Advanced Nurse/Clinical Practitioner - Moorlands Rural PCN

NHS; Stoke-on-Trent; On-site; GBP 38,000 - 45,000; Full time

Job summary

A healthcare provider based in the UK seeks an Advanced Nurse/Clinical Practitioner to manage acute and chronic conditions for patients. This role emphasizes autonomy in patient care, with responsibilities including prescribing medications, supporting clinical policy, and developing ongoing patient relationships. Candidates should have a Master's degree and be registered on the appropriate professional register.

Qualifications

• Experience in a primary care environment is essential.
• Ability to independently prescribe medications and conduct reviews.
• Understanding of evidence-based practice is necessary.

Responsibilities

• Manage patients with acute and chronic conditions.
• Support the management team in clinical policy reviews.
• Develop long-term relationships with patients to enhance care.

Skills

Compassion

Team player

Autonomous decision-making

Clinical knowledge

Communication skills

Education

Master's degree

Qualified independent prescriber (V300)

Registered on professional register

Job description

Advanced Nurse/Clinical Practitioner - Moorlands Rural PCN

Job titleAdvanced Nurse/Clinical Practitioner

Line manager PCN Business Manager/ Practice Partner

Accountable to PCN Clinical Director

We are lookingfor an Advanced Nurse Practitioner or Advanced Clinical Practitioner who ispassionate about providing excellent care.Is compassionate and a real team player.You will be working alongside an approachable and supportive GP.

Main duties of the job

To work as an autonomous practitioner, workingas part of the practice multidisciplinary team, delivering care within theirscope of practice to the patient population. Manage patients presenting with a range of acute andchronic medical conditions, providing subject matter expert advice to patients

The Advanced Nurse/Clinical Practitioner will be responsible forseveral clinical areas such as health promotion, minor illness, as well assupporting the management team in the reviewing of clinical policies andprocedures.

The post holderworks at the level of Advanced Nurse/Clinical Practice and has developed andcan evidence the underpinning competencies applicable to the specialty orsubject area, i.e., the knowledge, skills and behaviours appropriate to the healthcareprofessionals (HCP) setting and job role.

The roleprovidesan opportunity for patients to avoid the need to be referred to a GP, therebyenabling them to receive timely care and negate unnecessary delay in receivingtreatment.

An ANP/ACPin primary care can develop close, long-term relationships with their patientsand work in partnership with them to achieve optimum health. They are autonomous in making decisions basedon assessment, diagnosis and interpretation of test results. They can independently prescribe appropriatemedication, evaluate or refer to other specialists if necessary.

About us

The TardisSurgery is one of 7 practices within the Moorlands Rural PCN.

We currentlyhave 5,900 patients on the practice list; the surgery is set in a semi-ruraltown,

We provideservices to two nursing homes and the Moorlands Neurological centre providingweekly visits to the homes and monthly MDTs. We are also a dispensing practiceserving our patients who live more than a mile away from a community Pharmacy.

We are a veryfriendly team and try to support our staff to continue to develop.

Our staffingconsists of:

2 GP Partners,ANP, Practice Nurse, HCSW, Dispensers, Clinical coder, Clinical Administrator,Reception/Admin team and a management team.

We also havesupport from our Moorland Rural PCN ARRS team which consists of:

FCP, MHP, STRworker, Pharmacy team, Care coordinator, HWBC, counsellor, and socialprescribers.

We engageclosely with our local community getting involved with various activities e.g.supporting the local High school with careers days, primary school wellbeingmorning etc.

We have a very committedPPG who work alongside us to ensure we are delivering high quality personcentred care.

Job responsibilities

TheAdvanced Nurse/Clinical Practitioner(ANP/ACP) has been assessed ascompetent in practice using their expert clinical knowledge and skills. Theyhave the freedom and authority to act and make autonomous decisions in theassessment, diagnosis and treatment of patients.

The postholder works at the level of advanced clinical practice and has developed andcan evidence the underpinning competencies applicable to the specialty orsubject area, i.e., the knowledge, skills and behaviours appropriate to the healthcareprofessionals (HCP) setting and job role.

