Advanced Nurse Practitioner/Nurse Prescriber/Paramedic Prescriber

Integrated Care System; Norwich; On-site; GBP 37,000 - 50,000; Full time

Job summary

A leading healthcare provider in Norwich is seeking an Advanced Nurse Practitioner/Nurse Prescriber. The successful candidate will utilize clinical skills to deliver high-quality care for patients, work collaboratively in a team, and engage in continuous professional development. This role offers a supportive environment, competitive salary, and NHS pension benefits.

Benefits

Supportive working environment

Access to NHS discounts

Discounted First Bus travel

NHS pension scheme

Qualifications

• 3 years post-registration experience required.
• Qualification for minor illness/minor injury course level 6/7.
• Evidence of appropriate continuing professional development.

Responsibilities

• Provide clinical care based on comprehensive assessment and diagnostics.
• Prescribe care from the extended nurses formulary.
• Manage time effectively in a dynamic health centre setting.

Skills

Clinical examination

Autonomy

Communication

Time management

Education

Registered General Nurse degree

Paramedic BSC or equivalent

Non-medical prescribing course level 6/7

MSC level 7 advanced professional practice

Tools

SystmOne

Job description

Advanced Nurse Practitioner/Nurse Prescriber/Paramedic Prescriber

The UK government regulates the ability of employers to recruit non UK residents by issuing licenses to provide Visa Sponsorship. Unfortunately NPC does not hold a license for Visa Sponsorship and so cannot progress any applications for candidates without the right to work in the UK.

To work as an autonomous clinical practitioner,using care and case management assessment, clinical examination, and diagnosticskills to deliver high-quality holistic care and treatment.

Toprescribe efficiently from the extended nurses formulary.

To assist in the coordination ofNorfolk Primary Care (NPC) Walk-In Service daily.

Main Clinical Responsibilities:

To undertake a comprehensive holisticassessment, liaising and referring to other agencies and professionals asnecessary.

To use clinical examination and diagnosticskills, initiate investigation, prescribe care and treatment as appropriate.

To facilitate and/or provide health promotionand education.

To work collaboratively with other healthprofessionals and agencies.

To develop and maintain advanced nursing skills.

To prescribe effectively from the non-medicalnurse prescribers formulary in line with local and national prescribingformularies.

Main duties of the job

The post-holder will strive tomaintain quality within the Centre, and will:

Alert other team members to issues of qualityand risk.

Assess own performance and take accountabilityfor own actions, either directly or under supervision.

Contribute to the effectiveness of the team byreflecting on own and team activities and making suggestions on ways to improveand enhance the teams performance.

Work effectively with individuals in otheragencies to meet patients needs.

Effectively manage own time, workload andresources in line with Health Centre Policy.

About us

Norfolk Primary Care Ltd is a Community Interest Company. It is established to:

Support and strengthen primary care and to promote and assist practices to improve quality by working with and on behalf of primary care in Norfolk.

Help with challenges identified by practices workload, GP recruitment, sharing best practice.

Recognise the changing nature of primary care and assist to ensure that the right level of service is provided to address the needs of the local population.

Provide benefit to patients of primary care, the clinicians and administrators who work in it and practice organisations in Norfolk.

Work within health systems to provide patient care in innovative and solution-focused ways.

We offer successful candidates a supportive working environment, competitive salary, excellent working conditions and the benefits of the NHS pension scheme. Other benefits include access to NHS discounts and discounted First Bus travel.

If you are interested in working in an organisation committed to a culture of professionalism, growth, integrity, positivity and kindness then we would love to hear from you.

Job responsibilities

Job Purpose: Toprovide clinical care to registered and unregistered patients attending NorfolkPrimary Care Walk-In Centre.

KeyResponsibilities:

Towork as an autonomous clinical practitioner, using care and case managementassessment, clinical examination, and diagnostic skills to deliver high-qualityholistic care and treatment.

Toprescribe efficiently from the extended nurses formulary.

To assist in the coordination ofNorfolk Primary Care (NPC) Walk-In Service daily.

SpecialRequirements of the Post

Main Clinical Responsibilities:

To undertake a comprehensive holisticassessment, liaising and referring to other agencies and professionals asnecessary.

To use clinical examination and diagnosticskills, initiate investigation, prescribe care and treatment as appropriate.

To facilitate and/or provide health promotionand education.

To work collaboratively with other healthprofessionals and agencies.

To develop and maintain advanced nursing skills.

To prescribe effectively from the non-medicalnurse prescribers formulary in line with local and national prescribingformularies.

Education and Development:

To support peer review and reflective practice.

To formally and informally disseminate knowledgeand skills to other staff.

To proactively develop practice acrossboundaries.

