Job summary We are looking for a motivated and enthusiastic Advanced Nurse Practitioner to join our friendly team working in the town of New Mills in the beautiful High Peak, close to Stockport. We are a small practice with around 4600 patients, and we value the ability which this list size gives us to get to know our patients well as individuals. Our shared ethos allows us to practice a more traditional style of patient-focused family medicine with a good level of continuity of care. We pride ourselves on providing excellent care for our patients within our established team. We value teamwork, mutual support, and a friendly working environment and are looking for someone who shares these values and our way of working. We are looking for someone who will enjoy working as part of our multidisciplinary team and is also confident to work independently within their professional capabilities. We believe that this role would best suit someone who is already experienced in working independently in General Practice. We are looking for someone to work part time, between 16 and 24 hours/week. Main duties of the job The successful candidate will work alongside our multi-disciplinary team of GPs, practice nurse, HCAs and clinical pharmacist to provide care and treatment to patients with either long term conditions or undiagnosed undifferentiated diagnoses. You will work as an autonomous practitioner, diagnosing, managing, prescribing and discharging patients with illness or injury across all age groups. You will also support and lead the practice nursing team. A key part of the role will be taking on the role of Community Matron for our housebound frail and vulnerable patients. In this role you will work closely with the multi-disciplinary team and practice care co-ordinator to identify those patients most at risk and work pre-emptively to monitor their chronic conditions and identify their clinical needs to reduce the need for admission. You will also lead on the care and monitoring of our patients in two residential homes for adults with learning disabilities, with the support of the GPs. We also envisage a part of this role will include seeing patients in an acute clinic setting in the practice. About us We are an established practice with excellent team working, and our practice area covers New Mills, Hayfield, and the surrounding area, extending part way into Disley at one end and Whaley Bridge at the other. We use EMIS as our clinical system. We are fortunate to work from a large purpose-built premises in the centre of New Mills. We are part of High Peak and Buxton PCN, made up of 8 practices from New Mills to Hartington. We are active members of this PCN and enjoy good working relationships with all our neighbouring practices Our clinical team comprises 2 GP partners, 1 salaried GP, 1 practice nurse, 2 HCAs and 1 clinical pharmacist andsupported by the wider community and PCN multi-disciplinary team, the PCN pharmacy hub for general medication queries, First Contact Practitioners, Mental Health Worker and Social Prescribers. The PCN home visiting service is able to undertake most of our acute home visit requests. We have an excellent Practice Care Co-ordinator who chairs our weekly MDT meetings and our excellent District Nursing team with whom we have a close and collaborative working relationship. We also have a weekly clinical meeting so all clinicians can informally discuss patients of concern and discuss any new developments within the practice. We are a training practice who welcome GP specialist trainees as well as medical students. We close once a month on a Wednesday afternoon for full team training. Some of these sessions are joint with our PCN. Date posted 08 November 2024 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Part-time Reference number A4213-24-0002 Job locations Sett Close New Mills Derbyshire SK22 4AQ Job description Job responsibilities Responsibilities and duties will include, but may not be limited to the following To provide assessment, diagnosis and treatment, of both acute and chronic conditions, acting as an autonomous clinician with the support and guidance from the GPs. This will include initiating appropriate treatment and /or referral, including admission to hospital if required. It would be desirable to have the skills to assess children as well as adults. To act as practice liaison to our two residential care homes for adults with learning disabilities as well as arranging regular weekly visits to assess both acute and chronic conditions and undertake annual LD reviews. To proactively manage our housebound and frail patients with input from our practice care co-ordinator, to identify any early clinical need and reduce deterioration and admission. This will include visiting them at home and assessing any acute or chronic conditions. This may include working with outside agencies to ensure appropriate care. To undertake a share of daily home visits if needed. To maintain adherence and familiarity with locally agreed healthcare pathways and signpost appropriately to other services. Ability to support GP administrative workload with suitable training and support Support and lead the practice nursing team including mentoring as appropriate. To proficiently use the clinical IT system for safe and thorough documentation of patient care as well as extract information for clinical governance. To work collaboratively with other members of the health care team such as the District Nursing Team, Mental Health Services, staff in Care Homes, Ambulance Service, and Secondary Care, etc. To engage in self-appraisal and ensure