Advanced Visiting Practitioner

The Methodist Church in Britain; Wood Green; On-site; GBP 50,000 - 62,000; Full time

Job summary

Pembroke Medical Group in Wood Green is seeking a visiting clinical care practitioner to extend the community matron service for housebound patients. The role involves initial assessment, diagnosis, treatment, and review of undifferentiated problems, including independent prescribing and emergency care where required.

Work will cover care homes, patients in their own homes, and the surgery, operating autonomously within a three-practice primary care network.

Qualifications

• Independent nurse prescriber qualification is essential.
• Mentor or teaching qualification required.
• Recognised NP qualification at degree level or equivalent.
• Clinical supervision training and experience preferred.
• Minimum 5 years' post-registration experience.
• Recent primary and community nursing experience.
• Extended and supplementary nurse prescribing experience.
• Leadership in quality initiatives such as clinical benchmarking.

Responsibilities

• Provide first-point-of-contact care for undifferentiated problems, from history to management plan.
• Deliver care to patients at home, in care homes, and at the surgery.
• Instigate and interpret diagnostic tests; prescribe within independent prescriber scope.
• Prioritise health problems and initiate emergency care when needed.
• Keep accurate records in line with Caldicott Principles and GDPR.
• Collaborate with GPs, nurses, and wider team; liaise with social services and secondary care.
• Assess and manage patients in the home environment.
• Support health promotion and self-management for long-term conditions.

Skills

Clinical leadership

Communication

Negotiation

Teaching and mentorship

Clinical examination

Management of complex conditions

Health data handling

Education

Independent nurse prescriber qualification

Mentor or teaching qualification

NP qualification at degree level or equivalent

Clinical supervision training and experience

Job description

A visiting clinical care practitioner post at Pembroke Medical Group, a general practice of 27,000 patients, extending the existing community matron service to housebound patients. The work is first-point-of-contact assessment, diagnosis, treatment and review of undifferentiated problems, including prescribing and emergency care. The role covers care home residents, patients' own homes and the surgery, working autonomously within a three-practice primary care network. Applicants need an independent nurse prescriber qualification, a minimum of five years' post-registration experience and a full UK driving licence.

What the job involves

• Provide first-point-of-contact care for patients with undifferentiated problems, from history and examination to diagnosis and management plan
• Deliver care to care home residents, patients in their own homes and patients at the surgery
• Instigate invasive and non-invasive diagnostic tests and interpret the findings
• Prescribe medicines safely as an independent prescriber, within the legal framework
• Prioritise health problems and start emergency care where needed
• Keep accurate records and handle patient data in line with Caldicott Principles and GDPR
• Work with GPs, nurses, healthcare assistants and the wider team, liaising with social services, secondary care and the voluntary sector
• Assess and manage patients within the home environment
• Support health promotion, screening and self-management for patients with long-term conditions
• Facilitate multi-disciplinary education and clinical supervision, and take part in audit and peer review
• Contribute to QOF targets, CQC guidance, clinical governance and risk management
• Proactively identify carers

Qualifications

• Independent nurse prescriber qualification
• Mentor or teaching qualification
• Recognised NP qualification at degree level or equivalent
• Clinical supervision training and experience

Experience

• Minimum 5 years' post-registration experience
• Recent primary and community nursing experience
• Extended and supplementary nurse prescribing
• Leadership in quality initiatives such as clinical benchmarking

Skills & knowledge

• Management of acute, long-term and complex conditions
• Clinical examination across all systems
• Clinical leadership and change management
• Communication, including delivering difficult messages to patients and families
• Negotiation and conflict management
• Teaching and mentorship in clinical settings

Checks & eligibility

• Full UK driving licence

Other

• Self-directed and able to work across boundaries

Nice to have

• MSc in Advanced Practice
• MSc Level 7 modules in advanced practice
• Knowledge of public health issues, including local determinants of health
• Clinical governance in primary care
• Nurse-led triage, including telephone triage
• Experience of working with community development initiatives
• Health-needs assessment of patients