Middleway Surgery, a general medical services practice in Par, is recruiting an Advanced Nurse Practitioner to its clinical team on an initial 12-month contract. The post centres on autonomous assessment and management of patients with acute and chronic conditions, including chronic disease reviews, prescribing and onward referral. It is a 32-hour role built around 15-minute appointments and a daily home visit, working alongside GPs and other practice clinicians. Fit depends on advanced-level nursing qualifications and independent prescribing registration.
What the job involves
- Assess, diagnose and manage patients with acute and chronic conditions, prioritising needs and starting treatment plans
- Provide advanced nursing care in line with evidence, NICE guidance and national standards
- Recognise deterioration, manage risk, and escal ?de? or refer to secondary and specialist care
- Prescribe as an independent or supplementary prescriber and review medicines
- Request, process and interpret pathology and test results, acting on them
- Deliver chronic disease reviews, run chronic disease clinics and maintain registers with call/recall
- Identify patients at risk of long-term conditions and support prevention
- Recognise, assess and refer patients with mental health needs or substance misuse
- Participate in clinical emergencies and support the team
- Carry out chaperoning and support vaccination programmes
- Deliver well woman and well man clinics and health promotion
- Support home visits and the online triage and duty team
Qualifications
- Master's degree for qualification after December 2020 via RCN ALNP credentialing, or an advanced practice degree if qualified before December 2020
- Minor illness qualification
- Evidence of enhanced-level working per the Primary Care and General Practice Nursing Career and Core Capabilities Framework
Registration & licences
- Registered nurse with current NMC registration and revalidation
- Qualified independent nurse prescriber on the NMC register
Experience
- Understanding of general practice and the wider NHS
- Experience of practice within the four pillars
- Experience of leading chronic disease management
- Experience of prescribing and undertaking medication reviews
- Experience of infection prevention and control measures
- Experience of quality initiatives, such as benchmarking
Skills & knowledge
- Understanding of the importance of evidence-based practice
- Ability to promote best practice in nursing matters
- Clinical skills in ECGs, venepuncture, chaperoning, requesting and processing pathology, and advising patients
- Clinical knowledge of diabetes, hypertension, asthma, spirometry, CHD and women's health (cervical cytology, contraception)
- Working within own scope of practice and knowing when to refer to GPs
Nice to have
- Experience of working as a practice nurse or community nurse
- Appreciation of the NHS landscape, including the relationship between organisations, PCNs and commissioners
- Qualified triage nurse
- Teaching qualification
- ALS and PALS
What's offered
- Professional development opportunities
- Shared learning within the practice
- Involvement in supervising and educating medical students
- Above-average earnings, as stated by the practice