The roleprovidesan opportunity for patients to avoid the need to be referred to a GP, therebyenabling them to receive timely care and negate unnecessary delay in receivingtreatment.

An ACP in primary care can develop close, long termrelationships with their patients and work in partnership with them to achieveoptimum health. They are autonomous inmaking decisions based on assessment, diagnosis and interpretation of testresults. They can independentlyprescribe appropriate medication, evaluate or refer to other specialists ifnecessary.

Primary responsabilities

Thefollowing are the core responsibilities of the Advanced Nurse/Clinical Practitioner.

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

• Manage patients presenting with a range of acute andchronic medical conditions.
• Be an extended and supplementary prescriber, adhering toguidance.
• Support patients in the use of their prescribed medicinesor over the counter medicines (within own scope of practice), reviewingannually as required.
• Contribute to practice/PCN targets (QOF, etc.) complyingwith local and regional guidance.
• Identify manage and support patients at risk ofdeveloping long term conditions, preventing adverse effects to the patientshealth.
• Request pathology services as necessary.
• Process and interpret pathology and other test results asrequired.
• Maintain accurate clinical records in conjunction withlegislation.
• Support the team in dealing with clinical emergencies.
• Support the clinical team with all safeguarding mattersin accordance with local and national policies.
• Practise in compliance with their respective codeof professional conduct and within their scope of practice, being responsibleand accountable for their decisions, actions, and omissions at this level of practice.
• Demonstratea critical understanding of their broadenedlevel of responsibility and autonomy and the limits of own competence andprofessional scope of practice, including when working with complexity, risk, uncertainty,and incomplete information.
• Act on professional judgement about when to seek help,demonstrating critical reflection on own practice, self-awareness, emotional intelligence, andopenness to change.
• Work in partnership with individuals, families, and carers, using arange of assessment methods as appropriate.
• Demonstrate effective communication skills, supportingpeople in making decisions, planning care, or seeking to make a positive change.
• Use expertise and decision-making skills to informclinical reasoning.
• Exercise professional judgement to manage risk.
• Be a professional role model for the organisation.
• Actively engage in peer review to inform own and otherspractice, formulating and implementing strategies to act on learning and make improvements.
• Actively seek feedback and involvement from individuals,families, carers, communities, and colleagues in the co-production of serviceimprovements.
• 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).
• Chaperonepatients where necessary.
• Deliveropportunistic health promotion where appropriate.

Secondary resposabilities

Inaddition to the primary responsibilities, the Advanced Nurse/ClinicalPractitioner may be requested to:

• Participatein local initiatives to enhance service delivery and patient care.
• Supportand participate in shared learning within the organisation.
• Developan area of specialist interest, taking the lead within the organisation.
• Continuallyreview clinical practices, responding to national policies and initiativeswhere appropriate.
• Participatein the review of significant and near-miss events applying a structuredapproach i.e. root cause analysis (RCA).
• Commensuratewith their role, support the development of clinical services within theorganisation, liaising with external agencies and professional organisations asrequired.
• Develop practice administrative and clinical protocolsin line with the needs of the patient and current legislation.

Generic responsabilities

Allstaff at Moorlands Rural PCN have a duty to conform to the following:

Equality,Diversity, and Inclusion

Agood attitude and positive action towards Equality Diversity& Inclusion(ED&I) creates an environment where all individuals can achieve their fullpotential. Creating such an environment is important for three reasons itimproves operational effectiveness; it is morally the right thing to do, and itis required by law.

Patientshave a responsibility to treat other patients and our staff with dignity andrespect.

Safety,Health, Environment and Fire (SHEF)

Thisorganisation is committed to supporting and promoting opportunities for staffto maintain their health, wellbeing, and safety.

Thepost holder is to manage and assess risk within their areas of responsibility,ensuring adequate measures are in place to protect staff and patients, andmonitor work areas and practices to ensure they are safe and free from hazardsand conform to health, safety and security legislation, policies, procedures,and guidelines.

