- To deliver a high standard of patient care as Advanced Nurse Practitioner (ANP) in general practice, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base
- To manage a clinical caseload, dealing with presenting patient's needs in a primary care setting
- To develop the nursing services offered by the practice
- To provide clinical leadership within the practice within specialist fields.
- To manage own clinical workload in general practice responding effectively to patient need and ensuring patient choice and ease of access to services.
- The development and use of referral pathways for NPs to the local acute NHS Trust services and to Diagnostic and Treatment Centres .
- To mentor and support other nurses in developing and maintaining clinical skills
- Provide the choice of direct access to a ANP, both in the Practice and over the telephone, for the general practice population
- Make professionally autonomous decisions for which he/she is accountable
- 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
- Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports
- Where the post holder is an independent prescriber : to prescribe safe, effective and appropriate medication as defined by current legislative framework
- Provide safe, evidence-based, cost-effective, individualised patient care
- Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care
- Undertake home visits as requested
- Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills
- Refer patients directly to other services/agencies as appropriate
- Assist the Practice in developing and delivering specialist primary care services, such as long term disease management (diabetes, asthma, chronic obstructive pulmonary disease, coronary heart disease and hypertension)
- Work with nursing, medical and health care assistant colleagues to ensure that NICE Guidelines (eg Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered
- Work with mutli-disciplinary team within the Practice, and across the wider CCG, to promote integrated and seamless pathways of care
- Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery
- Be aware of and contribute to planning and delivery of practice-based commissioning
- Promote a learning environment for patients, nurses and other health professionals.
- Contribute to the planning and implementation of the teaching for existing staff, such as medical students, GP registrars, Health Care Assistants, within the Practice.
- Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
- Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review
- Maintain their professional registration
- Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained
- Work within the latest NMC Code of Professional Conduct
- Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards
- Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation
- Work collaboratively with colleagues within and external to the practice.
- Demonstrate leadership
- All aspects of antenatal/obstetric care
- The post-holder will establish and maintain effective communication pathways with the multidisciplinary team internally and externally.
- Minimum of 5 years post registration experience
- Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the ANP role
- Experience in management long term conditions asthma, COPD, diabetes, CHD
- Evidence of working autonomously and as part of a team
- Proven ability to evaluate the safety and effectiveness of their own clinical practice
- Interpreting and implementing local and National policy agendas for health
- Ability to assess and manage patient risk effectively and safely
- Well developed word processing/data collection/IT skills
- Excellent interpersonal, verbal and written communication skills
- Reflective practitioner
- Time management and ability to prioritise workload
- Able to analyse data and information, drawing out implications for the individual patient/impact on care plan
- Able to establish and maintain effective communication pathways within the organisation, the local PCT and with key external stakeholders
- Experience of use of SystmOne
- Proven record of effective use of networking and influencing skills
- Ability to think strategically
- Experience of presenting information to wider audience
- Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS/PMS contract, Clinical Governance.
- Understanding of systems to gain an understanding of the health needs of the practice population as they relate to primary care
- Understanding of evidence based practice
- Knowledge of national standards that inform practice (eg, NICE guidelines etc)
- Understanding of accountability arising from the NMC Code of Professional Conduct and medico-legal aspects of the Nurse Practitioner role
- Understanding of equal opportunity and diversity issues
- Registered General Nurse (Currently registered with the Nursing & Midwifery Council)
- Recognised ANP qualification at minimum of degree level or equivalent or Masters
- Independent Nurse Prescriber
- Teaching / Mentoring experience and /or qualification
Advanced Nurse Practitioner - Wisbech, United Kingdom - Trinity Surgery
2 weeks ago
Description
Job summary
Are you currently an ANP working in General Practice or are you looking for a change in career? Do you feel your qualifications are underutilised? Primary Care and Trinity Surgery needs you.
Trinity Surgery is a 2 partner training practice in theFenland town of Wisbech. The surgery provides excellent quality health care forits 13,200 patients and is a consistently high QoF achiever.
We are expanding our nursing team and we are looking for a full-time/ part-time Advanced Nurse Practitioner to join our existing professional and friendly team of 6 Advanced Nurse Practitioners, 6 Practice Nurses and 2 HCAs.
We are seeking a highly motivated and experienced nurse who will embrace the challenge of this dynamic and interesting role. The position includes telephone triage, working with the duty team and holding own clinics.
Applicants will need to have the relevant Master/degree qualifications or equivalent, be an independent nurse prescriber and be on the NMC register. Previous experience of working in General Practice and knowledge of SystmOne are desirable, however we have a local roadmap in place for transition from secondary to primary care.
Main duties of the job
The position includes working as a member of the duty team, completing telephone triage and holding own clinics.
