Advanced Nurse Practitioner

NHS; Cullompton; On-site; GBP 80,000 - 100,000; Part time

Job summary

A leading healthcare provider in Cullompton is seeking an Advanced Nurse Practitioner to work within a friendly clinical team. The role involves supporting the duty/same-day service and managing long-term conditions. Candidates should have advanced practice qualifications and be able to work autonomously. The position offers part-time hours, access to NHS pension schemes, and competitive benefits package.

Benefits

Access to NHS pension scheme

Blue Light card discounts

35 days of holiday pro-rata for part-time employees

Qualifications

• Holds a MSc advanced practice programme qualification accredited by the Centre for Advancing Practice.
• Registered with the Nursing and Midwifery Council.
• Able to practice as an advanced nurse practitioner.

Responsibilities

• Work autonomously within the multidisciplinary team under supervision.
• Undertake home visits and clinical assessments.
• Support the delivery of the duty/same-day service.

Skills

Advanced communication skills

Clinical assessment

Medication management

Team collaboration

Time management

Education

MSc advanced practice programme qualification

Registration with the Nursing and Midwifery Council

Teaching qualification

Tools

EMIS

SystmOne

Vision

Job description

Do you want to be part of the delivery of healthcare servicesacross the beautiful Blackdown Hills?

We have an opportunity for an Advanced Nurse Practitioner to workas part of our excellent and friendly clinical team in supporting the duty/sameday service and management of long term conditions.

We want a caring healthcare professional who takes a pride indelivering a service that is of a high standard.

The post is initially for two days a week either a Tuesday,Thursday or Friday. The hourly rate will be dependent on experience.

As a member of the team, you have access to the NHS pensionscheme for which the employer contributions are 23.7% and the Blue Light card,offering a wide range of exclusive discounts to public sector workers. Afull-time post would have 35 days holiday, including bank holidays (pro-ratafor part-time employees).

Applications are by CV, please ensure your application considersthe job description and person specification for the role. This is a PrimaryCare Network (PCN) role based within the practice therefore the postholder mustqualify for reimbursement under the Additional Role Reimbursement Scheme (ARRS).

Main duties of the job

We are looking for an advanced nurse practitioner to workautonomously in practice within the practice team to support the duty/same dayservice as well as providing care for patients with long term conditions.

You will be an integral part of both our practice and the widermultidisciplinary teams operating across primary care.

Candidates who are qualified asadvanced care practitioners but are not yet qualified as an independentprescriber must be prepared to work towards a non-medical prescribingqualification.

About us

Theorganisational purpose of the Blackdown Practice is to provide high qualityclinical and dispensing services to the practice population.

Weaim to deliver a service that staff would wish for a family member and thatstaff and patients would recommend to others.

Weneed to meet the regulatory requirements within budget and ensure that thepractice remains robust financially so partners will invest, and the practiceremains viable.

We want those working in the practice to enjoy theirroles and maintain the correct balance of caring for patients, caring for eachother and caring for themselves.

Job responsibilities

Our Advanced NursePractitioner has the following key responsibilities in delivering healthservices to our patients:

• Practice both independently withinscope of practice and in partnership with the multidisciplinary team (MDT) underthe clinical supervision of a General Practitioner, ensuring interventions andtreatments are undertaken in line with best practice.
• Work as part of the practiceand wider multidisciplinary teams to support the delivery of the duty/same dayservice and reviewing complex patients with long term conditions and sharingexpertise to improve patient care.
• Be an independent prescriber, usingprescribing and deprescribing skills to optimise the use of medicines toimprove patient outcomes.
• Undertake home visits for thepractice.
• Perform at an advanced levelunder the core capabilities across the four pillars of Advanced Practice(Health Education England Multi-Professional Framework 2017):

Clinical Practice - fulldetails in the attached job description

• Undertake clinical assessmentof the patient, analysing complex clinical signs, patient history, andinvestigation to establish a clear care plan, including the generation ofanticipatory, escalation, or admission avoidance plans, arranging rescuemedicines and ensure the completion of out of hours special messages.
• Interpret clinical results andact on findings accordingly.
• Admit and discharge patientsfrom the caseload appropriately, providing accurate and effective clinicalhandovers across professional boundaries and receiving/making referrals asappropriate.