To undertake and participate in clinicalsupervision.

To identify personal and professionaldevelopment needs and implement action plans to meet those needs.

To participate in agreed in-service trainingprogrammes.

To contribute to identifying own training needsand those of nurses working at the Centre.

To attend mandatory training annually.

Research/Audit:

To support evaluation, research, and clinicalaudit at the Centre as appropriate.

To identify, apply and disseminate researchfindings related to advanced nursing practice.

To support the understanding and utilisation ofevidence-based practice.

To provide quality service using the auditprocess to evaluate the service being provided, implementing action plans andchange of practice as necessary.

To be involved in the process of clinicalgovernance.

Management:

To oversee the day-to-day functions of theWalk-In team.

To support the Nurse Manager and PracticeManager, undertaking specific areas of work as requested.

To ensure quality targets are met or exceeded.

To ensure continuity of service.

To actively market and promote the Centre.

To assist in ensuring all staff are familiarwith medical emergency procedures.

To assist in the training of clinical staffemployed at the Centre.

To assist in recording complaints, incidents,and accidents involving patients, visitors, and staff.

Professional:

To ensure all practice is in accordance with theNMC Code of Professional Conduct, Scope of Professional Practice, Standards inthe Administration of Medicines, and Standards of Record Keeping.

To maintain and develop advanced clinicalskills.

To identify areas of unsafe practice and areasof concern, initiating prompt and appropriate action.

To respect the confidentiality of all matterslearned as a result of employment in the NHS, including matters relating toother members of staff and the public/patients.

To have a working knowledge of NPC policies andprocedures.

To attend meetings as required.

Quality:

The post-holder will strive tomaintain quality within the Centre, and will:

Alert other team members to issues of qualityand risk.

Assess own performance and take accountabilityfor own actions, either directly or under supervision.

Contribute to the effectiveness of the team byreflecting on own and team activities and making suggestions on ways to improveand enhance the teams performance.

Work effectively with individuals in otheragencies to meet patients needs.

Effectively manage own time, workload andresources in line with Health Centre Policy.

Note:

The responsibilities ofthis role will normally include all duties described in this job descriptionand any additional or different duties, which the employer may require fromtime to time.

_______________________________________________________________________

NPC Generic Job Description areas:

Communication

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

Communicate effectively with patients andcarers, recognising the need for alternative methods of communication toovercome different levels of understanding, cultural background and preferredways of communicating.

Anticipate barriers to communication and takeaction to improve communication

Maintain effective communication within theorganisational environment and with external stakeholders

Act as an advocate for patients and colleagues

Ensure awareness of sources of support andguidance (eg PALS) and provide information in an acceptable format to allpatients, recognising any difficulties and referring where appropriate

Delivering a quality servicePrioritise,organise and manage own workload in a manner that maintains and promotesqualityParticipate inquality assurance and safety processes across the organisation and itsactivitiesParticipate inshared learning across NNPC and the wider organisational environmentUse astructured framework (e.g. root-cause analysis) to manage, review and identifylearning from patient complaints, clinical incidents and near-miss eventsAssess theimpact of policy implementation on care deliveryUnderstand andapply legal issues that support the identification of vulnerable and abusedchildren and adults, and be aware of statutory child/vulnerable patients healthprocedures and local guidanceLeadership personal and peopledevelopment

Take responsibility for own learning and performance including participating incoaching/supervision and acting as a positive role mode

Support staff development in order to maximise potential

Actively promote the workplace as a learning environment,encouraging everyone to learn from each other and from external good practice

Encourage others to make realisticself-assessment of their application of knowledge and skills, challenging anycomplacency or actions that are not in the interest of the public and/or usersof services

Critically evaluate and review innovations anddevelopments that are relevant to the area of work

Enlist support and influence stakeholders anddecision-makers in order to bring about new developments in the provision of services

Contribute to planning and implementing changeswithin the area of care and responsibility

Contribute to the development of localguidelines, protocols and standards

Team workingUnderstand ownrole and scope and identify how this may develop over timeWork as aneffective and responsible team member, supporting others and exploring themechanisms to develop new ways of workingDelegateclearly and appropriately, adopting the principles of safe practice andassessment of competenceCreate clearreferral mechanisms to meet patient needPrioritise ownworkload and ensure effective time-management strategies are embedded withinthe culture of the teamWorkeffectively with others to clearly define values, direction and policiesimpacting upon care deliveryDiscuss,highlight and work with the team to create opportunities to improve patient careManage and leadon the delivery of specifically identified services or projects as agreed withthe practice management teamAgree plans andoutcomes by which to measure successManagement of risk

Manage and assess risk within the areas ofresponsibility, ensuring adequate measures are in place to protect staff and patients

Monitor work areas and practices to ensure theyare safe and free from hazards and conform to health, safety and securitylegislation, policies, procedures and guidelines

Ensure appropriate supervision of safe storage,rotation and disposal of vaccines and drugs.

