Advanced Nurse Practitioner

Shawbirch Medical Centre; Telford; On-site; GBP 40,000 - 50,000; Full time

Job summary

A healthcare provider in Telford is seeking a committed Advanced Nurse Practitioner to join their team. In this role, you'll provide clinical assessment and management for minor illnesses, ensuring high-quality patient care in a supportive environment. The ideal candidate will have a strong background in clinical practice, demonstrating advanced decision-making skills and excellent communication abilities. This position offers the opportunity to work within a close-knit team dedicated to delivering exceptional healthcare services.

Qualifications

• Minimum 5 years post registration experience.
• At least 2 years recent primary and community nursing experience.
• Physical assessment and examination skills.

Responsibilities

• Provide clinical assessment and diagnosis for minor illnesses.
• Triage patients by telephone and undertake chronic disease management.
• Demonstrate competent clinical decision making and advanced assessment skills.

Skills

Communication skills, both written and verbal

Negotiation and conflict management skills

Clinical leadership skills

Resource management

Education

Registered nurse on part 1 or 2 of NMC register

Nurse Prescribing

Principles of physical assessment/examination

Job description

Shawbirch Medical Centre is looking to recruit a highly motivated, caring, compassionate and experienced Advanced Nurse Practitioner to join our established ANP team. We are looking for a dedicated professional who shares our values and our passion for delivering quality care.

In July 2022 we moved into a new state-of-the-art medical centre and since that time have continued to develop our healthy lifestyle hub.

Main duties of the job

The successful applicant will be expected to act as an autonomous practitioner, providing clinical assessment, diagnosis and management of patients with a wide range of minor illness/injury. They may also be required to triage patients by telephone and to undertake chronic disease management. They must be able to demonstrate critical thinking and competent clinical decision making as well as advanced assessment and diagnostic skills. As such, it is essential that applicants have undertaken a formal physical assessment course and must be an independent prescriber.

About us

We are a dedicated, friendly and innovative training practice with a compliment of healthcare professionals: 5 GP Partners, 1 ANP Partner, 5 Salaried GPs, 1 Registrar, 6 (in total) Advanced Nurse Practitioners, 3 Practice Nurses, a Nursing Associate and a HCA working with our Reception and Administrative Team.

We are a forward thinking practice serving over 16,500 patients; consistently achieve high QOF and patient satisfaction survey results.

We strive to provide an efficient, effective team who project a positive and friendly image to assist our patients in ensuring they receive the best possible care.

Job responsibilities

Job Description

Job title: Advanced Nurse Practitioner in General Practice

Reports to: Hazel Heinink, ANP Partner (Clinically)

Job Summary:

The post holder is an experienced nurse who is responsible for attending to patients who wish to be seen by a healthcare professional; diagnosing and treating patients presenting with minor illness. Acting within their professional boundaries they will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate critical thinking, safe clinical decision making and expert care, including assessment and diagnostic skills for patients within general practice. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures and will provide nurse leadership as required. There is a requirement to see extra or emergency patients. The post holder will need to prioritise and triage the needs of patients accordingly, making any necessary referrals for investigations in the appropriate manner. The post holder will be required to provide some cover when other members of the ANP team are on annual/study leave.

Key responsibilities:

Clinical practice:

Assess, diagnose, plan, implement, and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, referring to GP colleagues and other members of the primary and secondary healthcare teams as necessary.

Clinically examine and assess patient needs from a physiological and psychological perspective, planning clinical care accordingly

Ensure clinical practice is safe and effective and remains within the boundaries of competence and acknowledges own limitations

Assess, diagnose plan implement and evaluate interventions/treatments for patients with complex needs

Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long term condition (as appropriate)

Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug based treatment methods into a management plan

Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence based practice and national and practice protocols, within own scope of practice

Work with patients in order to support compliance with and adherence to prescribed treatment: provide information and advice on prescribed or over-the-counter medication, on medication regimens, side effects and interactions

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations including initiation of effective emergency care

Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self care

Assess, identify and refer patients presenting with mental health needs

Promote and deliver evidence based care for patients presenting with aural conditions including ear irrigation as required

Meet the needs of patients presenting for opportunistic wound care and removal of clips or sutures

Carry out other general nursing duties including general wound care, ECG recording, phlebotomy and collection of pathological specimens.

Communication:

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment

Communicate effectively with other members of the multi-disciplinary team, patients and carers recognising need for alternative methods of communication to overcome differing levels of understanding, cultural background and preferred methods of communicating

Maintain effective communication within the practice environment and with external stakeholders

Act as an advocate for patients and colleagues

The post-holder will strive to maintain quality within the practice and will:

Recognise and work within own competence and professional code of conduct as regulated by the NMC

Alert other team members to issues of quality and risk

Contribute to the effectiveness of the team by reflecting on own and team activities. Review and identify learning from patient complaints, clinical incidents and near-miss events.

Prioritise, organise and manage own workload in a manner that maintains and promotes quality

Produce accurate, contemporaneous and complete records of patients consultation, consistent with legislation, policies and procedures

Deliver care according to NICE guidelines and other evidence base

Participate in audit where appropriate

The post-holder will participate in any training programme implemented by the practice as part of this employment – such training to include:

Participation in an annual individual performance review; maintaining a record of own personal and professional development; assessing and identifying own learning needs and undertaking learning as appropriate

It will be necessary to attend and contribute to various practice meetings as requested

Undertake mentorship for more junior staff, assessing competence against set standards

Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice and provide an educational role to patients/carers

Team Working:

Understand own role and scope and identify how this may develop in time

Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team

Discuss and work with the team to highlight and create opportunities to improve patient care

Confidentiality:

Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information

Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes

Manage information searches using the internet and local library databases

Understand responsibility of self and others to the practice and primary care trust regarding the Freedom and Information Act

Monitor and confirm that the nursing team are receiving and processing data and information in an agreed format. Collate, analyse and present clinical data and information to the team

Communicate essential financial restraints with the team and discuss with them ideas for effective and efficient working within these

Equality and diversity:

Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity

Enable others to promote equality and diversity in a non-discriminatory culture

Support people who need assistance in exercising their rights

Monitor and evaluate adherence to local chaperoning policies

Act as a role model in the observance of equality and diversity good practice

Accept the rights of individuals to choose their care providers, participate in care and refuse care

Assist patients from marginalised groups to access quality care

Person Specification

Qualifications

• Registered nurse on part 1 or 2 of NMC register
• Nurse Prescribing
• Principles of physical assessment/examination
• Clinical supervision training and experience

Knowledge

• Advanced clinical practice skills
• Management of patients with long-term conditions
• Management of patients with complex needs
• Accountability of own role and other roles in a nurse-led service
• Patient group directions and associated policy
• Knowledge of public health issues
• Able to identify determinants on health in the area
• Knowledge of public health issues in the area

Skills

• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Resource management
• Clinical leadership skills

Other

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

Experience

• Minimum 5 years post registration experience
• At least 2 years recent primary and community nursing experience
• Physical assessment and examination skills
• Nurse-led management of minor illness, minor ailments and injuries
• Audit
• Nurse prescribing
• Nurse-led triage
• Health-needs assessment
• Experience of working as an ANP within a GP Practice
• Compiling protocols and clinical guidelines
• Project management
• Working with community development initiatives
• Research

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.