Job summary
The post holder will be employed by Greenwich Health, the GP Federation in Greenwich. Greenwich has 6 primary care networks (PCNS) with list sizes of between 30-80,000 Post holder will work for Valentine Primary Care Network.
An ACP will demonstrate critical thinking and is a caring, compassionate and committed experiencednurse who, acting within their professional boundaries, will provide care forthe presenting patient from initial history taking, clinical assessment,diagnosis, treatment and evaluation of care. They will demonstrate safe,competent clinical decision-making and expert care, including assessment anddiagnostic skills, for patients within the general practice. They willcommunicate and work collaboratively with the general practice team to meet theneeds of patients, supporting the delivery of policy and procedures, andproviding nurse leadership as required.
Main duties of the job
1. Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
2. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
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
9. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
10. Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care
About us
Greenwich Health is the GPFederation for the Greenwich Borough and have a not-for-profit ethos. Thismeans we reinvest all of our surplus into developing our staff, ourorganisation and to support our GP Practices in being sustainable for thefuture. We are committed to providing quality of care to our patients whilstbuilding resilience for General Practice and providing services and programmesof work to deliver care at scale to the Greenwich Population.
Why work for Greenwich Health?
- We arelocal organisation owned by our local GP Practices we care what happens inGreenwich and want to make a difference to our patients and our partners.
- We offercompetitive remuneration as well as other benefits including:
oOccupational sickness pay entitlement
oCounselling services
oElectric Vehicle Salary Sacrifice Scheme
oCycle to Work Scheme
o Private Healthcare Membership - BenendenHealthcare
- We have atrack record for developing individuals in their careers
- Throughour partnerships in our local healthcare environment, we can develop sharedposts for example, with the hospital trust and our GP practices.
- You willhave ongoing support and mentorship.
- We havedeveloped a working culture which harnesses openness and togetherness which hasresulted in high staff retention rates.
Job description
Job responsibilities
Clinical Practice:
11. Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
12. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
13. Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs
14. Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)
15. Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan
16. 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
17. Work with patients in order to support compliance with and adherence to prescribed treatments
18. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects, and interactions
19. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
20. Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care
21. Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation
22. Assess, identify, and refer patients presenting with mental health needs in accordance with the NSF for Mental Health
23. Implement and participate in vaccination and immunisation programmes for both adults and children
24. Advise, support, and administer vaccinations for patients travelling abroad, where appropriate
25. Promote and deliver evidence-based care for patients presenting with aural conditions
26. Meet the needs of patients presenting for opportunistic wound care
27. Communication:
Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment Communicate with and support patients who are receiving bad news 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
Delivering aquality service :
Recognise and work within own competence and professional code of conduct as regulated by the NMC or other relevant professional body Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies, and procedures Deliver care according to NSF, NICE guidelines, and evidence-based care Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation Evaluate patients response to health care provision and the effectiveness of care Support and participate in shared learning across the practice and wider organisation Use a structured framework ( root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents, and near-miss events Working with the practice management monitor and develop the performance of the GPN team in accordance with local policies
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 in order to maximise potential Work with practice management to ensure sufficient staff of appropriate ability, quality and skill-mix are available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes Contribute to the development of local guidelines, protocols and standards
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 the mechanisms to develop new ways of working Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence Create clear referral mechanisms to meet patient need
Managementof Risk:
Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelinesEnsure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriate
ManagingInformation:
Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating 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 of Information Act
Learning anddevelopment:
Undertake mentorship for more junior staff, assessing competence against set standards Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments ( courses and conferences) Assess own learning needs and undertake learning as appropriate Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning
