Advanced Nurse Practitioner / Advanced Clinical Practitioner
The UK government regulates the ability of employers to recruit non UK residents by issuing licenses to provide Visa Sponsorship. Unfortunately NPC does not hold a license for Visa Sponsorship and so cannot progress any applications for candidates without the right to work in the UK.
Norfolk Primary Care CIC (NPC) is an established Primary Care provider of clinical services. We are a key provider of Primary Care services in the Norfolk & Waveney system working with the local GP practices.
NPC has been sub-contracted to provide a Primary Care / General Practice type service within the Emergency Departments (ED) of the local Acute Hospitals. This comprises of a team of clinicians who are GPs, Advanced Nurse Practitioners or Advanced Clinical Practitioners working across the various locations. The staff provide additional Primary Care support to the ED by streaming patients away from the Front door into a Service capable of supporting demand.
The aim of the General Practice at Front Door (GPFD) Service is to reduce the number of avoidable attendances seen within ED, to direct the patients to appropriate services and free up ED staff to see appropriate emergency patients.
Job Summary
Main duties of the job
You will be an experienced Primary Care clinician, who will be acting autonomously within their professional boundaries and competencies. You will identify appropriate patients to attend the service based on current inclusion and exclusion criteria, as well as your clinical acumen to provide appropriate care for the presenting patient, from initial history taking, clinical assessment, diagnosis, treatment, referral (where required), evaluation, and discharge from our service.
You will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for the patients within GPFD. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the ED and Acute Hospitals to ensure patient journeys are appropriate and timely.
In order to work at this level, those registered with the NMC / HCPC, requirements for Advanced Practice must be met.
About us
Norfolk Primary Care Ltd is a Community Interest Company. It is established to:
Support and strengthen primary care and to promote and assist practices to improve quality by working with and on behalf of primary care in Norfolk.
Help with challenges identified by practices workload, GP recruitment, sharing best practice.
Recognise the changing nature of primary care and assist to ensure that the right level of service is provided to address the needs of the local population.
Provide benefit to patients of primary care, the clinicians and administrators who work in it and practice organisations in Norfolk.
Work within health systems to provide patient care in innovative and solution-focusedways.
We offer successful candidates a supportive working environment, competitive salary, excellent working conditions and the benefits of the NHS pension scheme. Other benefits include access to NHS discounts and discounted First Bus travel.
If you are interested in working in an organisation committed to a culture of professionalism, growth, integrity, positivity and kindness then we would love to hear from you.
Job responsibilities
Job Title: Advanced Nurse Practitioner / AdvancedClinical Practitioner
Accountable to:Operational -Service Lead / Assistant Director of Clinical Services /Clinical - Clinical Lead / Assistant Directorof Clinical Services
Placeof work: GeneralPractice at Front Door (GPFD) Service (all locations - JPUH, NNUH, QEHKL)
Principle Liaisons: AssistantDirector of Clinical Services
Salary Range: Dependant on experienceand qualifications please note that NPC is not an agenda for change employer
KeyResponsibilities:
* Identify patients appropriate to the servicebased on initial conversation and excellent communication skills.
* Clinically examine and assess patient needs froma physiological and psychological perspective and plan clinical careaccordingly.
* Assess, diagnosis, plan, implement and evaluateinterventions/treatments for patients with simple or complex, on the day needs.
* Proactively identify, diagnose and identifytreatment plans for patients at risk of developing a long-term condition (asappropriate).
* Refer patients for investigation for specialistopinion, where appropriate.
* Diagnose and manage both acute and chronicconditions with an acute presentation, integrating both drug and non-drug basedtreatment methods into a management plan.
* Work with patients in order to supportcompliance with and adherence to prescribed treatments.
* Ensure provision of continuity of care includingsafety netting and suggest follow up, as required.
* Take advice, guidance and instruction from theregistered GP, when and if required.
* Prescribe safe, effective and appropriatemedication as defined by current legislative framework and local formularies.
* Provide information and advice on prescribed orover-the-counter medication on medication regimes, side-effects andinteractions.
* Prioritise health problems and interveneappropriately to assist the patient in complex, urgent or emergency situations,including initiation of effective emergency care. Escalate to the AcuteHospital staff as required
* Refer patients to other health careprofessionals as appropriate for clinical needs and in accordance with localframework/guidelines if indicated.
* Meet the needs of patients presenting foropportunistic long term condition management or assessment
* Be able to undertake general telephone triage /first contact assessment.
* To manage own clinical workload within the GPFDService, responding effectively to patient need.
* Adhere to the NMC / HCPC Code of ProfessionalConduct at all times
SafeguardingChildren and Vulnerable adults
* All staff are expectedto behave in such a way that supports the commitment of NPC to safeguardand promote the welfare of children, young adults, and vulnerable adults.
* You will beresponsible for safeguarding the interests of children and adults who you comeinto contact during your work. To fulfil these duties, you will be required tohave attended or attend training and development to recognise the signs andsymptoms of abuse or individuals at risk, to follow local and national policyrelating to safeguarding practice and to report and act on concerns you mayhave appropriately.
Other duties
* Any other duties may be considered, as agreedwith the Service or Clinical Lead to meet the needs of the organisation,and may involve travel to other siteswithin the organisation.
* You must hold a full drivers licence with accessto a vehicle to use for purposes of travel to and from Acute hospital sites.This will involve having the appropriate insurance to use your vehicle forbusiness use.
