Advanced Nurse Practitioner/Advanced Clinical Practitioner

NHS; Bishop Auckland; On-site; GBP 30,000 - 60,000; Full time

Job description

Advanced Nurse Practitioner/Advanced Clinical Practitioner

As an Advanced Clinical Practitioner you will be an experienced nurse/paramedic who, acting within your professional boundaries, will provide care for patients registered at any of the care homes, patients' homes and GP practices in the Durham Dales area from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.

You will be expected to work across all of the services provided by DDHF.

Main duties of the job

As an Advanced Clinical Practitioner you will be working across the following services:

1. home and care home visits
2. long term conditions reviews
3. palliative care
4. telephone triage
5. Extended primary care access services (evenings, weekends, bank holidays)
6. Clinical support within practice
7. Enhanced health in care homes

About us

12 GP practices across Durham Dales got together, looking for a solution to help them provide the care patients needed, share resources and ideas, & be prepared for the challenges the NHS would face in the future.

The answer they came up with was a formal collaboration between the dozen practices: the Durham Dales Health Federation.

DDHF's founding principal is to work together to provide high-quality, cost-effective primary healthcare services. DDHF provide a range of services that all GP practices in the area can use to help look after patients.

Our range of staff includes Advanced Nurse Practitioners, Pharmacists, Health care coordinators & social prescribing link workers as well as non-clinical, administration support staff.

DDHF are able to offer a range of benefits to their employees; these are as follows:

• Overtime is available
• We currently do not do night shifts
• Flexible Working
• Breakfast sandwiches (vegetarian included) every Friday morning!
• NHS pension is carried over
• Car lease scheme which is transferable
• We fully support training & development
• Clinical supervision bi-weekly
• Clinical team meeting bi-weekly
• Bike Scheme
• Salary Sacrifice Scheme (Currys?)
• Dress Down Friday
• Complimentary refreshments
• Free Car Park
• Immunisations offered
• Eye tests reimbursed

Job responsibilities

1. Assess patients presenting with acute illness or for review of chronic disease conditions
2. Undertake home visits for acute illness or chronic disease management
3. Diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
4. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
5. Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs
6. Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)
7. Diagnose and manage both acute and chronic conditions, integrating both drug- and nondrug-based treatment methods into a management plan
8. Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols and formularies
9. Work with patients and their carers in order to support compliance with and adherence to prescribed treatments
10. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions
11. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
12. Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care
13. Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health
14. Undertake minor surgery as appropriate to competence
15. Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
16. Communicate with and support patients who are receiving bad news
17. Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating
18. Maintain effective communication within DDHF and with external stakeholders
19. Attend and contribute to team meetings
20. Undertake mentorship for more junior staff, assessing competence against set standards

Person Specification

Qualifications

• Registered first level nurse
• MSc in Advanced Clinical Practitioner or equivalent OR must be willing to work towards

Knowledge & Skills

• Advanced clinical skills
• Management of patients with long-term conditions
• Management of patients with complex needs
• Clinical examination protocols and procedures
• Boundaries of own role and other roles in a nurse-led service
• NSF, NICE guidelines
• Local and national health policy and wider health economy
• Clinical governance issues in primary care
• Patient group directions (PGDs) and associated policy usage
• Clinical leadership skills
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Change management
• 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

Experience

• Minimum 2 years post registration experience
• At least 2 years recent primary and community nursing experience
• Nurse-led management of minor illness, minor ailments and injuries
• Nurse-led triage including telephone triage
• Partake in clinical audit
• Project management
• Working with community development initiatives
• Health-needs assessment
• Home visit assessment of patients
• Community nursing specialist qualification
• Leadership in quality initiatives such as clinical benchmarking
• Clinical supervision training and experience

Other

• Full UK driving Licence
• Willingness to travel throughout the Durham Dales area
• Prepared to work out of hours on a staff rota
• Highly motivated

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.