Advanced Nurse Practitioner in General Practice

Advanced Nurse Practitioner in General Practice

We are a dynamic, forward-thinking team who are passionate about developing and delivering excellent quality local services to meet the needs of our patients.

We have an exciting opportunity for an Advanced Nurse Practitioner to join our friendly, GP Training Practice in Leyburn, which serves a population of approximately 6,000 patients.

Our supportive team empowers Advanced Nurse Practitioners to work to the full extent of their education and training and in time there may be opportunity to manage our nursing team.

We are ideally looking for someone 24-32 hours a week over 3/4 days; however, we are open to other suggestions subject to room availability.

Main duties of the job

Provide a holistic approach to healthcare, drawing from both nursing and medical models of health and illness where appropriate to screen for the early signs of disease and diagnose acute problems.

Demonstrate knowledge of the pathophysiology of acute and chronic conditions commonly seen in practice.

Undertake independent and autonomous assessment of undifferentiated and undiagnosed problems.

Use sound judgement in assessing conflicting priorities and needs.

Formulate a diagnosis utilizing medical diagnostic problem-solving skills including history taking, physical examination, invasive and non-invasive procedures/investigations.

Initiate appropriate diagnostic strategies and therapeutic interventions.

Interpret and evaluate diagnostic test results in liaison with the patient and their GP and initiate treatment accordingly.

Evaluate the patient's condition and respond to therapeutic interventions, modifying the plan of care accordingly for optimal outcomes.

Prescribe as an independent, extended and supplementary nurse prescriber within the legal framework of nurse prescribing and the ICB's nurse prescribing policies.

Initiate independent and collaborative patient referral.

About us

Leyburn Medical Practice is a rural dispensing practice with an increasing list currently standing at 6150. There are 3 partners and 3 salaried GPs who are supported by clinical pharmacists, nursing, dispensary, and practice support teams. We also utilize ARRS roles including a First Contact Physiotherapist, First Contact Mental Health Practitioner, and Social Prescribers. The practice occupies a purpose-built building, which is shared with community staff.

Job responsibilities

Clinical:

Provides a holistic approach to healthcare, drawing from both nursing and medical models of health and illness where appropriate to screen for the early signs of disease and diagnose acute problems.

Demonstrates knowledge of the pathophysiology of acute and chronic conditions commonly seen in practice.

Accepts referral from other disciplines unsupervised.

Undertakes the independent and autonomous assessment of undifferentiated and undiagnosed problems with attention to physical, emotional, social, cultural, and mental health issues.

Uses sound judgement in assessing conflicting priorities and needs.

Formulates a diagnosis utilizing medical diagnostic problem-solving skills including history taking, physical examination, invasive and non-invasive procedures/investigations.

Initiates appropriate diagnostic strategies and therapeutic interventions including radiology, scanning, and laboratory requests, with attention to safety, cost invasiveness, acceptability, and efficacy.

Develops with the patient and family an ongoing, evidence-based plan for health, with an emphasis on preventative measures.

Interprets and evaluates diagnostic test results in liaison with the patient and their GP and initiates treatment accordingly.

Evaluates the patient's condition and responds to therapeutic interventions, modifying the plan of care accordingly for optimal outcomes.

Prescribes as an independent, extended and supplementary nurse prescriber within the legal framework of nurse prescribing and the ICB's nurse prescribing policies.

Initiates independent and collaborative patient referral to statutory and non-statutory organisations including GPs, secondary care consultants, allied health care professionals, and voluntary agencies.

Makes use of technology to support decision making, improve the quality and coordination of care and services.

Maintains accurate records.

Management:

Evaluates aspects of work using audit cycles to report services and standards of care to positively influence decision making and planning.

Engages in clinical supervision and self-evaluation and uses this to improve care and practice.

Manages change in response to altered dynamics within work and environment as influenced by political, social, and economic factors.

Leads and develops the nursing team and services (where applicable).

Professional:

Demonstrates respect for the dignity of all.

Always provides a high standard of care in accordance with the Code of Professional Conduct (NMC 2004).

Promotes the role and services of the Primary Care Advanced Nurse Practitioner by giving presentations and participating in forums relevant to the work.

Maintains professional competency and an awareness of organisational developments by attending relevant meetings, courses, conferences, and seminars, disseminating principles of best practice and relevant information to colleagues.

Always ensures patient confidentiality in accordance with the Clinical Governance Framework and the Code of Professional Conduct (NMC 2004).

Adheres to the requirements of the General Data Protection Regulations (GDPR).

Requests X-Rays / USS in accordance with IRMER and agreed protocols.

Leadership:

Identifies with the Primary Care Team members the health needs of the practice population and develops services appropriate to the need as agreed by the Primary health care team.

Provides clinical leadership within the practice.

Communication:

Utilises highly developed communication, negotiation, and interpersonal skills.

Communicates the patient's health status using appropriate terminology, format, and technology. The course of this communication process involves the discussion of complicated issues and the sharing of delicate information on a regular basis.

Provides health promotion and disease prevention services to patients who are healthy or have acute and/or chronic conditions by giving anticipatory guidance and counselling to promote health, reduce risk factors, and prevent disease and disability.

Attends case conferences in the course of duties.

Uses networks for the purpose of sharing relevant information in a safe and appropriate manner.

Educational:

Participates in teaching students/HCA/Medical students and others who visit the services.

Participates in the mentoring process, coaching and supporting trainees in clinical development.

Research:

Utilises an evidence-based approach applying research findings pertinent to patient care and service development to critically evaluate outcomes, patient management, and service development.

Initiates or participates formally and informally in nursing research in order to improve or evaluate care.

Person Specification

Experience

• Experience of working in General Practice

Qualifications

• Registered first level nurse MSc or equivalent

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.

Depending on experience Equivalent to Band 7/8a depending on experience.