Allpersonnel are to comply with the:

Health and Safety at Work Act 1974

Fire Precautions (workplace) Regulations1999

Coronavirus Act 2020

Otherstatutory legislation which may be brought to the post holders attention.

Confidentiality

Theorganisation is committed to maintaining an outstanding confidential service.Patients entrust and permit us to collect and retain sensitive informationrelating to their health and other matters pertaining to their care. They do soin confidence and have a right to expect all staff will respect their privacyand maintain confidentiality.

Qualityand Continuous Improvement (CI)

Topreserve and improve the quality of this organisations output, all personnelare required to think not only of what they do, but how they achieve it. Bycontinually re-examining our processes, we will be able to develop and improvethe overall effectiveness of the way we work.

Moorlands Rural PCN continually strives to improvework processes which deliver healthcare with improved results across all areasof our service provision. We promote a culture of continuousimprovementwhere everyone counts, and staff are permitted to make suggestions andcontributions to improve our service delivery and enhance patient care.

Induction

AtMoorlands Rural PCN you will be required to complete the induction programmeand the practice management team will support you throughout the process.

Learningand development

Theeffective use of training and development is fundamental to ensuring that allstaff are equipped with the appropriate skills, knowledge, attitude, andcompetences to perform their role. All staff will be required to partake in andcomplete mandatory training as directed by Moorlands Rural PCN It is anexpectation for this post holder to assess their own learning needs andundertake learning as appropriate

Thepost holder will provide an educational role to patients, carers, families andcolleagues in an environment that facilitates learning.

Allstaff are to recognise the significance of collaborative working, understandtheir own role and scope, and identify how this may develop over time. Staffare to prioritise their own workload and ensure effective time-managementstrategies are embedded within the culture of the team.

Managinginformation

Allstaff should use technology and appropriate software as an aid to management inthe planning, implementation and monitoring of care, and presenting andcommunicating information.

Datashould be reviewed and processed using accurate SNOMED/read codes to ensureeasy and accurate information retrieval for monitoring and audit processes.

Servicedelivery

Staffwill be given detailed information during the induction process regardingpolicy and procedure.

Thepost holder must adhere to the information contained within the organisationspolicies and regional directives, ensuring protocols are always adhered to.

Security

Thesecurity of the organisation is the responsibility of all personnel. The postholder must ensure they always remain vigilant and report any suspiciousactivity immediately to their line manager.

Underno circumstances are staff to share the codes for the door locks with anyone,and they are to ensure that restricted areas remain effectively secured.Likewise, password controls are to be maintained and passwords are not to beshared.

Professionalconduct

Allstaff are required to dress appropriately for their role.

Leave

Allpersonnel are entitled to take leave. Line managers are to ensure all theirstaff are afforded the opportunity to take a minimum number of days leave eachyear and are encouraged to take all their leave entitlement.

Publicholidays will be calculated on a pro-rated basis dependent on the number ofhours worked.

Person Specification

Qualifications

• Educated to Masters degree as detailed within the HEE document tilted Multi-professional framework for advanced clinical practice in England.
• Qualified independent prescriber - V300.
• Registered on their appropriate professional register.
• ALS and PALS.

Experience

• Experience of practice within the four pillars.
• Job plan that demonstrates advanced clinical 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

Clinical knowledge and skills

• Understand the importance of evidence-based practice.
• Broad knowledge of clinical governance.
• Ability to record accurate clinical notes.
• Ability to work within own scope of practice and understand when to refer to GPs.
• Knowledge of health promotion strategies.
• Understand the requirement for PGDs and associated policy.
• Polite and confident, flexible and cooperative.
• Motivated, forward thinker.
• Problem solver with the ability to process information accurately and effectively, interpreting data as required.
• High levels of integrity and loyalty.
• Sensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situations.
• Knowledge of public health issues in the local area.
• Awareness of issues within the wider health arena.

Other requirements

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

Other requirements

• Flexibility to work outside of core office hours
• Occupational Health Clearance

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.