Secondary Responsibilities:
Delivering aquality service:
Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate Assess the impact of policy implementation on care delivery Contribute to the appraisal of 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 Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate
Leadership personal and people development:
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services Critically evaluate and review innovations and developments that are relevant to the area of work Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services Maintain effective communication with those responsible for the overall commissioning and procurement process Maintain active involvement in the planning and processes of practice-based commissioning or similar initiatives Promote the role of the advanced nurse practitioner in general practice
Teamworking:
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
Equity andDiversity:
Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity Enable others to promote equality and diversity in a non-discriminatory culture Support people who need assistance in exercising their rights Monitor and evaluate adherence to local chaperoning policies Act as a role model in the observance of equality and diversity good practice Accept the rights of individuals to choose their care providers, participate in care and refuse careAssistpatients from marginalised groups to access quality care
Person Specification
Qualifications
Essential
28. Registered first level nurse / Advanced Clinical Practitioner
29. MSc in a nursing or related Clinical Advanced Practice qualification at Masters Level
30. Mentor/teaching qualification
31. Non-Medical Prescriber
Desirable
32. NMCs Academic Assessors 'Practice Supervisors, and Practice Assessors accreditations or equivalent
33. Clinical supervision training and experience
Personal Qualities
Essential
34. Polite and confident
35. Flexible and cooperative
36. Motivated, forward thinker
37. Problem solver with the ability to process information accurately and effectively, interpreting data as required
38. High levels of integrity and loyalty
39. Sensitive and empathetic in distressing situations
40. Ability to work under pressure / in stressful situations
41. Effectively able to communicate and understand the needs of the patient
42. Commitment to ongoing professional development
43. Effectively utilises resources
44. Punctual and committed to supporting the team effort
Clinical Knowledge & Skills
Essential
45. Management of management of minor illness, minor ailments, and injuries
46. Immunisations (routine, childhood, B12, travel)
47. Wound Care / Treatment of advanced injuries / Removal of sutures & staples
48. Womens health (Cervical cytology, contraception, etc.)
49. Dressings
50. Diabetes review
51. Hypertension
52. Cardiovascular disease primary prevention
53. Coronary Heart Disease
54. Blood pressure
55. Travel medicine
56. Mental Health
57. Asthma
58. Ability to work within own scope of practice and understanding when to refer to GPs
59. Advanced clinical practice skills Management of patients with long-term conditions
60. Management of patients with complex needs and chronic diseases
61. Clinical examination skills
62. Ability to record accurate clinical notes
63. Clinical governance issues in primary care
64. Patient group directions and associated policy
65. Understands the importance of evidence-based practice
66. Cytology certificates
67. Chaperone procedure
68. Requesting pathology tests and processing the results, advising patients accordingly
Desirable
69. ECG interpretation
70. Local and national health policy
71. Venepuncture
72. New patient medicals
73. Knowledge of public health issues in the local area
74. Able to identify determinants on health in the area
75. Awareness of issues within the wider health arena
Experience/Knowledge
Essential
76. 5 years post registration experience including 6 months experience in a GP practice/ Walk in Centre/ Urgent Care Centre
77. Advanced clinical Practitioner-led management of minor illness, minor ailments, and injuries
78. Advanced Clinical Practitoner-led triage
79. Compiling protocols and clinical guidelines
80. Clinical Leadership
81. Nurse prescribing
82. Audit
Desirable
83. Project management
84. Working with community dev. initiatives
85. Health-needs assessment
86. Research
General Skills
Essential
87. Excellent communication skills (written and oral)
88. Clinical leadership skills
89. Negotiation and conflict management skills
90. Strong IT skills
91. Clear, polite telephone manner
92. Competent in the use of Office and Outlook
93. Competent in the use of patient record management systems: EMIS
94. Competent in Document Management systems: Docman
95. Competent in other portals: Open Exeter, Coordinate my Care
96. Effective time management (Planning & Organising)
97. Ability to work as a team member and autonomously
98. Good interpersonal skills
99. Problem solving & analytical skills
100. Ability to follow clinical policy and procedure
101. Experience with audit and able to lead audit programmes
102. Experience with clinical risk management
Desirable
103. Change management
104. Teaching and mentorship clinical setting
105. Resource management
106. Facilitation of Learning for patients, carers, other staff and students
107. Leadership and management skills, as part of a general practice nursing team with delegated accountability and responsibility for patient care
108. Evidence, research and development - has an enquiring approach to practice to ensure best quality care is offered within any constraints of the service