Advanced Nurse Practitioner

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

Job summary

A medical practice in the UK is looking for an Advanced Nurse Practitioner to join their team on a permanent basis for 3-4 days a week. This role involves providing ongoing clinical care, triaging patients, and working collaboratively with a dedicated clinical team to ensure patient needs are met. Applicants should be degree-qualified with relevant clinical expertise, capable of independent practice and critical decision-making. Opportunities for professional growth in a progressive learning environment are offered.

Qualifications

• Experience in nurse-led management of minor illnesses and ailments.
• Nurse-led triage experience.
• Recent primary and community nursing experience.

Responsibilities

• Provide clinical care, manage acute demand, and support the clinical team.
• Conduct telephone triage and clinical consultations.
• Demonstrate safe clinical decision-making and critical thinking.

Skills

Advanced clinical practice skills

Clinical examination skills

Communication skills

Team player

Education

Registered first level nurse MSc or equivalent

Community nursing specialist qualification

Job description

Manor Farm Medical Centre is looking to recruit an enthusiastic, compassionate and committed Advanced Nurse Practitioner on a permanent basis for 3 - 4 days, Monday to Friday. We are looking for someone who is able to support the wider clinical team, triage and prioritise the needs of our patients. Thepost holder will commit to demonstrating critical thinking in the safe 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.

Main duties of the job

You will need to be a degree qualified Advanced Nurse Practitioner with relevant clinical skills and expertise in order to work autonomously to help provide ongoing clinical care and manage acute demand. You will be confident carrying out telephone triage, clinical consultations, providing assessment, diagnosis and treatment arranging specialist referrals when indicated. Prescribing qualification isNOT essential, but if had, prescribe and review medication for therapeuticeffectiveness, appropriate to patient needs and in accordance withevidence-based practice and national and practice protocols, and withinscope of practice.

About us

Manor Farm Medical Centre is situated in a busy market town with approximately 7900 patients serviced by our main site and a branch surgery. We are a friendly dispensing practice with 3 GP partners, 2 salaried GPs a very busy team of ANPs, Practice Nurses, Nurse Associates and HCAs, Receptionists, Dispensers and Administrators. We are a forward thinking practice and endeavour to provide a comprehensive service, as well as being a teaching and research practice associated with the UEA and involved in the training of F2 doctors. We use EMIS Web and hold a 'Good' CQC rating.

Job responsibilities

Title:Advanced Nurse Practitioner

Hours of duty:3 - 4 days - 8.30am to 6pm

Responsible to: GP Partners on Clinical Matters. PracticeManager on Administrative/HR Matters

Accountable to: GP Partners

Job Summary

Thepost holder is an experienced caring, compassionate and committed nurse who,acting within their professional boundaries, will provide care for thepresenting patient from initial history taking, clinical assessment, diagnosis,treatment and evaluation of care. They will demonstrate safe, competentclinical decision-making and expert care, including assessment and diagnosticskills, for patients within the general practice. The post holder will committo demonstrating critical thinking in the safe clinical decision-makingprocess. They will communicate and work collaboratively with the generalpractice team to meet the needs of patients, supporting the delivery of policyand procedures.

Key Responsibilities

ClinicalPractice

• Assess, diagnose, plan,implement and evaluate treatment/interventions and care for patientspresenting with an undifferentiated diagnosis
• Telephone Triage
• Clinically examine and assesspatient needs from a physiological and psychological perspective, and planclinical care accordingly
• Assess, diagnosis, plan,implement and evaluate interventions/treatments for patients with complexneeds. Proactively identify, diagnose and manage treatment plans forpatients at risk of developing a long-term condition (as appropriate)
• Diagnose and manage both acuteand chronic conditions, integrating both drug- and non-drug-based treatmentmethods into a management plan
• Prescribing qualification isNOT essential, but if had, prescribe and review medication for therapeuticeffectiveness, appropriate to patient needs and in accordance withevidence-based practice and national and practice protocols, and withinscope of practice
• Work with patients in order tosupport compliance with and adherence to prescribed treatmentsProvide information and advice on prescribed or over-the-countermedication on medication regimens, side-effects and interactions
• Prioritise health problems andintervene appropriately to assist the patient in complex, urgent oremergencysituations, including initiation of effective emergency care
• Support patients to adopthealth promotion strategies that promote healthy lifestyles, and applyprinciples of self-care. Support and manage health needs of womenpresenting for family planning, cervical cytology or sexual healthconsultation
• Assess, identify and referpatients presenting with mental health needs in accordance with the NSFfor Mental Health. Implement and participate in vaccination andimmunisation programmes for both adults and children
• Advise, support and administervaccinations for patients travelling abroad, where appropriate
• Promote and deliverevidence-based care for patients presenting with aural conditions
• Meet the needs of patientspresenting for opportunistic wound care
• To undertake Home Visits tohousebound patients as needed and Care Homes if required