NPC Generic Job Description areas:
Communication
Utilise and demonstrate sensitive communicationstyles, to ensure patients are fully informed and consent to treatment
* Communicate effectively with patients andcarers, recognising the need for alternative methods of communication toovercome different levels of understanding, cultural background and preferredways of communicating
* Anticipate barriers to communication and takeaction to improve communication
* Maintain effective communication within theorganisational environment and with external stakeholders
* Act as an advocate for patients and colleagues
* Ensure awareness of sources of support andguidance (eg PALS) and provide information in an acceptable format to allpatients, recognising any difficulties and referring where appropriate
Delivering a quality service
* Prioritise,organise and manage own workload in a manner that maintains and promotesquality
* Participate inquality assurance and safety processes across the organisation and itsactivities
* Participate inshared learning across NPC and the wider organisational environment
* Use astructured framework (e.g. root-cause analysis) to manage, review and identifylearning from patient complaints, clinical incidents and near-miss events
* Assess theimpact of policy implementation on care delivery
* Understand andapply legal issues that support the identification of vulnerable and abusedchildren and adults, and be aware of statutory child/vulnerable patients healthprocedures and local guidance
Leadership personal and peopledevelopment
* Take responsibility for own learning and performance including participating incoaching/supervision and acting as a positive role mode
* Support staff development in order to maximise potential
* Actively promote the workplace as a learningenvironment, encouraging everyone to learn from each other and from externalgood practice
* Encourage others to make realisticself-assessment of their application of knowledge and skills, challenging anycomplacency or actions that are not in the interest of the public and/or usersof services
* Critically evaluate and review innovations anddevelopments that are relevant to the area of work
* Enlist support and influence stakeholders anddecision-makers in order to bring about new developments in the provision of services
* Contribute to planning and implementing changeswithin the area of care and responsibility
* Contribute to the development of localguidelines, protocols and standards
* Understand ownrole and scope and identify how this may develop over time
* Work as aneffective and responsible team member, supporting others and exploring themechanisms to develop new ways of working
* Delegateclearly and appropriately, adopting the principles of safe practice andassessment of competence
* Create clearreferral mechanisms to meet patient need
* Prioritise ownworkload and ensure effective time-management strategies are embedded withinthe culture of the team
* Workeffectively with others to clearly define values, direction and policiesimpacting upon care delivery
* Discuss,highlight and work with the team to create opportunities to improve patient care
* Manage and leadon the delivery of specifically identified services or projects as agreed withthe practice management team
* Agree plans andoutcomes by which to measure success
Management of risk
* Manage and assess risk within the areas ofresponsibility, ensuring adequate measures are in place to protect staff and patients
* Monitor work areas and practices to ensure theyare safe and free from hazards and conform to health, safety and securitylegislation, policies, procedures and guidelines
* Ensure appropriate supervision of safe storage,rotation and disposal of vaccines and drugs.
* Participate in mandatory and statutory training requirements
* Apply infection-control measures within thepractice according to local and national guidelines
* Interpret national strategies and policies intolocal implementation strategies that are aligned to the values and culture ofgeneral practice
Managing information
* Use technology and appropriate software as anaid to management in planning, implementation and monitoring of care,presenting and communicating information
* Review and process data using accurate Readcodes in order to ensure easy and accurate information retrieval for monitoringand audit processes
* Manage information searches using the internetand local library databases
* Monitor and confirm that the nursing team arereceiving and processing data and information in an agreed format
* Collate, analyse and present clinical data andinformation to the team
Learning and development
* Undertake mentorship for team members
* Disseminate learning and information gained toother team members in order to share good practice and inform others aboutcurrent and future developments (e.g courses and conferences)
* Assess own learning needs and undertake learningas appropriate
* Provide an educational role to patients, carers,families and colleagues in an environment that facilitates learning
Equality and diversity
* Identify patterns of discrimination and takeaction to overcome this and promote diversity and equality of opportunity
* Enable others to promote equality and diversityin a non-discriminatory culture
* Support people who need assistance in exercisingtheir rights
* Monitor and evaluate adherence to localchaperoning policies
* Act as a role model in the observance ofequality and diversity good practice
* Accept the rights of individuals to choose theircare providers, participate in care and refuse care
* Assist patients from marginalised groups to access quality care
Person Specification
Skills and Attributes
* Advanced clinical practice skills.
* Management and treatment of patients with acute exacerbation of long-term conditions.
* Clinical examination skills.
* Clinical leadership skills.
* Clinical Systems e.g. SystmOne.
* Communication skills, both written and verbal.
* Negotiation and conflict management skills.
* Change management.
* Highly motivated.
* Flexibility.
* Team Player.
* Flexible approach to working hours, willingness to work anti-social hours, shifts, cover at other locations as required
* Management of patients with complex needs.
* Teaching and mentorship in a clinical setting.
* Resource Management.
Qualifications
* Registered first level nurse / BSc (Hons) or MSc Advanced Practice (or equivalent), or HCPC registration, whichever is appropriate.
* Post registration qualification Advanced Nursing Practice, autonomous practice or equivalent.
* Independent Non-Medical Prescriber or near completion.
* Basic Life Support.
* Clinical supervision training and experience.
Experience
* Experience of working as senior clinician.
* Experience of having worked in Primary Care.
* Experience in leading / managing a clinical team.
* Experience of working in an unscheduled care service.
* Accountability of own role and other roles in a Primary Care provided service.
* Experience of leading/managing quality improvement.
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.
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