Leadership and Management -full details in the attached job description

• A senior clinician involved inthe delivery of a responsive, proactive, duty/same day service in the practice.
• Communicate at all levelsacross organisations ensuring that an effective, duty/same-day service isdelivered and understood.
• Work collaboratively and inpartnership with other health care professionals, providing appropriate leadership,guidance, and supervision to colleagues.
• Be involved in planning andimplementing standards of care in the practices or PCN, practice guidelines andto continually evaluate the quality of patient care.

Education - full details inthe attached job description

• Provide supervision, advice,support and training for the clinical and non-clinical members of the practiceteam.
• Where requested, take anactive role in educating and developing members of the wider practice multidisciplinaryteams, including students through formal and informal teaching sessions.

Research - full details in theattached job description

• Maintain an up-to-dateknowledge in the specialist field, using information to affect change inpractice and ensuring the effective dissemination of new knowledge.
• Able to critically appraiseand synthesise the outcomes of relevant research, evaluations and audits andact on this information in collaboration with colleagues to continually developthe service.
• Able to review and criticallyappraise new evidence to ensure that practice is evidence based and in linewith current local and national guidance.
• Identify gaps in evidence orareas of practice requiring development, undertaking audit, implementing changeof practice where appropriate and evaluating outcomes

Also

• Communicate proactively andeffectively with all colleagues across the multidisciplinary team, attendingand contributing to meetings as required.
• Support in the delivery ofenhanced services and other service requirements on behalf of the Practice.
• Ensuring cost-effective use ofresources, adherence to personnel policies and the achievement of servicetargets.
• Participate in the managementof patient complaints when requested to do so and participate in theidentification of any necessary learning brought about through incidents andnear-miss events.
• Undertake all mandatorytraining and induction programmes.
• Always maintain a clean, tidy,effective working area.

Person Specification

Qualifications

• Holds a MSc advanced practice programme qualification accredited by the Centre for Advancing Practice or has completed the Centres ePortfolio (supported) Route or is enrolled on either programme/route.
• Holds an Advanced digital badge or is on an approved programme for which a digital badge will be awarded.
• Is registered with the Nursing and Midwifery Council.
• Is able to practice as an advanced nurse practitioner.
• If not a qualified non-medical prescriber, must be prepared to obtain the non-medical prescribing qualification.
• Is an independent non-medical prescriber.
• Teaching qualification.

Personal Qualities

• Ability to use own initiative, discretion and sensitivity
• High level of integrity and loyalty
• Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity.
• Ability to identify risk and assess/manage risk when working with individuals.
• Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety.
• Undertake a range of administrative tasks such as ensuring stock levels are maintained and securely stored and equipment is kept in good working order.

Experience

• Experience of practice within the four pillars with portfolio/evidence or role that demonstrates ability to work as an advanced clinical practitioner.
• Clinical experience and knowledge that is relevant to same day care and the management of long term conditions.
• Ability to effectively assess, plan, treat and refer patients appropriately and evaluate patient care confidently.
• In-depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
• An appreciation of the nature of general practice.
• An appreciation of the NHS landscape including the relationships. between individual practices, PCNs and the commissioners.
• Experience of prescribing, medication reviews and optimising treatments.

Other Requirements

• Evidence of working autonomously or as part of a team.
• Understanding and knowledge of healthcare provision in GP surgeries, QOF and enhanced services.
• Knowledge of national standards that inform general practice (e.g. NICE guidelines).
• Enhanced Disclosure Barring Service (DBS) check.
• Occupational Health Clearance.
• Evidence of continuing professional development commensurate with the role of an Advanced Nurse Practitioner.
• Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home.

Skills

• Ability to follow clinical, legal, ethical, professional and organisational policies/procedures and codes of conduct.
• Able to work within the parameters within skills and knowledge, to recognise the limitations of practice and to work within the boundaries of training and capability to make clear decisions with confidence.
• Advanced communication skills to impart complex, highly sensitive, and potentially distressing information effectively with people at all levels by telephone, email and face to face.
• Excellent interpersonal, influencing, negotiation and organisation skills with the ability to constructively challenge the view and practices of patients, managers and clinicians.
• Problem solver with the ability to process information accurately and effectively, interpreting data as required.
• Ability to record accurate clinical notes.
• Knowledge of IT systems including the ability to use word processing skills, emails and the internet to create simple plans and reports.
• Clear, polite telephone manner.
• Good clinical system IT knowledge of EMIS/SystmOne/Vision.
• Effective time management (planning and organising).
• Demonstrate personal accountability, emotional resilience and work well under pressure.

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.