Anp/Acp Or Experienced Practice Nurse

Box Surgery; Colerne, Corsham, Chippenham; On-site; GBP 42,000 - 58,000; Full time

Benefits offered by this job

Training & development

GP debriefs

Weekly GP meetings

Clinical pharmacist support

Shape the role

Small, supportive team

Job summary

Box Surgery is expanding its team and seeks an experienced ANP/ACP or Practice Nurse to join the Urgent Care team. The role involves same-day urgent patient assessment, diagnosis, treatment or referral, and working with the on-call GP and other practitioners to provide an urgent care and visiting service.

We offer training support including prescribing qualification, regular debriefs with GP, weekly GP meetings, a clinical pharmacist, and the chance to shape this new role within a small,

Qualifications

• Registered health professional (NMC/HCPC) with MSc Advanced Practice.
• Experience in autonomous clinical practice and urgent care.
• Current UK professional registration; willingness to obtain prescribing qualification.

Responsibilities

• Deliver urgent care and visiting services with on-call GP.
• Triage patients by phone and conduct face-to-face consultations.
• Examine, diagnose, plan and implement treatment and care.
• Prescribe safely where independent prescribing eligible.
• Refer to other services when needed.
• Maintain accurate patient records.

Skills

Advanced clinical skills

Independent prescribing

Urgent care experience

Education

MSc Advanced Practice

Post-registration qualification

Job description

Job summary

We are expanding our team and are looking for an experienced ANP/ACP or ex\erienced Practice Nurse to join us.

We are a busy GP training practice with 7700 patients, 3 partners and 6 salaried GPs.

This new role will be part of the Urgent Care team providing a same day urgent service for patients. This role will involve the assessment, diagnosis, treatment or referral of patients presenting with undifferentiated and undiagnosed conditions.

We can offer

• Support with training and development including prescribing qualification.
• Regular debriefs with GP
• Weekly GP meetings
• Clinical pharmacist supporting the team
• Ability to shape this new role
• Part of a small and supportive surgery
• Full time but part time considered for the right candidate

Main duties of the job

The post holder will:

• Work with the on-call GP and other practitioners to provide an urgent care and visiting service
• Triage patients over the phone and provide face to face consultations
• Comply with respective code of professional conduct and within own scope of practice, being responsible and accountable for decisions and actions.
• Clinically examine, assess, diagnose, plan implement and evaluate treatment/ interventions and care for patients, using expertise and decision-making skills
• Where the post holder is an independent prescriber: to prescribe safe, effective and appropriate medication in line with current guidance and legislation
• Refer patients directly to other services and agencies as appropriate
• Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers.
• To record accurate data in the patient records to an agreed standard.

About us

Box Surgery is an established and respected 3 Partner Practice which explores and delivers comprehensive integrated healthcare. The practice is considered progressive and encourages people to take responsibility for their own health and wellbeing, whilst treating those who become ill with care, compassion, empathy and skill.

As well as the main surgery, we have a small branch site at The Firs surgery in Colerne.

GP services under a private contract are delivered by the practice to patients at MOD Corsham.

The practice is a training practice for GP registrars and also teaches medical students, with two of the partners being GP trainers and GP appraisers. One of the partners was previously trained at this practice.

Whilst striving to maintain a small practice feel, Box Surgery is one of five GP practices working collaboratively within the Chippenham, Corsham and Box (CCB) PCN (Primary Care Network) to offer extended services to a patient list size of approx. 60,000.

Job responsibilities

The post holder will:

• Deliver a high standard of care using advanced clinical skills and in-depth theoretical knowledge
• Work with the on-call GP and other practitioners to provide an urgent care and visiting service at the practice
• Undertake telephone triage of patients
• Undertake Unscheduled Care clinics for patients who need to be seen on the day
• Undertake home visits as part of the visiting team
• Practise in compliance with respective code of professional conduct and within own scope of practice, being responsible and accountable for decisions and actions
• Clinically examine, assess, diagnose, plan implement and evaluate treatment/ interventions and care for patients, using expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations; using information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses
• Diagnose and manage both acute and chronic conditions, initiating, evaluating and modifying a range of interventions which may include prescribing and reviewing medicines for therapeutic effectiveness (appropriate to patient need and in accordance with evidence based practice and national protocols within scope of practice) , therapies, life style advice and care into a management plan
• Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate (e.g. of history-taking; holistic assessment; identifying risk factors; mental health assessments; requesting, undertaking and/or interpreting diagnostic tests; and conducting health needs assessments)
• Offer a holistic service to patients and their families, supporting people in making decisions, planning care or seeking to make positive changes, with an emphasis on health promotion and self-care
• Where the post holder is an independent prescriber: to prescribe safe, effective and appropriate medication in line with current guidance and legislation
• Work with patients in order to support compliance with and adherence to prescribed treatments, providing information and advice on prescribed or over the counter medication on medication regimens, side effects and interactions
• Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health
• Collaborate with other members of the Primary Health Care Team, accepting referrals and referring to them
• Refer patients directly to other services and agencies as appropriate
• Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers.
• Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks
• Deliver care according to national guidelines and evidence-based care
• To record accurate data in the patient records to an agreed standard.

Person Specification

Qualifications

Essential

• Registered health professional (NMC/ HCPC) with or working towards MSc Advanced Practice level education

Desirable

• Other relevant degree level or post registration qualification
• Non-medical Prescriber

Experience

Essential

• Post-registration experience in autonomous clinical practice relevant to the role
• Experience in examination of adults and children
• Demonstrable experience of CPD and desire to actively engage in ongoing learning of self and others.
• Of working under pressure and managing varying workloads and changing demands

Desirable

• Experience of work in Walk in Centre, A&E, Primary Care
• Recent experience as an autonomous practitioner diagnosing and treating patients

Knowledge and Skills / Personal

Essential

• Ability to work within a multidisciplinary team
• Excellent clinical reasoning and clinical decision making
• Effective communicator and excellent interpersonal skills
• Excellent computer skills
• Able to work autonomously within professional boundaries and able to seek help as necessary
• Willing to embrace change that will enhance the quality of service at the practice
• Committed to improving the healthcare for people living in are of high deprivation and clinical and social need.
• Flexibility of working hours including evenings and weekends and commitment to team working

Desirable

• Evidence of involvement in the development of programmes of care, protocols and clinical audit

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.

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).