This is a great opportunity to join a dynamic Primary Care Network in Epsom, Surrey. The role offers a mix of 1) home visits with close liaison with our practices and our community team (matrons, DNs, physiotherapists etc) and 2) practice based role within a large, thriving practice in the centre of Epsom.
Main duties of the job
Thepost-holder is an Advanced Nurse Practitioner(ANP)
They havebeen assessed as competent in practice using their expert clinical knowledgeand skills. They have the freedom and authority to act and make autonomousdecisions in the assessment, diagnosis and treatment of patients.
The ANPprovides an opportunity for patients to avoid the need to be referred to a GP,thereby enabling them to receive timely care and negate unnecessary delay inreceiving treatment.
ANPs in primary care can develop close,long-term relationships with their patients and work in partnership with themto achieve optimum health. They are autonomous in making decisions based onassessment, diagnosis and the interpretation of test results. They canindependently prescribe appropriate medication, evaluate or refer to otherspecialists if necessary.
About us
Epsom PCN brings together six GP practices across the Epsom and Ewell area, serving a population of approximately 63,000 patients. We are a well-established and forward-thinking network, supported by a multidisciplinary team of around 25 to 30 additional roles, including Clinical Pharmacists, Paramedics, Physician Associates, First Contact Physiotherapists, Pharmacy Technicians, Care Co-ordinators, GPs, and a dedicated Health & Wellbeing Team.
We work closely with our Community and Integrated Mental Health Teams to provide joined-up, person-centred care. Epsom PCN is proud to be among the first 43 areas in England selected for the governments new Neighbourhood Health Programme, reflecting our strong partnerships and collaborative working with the VCSE (Voluntary, Community and Social Enterprise) sector.
Our PCN is dynamic and ambitious, demonstrated by our success in securing two Surrey Heartlands test bed pilot projects including one focused on delivering transformative care at scale through an innovative new Electronic Patient Record (EPR) system.
Its an exciting time to join Epsom PCN as we continue to shape the future of integrated care in our community. We look forward to welcoming your application.
Job responsibilities
Primary key responsibilities
The following are the coreresponsibilities of the ANP in delivering health services.
* a. Develop, implement and embed health promotion and wellbeing programmes
* b. Manage patients presenting with a range of acute and chronic medicalconditions, providing subject matter expert advice
* c. Implement and evaluate individual specialised treatment plans forchronic disease patients
* d. Identify, manage and support patients at risk of developing long-termconditions, preventing adverse effects to the patients health
* e. Provide advanced, specialist nursing care to patients as required inaccordance with clinical based evidence, NICE and the NSF
* f. Be aware of duties and responsibilities regarding current legislationand adhere to practice policies and procedures on Safeguarding Adults andSafeguarding Children
* g. Request and collect pathological specimens. Upon receipt, to processand interpret pathology and other test results as required
* h. Provide chronic disease clinics, delivering patient care as necessary,referring patients to secondary/specialist care as required
* i. Maintain accurate clinical records in conjunction with extantlegislation ensuring that SNOMED CT codes are used effectively
* j. Maintain chronic disease registers and implement and embed aneffective call/recall system
* k. Develop, implement and embed well woman and well man clinics
* l. Chaperone patients where necessary
* m. Prioritise health issues and intervene appropriately
* n. Support the team in dealing with clinical emergencies
* o. Recognise, assess and refer patients presenting with mental healthneeds
* p. Support in the provision of vaccination programmes for both adults andchildren
* q. Be an extended and supplementary prescriber, adhering to extantguidance
* r. Support patients in the use of their prescribed medicines or over thecounter medicines (within own scope of practice), reviewing annually asrequired
* s. Contribute to practice targets (QOF, etc.), complying with local andregional guidance
* t. Liaise with external services/agencies to ensure the patient issupported appropriately (vulnerable patients, etc.)
* u. Delegate clinical responsibilities appropriately (ensuring safepractice and that the task is within the scope of practice of the individual)
* v. Understand practice and local policies for substance abuse andaddictive behaviour, referring patients appropriately
* w. Deliver opportunistic health promotion where appropriate
* x. Work as part of a multi-disciplinary team(MDT) within the organisation
* y. Assess and triage patients, including same daytriage, and as appropriate provide definitive treatment (includingprescribing medications following policy, patient group directives, NICE(national) and local clinical guidelines and local care pathways) or makenecessary referrals to other members of the primary care team
* z. Advise patients on general healthcare andpromote self-management where appropriate, including signposting patients tothe social prescribing service and, where appropriate, other community orvoluntary services
* aa. Beable to:
* bb. PerformSpecialist health checks and reviews within their scope of practice and inline with local and national guidance
* cc. Perform and interpret ECGs
* dd. Performinvestigatory procedures as required and undertake the collection ofpathological specimens including intravenous blood samples, swabs and othersamples within their scope of practice and within line of local and nationalguidance
* ee. Supportthe delivery of anticipatory care plans and lead certain services (e.g.,monitoring blood pressure and diabetes risk of elderly patients)
* ff. Providean alternative model to urgent and same day GP home visit for the network
* gg. Communicateat all levels across organisations ensuring that an effective, person-centredservice is delivered
* hh. Communicateproactively and effectively with all colleagues across the MDT, attending andcontributing to meetings as required
There may be, on occasion, arequirement to carry out other tasks, this will be dependent upon factorssuch as workload and staffing levels
Wider responsibilities
In addition to the primaryresponsibilities, the ANP has the following wider responsibilities:
* a.Provide holistic support in the clinical governance spectrum assuminga senior role in its compliance
* b.Support the IPC lead for the practice, ensuring compliance
* c.Monitor and ensure the safe storage, rotation and disposal ofmedications
* d.Undertake overall management of the nursing team, providing guidancewhen necessary, acting as a mentor to students and newly qualified staff
* e.Participate in local initiatives to enhance service delivery andpatient care
* f.Support and participate in shared learning within the organisation
* g.Develop an area of specialist interest, taking the lead within theorganisation
* h.Continually review clinical practices, responding to national policiesand initiatives where appropriate
* i.Drive the development of nursing services within the organisation,liaising with external agencies and professional organisations as required
* j.Develop practice administrative and clinical protocols in line withthe needs of the patient and current legislation
Person Specification
Experience
* Understanding of general practice and the wider NHS
* Experience of practice within the four pillars
* Experience of leading in chronic disease management
* Experience of prescribing and undertaking medication reviews
* Experience of infection prevention and control measures
* Experience of quality initiatives, i.e., benchmarking
* An appreciation of the new NHS landscape including the relationship between individual organisations, PCNs and the commissioners
* Experience of working as a practice nurse or community nurse
Knowledge & Skills
* Understanding the importance of evidence based practice
* Ability to work within scope of practice and understanding when to refer to GPs
* Good clinical system IT knowledge
* Excellent interpersonal, influencing and organisation skills with the ability to constructively challenge
* Understanding of QOF and enhanced services
* Demonstrate personal accountability, emotional resilience and work well under pressure
* Ability to follow legal, ethical and professional policies/ procedures and codes of conduct
Full Driving Licence
* This role involves home visits so the ability to drive is necessary.
Qualifications
* QualificationsEssential
* Registered Nurse with Nursing and Midwifery Council (NMC)
* Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice (ALNP) or, a degree for Advanced Practice Qualification up to December 2020
* Qualified Independent Nurse Prescriber on the NMC register
* Has evidence of working at an enhanced level, as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework
* Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
* Confirmation of registration with the NMC
* Qualified Triage Nurse
* Teaching qualification
* ALS and PALS
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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