Participate in mandatory and statutory training requirements

Apply infection-control measures within thepractice according to local and national guidelines

Interpret national strategies and policies intolocal implementation strategies that are aligned to the values and culture ofgeneral practice

Managing information

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

Review and process data using accurate Readcodes in order to ensure easy and accurate information retrieval for monitoringand audit processes

Manage information searches using the internetand local library databases

Monitor and confirm that the nursing team arereceiving and processing data and information in an agreed format

Collate, analyse and present clinical data andinformation to the team

Learning and development

Undertake mentorship for team members

Disseminate learning and information gained toother team members in order to share good practice and inform others aboutcurrent and future developments (eg courses and conferences)

Assess own learning needs and undertake learningas appropriate

Provide an educational role to patients, carers,families and colleagues in an environment that facilitates learning

Equality and diversity

Job description

Job responsibilities

Job Purpose: Toprovide clinical care to registered and unregistered patients attending NorfolkPrimary Care Walk-In Centre.

KeyResponsibilities:

Towork as an autonomous clinical practitioner, using care and case managementassessment, clinical examination, and diagnostic skills to deliver high-qualityholistic care and treatment.

Toprescribe efficiently from the extended nurses formulary.

To assist in the coordination ofNorfolk Primary Care (NPC) Walk-In Service daily.

Corecompetencies:

SpecialRequirements of the Post

Main Clinical Responsibilities:

To undertake a comprehensive holisticassessment, liaising and referring to other agencies and professionals asnecessary.

To use clinical examination and diagnosticskills, initiate investigation, prescribe care and treatment as appropriate.

To facilitate and/or provide health promotionand education.

To work collaboratively with other healthprofessionals and agencies.

To develop and maintain advanced nursing skills.

To prescribe effectively from the non-medicalnurse prescribers formulary in line with local and national prescribingformularies.

Education and Development:

To support peer review and reflective practice.

To formally and informally disseminate knowledgeand skills to other staff.

To proactively develop practice acrossboundaries.

To undertake and participate in clinicalsupervision.

To identify personal and professionaldevelopment needs and implement action plans to meet those needs.

To participate in agreed in-service trainingprogrammes.

To contribute to identifying own training needsand those of nurses working at the Centre.

To attend mandatory training annually.

Research/Audit:

To support evaluation, research, and clinicalaudit at the Centre as appropriate.

To identify, apply and disseminate researchfindings related to advanced nursing practice.

To support the understanding and utilisation ofevidence-based practice.

To provide quality service using the auditprocess to evaluate the service being provided, implementing action plans andchange of practice as necessary.

To be involved in the process of clinicalgovernance.

Management:

To oversee the day-to-day functions of theWalk-In team.

To support the Nurse Manager and PracticeManager, undertaking specific areas of work as requested.

To ensure quality targets are met or exceeded.

To ensure continuity of service.

To actively market and promote the Centre.

To assist in ensuring all staff are familiarwith medical emergency procedures.

To assist in the training of clinical staffemployed at the Centre.

To assist in recording complaints, incidents,and accidents involving patients, visitors, and staff.

Professional:

To ensure all practice is in accordance with theNMC Code of Professional Conduct, Scope of Professional Practice, Standards inthe Administration of Medicines, and Standards of Record Keeping.

To maintain and develop advanced clinicalskills.

To identify areas of unsafe practice and areasof concern, initiating prompt and appropriate action.

To respect the confidentiality of all matterslearned as a result of employment in the NHS, including matters relating toother members of staff and the public/patients.

To have a working knowledge of NPC policies andprocedures.

To attend meetings as required.

Quality:

The post-holder will strive tomaintain quality within the Centre, and will:

Alert other team members to issues of qualityand risk.

Assess own performance and take accountabilityfor own actions, either directly or under supervision.

Contribute to the effectiveness of the team byreflecting on own and team activities and making suggestions on ways to improveand enhance the teams performance.

Work effectively with individuals in otheragencies to meet patients needs.

Effectively manage own time, workload andresources in line with Health Centre Policy.

Note:

The responsibilities ofthis role will normally include all duties described in this job descriptionand any additional or different duties, which the employer may require fromtime to time.

_______________________________________________________________________

NPC Generic Job Description areas:

Communication

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

Communicate effectively with patients andcarers, recognising the need for alternative methods of communication toovercome different levels of understanding, cultural background and preferredways of communicating.