The successful applicant must be able to:
Work autonomously
Provide care that is based on best practice and upto date clinical evidence
Take a comprehensive history
Carry out in depth assessments
Use expert knowledge and clinical judgement toidentify the potential diagnosis
Refer patients for investigations where appropriateand make a final diagnosis
Decide on and carry out treatment, including theprescribing of medicines or refer patients to the appropriate specialist
Assess and evaluate with patients the effectivenessof the treatment and care provided and make changes as needed
Chronic disease management.
Thesuccessful applicant will have:
Excellent communication, interpersonal andorganisational skills
About us
Trinity Surgery is a 2 partner training practice in the Fenland town of Wisbech. The surgery provides excellent quality health care for its 13,200 patients and is a consistently high QoF achiever.
Trinity Surgery has a skilled, professional and dedicated teamcomprising of 6 Nurse Practitioners, Emergency CarePractitioner, treatment room nurses plus supporting medical staff provided throughthe PCN including full-time Pharmacist,physiotherapists, social prescriber and mental health practitioners
Trinity Surgery is the lead practice for Research within the WisbechPCN
Job descriptionJob responsibilities
JOB SUMMARY
The post holder is an experienced nurse, who acting within theirprofessional boundaries, will provide care for the presenting patient frominitial history taking, clinical assessment, diagnosis, treatment andevaluation of their care. They willdemonstrate safe, clinical decision-making and expert care for patients withinthe general practice and their own homes. They will work collaboratively with the multi-disciplinary generalpractice team to meet the needs of patients, supporting the delivery of policyand procedures, and providing nurse leadership as required. In order to work at this level, NMCrequirements for advanced practice must be met.
1. SCOPE ANDPURPOSE OF THE ROLE
2. JOBDIMENSIONS
3. KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED
See personspecification
4. PRIMARY DUTIES & AREAS OFRESPONSIBILITY
A.CLINICAL ROLE:
The post-holder will :
· Participate in identification of communityhealth needs and develop patient/family-centred strategies to address them
· Help develop and set up new patient services andparticipate in initiatives to improve existing patient services
B. TEACHING ANDMENTORING ROLE:
The post-holder will :
C.PROFESSIONAL ROLE :
The post-holderwill :
D.MANAGERIAL ROLE :
The post-holder will :
· Act as mentor for if required for nurses and through this, support colleaguespersonal development.
· Participate in clinical supervision with thenursing team
· Encourage and develop teamwork within thepractice.
· Participate in multi-disciplinary protocol andPatient Group Directions development
· Identify appropriate opportunities to delegateboth clinical and administrative tasks to more junior staff.
· Help the practice operate in a cost-effectivemanner.
· Identify and manage nursing care risks on acontinuing basis.
· Participate in practice meetings as appropriate.
· Participate in audits and inspections asappropriate.
· Work closely with the doctors and administrativemanagers in the setting up and/or improving of practice systems formonitoring/measuring performance against Clinical Governance and Quality Indicatortargets.
· Ensure that all Practice Policy's are fullyimplemented
E.AREAS OF PRACTICE EXCLUDED FROM THE POST-HOLDERS REMIT:
The post-holder will not undertake thefollowing :
5. HEALTHAND SAFETY/RISK MANAGEMENT
· The post-holder must comply at all times with thePractice's Health and Safety policies, in particular by following agreed safeworking procedures and reporting incidents using the organisations IncidentReporting System.
· The post-holder will comply with the DataProtection Act and the Access to Health Records Act
6. EQUALITY AND DIVERSITY
· The post-holder must co-operate with allpolicies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must betreated equally irrespective of gender, ethnic origin, age, disability, sexualorientation, religion etc.
7. RESPECT FOR PATIENT CONFIDENTIALITY
· Thepost-holder should respect patient confidentiality at all times and not divulgepatient information unless sanctioned by the requirements of the role.
8. COMMUNICATION & WORKINGRELATIONSHIPS
9. REHABILITATION OF OFFENDERS ACT 1994(optional)
Because of the nature of the work, this postis exempt from the provisions of Section 4(2) of the Rehabilitation ofOffenders Act 1994 (Exceptions) Order 1995. Applicants for posts are not entitled to withhold information aboutconvictions which for other purposes are "spent" under the provisions of theAct and in the event of employment any failure to disclose such convictionscould result in disciplinary action or dismissal by the Practice. Any information given will be completelyconfidential and will be considered only in relation to an applicant of aposition to which the order applies.
Person SpecificationExperience
Essential
Desirable
Skills
Essential
Desirable
Knowledge
Essential
Qualifications
Essential
Desirable