice as delegated and agreed by the supervising GP(s). Perform diagnostic physical examinations and treatment. Identify, signpost or refer patients at risk of developing long-term conditions, preventing adverse effects on the patients health. Organise onward investigation, treatment and referral where appropriate. Ensure continuity of care, arranging follow-up consultations or reviews as necessary. Attend regular practice clinical meetings. Support the clinical team with all safeguarding matters, in accordance with local and national policies. Under supervision of the GPs in the practice, make professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the Organisation. Record clear and contemporaneous IT based consultation notes to an agreed standard. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately. Be able to justify choice of medication, and support patients in the use of their prescribed medication (within own scope of practice). Be able to understand the impact of comorbidities, other medications and poly-pharmacy. Deliver integrated patient centred care through appropriate working with the wider primary care multi-disciplinary team and social care networks. Act on alerts (e.g. QOF, local enhanced services etc.) and reminders during a consultation. Assist the practices in achieving their clinical targets and objectives in QOF, Local enhanced services etc. Participate in continuing professional development opportunities and keep up to date with evidence-based knowledge and competence in all aspects of your role, meeting clinical governance guidelines for continuing professional development (CPD). This job description is intended as a guide to the duties and responsibilities of the post and should not be regarded as a complete list of those required to be fulfilled under the written statement of the main terms and condition of employment. This role profile is intended to provide a broad outline of the main responsibilities only. The post holder will have the opportunity to develop the role and participate in initial and ongoing discussions with their line manager as to the development of the team. Code of Conduct: ANPs must comply with the Standards for Proficiency set by the NMC, Professional registration requirements. Participate in defining own developmental plan to maintain and develop own clinical skills and ensure own professional development. Undertake and complete all statutory and mandatory training. Participate in an appraisal and regular performance reviews. Ensure that all mandatory training is completed in line with organisational policy. Contribute to the planning and implementation of the teaching of and support for new and existing staff in the Practice, including GP registrars, medical students, student ANPs and newly-recruited ANPs. Under the Data Protection Act 1998 and GDPR, the post holder must maintain the confidentiality of information about patients and staff. The work is of a confidential nature and information gained must not be communicated to other persons except in the recognized course of duty. Unauthorised disclosure of confidential information will result in disciplinary action and may lead to your dismissal. We expect all of our staff to actively promote equality and diversity and encourage colleagues to do the same. We encourage staff to support a zero tolerance approach to bullying and harassment in all forms, and to lead by example in this area. This post is deemed to require a Disclosure check Enhanced Level with the Disclosure & Barring Service (DBS). This is due to the fact the post has access to children and vulnerable adults. Further information on the disclosure Service is available from www.disclosure.gov.uk Job description Job responsibilities Job Title: Advanced Nurse Practitioner Responsible to: Practice Manager Accountable to: Nursing Operations Manager Grade/Pay: Dependent on exprience Hours: 20 hours per week Holiday: 25 days holiday (pro rata) Job Purpose The responsibilities will include direct patient contact through assessment, examination, investigation, diagnosis, and treatment. The post-holder will provide holistic clinical services with support from the multi-disciplinary team. The ANP will work within their scope of clinical practice and provide care for patients presenting with undifferentiated, undiagnosed problems, utilising history-taking, physical examinations, and clinical decision-making skills to establish a working diagnosis and management plan in partnership with the patient. Working to a professional code of ethics you will be able to demonstrate flexibility in the role and have a calm and caring attitude towards patients. Key working relationships Patients Windrush Medical Practice Staff GP Clinical Lead(s) PCN Clinical Director Community nurses and other allied health professionals Secondary care clinicians. Responsibilities underpinning the role The following are the core responsibilities expected of the ANP fulfilling this role. On occasion there may be a requirement to carry out other tasks; this will be dependent on factors such as workload and staffing levels: Provide care for patients presenting with undifferentiated, undiagnosed problems, utilising history-taking, physical examinations and clinical decision-making skills to establish a working diagnosis and management plan in partnership with the patient (and their carers where applicable). Patients will have been initially triaged by the Duty GP, to ensure suitability in line with clinicians scope of competenc Undertake face to face consultations for emergency problems, as determined by the Practice, including management of patients with long-term conditions. Participate in all treatment and preventative healthcare services in the Practice as delegated and agreed by the supervising GP(s). Perform diagnostic physical examinations and treatment. Identify, signpost or refer patients at risk of developing long-term conditions, preventing adverse effects on the patients health. Organise onward investigation, treatment and referral where appropriate. Ensure continuity of care, arranging follow-up consultations or reviews as necessary. Attend regular practice clinical meetings. Support the clinical team with all safeguarding matters, in accordance with local and national policies. Under supervision of the GPs in the practice, make professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the Organisation. Record clear and contemporaneous IT based consultation notes to an agreed standard. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately. Be able to justify choice of medication, and support patients in the use of their prescribed medication (within own scope of practice). Be able to understand the impact of comorbidities, other medications and poly-pharmacy. Deliver integrated patient centred care through appropriate working with the wider primary care multi-disciplinary team and social care networks. Act on alerts (e.g. QOF, local enhanced services etc.) and reminders during a consultation. Assist the practices in achieving their clinical targets and objectives in QOF, Local enhanced services etc. Participate in continuing professional development opportunities and keep up to date with evidence-based knowledge and competence in all aspects of your role, meeting clinical governance guidelines for continuing professional development (CPD). This job description is intended as a guide to the duties and responsibilities of the post and should not be regarded as a complete list of those required to be fulfilled under the written statement of the main terms and condition of employment. This role profile is intended to provide a broad outline of the main responsibilities only. The post holder will have the opportunity to develop the role and participate in initial and ongoing discussions with their line manager as to the development of the team. Code of Conduct: ANPs must comply with the Standards for Proficiency set by the NMC, Professional registration requirements. Participate in defining own developmental plan to maintain and develop own clinical skills and ensure own professional development. Undertake and complete all statutory and mandatory training. Participate in an appraisal and regular performance reviews. Ensure that all mandatory training is completed in line with organisational policy. Contribute to the planning and implementation of the teaching of and support for new and existing staff in the Practice, including GP registrars, medical students, student ANPs and newly-recruited ANPs. Under the Data Protection Act 1998 and GDPR, the post holder must maintain the confidentiality of information about patients and staff. The work is of a confidential nature and information gained must not be communicated to other persons except in the recognized course of duty. Unauthorised disclosure of confidential information will result in disciplinary action and may lead to your dismissal. We expect all of our staff to actively promote equality and diversity and encourage colleagues to do the same. We encourage staff to support a zero tolerance approach to bullying and harassment in all forms, and to lead by example in this area. This post is deemed to require a Disclosure check Enhanced Level with the Disclosure & Barring Service (DBS). This is due to the fact the post has access to children and vulnerable adults. Further information on the disclosure Service is available from www.disclosure.gov.uk Person Specification Qualifications Essential Active registration with the NMC, with evidence of re validation. Evidence of post-graduate clinical experience. ALS/APLS provider. Evidence of continued professional development. ENP/ ECP Minor Injuries and Minor Illness course Level 6 Desirable Attended X-ray/IRMER course Relevant MSc or BSc Experience Essential Ability to manage and prioritise workload. Understanding of Clinical governance and its significance on clinical practice. Experience of independent assessment. Experience of using referral pathways. Desirable Experience of working in Primary care. Evidence of clinical leadership. Experience of non-medical prescribing and using PSDs. Experience of computer based clinical systems such as EMIS Web. Understanding of Health Education or Promotion. Skills Essential Ability to work autonomously, using clinical judgement to form a diagnosis. Ability to manage acute care presentations. Good interpersonal skills with the ability to communicate effectively with a diverse range of people. Knowledge of IT systems - email/word/Microsoft Teams. Excellent written and verbal communication skills. Good time management skills, able to prioritise and organise workload for best effect. Ability to maintain a high level of confidentiality and discretion at all times. Problem solving & analytical skills. Current knowledge of NHS five year plan, as well as Government initiatives and NICE guidelines. Ability to follow policy and procedure Desirable Able to record/interpret ECGs. Knowledge of audit and research. Leadership skills. Personal Qualities Essential Sensitive and empathetic in distressing situations. Ability to work under pressure. Flexibility to work outside of core office hours if required. Clear vision of role and commitment to working in Primary Care. Disclosure Barring Service (DBS) check. Person Specification Qualifications Essential Active registration with the NMC, with evidence of re validation. Evidence of post-graduate clinical experience. ALS/APLS provider. Evidence of continued professional development. ENP/ ECP Minor Injuries and Minor Illness course Level 6 Desirable Attended X-ray/IRMER course Relevant MSc or BSc Experience Essential Ability to manage and prioritise workload. Understanding of Clinical governance and its significance on clinical practice. Experience of independent assessment. Experience of using referral pathways. Desirable Experience of working in Primary care. Evidence of clinical leadership. Experience of non-medical prescribing and using PSDs. Experience of computer based clinical systems such as EMIS Web. Understanding of Health Education or Promotion. Skills Essential Ability to work autonomously, using clinical judgement to form a diagnosis. Ability to manage acute care presentations. Good interpersonal skills with the ability to communicate effectively with a diverse range of people. Knowledge of IT systems - email/word/Microsoft Teams. Excellent written and verbal communication skills. Good time management skills, able to prioritise and organise workload for best effect. Ability to maintain a high level of confidentiality and discretion at all times. Problem solving & analytical skills. Current knowledge of NHS five year plan, as well as Government initiatives and NICE guidelines. Ability to follow policy and procedure Desirable Able to record/interpret ECGs. Knowledge of audit and research. Leadership skills. Personal Qualities Essential Sensitive and empathetic in distressing situations. Ability to work under pressure. Flexibility to work outside of core office hours if required. Clear vision of role and commitment to working in Primary Care. Disclosure Barring Service (DBS) check. 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 Windrush Medical Practice Address Welch Way Witney Oxfordshire OX28 6JS Employer's website https://www.windrushmedicalpractice.co.uk (Opens in a new tab)