practice is within good clinical governance and based on sound up-to- date clinical evidence. Where appropriate, to identify and assess any risks associated with patient care or to oneself and communicate these risks to the appropriate clinical manager. To ensure effective time management and prioritisation of workload. Ability to work within own scope of practice and understanding when to refer to GPs To participate and contribute to clinical meetings. To work within the requirements of Data Protection legislation as it applies to patient records. To maintain current professional registration and indemnity. Job description Job responsibilities Responsibilities and duties will include, but may not be limited to the following To provide assessment, diagnosis and treatment, of both acute and chronic conditions, acting as an autonomous clinician with the support and guidance from the GPs. This will include initiating appropriate treatment and /or referral, including admission to hospital if required. It would be desirable to have the skills to assess children as well as adults. To act as practice liaison to our two residential care homes for adults with learning disabilities as well as arranging regular weekly visits to assess both acute and chronic conditions and undertake annual LD reviews. To proactively manage our housebound and frail patients with input from our practice care co-ordinator, to identify any early clinical need and reduce deterioration and admission. This will include visiting them at home and assessing any acute or chronic conditions. This may include working with outside agencies to ensure appropriate care. To undertake a share of daily home visits if needed. To maintain adherence and familiarity with locally agreed healthcare pathways and signpost appropriately to other services. Ability to support GP administrative workload with suitable training and support Support and lead the practice nursing team including mentoring as appropriate. To proficiently use the clinical IT system for safe and thorough documentation of patient care as well as extract information for clinical governance. To work collaboratively with other members of the health care team such as the District Nursing Team, Mental Health Services, staff in Care Homes, Ambulance Service, and Secondary Care, etc. To engage in self-appraisal and ensure practice is within good clinical governance and based on sound up-to- date clinical evidence. Where appropriate, to identify and assess any risks associated with patient care or to oneself and communicate these risks to the appropriate clinical manager. To ensure effective time management and prioritisation of workload. Ability to work within own scope of practice and understanding when to refer to GPs To participate and contribute to clinical meetings. To work within the requirements of Data Protection legislation as it applies to patient records. To maintain current professional registration and indemnity. Person Specification Qualifications Essential Active Registration with NMC and meet NMC revalidation requirements. Recognised ANP qualification at minimum of degree level or equivalent. Independent prescriber. Experience of advanced clinical practice with a high degree of autonomy and complex decision-making. Minor illness. Chronic disease management. Full UK Driving License and use of a car to undertake home visits if required. Desirable Minor injuries Contraception EMIS Web experience Experience Essential Experience in a primary care. Experience in dealing with vulnerable patients Proven track record of delivering autonomous and patient-centred care and evidence of engaging in continuous professional development. Experience in managing a varied clinical caseload, including chronic and minor conditions Strong clinical reasoning, assessment, and diagnostic skills. Excellent communication and interpersonal skills, with the ability to provide compassionate patient care. Ability to work independently and as part of a multidisciplinary team. Knowledge of primary care frameworks and guidelines, including NICE guidelines and CQC requirements. Desirable Experience working with patients with Learning Disability Person Specification Qualifications Essential Active Registration with NMC and meet NMC revalidation requirements. Recognised ANP qualification at minimum of degree level or equivalent. Independent prescriber. Experience of advanced clinical practice with a high degree of autonomy and complex decision-making. Minor illness. Chronic disease management. Full UK Driving License and use of a car to undertake home visits if required. Desirable Minor injuries Contraception EMIS Web experience Experience Essential Experience in a primary care. Experience in dealing with vulnerable patients Proven track record of delivering autonomous and patient-centred care and evidence of engaging in continuous professional development. Experience in managing a varied clinical caseload, including chronic and minor conditions Strong clinical reasoning, assessment, and diagnostic skills. Excellent communication and interpersonal skills, with the ability to provide compassionate patient care. Ability to work independently and as part of a multidisciplinary team. Knowledge of primary care frameworks and guidelines, including NICE guidelines and CQC requirements. Desirable Experience working with patients with Learning Disability 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 Arden House Medical Practice Address Sett Close New Mills Derbyshire SK22 4AQ Employer's website http://www.ardenhousemedicalpractice.co.uk/ (Opens in a new tab)