Advanced Clinical/Nurse Practitioner

NHS; London; On-site; GBP 40,000 - 50,000; Full time

Job summary

Join a leading healthcare team as an Advanced Clinical/Nurse Practitioner at Francis Grove Surgery, where you'll provide high-quality patient care and collaborate with healthcare professionals. This role is initially for maternity cover but may lead to a permanent position. Ideal candidates will have a strong clinical background and the ability to work autonomously while contributing to a multidisciplinary team.

Qualifications

• Registered Nurse with Nursing and Midwifery Council.
• Experience of working in a primary care environment.

Responsibilities

• Deliver high-quality patient care, managing acute and chronic conditions.
• Initiate and evaluate treatment plans, including prescribing.
• Support the team in clinical emergencies.

Skills

Clinical Reasoning

Communication

Decision-Making

Patient Management

Education

Masters degree

Post graduate diploma

Job description

Come and join our lovely team at Francis Grove Surgery. Weare looking for a full or part time dedicated and skilled AdvancedClinical/Nurse Practitioner to join our supportive and friendly healthcareteam. The role is initially to cover Maternity Leave but may well lead on to apermanent position in the team.

The successful candidate will play a pivotal role indelivering high-quality patient care, working collaboratively with otherhealthcare professionals to assess, diagnose, and manage patient conditions.This position requires a strong clinical background and the ability to workautonomously while also contributing to a multidisciplinary team.

Main duties of the job

Practice in compliance with respective code of professional conduct and within their scope of practice,being responsible and accountable for their decisions, actions and omissions

Demonstrate a critical understandingof their broadened level of responsibility and autonomy and the limits of owncompetence and professional scope of practice

Demonstrate effective communicationskills, supporting people in making decisions, planning care or seeking to makea positive change

Use expertise and decision-making skills to informclinical reasoning

Initiate, evaluate and modify a range of interventionswhich may include prescribing medicines, therapies, lifestyle advice and care

Manage patients presentingwith a range of acute and chronic medical conditions, providing subject matterexpert advice

Implement and evaluateindividual specialised treatment plans for chronic disease patients

Identify, manage and supportpatients at risk of developing long-term conditions, preventing adverse effectsto the patients health

Actively engage in peer review to inform own practice, formulating and implementing strategies to act on learning and makeimprovements

Provide chronic disease clinics,delivering patient care as necessary, referring patients tosecondary/specialist care as required

Maintain accurate clinical records inconjunction with extant legislation

Contribute to practice targets (QOF, etc.)

Support the team in dealing withclinical emergencies

About us

A little about the surgery and its philosophy andperformance

Francis Grove Surgery is an established GP practice in theheart of Wimbledon. The practice is a 3 partner practice, with a list size of14,700 patients. It is situated in modern premises on the ground, first andsecond floor in the Courtyard Development only minutes walk away fromstations, shops, cafes and Wimbledon Shopping Centre.

Wimbledon is a vibrant and popular suburb of London withexcellent links to other parts of London via underground and overgroundstations, buses and trams. Much of the area is made up of comfortable privatehousing with very little social deprivation. The practice population is wellinformed, comprising a large number of working professionals and their youngfamilies.

Francis Grove Surgery has an excellent reputation locallyand is a popular practice. Feedback from patients is very good and they tend tostay with the practice.

The practice strives to maintain the core values oftraditional General Practice and provide good continuity of care. We aim toprovide a service which is responsive to the needs of the population with goodquality care, respecting diversity and human rights. The practice provides goodaccess to those who need services and encourages a culture of learning,embracing change and celebrating achievements.

Job responsibilities

Thefollowing are the core responsibilities of the Advanced Clinical Practitioner.

