Branston & Heighington Surgery is going through changes that will drive the service and Patient experience as well as delivering new efficient and effective procedures.
Advanced Nurse Practitioner
Working alongside the existing team you will be responsible for providing on the day care to a population of approximately 5,000 patients who present with a range of undifferentiated illnesses and injuries. You will independently assess, diagnose and prescribe for these patients and undertake clinical appointments, telephone triage and home visits with mileage reimbursed.
We are looking to recruit into a position covering Monday & Tuesday each week.
Main duties of the job
The post holder will need to be an experienced Advanced Nurse Practitioner who, 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, and providing nurse leadership as required. In order to work at this level NMC (Nursing and Midwifery Council) requirements for advanced practice must be met.
About us
Branston & Heighington Surgery is going through changes that will drive the service and Patient experience as well as delivering new efficient and effective procedures.
We are a friendly rural practice with an emphasis on team working and peer support. We operate from a purpose built building.
Job responsibilities
Key responsibilities
- Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.
- Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
- Assess, diagnose, plan, implement and evaluate interventions/ treatments for patients with complex needs.
- Diagnose and manage both acute and chronic conditions, integrating both drug and non‑drug based treatment methods into a management plan.
- 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.
- Work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribing and over‑the‑counter medication, medication regimens, side‑effects and interactions.
- Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
- Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self‑care.
- Undertake vaccinations for adults, within own scope of practice, and according to local and national policies and procedures.
- 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.
- Maintain effective communication within the practice environment and with external stakeholders.
- Act as an advocate for patients and colleagues.
- Recognise and work within own competence and professional code of conduct as regulated by the NMC.
- Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
- Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
- Deliver care according to NICE guidelines and evidence‑based care.
- Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
- 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 (e.g. root‑cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near‑miss events.
- Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model.
Person Specification
Qualifications
- RGN
- Independent/Supplementary Nurse Prescribing
- Post Graduate Diploma: Nurse Practitioner in Primary Care or equivalent. Qualified to Degree Level
- Previous experience in Clinical Management involving first contact with patients with minor illness
Experience
- Advanced assessment skills incorporating: history taking, clinical examination, diagnosis and initiating programmes of care
- Primary Care experience
Knowledge - Skills
- Computer Literate
- Able to use own initiative and work unsupervised
- Leadership skills including team development
- Ability to deal with difficult situations and cope under pressure
- Possess good verbal and written communication skills
- Positive interpersonal skills
- Able to work additional hours, occasionally at short notice
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.