Communication

• Utilise and demonstratesensitive communication styles, to ensure patients are fully informed andconsent to treatment
• Communicate with and supportpatients who are receiving bad news
• Communicate effectively withpatients and carers, recognising the need for alternative methods ofcommunication to overcome different levels of understanding, culturalbackground and preferred ways of communicating
• Anticipate barriers tocommunication and take action to improve communication
• Maintain effectivecommunication within the practice environment and with externalstakeholders
• Act as an advocate for patientsand colleagues
• Ensure awareness of sources ofsupport and guidance (eg PALS) and provide information in an acceptableformat to all patients, recognising any difficulties and referring whereappropriate
• Recognise and work within owncompetence and professional code of conduct as regulated by the NMC. Produceaccurate, contemporaneous and complete records of patient consultation,consistent with legislation, policies and procedures
• Prioritise, organise and manageown workload in a manner that maintains and promotes quality
• Deliver care according to NSFand NICE guidelines and evidence-based care
• Assess effectiveness of caredelivery through self and peer review, benchmarking and formal evaluation
• Initiate and participate in themaintenance of quality governance systems and processes across theorganisation and its activities
• Utilise the audit cycle as ameans of evaluating the quality of the work of self and the team,implementing improvements where required
• In partnership with otherclinical teams, collaborate on improving the quality of health careresponding to local and national policies and initiatives as appropriate
• Evaluate patients response tohealth care provision and the effectiveness of care
• Support and participate inshared learning across the practice and wider organisation
• Use a structured framework (egroot-cause analysis) to manage, review and identify learning from patientcomplaints, clinical incidents and near-miss events
• Assess the impact of policyimplementation on care delivery
• Understand and apply legalissues that support the identification of vulnerable and abused childrenand adults, and be aware of statutory child/vulnerable patients healthprocedures and local guidance

LeadershipPersonal and People Development

• Take responsibility for ownlearning and performance including participating in clinical supervisionand acting as a positive role model
• Support staff development inorder to maximise potential
• Actively promote the workplaceas a learning environment, encouraging everyone to learn from each otherand from external practice
• Encourage others to makerealistic self-assessment of their application of knowledge and skills,challenging any complacency or actions that are not in the interest of thepublic and/or users of services
• Critically evaluate and reviewinnovations and developments that are relevant to the area of work
• Enlist support and influencestakeholders and decision-makers in order to bring about new developmentsin the provision of services
• Contribute to the developmentof local guidelines, protocols and standards
• Promote the role of the advanced nursepractitioner in general practice

TeamWorking

• Understand own role and scopeand identify how this may develop over time
• Work as an effective andresponsible team member, supporting others and exploring the mechanisms todevelop new ways of working
• Delegate clearly andappropriately, adopting the principles of safe practice and assessment ofcompetence
• Create clear referralmechanisms to meet patient need
• Prioritise own workload and maintaineffective time-management strategies
• Work effectively with others toclearly define values, direction and policies impacting upon care delivery
• Discuss, highlight and workwith the team to create opportunities to improve patient care
• Manage and lead on the deliveryof specifically identified services or projects as agreed with thepractice management team
• Agree plans and outcomes bywhich to measure success

ManagingRisk

• Manage and assess risk withinthe areas of responsibility, ensuring adequate measures are in place toprotect staff and patients
• Monitor work areas andpractices to ensure they are safe and free from hazards and conform tohealth, safety and security legislation, policies, procedures andguidelines
• Apply infection-controlmeasures within the practice according to local and national guidelines
• Advocate for policies thatreduce environmental health risks, are culturally sensitive and increaseaccess to health care for all
• Interpret national strategiesand policies into local implementation strategies that are aligned to thevalues and culture of general practice

ManagingInformation

• Use technology and appropriatesoftware as an aid to management in planning, implementation andmonitoring of care, presenting and communicating information
• Review and process data usingaccurate Snomed codes in order to ensure easy and accurate informationretrieval for monitoring and audit processes
• Manage information searches usingthe internet and local library databases
• Understand responsibility ofself and others to the practice and primary care trust regarding theFreedom of Information Act

Learning and Development

• Undertake mentorship for morejunior staff, assessing competence against set standards
• Disseminate learning andinformation gained to other team members in order to share good practiceand inform others about current and future developments (eg courses andconferences)
• Assess own learning needs andundertake learning as appropriate
• Provide an educational role topatients, carers, families and colleagues in an environment thatfacilitates learning

Undertake any training required in order to meet the needsof the practice

Equalityand Diversity

• Identify patterns of discriminationand take action to overcome this and promote diversity and equality ofopportunity
• Enable others to promoteequality and diversity in a non-discriminatory culture
• Support people who needassistance in exercising their rights
• Monitor and evaluate adherenceto local chaperoning policies
• Act as a role model in theobservance of equality and diversity good practice
• Accept the rights ofindividuals to choose their care providers, participate in care and refusecare
• Assist patients from marginalisedgroups to access quality care

Person Specification

Qualifications

• Registered first level nurse MSc or equivalent
• Clinical supervision training and experience
• Community nursing specialist qualification

Experience

• Nurse-led management of minor illness, minor ailments and
• Nurse-led triage
• Research
• Nurse prescribing (not essential)
• Recent primary and community nursing experience
• Project management
• Working with community development initiatives
• Health-needs assessment
• Audit

Knowledge and Skills

• Advanced clinical practice skills Management of patients with
• long-term conditions
• Management of patients with complex needs
• Clinical examination skills
• Accountability of own role and other roles in a nurse-led
• service
• Local and national health policy
• Clinical governance issues in primary care
• Patient group directions and associated policy
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Clinical leadership skills
• Teaching and mentorship clinical setting
• Resource management
• Knowledge of public health issues
• Able to identify determinants on health in the area
• Knowledge of public health issues in the area

Other

• Highly motivated
• Flexibility
• Team player
• Ability to work across boundaries

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.