Anticipate barriers to communication and takeaction to improve communication

Maintain effective communication within theorganisational environment and with external stakeholders

Act as an advocate for patients and colleagues

Ensure awareness of sources of support andguidance (eg PALS) and provide information in an acceptable format to allpatients, recognising any difficulties and referring where appropriate

Delivering a quality servicePrioritise,organise and manage own workload in a manner that maintains and promotesqualityParticipate inquality assurance and safety processes across the organisation and itsactivitiesParticipate inshared learning across NNPC and the wider organisational environmentUse astructured framework (e.g. root-cause analysis) to manage, review and identifylearning from patient complaints, clinical incidents and near-miss eventsAssess theimpact of policy implementation on care deliveryUnderstand andapply legal issues that support the identification of vulnerable and abusedchildren and adults, and be aware of statutory child/vulnerable patients healthprocedures and local guidanceLeadership personal and peopledevelopment

Take responsibility for own learning and performance including participating incoaching/supervision and acting as a positive role mode

Support staff development in order to maximise potential

Actively promote the workplace as a learning environment,encouraging everyone to learn from each other and from external good practice

Encourage others to make realisticself-assessment of their application of knowledge and skills, challenging anycomplacency or actions that are not in the interest of the public and/or usersof services

Critically evaluate and review innovations anddevelopments that are relevant to the area of work

Enlist support and influence stakeholders anddecision-makers in order to bring about new developments in the provision of services

Contribute to planning and implementing changeswithin the area of care and responsibility

Contribute to the development of localguidelines, protocols and standards

Team workingUnderstand ownrole and scope and identify how this may develop over timeWork as aneffective and responsible team member, supporting others and exploring themechanisms to develop new ways of workingDelegateclearly and appropriately, adopting the principles of safe practice andassessment of competenceCreate clearreferral mechanisms to meet patient needPrioritise ownworkload and ensure effective time-management strategies are embedded withinthe culture of the teamWorkeffectively with others to clearly define values, direction and policiesimpacting upon care deliveryDiscuss,highlight and work with the team to create opportunities to improve patient careManage and leadon the delivery of specifically identified services or projects as agreed withthe practice management teamAgree plans andoutcomes by which to measure successManagement of risk

Manage and assess risk within the areas ofresponsibility, ensuring adequate measures are in place to protect staff and patients

Monitor work areas and practices to ensure theyare safe and free from hazards and conform to health, safety and securitylegislation, policies, procedures and guidelines

Ensure appropriate supervision of safe storage,rotation and disposal of vaccines and drugs.

Participate in mandatory and statutory training requirements

Apply infection-control measures within thepractice according to local and national guidelines

Interpret national strategies and policies intolocal implementation strategies that are aligned to the values and culture ofgeneral practice

Managing information

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

Review and process data using accurate Readcodes in order to ensure easy and accurate information retrieval for monitoringand audit processes

Manage information searches using the internetand local library databases

Monitor and confirm that the nursing team arereceiving and processing data and information in an agreed format

Collate, analyse and present clinical data andinformation to the team

Learning and development

Undertake mentorship for team members

Disseminate learning and information gained toother team members in order to share good practice and inform others aboutcurrent and future developments (eg courses and conferences)

Assess own learning needs and undertake learningas appropriate

Provide an educational role to patients, carers,families and colleagues in an environment that facilitates learning

Equality and diversity

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

Enable others to promote equality and diversityin a non-discriminatory culture

Support people who need assistance in exercisingtheir rights

Monitor and evaluate adherence to localchaperoning policies

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

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

Assist patients from marginalised groups to access quality care

Person Specification

Skills and Abilities

• Ability to perform clinical examination, make a diagnosis, prescribing medication, and treatment plan for patient with minor illness or minor injury.
• Ability to identify and manage emergency or acute presentations.
• Ability to assess and manage patient risk effectively and safely.
• Excellent interpersonal, verbal and written communication skills.
• Time management and ability priority workload.
• Proven experience in professionally autonomous decision making and accountability.
• Qualification for minor illness /minor injury course of level 6/7
• Experience of use SystmOne.

Experience

• Minimum of 3 years post registration experience.
• Experience of working autonomously and as part of team at primary care.
• Experience in management minor illness and minor injury at primary care.
• Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence all aspects of the ANP/NP/paramedic clinical practitioner role.
• Understanding of evidence-based practice.
• Experience of in urgent care setting
• Experience with Paediatric examination.
• Teaching /Mentoring experience or qualification.

Qualifications

• Registered general Nurse degree /Paramedic BSC or degree or equivalent level 1 degree.
• NMC registration Nurse or HCPC paramedic.
• Non- medical prescribing course level 6/7.
• MSC level 7 advanced professional practice.
• Paediatric /Adult ALS/ILS

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.