Job summary
Thepost holder is an experienced Nurse with a minimum of two years experienceworking as an autonomous practitioner. They should be working within theirprofessional boundaries and will provide care for the patients within both theirown homes and care homes as part of an integrated team within practices.
Theywill be skilled in initial history taking, clinical assessment, diagnosis,treatment and evaluation of care; whilst demonstrating a safe, criticalthinking clinical decision-making process and expert care delivery for thosepatients who are vulnerable and at risk of avoidable admissions within the generalpractice population.
Thepost holder will be integrated into practice teams, whilst working collaborativelywith the general practice team members, care home staff, patients, and otherHealthcare professionals to meet the needs of this group of vulnerable patients,whilst supporting the delivery of best practice, policy and procedures.
In order to work at this level NMC requirementsfor advanced practice must be met.
Main duties of the job
1. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
2. Assess, diagnose, plan, implement and evaluate treatment/interventions and care for registered patients presenting with an undifferentiated diagnosis and long-term chronic conditions
3. Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs
4. Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)
5. Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan
6. Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice
7. Work with patients in order to support compliance with and adherence to prescribed treatments
8. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions
About us
IntraHealthis one of the UKs leading provider of NHS Primary and Community Care services.We serve a range of patients across our three divisions of Primary Care (generalpractice), Pharmacy and Clinical Services which includes anticoagulationmonitoring, patient medication reviews and childhood immunisation programmes.
We alsoprovide management and clinical support to other GP practices and NHS bodies. We are awell-established organisation having provided NHS services since the companywas founded in 1999. Our team is made up of GPs, Advanced NursePractitioners (ANPs), Nurses, Pharmacists, Pharmacy Technicians, Health CareAssistants (HCAs) and local administration teams supported by a centralisedback office function; providing finance, HR, administration and data analysissupport.
We operateNHS services across the North East, North West and Yorkshire.
Job description
Job responsibilities
9. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
10. Assess, diagnose, plan, implement and evaluate treatment/interventions and care for registered patients presenting with an undifferentiated diagnosis and long-term chronic conditions
11. Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs
12. Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)
13. Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan
14. Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice
15. Work with patients in order to support compliance with and adherence to prescribed treatments
16. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions
17. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
18. Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care
19. Assess, identify and refer patients presenting with mental health needs in accordance with the NICE guidance for Mental Health
20. Promote and deliver evidence-based care for patients presenting with all conditions
21. Ensure that appropriate care plans are in place and that the patient and their carers understand their significance within their treatments.
Work within the IntraHealth federation to achieve best health outcomes and where possible prevent unplanned hospital admissions.
Person Specification
Attitudes
Essential
22. Self-directed practitioner
23. Highly motivated
24. Flexibility
25. Enthusiasm
26. Team player
27. Ability to work across boundaries
Desirable
28. Communication skills, both written and verbal
29. Negotiation and conflict management skills
30. Change management skills
31. Resource management
Experience
Essential
32. Minimum 3 years post registration experience
33. At least 2 years recent primary and/or community nursing experience
34. Nurse-led management of minor illness, minor ailments
35. Nurse-led triage
36. Leadership in quality initiatives such as clinical benchmarking
37. Advanced clinical practice skills
38. Management of patients with long-term conditions
39. Management of patients with complex needs
40. Clinical examination skills
41. Accountability of own role and other roles in a nurse-led service
42. Local and national health policy
43. Wider health economy awareness.
44. Clinical governance issues in primary care
45. Independent non-medical prescribing qualification
Desirable
46. Working with community development initiatives
47. Health-needs assessment
48. Compiling protocols and clinical guidelines
Qualifications
Essential
49. Relevant nursing/health MSc / Degree in Advanced Nursing Practice.
Desirable
50. Registered first level nurse MSC or equivalent/Degree
51. Mentor/teaching qualification or equivalent experience