Job summary The purpose of the post is to deliver safe, high quality primary care nursing services to the practice population. Working within the NMC Code of Conduct and utilising primary care skills and experience, the post holder will provide advanced nurse interventions and influence development of nursing services. Main duties of the job The ideal candidate will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with multi-professional teams to meet the needs of patients, supporting the delivery of policy and procedures. In order to work at this level, NMC requirements for advanced practice must be met. In summary, the post holder is an experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice. About us LAKESIDE HEALTHCARE is changing the face of primary care provision in England. We are bold, adventurous and ambitious and determined to thrive in uncertain times. We are the largest true partnership in the NHS and operate from various sites across the East Midlands. We serve the healthcare needs of over 170,000 patients across Northamptonshire, Lincolnshire & Cambridgeshire. Caring & Respect: Simply put we genuinely care about people: working together for our patients and our teams, our patients come first in everything we do. Teamwork & Quality: In all areas of our business we network, collaborate and learn from our Patients, Stakeholders and each another to ensure we are always striving to improve, making the right and best decisions to provide the best service. About the Practice/Department/Team Our Nurse Practitioner team is a small supportive team, responsible for providing complete episodes of care for patients with a wide variety and range of presenting problems and health care needs. This encompasses the provision of evidence based, high-quality care for patients, whose issues fall within urgent/acute episodes and including health promotion and public health elements. Our nurse practitioners undertake sessions of either telephone calls with patients or contact with patients using our digital platform. Date posted 07 January 2025 Pay scheme Other Salary £43,565 to £52,052 a year Actual FTE Salary Range Contract Permanent Working pattern Part-time Reference number A3007-25-0003 Job locations Hereward Group Practice Exeter Street Bourne Lincolnshire PE10 9XR Job description Job responsibilities Supporting the overarching Lakeside Healthcare Group strategy and service delivery, the post holder will provide complete episodes of care for patients with a wide variety and range of presenting problems and health care needs. This encompasses the provision of evidence based, high-quality care for patients whose issues fall within urgent/acute episodes, long-term chronic conditions and including health promotion and public health elements. Working within the NMC Code of Conduct HCPC Standards and utilising primary care skills and experience, the post holder will provide advanced care interventions. Using evidence-based knowledge, the post holder will deliver a high standard of care, making professionally autonomous and accountable decisions. The post holder will work within their professional boundaries to demonstrate safe clinical decision-making and cost-effective, expert care for patients within the practice. The post holder will support service development, the safe delivery of policy and procedures and demonstrate effective nurse/AHP advocacy and leadership. Clinical responsibilities: An ability to make professional evidence-based decisions for which they are accountable An ability to assess, diagnose and treat patients with undifferentiated and undiagnosed problems. Screen patients for disease risk factors and early signs of illness Make differential diagnosis using decision-making and problem-solving skills in conjunction with senior medical and nursing colleagues Develop, with the patient, an ongoing care plan with emphasis on health education and preventative measures Order and follow up on necessary investigations providing treatment and care both individually, as part of a primary care team and through referral to other agencies Work collaboratively with other health care professionals and disciplines Participate in assessment and care planning of patient care liaising with GP and other AHPs as required Implement and evaluates care and treatment in agreement with the patient and as defined in the care plan escalates any deviation from the care plan or change in condition to the Lead GP accordingly Communicate effectively with patients, carers and all members of the multidisciplinary team. Participate in MDT meetings within PCNs and affiliated bodies Actively participate in clinical supervision and support with assigned GP mentor Prioritise daily work in line with clinical patient need Implement and work to ensure evidence based care best practice Initiate health promotion activities with individuals, patients and carers An ability to provide leadership, education and mentorship An ability to provide clear and accurate documentation An appreciation of the importance of confidentiality The ability to assess for safeguarding issues and proactively refer on to relevant organisations / safeguarding teams An acknowledgement of the importance of equality, diversity and the rights of patients, carers and colleagues. The post-holder will demonstrate a non-judgmental and respectful approach to each individuals circumstances, feelings, beliefs, priorities and rights Other Key Performance Areas Working closely with the site leadership team, the post-holder will support the delivery of the following Ensure all care and services are delivered to the highest standards at all times and across the CQC domains, Safe, Effective, Caring, Well-led and Responsive Recognise and work within own competence and professional code of conduct as regulated by the NMC HCPC standards Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures Prioritise, organise and manage own workload in a manner that maintains and promotes quality and service expectations Deliver care according to NICE guidelines and evidence-based care Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation Initiate and participate in the maintenance and activities of quality governance systems and processes across the organisation, taking lead responsibility where indicated agreed Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate Evaluate patients response to health care provision and the effectiveness of care Support and participate in shared learning across the practice and wider organisation Use a structured framework to manage, review and identify learning from patient complaints, clinical incidents and near-miss events Assess the impact of policy implementation on care delivery Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance Contribute towards and support staff with benchmarking and audit, service re-design projects, providing experience and advice as required Assist with the maintenance and activities associated with the Risk Register and undertake investigations of incidents as required Attend and participate in