Job summary
Newhall Surgery is looking for an experienced, dynamic and motivated AdvancedNurse / Clinical Practitioner and prescriber, who acting within their professional boundaries;will provide care for the presenting patient from initial history taking,clinical assessment, diagnosis, treatment, and evaluation of their care. Theywill demonstrate safe, clinical decision-making and expert care for patientswithin the general practice. They willwork collaboratively with the multi-disciplinary general practice team to meetthe needs of patients, supporting the delivery of policy and procedures andbuild effective working relationships with other health care professionals.
Do you have excellentinterpersonal and organisational skills? Would you like to be part of a teamhelping to shape the face of the Practice but also playing a key part inmanaging change and development within the organisation?
If so, this position could befor you.......
Main duties of the job
This is a varied and rewarding role working closely with the medical and managerial team. You would be involved in decision making and responding to changing healthcare needs. The role also requires management of the Nursing team both clinically and administratively ensuring compliance with practice policies and procedures.
You will need to deliver a high standard of patient care using advanced autonomous clinical skills, supporting our patients who present with undifferentiated and/or undiagnosed problems. You would make use of skills in history taking, physical examinations and problem-solving and decision-making skills to establish a diagnosis and management plan.
You will support the general practice nursing team and their roles and contribute to chronic disease management and long term condition reviews of our patients. You will be able to support and mentor our nursing team colleagues and encourage their professional development.
About us
Newhall Surgery has a list sizeof approximately 11,000 patients. We have an active Patient Participation Groupand endeavour to liaise well within the local community. We are active onFacebook and have good reviews within NHS Choices.
Our clinical staff consists of 3GP Partners, 4 GPs, 2 GP Registrars plus a dedicated Nursing Team, PharmacyTeam and a Health & Wellbeing Coach.
We also have committed andprofessional administrative, secretarial and care navigation members, plus ourdedicated and professional Management Team.
We are a friendly Practice whobelieve that communication, team working, well-being and learning are vital tothe success of our organisation. We also have two formal 'get togethers' per year plus other social events tohelp support our internal communication processes and the feeling of 'family'within the organisation.
The Partners are very supportiveof staff and place a high value on their learning and development.
Job description
Job responsibilities
Professional role
Working with the medical team and others in developing new roles, responding to changing healthcare needs.
Pro-actively promote the role of the ANP/ACP within the Practice, and externally to key stakeholders and agencies.
The individual may be required to undertake the assessment and management of patients within the home environment.
To work within the Nursing and Midwifery Council Code of Professional Conduct and Scope of Professional Practice.
To maintain own professional development in line with the Nursing and Midwifery Council Regulations.
To promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
To facilitate and participate in multi-disciplinary education and clinical supervision.
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.
To promote personal development and clinical excellence.
Provide clinical supervision and support to other members of the practice nursing team and act as a clinical expert.
Participate in organisational decision making, interpret variations in outcomes and use data from information systems to improve practice.
Monitor the effectiveness of their clinical practice through the quality assurance strategies such as the use of audit and peer review.
Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation.
To play an active role in the development of practice development plans and new services.
To manage and take responsibility clinically for the Nursing Team, ensuring PDPs and CPD are undertaken in line with the Practice strategy and vision.
To manage and take responsibility for holiday planning and sickness/absence for the nursing team in line with Practice policies.
Management of patient health and illness
To deliver a high standard of patient care as an Advanced Nurse/Clinical Practitioner in general practice, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base.
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.
Support general practice nursing such as routine injections in accordance with the practice policy and appropriate protocols, PGDs and PSDs ie Childhood and adult immunisations in accordance with national guidelines such as: Flu vaccinations, travel vaccines and completion of patient vaccination records. Anti-psychotic injections, Vit B12 injections and contraceptive injections.
Support provision of women's health services including cervical cytology and advice on contraception and the menopause according to practice policy.
Contribute to Chronic Disease Management in areas such as: Asthma, COPD, Diabetes, CVD Checks, Learning Disabilities, Long Term Conditions and NHS Health Checks and to other Enhanced Service specifications as required.
Support undertaking investigative procedures including ECG, blood pressure, urine analysis, foot checks.