There may be, on occasion, a requirement tocarry out other tasks; this will be dependent upon factors such as workload andstaffing levels:

a.Practise in compliance with their respectivecode of professional conduct and within their scope of practice, beingresponsible and accountable for their decisions, actions and omissions at thislevel of practice

b.Demonstrate a critical understanding of theirbroadened level of responsibility and autonomy and the limits of own competenceand professional scope of practice, including when working with complexity,risk, uncertainty and incomplete information

c.Act on professional judgement about when toseek help, demonstrating critical reflectionon own practice, self-awareness, emotional intelligence, and openness to change

d.Work in partnership withindividuals, families and carers, using a range of assessment methods asappropriate

e.Demonstrate effective communication skills,supporting people in making decisions, planning care or seeking to make apositive change

f. Use expertise and decision-making skills toinform clinical reasoning

g. Initiate, evaluate and modify a range of interventions which may includeprescribing medicines, therapies, lifestyle advice and care

h.Exercise professional judgement to managerisk

i.Managepatients presenting with a range of acute and chronic medical conditions,providing subject matter expert advice

j.Implementand evaluate individual specialised treatment plans for chronic diseasepatients

k.Identify,manage and support patients at risk of developing long-term conditions,preventing adverse effects to the patients health

l. Be a professional role model for the organisation

m. Actively engage in peer review to inform own and otherspractice, formulating and implementing strategies to act on learning and makeimprovements

n. Actively seek feedback and involvement from individuals,families, carers, communities and colleagues in the co-production of serviceimprovements

o. Critically assess and address own learning needs,negotiating a personal development plan that reflects the breadth of ongoingprofessional development across the four pillars of advanced clinical practice(clinical practice, leadership and management, education and research).

p.Providechronic disease clinics, delivering patient care as necessary, referringpatients to secondary/specialist care as required

q.Maintainaccurate clinical records in conjunction with extant legislationand to ensure SNOMED CT codes are used effectively

r.Develop,implement and embed an effective call/recall system

s. Critically appraise and synthesise the outcome ofrelevant research, evaluation and audit, using the results to underpin ownpractice and to inform that of others

t.Develop andimplement robust governance systems andcontribute to practice targets (QOF, etc.), complying with local and regionalguidance

u.Chaperonepatients where necessary

v.Supportthe team in dealing with clinical emergencies

w.Supportthe team with all safeguarding matters in accordance with local and nationalpolicies

x.Understandpractice and local policies for substance abuse and addictive behaviour,referring patients appropriately

y.Deliveropportunistic health promotion where appropriate

Inaddition to the primary responsibilities, the Advanced Clinical Practitionermay be requested to:

a.Supportthe IPC lead, ensuring compliance, and undertaking audit as necessary

b.Monitorand ensure the safe storage, rotation and disposal of medicines

c.Undertakeoverall management of a clinical team, providing guidance when necessary,acting as a mentor to students and newly qualified staff

d.Maintainan effective clinical staff rota ensuring all clinics are staffed appropriately

e.Participatein local initiatives to enhance service delivery and patient care

f.Supportand participate in shared learning within the organisation

g.Developan area of specialist interest, taking the lead within the organisation

h.Continuallyreview clinical practices, responding to national policies and initiativeswhere appropriate

i.Participatein the review of significant and near-miss events applying a structuredapproach i.e., root cause analysis (RCA)

j.Commensuratewith their role, support the development of clinical services within theorganisation, liaising with external agencies and professional organisations asrequired

Develop practice administrative and clinicalprotocols in line with the needs of the patient and current legislation

Person Specification

Other Requirements

• Occupational health clearance
• Meet the requirements and produce evidence for nurse revalidation
• Evidence of continuing professional development (CPD) commensurate with the role of an ANP
• Access to own transport and ability to travel across locality on a regular basis
• Flexibility to work outside core office hours

Qualifications

• Registered Nurse with Nursing and Midwifery Council
• Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice.
• Post graduate diploma or degree for Advanced Practice Qualification up to December 2020
• Qualified Independent Nurse Prescriber on the NMC register
• Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
• Meets the standards for registered ANP working at advanced level
• Qualified triage nurse

Experience

• Experience of practice within the four pillars
• Job plan that demonstrates advanced nursing practice and has equity with peers working at this level
• Experience of prescribing and undertaking medication reviews
• Experience of working in a primary care environment
• Experience of working as a practice nurse or community nurse

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.