learning opportunities within the practice and the wider organisation Job description Job responsibilities Supporting the overarching Lakeside Healthcare Group strategy and service delivery, the post holder will provide complete episodes of care for patients with a wide variety and range of presenting problems and health care needs. This encompasses the provision of evidence based, high-quality care for patients whose issues fall within urgent/acute episodes, long-term chronic conditions and including health promotion and public health elements. Working within the NMC Code of Conduct HCPC Standards and utilising primary care skills and experience, the post holder will provide advanced care interventions. Using evidence-based knowledge, the post holder will deliver a high standard of care, making professionally autonomous and accountable decisions. The post holder will work within their professional boundaries to demonstrate safe clinical decision-making and cost-effective, expert care for patients within the practice. The post holder will support service development, the safe delivery of policy and procedures and demonstrate effective nurse/AHP advocacy and leadership. Clinical responsibilities: An ability to make professional evidence-based decisions for which they are accountable An ability to assess, diagnose and treat patients with undifferentiated and undiagnosed problems. Screen patients for disease risk factors and early signs of illness Make differential diagnosis using decision-making and problem-solving skills in conjunction with senior medical and nursing colleagues Develop, with the patient, an ongoing care plan with emphasis on health education and preventative measures Order and follow up on necessary investigations providing treatment and care both individually, as part of a primary care team and through referral to other agencies Work collaboratively with other health care professionals and disciplines Participate in assessment and care planning of patient care liaising with GP and other AHPs as required Implement and evaluates care and treatment in agreement with the patient and as defined in the care plan escalates any deviation from the care plan or change in condition to the Lead GP accordingly Communicate effectively with patients, carers and all members of the multidisciplinary team. Participate in MDT meetings within PCNs and affiliated bodies Actively participate in clinical supervision and support with assigned GP mentor Prioritise daily work in line with clinical patient need Implement and work to ensure evidence based care best practice Initiate health promotion activities with individuals, patients and carers An ability to provide leadership, education and mentorship An ability to provide clear and accurate documentation An appreciation of the importance of confidentiality The ability to assess for safeguarding issues and proactively refer on to relevant organisations / safeguarding teams An acknowledgement of the importance of equality, diversity and the rights of patients, carers and colleagues. The post-holder will demonstrate a non-judgmental and respectful approach to each individuals circumstances, feelings, beliefs, priorities and rights Other Key Performance Areas Working closely with the site leadership team, the post-holder will support the delivery of the following Ensure all care and services are delivered to the highest standards at all times and across the CQC domains, Safe, Effective, Caring, Well-led and Responsive Recognise and work within own competence and professional code of conduct as regulated by the NMC HCPC standards Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures Prioritise, organise and manage own workload in a manner that maintains and promotes quality and service expectations Deliver care according to NICE guidelines and evidence-based care Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation Initiate and participate in the maintenance and activities of quality governance systems and processes across the organisation, taking lead responsibility where indicated agreed Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate Evaluate patients response to health care provision and the effectiveness of care Support and participate in shared learning across the practice and wider organisation Use a structured framework to manage, review and identify learning from patient complaints, clinical incidents and near-miss events Assess the impact of policy implementation on care delivery Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance Contribute towards and support staff with benchmarking and audit, service re-design projects, providing experience and advice as required Assist with the maintenance and activities associated with the Risk Register and undertake investigations of incidents as required Attend and participate in learning opportunities within the practice and the wider organisation Person Specification Qualifications Essential Registered Nurse NMC - 1st level Registration Paramedic registered with the Health & Care Professional Council Non- medical prescribing qualification or working towards the qualification Degree Level qualification in Advanced Nursing Practice, Community Nursing or Specialist Nursing or Diploma in Emergency Care Practitioners course, Diploma of higher education DipHE or degree in paramedic science or paramedic practice Accredited physical assessment course Evidence of continued professional development Accredited Minor Illness Course Desirable Accredited training in chronic disease management Masters level qualification Independent prescribing qualification Experience Desirable Experience of working in an independent and autonomous role, diagnosing and treating patients Experience of providing care and management of patients with complex needs Evidence of wide knowledge base and competency in clinical practice Person Specification Qualifications Essential Registered Nurse NMC - 1st level Registration Paramedic registered with the Health & Care Professional Council Non- medical prescribing qualification or working towards the qualification Degree Level qualification in Advanced Nursing Practice, Community Nursing or Specialist Nursing or Diploma in Emergency Care Practitioners course, Diploma of higher education DipHE or degree in paramedic science or paramedic practice Accredited physical assessment course Evidence of continued professional development Accredited Minor Illness Course Desirable Accredited training in chronic disease management Masters level qualification Independent prescribing qualification Experience Desirable Experience of working in an independent and autonomous role, diagnosing and treating patients Experience of providing care and management of patients with complex needs Evidence of wide knowledge base and competency in clinical practice 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 Lakeside Healthcare Group Address Hereward Group Practice Exeter Street Bourne Lincolnshire PE10 9XR Employer's website https://www.lakesidehealthcaregroup.co.uk (Opens in a new tab)