Advanced Nurse Practitioner (ANP) or Paramedic
We are seeking an enthusiastic and dynamic ANP or Paramedic to join our clinical team. We are looking for 15 hours per week.
We are a friendly, successful, 4 Partner practice situated in the heart of Thornbury committed to providing high quality patient health and care services to our c.9000 patients. Our ethos is built upon some core values including safe, accessible and continuous service for each of our patients.
* We hold a PMS Contract
* We use EMIS Web
* We provide a full range of enhanced services.
* We are high QoF achievers
* We have an active working relationship with our PCN member practices.
Main duties of the job
We would expect the successful candidate to:
Work autonomously using their enhanced clinical assessment and treatment skills, to provide first point of contact for patients presenting with undifferentiated, diagnosed problems relating to minor illnesses or injury.
They should be autonomous in making decisions based on assessment, diagnosis and interpretation of test results.
Independent prescribing is desirable but not essential.
Evaluate or refer to other specialists if necessary.
ANP's or Paramedics in this role will focus solely on same day medical need patients.
About us
We are a friendly, social team and fair well in the annual GP Patient Survey. We have a growing list size, hence looking to expand our workforce.
We are also a GP training practice with 3 of the 4 Partners registered as trainers, therefore we commonly have at least one learner with us at any given time. In addition, we are supported by 3 part time salaried GPs, 2 ANPs, a highly successful nursing team and a dedicated and supportive reception and administrative team.
We operate a more traditional model of general practice. We are in the early stages of introducing care navigation, most of our appointments are face to face and we strongly believe in continuity of care. Our GPs & ANPs work collectively as a team to ensure the well being of each other.
Job responsibilities
The following are the core responsibilities for the role. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
* Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advise to patients
* Implement and evaluate individual specialised treatment plans for chronic disease patients
* Identify, manage and support patients as risk of developing long-term conditions, preventing adverse effects on the patients health
* Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
* Request pathology services as necessary
* Process and interpret pathology and other test results as required
* Maintain accurate clinical records in conjunction with extant legislation
* Ensure SNOMED codes are used effectively
* Chaperone patients where necessary
* Prioritise health issues and intervene appropriately
* Support the team in dealing with clinical emergencies
* Recognise, assess and refer patients presenting with mental health needs
* Extended and supplementary prescriber, adhering to extant guidance
* Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
* Contribute to practice targets (QOF etc.), complying with local and regional guidance
* Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
* Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
* Support the clinical team with all safeguarding matters, in accordance with local and national policies
Person Specification
Skills
* Competent in holistic assessment of patients across the life span, including neonates, children, adults, and older people
* Skilled in paediatric assessment, recognising normal and abnormal presentations in infants and children
* Ability to independently perform clinical examinations (cardiovascular, respiratory, abdominal, neurological, ENT, musculoskeletal)
* Competent in managing acute illnesses and minor injuries, including infections, musculoskeletal injuries, and dermatological conditions
* Competence in managing long-term conditions (e.g., asthma, COPD, diabetes, hypertension, heart failure) using evidence-based guidelines
* Ability to assess, diagnose, and manage mental health presentations within primary care scope
* Skilled in telephone triage, face-to-face consultations, and remote video consultations
* Competence in interpreting diagnostic investigations, including blood results, ECGs, spirometry, urinalysis, and imaging reports
* Ability to identify safeguarding concerns in adults and children and act appropriately according to national guidelines
* Skills in wound care management, including assessment of minor burns, wounds, and simple suturing
* Health promotion and disease prevention skills, providing tailored lifestyle advice
* Competent in recognising red flag symptoms and escalating appropriately to secondary care or specialist services
* Clear understanding of clinical governance, consent, confidentiality, infection control, and professional accountability in practice
* COIL insertion/removal
* Pessary Rings
* Experience of carrying out Learning Disability reviews
* Experience of carrying out Dementia reviews
* Ability to safely prescribe medication independently (V300) for acute and chronic presentations
Qualifications
* Registered Nurse
* Registered Paramedic
* Masters level qualification in Advanced Clinical Practice
* Diploma in Primary and Urgent Care
Experience
* Experience of working in a primary care environment
* Experience of chronic disease management
* Proven experience of working autonomously and independently managing a wide range of patients across the lifespan
* Demonstrated competence in clinical history taking, physical assessment, clinical reasoning, diagnosis, and management planning
* Evidence of managing both acute presentations and chronic disease conditions (e.g., diabetes, asthma, COPD, hypertension)
* Experience of delivering face-to-face consultations, telephone triage, and remote consultations
* Experience of working as a practice nurse or community nurse
* Experience of prescribing and undertaking medication reviews
* Experience of safely prescribing independently under V300 qualification within own clinical competence
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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