Advanced Nurse Practitioner - Havering Health Crest PCN

Havering Health Ltd; Romford; On-site; GBP 55,000 - 64,000; Full time

Job summary

Havering Crest PCN is expanding its team and seeking an Advanced Nurse Practitioner to work with GP practices and the broader PCN staff. The post involves clinical leadership within a multidisciplinary team, managing undifferentiated and complex patient conditions, and contributing to personalised care and vaccination programmes.

The role requires significant nursing experience, prescriber status, and leadership in a GP practice setting, with a strong focus on patient safety and evidence-based

Qualifications

• 5 years post registration experience including 6 months experience in GP practice/ Walk in Centre/ Urgent Care Centre
• Nurse prescribing experience
• Experience managing chronic disease
• Clinical leadership experience
• Audit, research and service development experience
• Proficiency with EMIS/SystmOne or similar patient record systems
• Non-Medical Prescriber status
• Level 3 Extended brief interventions (NICE guidelines)

Responsibilities

• Assess, diagnose, plan, implement and evaluate treatment/interventions for patients with undifferentiated diagnoses
• Clinically examine and assess patient needs and plan
• Diagnose and manage acute and chronic conditions, integrating drug and non-drug therapies
• Prescribe and review medications within scope of practice and guidelines
• Lead and support the nursing team, promoting best practice and patient safety
• Develop personalised care plans and coordinate with MDT members
• Manage vaccination programmes and immunisations as appropriate
• Support and lead on risk management, governance and audit processes

Job description

Advanced Nurse Practitioner - Havering Health Crest PCN

Havering Crest PCN are looking to expand our team by seeking to employ a Advanced Nurse Practitioner , to work alongside our practices and PCN staff. Our PCN staff currently includes Clinical Pharmacists, Advanced Clinical Practitioners, Dieticians, Social Prescribers, Physiotherapists, Care Coordinators, Nursing Associates and Pharmacy Technicians.

Main duties of the job

• The post holder as part of PCN the GP Multidisciplinary (MDT team), will be an experienced Advanced Nurse Practitioner who, acting within their professional boundaries and will utilise a range of advanced skills and expert knowledge for patients presenting with undifferentiated and undiagnosed conditions. The post holder will demonstrate critical thinking in the clinical decision-making process.
• The role will involve working closely with Lead Clinicians, care staff and pharmacists on the development and updating of personalised care and support plans and repeat medication. The Advanced Clinical Practitioner will be skilled in recognition and management of emergencies and minor illness that commonly present in primary care .

About us

Havering Crest PCN is a collaboration of GP practices working together to provide integrated, high-quality healthcare to our local population. Established in 2019 as part of the NHS Long Term Plan, we aim to bridge the gap between traditional GP services and community-based care, ensuring our patients have access to the right support at the right time.

By sharing resources and expertise, our member practices are able to offer a wider range of specialist services and personalised care that wouldnt be possible for a single surgery to provide alone.

Our Mission & Values

Our vision is a community where every resident enjoys optimal health and wellbeing, empowered by inclusive and personalised care.

Compassion:Approaching every patient with empathy and understanding.

Collaboration:Working as a cohesive team to offer comprehensive solutions.

Excellence:Committing to the highest quality of healthcare through continuous improvement.

Inclusion:Ensuring our services are accessible and welcoming to all.

Job responsibilities

Responsibilities:

Clinical Practice:

• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan
• Assess, diagnosis, 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, and within scope of practice
• Work with patients in order to support compliance with and adherence to prescribed treatments
• 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
• Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation
• Assess, identify, and refer patients presenting with mental health needs in accordance with the NSF for Mental Health
• Implement and participate in vaccination and immunisation programmes for both adults and children
• Advise, support, and administer vaccinations for patients travelling abroad, where appropriate
• Promote and deliver evidence-based care for patients presenting with aural conditions
• Meet the needs of patients presenting for opportunistic wound care
• Undertake minor surgery as appropriate to competence

Communication:

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
• Communicate with and support patients who are receiving bad news
• 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

Delivering a quality service:

• Recognise and work within own competence and professional code of conduct as regulated by the NMC
• Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies, and procedures
• Deliver care according to NSF, NICE guidelines, and evidence-based care
• Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation
• Evaluate patients response to health care provision and the effectiveness of care
• Support and participate in shared learning across the practice and wider organisation
• Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents, and near-miss events
• Working with the practice management monitor and develop the performance of the GPN team in accordance with local policies

Leadership personal and people development:

Act as a clinical leader in the delivery of practice nursing services ensuring that the needs of the patient are a priority

Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model

Support staff development in order to maximise potential

Work with practice management to ensure sufficient staff of appropriate ability, quality and skill-mix are available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes

Contribute to the development of local guidelines, protocols and standards

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

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

Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence

Create clear referral mechanisms to meet patient need

Management of Risk:

• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines
• Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriate

Managing Information:

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

Learning and development:

• Undertake mentorship for more junior staff, assessing competence against set standards
• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences)
• Assess own learning needs and undertake learning as appropriate
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Secondary Responsibilities:

Delivering a quality service:

• Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities
• Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
• In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate
• Assess the impact of policy implementation on care delivery
• Contribute to the appraisal of the performance of the team, providing feedback as appropriate
• Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance

Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate

Leadership personal and people development:

• Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
• Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services
• Critically evaluate and review innovations and developments that are relevant to the area of work
• Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services
• Maintain effective communication with those responsible for the overall commissioning and procurement process
• Maintain active involvement in the planning and processes of practice-based commissioning or similar initiatives
• Promote the role of the advanced nurse practitioner in general practice
• Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team
• Work effectively with others to clearly define values, direction and policies impacting upon care delivery
• Discuss, highlight, and work with the team to create opportunities to improve patient care
• Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team
• Agree plans and outcomes

Management of Risk:

• Working with the practice management, ensure the nursing team has access to and undertakes mandatory and statutory training requirements
• Apply infection-control measures within the practice according to local and national guidelines
• Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all
• Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice

Managing Information:

• Manage information searches using the internet and local library databases
• 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 constraints
• Manage, if agreed, the nursing budget within financial principles

Person Specification

Clinical Knowledge & Skills

• Immunisations (routine, childhood, B12, travel)
• Wound Care / Treatment of advanced injuries / Removal of sutures & staples
• Dressings
• Diabetes review
• Cardiovascular disease primary prevention
• Coronary Heart Disease
• Blood pressure
• Mental Health
• ECGs
• Asthma
• Ability to work within own scope of practice and understanding when to refer to GPs
• Advanced clinical practice skills Management of patients with long-term conditions
• Management of patients with complex needs and chronic diseases
• Clinical examination skills
• Ability to record accurate clinical notes
• Clinical governance issues in primary care
• Patient group directions and associated policy
• Understands the importance of evidence-based practice
• Understanding of Extended brief interventions (NICE guidelines)
• Cytology certificates
• Local and national health policy
• Venepuncture
• New patient medicals
• Chaperone procedure
• Requesting pathology tests and processing the results, advising patients accordingly
• Knowledge of public health issues in the local area
• Able to identify determinants on health in the area
• Awareness of issues within the wider health arena

Experience

• 5 years post registration experience including 6 months experience in a GP practice/ Walk in Centre/ Urgent Care Centre
• Nurse-led management of minor illness, minor ailments, and injuries
• Nurse-led triage
• Compiling protocols and clinical guidelines
• Clinical Leadership
• Audit
• Research
• Nurse prescribing
• Experience of chronic disease management
• Project management
• Working with community development initiatives
• Health-needs assessment

Personal Qualities

• 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
• Ability to work under pressure / in stressful situations
• Effectively able to communicate and understand the needs of the patient
• Commitment to ongoing professional development
• Punctual and committed to supporting the team effort
• Commitment to ongoing professional development
• Punctual and committed to supporting the team effort

Qualifications

• Registered first level nurse
• MSc in a nursing related subject
• Clinical supervision training and experience
• Non-Medical Prescriber
• Level 3 Extended brief interventions (NICE guidelines)
• NMCs 'Academic Assessors', 'Practice Supervisors', and 'Practice Assessors accreditations

General Skill

• Excellent communication skills (written and oral)
• Clinical leadership skills
• Negotiation and conflict management skills
• Clear, polite telephone manner
• Competent in the use of Office and Outlook
• Competent in the use of patient record management systems: EMIS / SystmOne
• Competent in Document Management systems: Docman
• Competent in other portals: Open Exeter, Coordinate my Care
• Effective time management (Planning & Organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem solving & analytical skills
• Ability to follow clinical policy and procedure
• Experience with audit and able to lead audit programmes
• Experience with clinical risk management
• Facilitation of Learning for patients, carers, other staff and students
• Leadership and management skills, as part of a general practice nursing team with delegated accountability and responsibility for patient care
• Evidence, research and development - has an enquiring approach to practice to ensure best quality care is offered within any constraints of the service

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.

£55,000 to £64,000 a yearDepending on experience