Job summary
We are looking for an Advanced Nurse Practitioner/Experienced Nurse Prescriber for 16 - 30 hours a week due to therelocation of a long standing member of our friendly team.
The role willinclude undertaking predominately acute consultations, mainly on a face to facebasis, alongside associated administrative work. On occasion the idealcandidate may also be asked to perform a home visit or participate invaccination clinics or other core activities. The practice would be happy tosupport development of a special interest, if that fitted with the needs andethos of the practice.
It is essential thatthe successful applicant is safely able to manage acute, undifferentiated minorillness and is a competent prescriber for such conditions. They should beclinically competent to deal with patients over the age of two, autonomously,although senior support from a named GP will always be available on site. It isimportant the candidate is up to date in safeguarding training and has anability to demonstrate this in clinical practice. As a training practiceeducation is important to us and we would encourage the successful applicant tobe involved in the development of junior staff including GP trainees and studentnurses within the practice.
Main duties of the job
The candidate we are looking for:
Able to deliver independent high quality careincluding prescribing
Have the ability to be involved in acute and chronicdisease management
Able to deliver high-quality patient care and sharein the clinical workload, which will include participation in telephone consultationsand occasional home visits.
Demonstratethe ability to contribute towards the development of our practice, by being anactive member of the team joining us for both more formal meetings and ourinformal coffee and lunch breaks.
About us
We have strong links toour PCN and work collaboratively with other practices and the PCN staff workingwithin the practice including a pharmacist, paramedic and physiotherapists.
We maintain a high levelof communication with the community teams by holding regular MDT meetings andwork closely with our supportive PPG. To maintain clinical skills andknowledge, we have protected time each month using a combination of in-houseand external training as well as informal weekly meetings to discuss clinicalcases. We pride ourselves as being a patient friendly and caring practice,which can only be achieved by supporting each individual member of our team.
TPP SystmOne clinicalsystem and as leaders in IT developments locally we have offered the option forelectronic consultations successfully for over three years
List size of 12,500
Capped number ofappointments
Minor surgery, IUD andimplants
High QOF and EnhancedServices achievement
Achieved Good in allareas in our CQC inspection
Job description
Job responsibilities
The Advanced Nurse Practitioner/Experienced Nurse Prescriber will operate autonomously within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety.
The Advanced Nurse Practitioner/Experience Nurse Prescriber will need to prioritise and triage the needs of patients accordingly over the telephone, face to face and on home visits. They will provide treatment, including prescriptions and arrange any necessary referrals for investigations in the appropriate manner.
Job responsibilities:
Clinical Practice
1. Work as part of a multi-disciplinary team to deliver safe and high quality care.
2. Carries out clinical practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care autonomously.
Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan
Delivery of care in line with local and NICE guidelines, providing evidence-based care
Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.
3. Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.
4. Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.
Request diagnostic investigations and interpret within agreed protocols x-ray, blood tests, scans, etc.
5. Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.
6. Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.
Care Management
Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.
Provide highly specialised care advice care treatment plans, prescribing and making referrals as appropriate (including fast track referrals).
Contribute to local and national practice targets clinical remit QOF, prescribing incentive scheme, National benchmarking.
To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.
Health Improvement
Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.
Innovation in practice to meet ongoing demands on the practices delivery of care.
Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.
Supports practitioners in reporting the practice population to promote health improvement and disease prevention.
Makes referrals to appropriate agencies (statutory and voluntary) where necessary
Administration and professional responsibilities
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Maintain their professional registration, working within their code of conduct
7. Participate in the administrative and professional responsibilities of the practice team
8. Accurate and legible notes of all consultations and treatments are recorded in the patients notes
9. Ensure clinical systems kept up to date, recording and/or amending accurate details
10. Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator
11. Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
12. Attend and participate in practice meetings as required
Training and personal development
13. Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.
14. Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.
Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.
Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education.
15. Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.
16. Act as a mentor for junior staff, assessing competence against set standards.
17. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.
18. Develop and maintain a Personal Learning Plan.
19. Regularly participate in clinical supervision.
Leadership personal and people development
20. Act as a clinical leader in the delivery of practice services ensuring that the needs of the patient are a priority
21. Support staff development in order to maximise potential
22. Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
23. Critically evaluate and review innovations and developments that are relevant to the area of work
24. Promote the role of the advanced clinical practitioner in general practice.
Person Specification
Qualifications
Essential
25. Registered Health Care Practitioner
26. Recognised Advanced Nurse Practitioner or Experienced Nurse Prescriber at Masters level
27. Independent Non Medical Prescriber who is confident to prescribe a range of medications.
Desirable
28. Teaching / Mentoring experience and /or qualification
Knowledge
Essential
29. Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS/PMS contract, Clinical Governance, Quality & Outcomes Framework
30. Understanding of systems to gain an understanding of the health needs of the Practice population as they relate to primary care
31. Understanding of evidence-based practice
32. Knowledge of national standards that inform practice ( National Service Frameworks, NICE guidelines etc)
33. Understanding of their accountability under their professional code of practice
34. Understanding of equal opportunity and diversity issues
Experience
Essential
35. Minimum of 5 years post registration experience with the ability to take comprehensive history and assess/examine patients.
36. Experience of working as an Advanced Nurse Prescriber/Experienced Nurse Prescriber autonomously diagnosing and treating patients with undifferentiated medical and psychiatric conditions over the age of two years
37. Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the Advanced Nurse Practitioner/Experienced Nurse prescriber role
38. Evidence of working autonomously and as part of a team
39. Proven ability to evaluate the safety and effectiveness of their own clinical practice
Desirable
40. Interpreting and implementing local and National policy agendas for health
41. Experience in management long term conditions asthma, COPD, diabetes, CHD
Skills
Essential
42. Ability to assess and manage patient risk effectively and safely
43. Well developed word processing/data collection/IT skills
44. Excellent interpersonal, verbal and written communication skills
45. Reflective practitioner
46. Time management and ability to prioritise workload
47. Able to analyse data and information, including diagnostics, drawing out implications for the individual patient/impact on care plan
48. Able to establish and maintain effective communication pathways within the organisation, the PCN and with key external stakeholders
Desirable
49. Experience of use of a medical software package
50. Proven record of effective use of networking and influencing skills
51. Ability to think strategically
52. Experience of presenting information to wider audience