Charlton Hill Surgery has a fantastic opportunity for an experienced, enthusiastic and motivated Advanced Nurse Practitioner, with prescribing experience, to join our team. You will be working primarily with patients presenting with acute illnesses.
We are looking for someone to work 30 hours a week, Monday, Wednesday, Thursday and Friday, although we will consider three of these days.
Main duties of the job
- You will be part of the duty team, seeing patients who present with symptoms that require same day care.
- Prioritising health problems and intervening appropriately, to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
- Be up to date with all necessary training in this field.
About us
About us..
7 GP partners, 5 associate GPs, 2 ANPs and an experienced nursing team of 4 practice nurses
The practice..
15,800 patients, mix of urban and rural, steady growth of patients
Recently extended premises
The surgery is adjacent to Andover War Memorial Community Hospital with on site phlebotomy, radiology, MIU and the Countess of Brecknock Hospice
In-house MSK physiotherapy and clinical pharmacists
CQC Good
Teaching practice (both GP registrars and medical students)
Coffee break with other clinicians
Monthly practice lunch provided
Job responsibilities
Job summary
The post holder is anexperienced clinical practitioner who, acting within their professionalboundaries, will provide care for the presenting patient from initial historytaking, clinical assessment, diagnosis, treatment and evaluation of care. Theywill demonstrate safe, competent clinical decision-making and expert care,including assessment and diagnostic skills, for patients within the generalpractice. The post holder will demonstrate critical thinking in the clinicaldecision-making process. They will communicate and work collaboratively withthe general practice team to meet the needs of patients, supporting thedelivery of policy and procedures, and providing nurse leadership as required.
In order to work atthis level, you should have:
- a. mastersdegree level in the relevant area of expertise
- b. isworking at a masters level aware or equivalent that encompasses the fourpillars of clinical practice, leadership and management, education andresearch, with demonstration of core capabilities and area specific clinicalcompetencies
- c. NMCrequirements for advanced practice must be met
- d. haveeither graduated from a Centre for Advancing Practice accredited MSc advancedpractice programme or completed the Centres e-Portfolio (supported) Route;both pathways enable eligibility for an Advanced digital badge issued by theCentre, demonstrating recognised educational and experiential preparation inadvanced practice.
Overview of Key Responsibilities
- a. Assessand triage patients, including same day triage, and as appropriate providedefinitive treatment (including prescribing medications following policy,patient group directives, NICE (national) and local clinical guidelines andlocal care pathways) or make necessary referrals to other members of theprimary care team
- b. Manage undifferentiated undiagnosed conditionand identify red flags and underlying serious pathology and take appropriateaction
- c. Usecomplex decision making to inform the diagnosis, investigation, completemanagement of episodes of care within a broad scope of practice
- d. Activelytake a personalised care approach and population centered care approach toenable shared decision making with the presenting person
- e. Completethe relevant training in order to provide multi-professional clinical practiceand CPD supervision to other roles within primary care, for example firstcontact practitioners and the personalised care roles.
- f. Yoo’llbe working at a masters level or equivalent that encompasses the four pillarsof clinical practice, leadership and management, education and research, withdemonstration of core capabilities and area specific clinical competencies.
Primary Responsibilities
- a. Develop,implement and embed health promotion and well-being programmes.
- b. Triageand treat patients, performing specialist assessment of their needs and makereferrals as necessary to other members of the primary and secondary healthcare teams as appropriate.
- c. Diagnoseand manage patients presenting with a range of acute and chronic medicalconditions, providing subject matter expert advice to patients
- d. Identify,manage and support patients as risk of developing long-term conditions,preventing adverse effects on the patients health
- e. Provideadvanced, specialist nursing care to patients as required in accordance withclinical based evidence, NICE and the NSF
- f. Providechronic disease clinics, delivering patient care as necessary, referringpatients to secondary / highly specialised care advice beyond the scope ofnormal nursing practice e.g. care treatment plans, making referrals asappropriate (including fast track referrals)
- g. Supportthe team in dealing with clinical emergencies
- h. Recognise,assess, and refer patients presenting with mental health needs
- i. Contributeto local and national practice targets clinical remit e.g. QOF, prescribingincentive scheme and national benchmarking.
- j. Liaisewith external services / agencies to ensure the patient is supportedappropriately (vulnerable patients etc.)
- k. Supportthe clinical team with all safeguarding matters for children and vulnerableadults, in accordance with local and national protocols
- l. UnderstandPCN and local policies for substance abuse and addictive behaviour, referringpatients appropriately
- m. Prescribingand reviewing medication that is appropriate to patient needs and in accordancewith latest evidence-based practice, nation and practice protocols and withinthe scope of qualified practice
- n. Managementof health screening programmes and ensure other team members are aware ofhealth priorities and screening objectives and programmes.
Person Specification
Qualifications
- Registered first level nurse MSc or equivalent
- Clinical supervision training and experience
- Up to date training in BLS and anaphylaxis management
- An ability to work as part of a team
- Commitment to continuing professional development
- Commitment to raising the high standards of Charlton Hill Surgery
- Long term conditions qualification Diabetes or Respiratory
Experience
- Compassionate manner with an empathetic approach and demonstrable kindness in all aspects of your work. The successful candidate will value the dignity of our patients, their relatives and carers, as well as their colleagues at the practice.
- Knowledge, and experience of its application, in supporting long-term conditions.
- Insight and understanding of current issues in nursing and the wider NHS.
- Nurse prescriber.
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.