Advanced nurse practitioner - brook square surgery

Advanced Nurse Practitioner - Brook Square Surgery

The post holder is an experienced Nurse with a minimum of three years experience working as a Nurse Practitioner, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision‑making and expert care, including assessment and diagnostic skills, for patients within the general practice. The post holder will demonstrate critical thinking in the clinical decision‑making process. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, providing nurse leadership. In order to work at this level NMC requirements for advanced practice must be met.

Duties and Responsibilities

Clinical Practice

• Assess, diagnose, plan, implement and evaluate treatment/interventions.
• Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs.
• Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long‑term condition (as appropriate).
• Diagnose and manage both acute and chronic conditions, integrating both drug- and non‑drug‑based treatment methods into a management plan.

Communication

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
• Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
• Anticipate barriers to communication and take action to improve communication.
• Maintain effective communication within the practice environment and with external stakeholders.
• Act as an advocate for patients and colleagues.
• Ensure awareness of sources of support and guidance (e.g., PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Delivering a Quality Service

• Recognise and work within own competence and professional code of conduct as regulated by the NMC.
• Deliver care according to NSF, NICE guidelines and evidence‑based care.
• Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
• In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
• Support and participate in shared learning across the practice and wider organisation.
• Use a structured framework (e.g. root‑cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near‑miss events.
• Assess the impact of policy implementation on care delivery.
• Monitor and develop the performance of the GPN team in accordance with local policies.
• Approve the performance of the team, providing feedback as appropriate.
• Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance.
• Ensure the whole team has skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required.

Leadership, Personal and People Development

• Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model.
• Support staff development to maximise potential, be actively involved in staff appraisal.
• Lead the Nursing team and ensure support structures are in place for the smooth running of the practice.
• Take a lead role in planning and implementing changes within the area of care and responsibility.
• Work with the practice management to ensure sufficient staff of appropriate ability, quality and skill‑mix are available to meet current and future service delivery.
• Promote the role of the Advanced Nurse Practitioner in general practice.

Team Working

• Understand own role and scope and identify how this may develop over time.
• Work as an effective and responsible team member, supporting others and exploring mechanisms to develop new ways of working.
• Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
• Prioritise own workload and ensure effective time‑management strategies are embedded within the culture of the team.
• Work effectively with others to clearly define values, direction and policies impacting upon care delivery.
• Discuss, highlight and work with the team to create opportunities to improve patient care.
• Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team.
• Agree plans and outcomes by which to measure success.

Management of Risk

• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
• Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs.
• Ensure the nursing team undertakes mandatory and statutory training requirements.
• Apply infection‑control measures within the practice according to local and national guidelines.
• Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.

Managing Information

• Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.
• Understand responsibility of self and others to the practice and primary care trust regarding the Freedom and Information Act.
• Monitor and confirm that the nursing team is receiving and processing data and information in an agreed format; collate, analyse and present clinical data and information to the team.
• Communicate essential financial restraints with the team and discuss with them ideas for effective and efficient working within these constraints.

Learning and Development

• Undertake mentorship for more junior staff, assessing competence against set standards.
• Disseminate learning and information gained to other team members in an environment that facilitates learning.
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.

Person Specification

Qualifications

• Clinical supervision training and experience
• Mentor/teaching qualification or equivalent experience
• Extended/Independent Nurse Prescriber
• Registered first level nurse MSC or equivalent/Degree

Experience

• Minimum 5 years post registration experience
• At least 3 years recent primary and community nursing experience
• Nurse‑led management of minor illness.
• Nurse‑led triage
• Compiling protocols and clinical guidelines
• Leadership in quality initiatives such as clinical benchmarking
• Leading a team
• Project management
• Working with community development initiatives
• Health‑needs assessment
• Highly motivated
• Flexibility
• Team player
• Ability to work across boundaries
• Management of patients with long‑term conditionsManagement of patients with complex needs
• Accountability of own role and other roles in a nurse‑led service
• Local and national health policy
• Clinical governance issues in primary care
• Patient group directions and associated policy
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Teaching and mentorship in a clinical setting
• Advanced Clinical skills
• Knowledge of public health issues
• Understanding of clinical governance issues in primary care
• Able to identify determinants on health in the area
• Knowledge of public health issues in the area
• Demonstrate an understanding of the data protection act and patient confidentiality, clinical and information governance and Caldicott requirements

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.