Support treatment room consultations such as minor injuries, wounds, dressing and treatment of leg ulcers, suture removal, ear examination and syringing.
To prioritise health problems and intervene appropriately, including initiation of effective emergency care.
Promote health and well-being through the use of health promotion, health education, screening, and therapeutic communication skills.
To clearly communicate the health status of the patient using appropriate terminology and technology.
Provide safe, evidence-based, cost-effective, individualised patient care.
To work within the practice guidelines, policies and protocols.
To maintain accurate and contemporaneous records, utilising computer systems where appropriate and consider the Caldicott Principles in relation to all data handling.
Organisational
To complete records, audits, reports and respond to appropriate questions and requests.
To attend meetings as requested including but not limited to Nursing team, practice team and Protected Learning Time meetings.
Support effective communication channels between the whole team.
Develop a sound understanding of the appointments database; event scheduling, session planning and essential practice cover needs.
Inform Partners / Practice Manager of pressures/difficulties/problem areas when aware.
Ensure that orders for supplies are within a reasonable budget and one is constantly seeking to reduce costs to the Partnership.
Contribute to care and maintenance of equipment including cleaning and disinfecting items of equipment and keeping an up-to-date record.
Support the repair and regular maintenance and calibration of equipment, including equipment maintenance/checking/calibration log.
To contribute to practice strategy and developments when requested.
To work according to Clinical Governance and support the Clinical Governance Agenda.
Understand that common patient complaints may also be the catalyst for change within practice procedures.
To understand the role of Risk Management within the practice and contribute to risk assessment and Significant Event Audit and the importance of Infection Control.
To actively participate in the delivery of QOF targets, Enhanced Services and others as deemed by the arrangements in general practice finance.
You will be expected to participate in the induction plan for all new staff members whatever their role may be as requested by Management.
You will be expected to take part in the training programme for any new or role changing staff members as requested by Management.
As a clinician be available to support other healthcare team members and to accept referrals from other team members.
To liaise with all members of the Primary Health Care Team and other agencies local authority, social services, secondary care, voluntary sector and Primary Care Trust in order to assure appropriate care is provided for the practice population.
To participate as a key member of the multi-professional team through the development of collaborative and innovative practice.
To value all team members.
To support the delivery of health and safety guidance as agreed within the practice.
To support the writing of maintenance and delivery of CQC guidance within the practice.
Enable the nursing team to work effectively to provide high quality service to patients and to work effectively with other agencies.
Develop a working environment that promotes healthy, safe and effective work outcomes.
Person Specification
Qualifications
Essential
1. Registered First Level Nurse MSc or equivalent
2. Extended/independent prescriber
3. Relevant nursing/health degree
4. Clinical Supervision Training and experience
5. Mentor/teaching qualification
Experience
Essential
6. Significant post registration experience
7. Independent prescribing
8. Experience of working within Primary Care / Community
9. Experience of chronic disease management, management of minor illness, minor ailments and injuries
10. Teaching and mentorship in a clinical setting/clinical leadership
11. Experience of change management, audit and research
12. Clinical triage
13. Compiling clinical guidelines/protocols
Skills / Knowledge
Essential
14. Advanced clinical practice skills/management of long-term conditions
15. Management of patients with complex needs
16. Accountability of own role and other roles in a nurse-led service
17. Excellent communication skills both written and verbal
18. Knowledge of local and national health policies and wider health economy
19. Negotiation and conflict management skills
20. Patient group / specific directions and associated policy
21. Clinical examination skills and clinical leadership skills
22. Knowledge of clinical governance issues in primary care
Desirable
23. Knowledge of public health issues in the area
Personal Qualities
Essential
24. Polite and confident
25. Enthusiastic, flexible and cooperative
26. Highly motivated, proactive and self-directed practitioner
27. Ability to use initiative and judgement
28. Understanding, acceptance and adherence to the need for strict confidentiality
29. High levels of integrity and loyalty
30. Sensitive and empathetic in distressing situations
31. Ability to work under pressure and across boundaries
32. Ability to work without direct supervision and determine own workload
33. Able to work in a changing environment
34. Full UK driving licence
35. Disclosure Barring Service (DBS) check