Nurse Practitioner - William Brown Centre

NHS; Peterlee; On-site; GBP 35,000 - 45,000; Full time

Job summary

A leading healthcare provider in Peterlee is seeking an experienced Nurse Practitioner to provide expert care, conduct clinical assessments, and lead patient management strategies. The ideal candidate will have a nursing degree, clinical supervision training, and at least one year of primary care experience. This full-time position emphasizes collaboration, quality service delivery, and patient-centered care.

Benefits

Professional development opportunities

Supportive work environment

Health benefits

Qualifications

• Registered first level nurse MSC or equivalent.
• At least 1 year experience working as a Nurse Practitioner in primary care.
• Ability to manage patients with complex needs.

Responsibilities

• Assess and manage treatment plans for patients.
• Provide evidence-based care for patients of all conditions.
• Collaborate with other clinical teams to improve healthcare quality.

Skills

Clinical supervision

Communication skills

Team player

Advanced clinical skills

Flexibility

Education

Degree in nursing

Mentor/teaching qualification

Extended/Independent Nurse Prescriber

Tools

Clinical guidelines

Audit tools

Job description

Overview

The post holder is an experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within general practice. The post holder will demonstrate critical thinking in the clinical decision-making process and will work collaboratively with the general practice team to meet patient needs, supporting the delivery of policy and procedures.

Main duties of the job

Clinical Practice

• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.
• Assess, diagnose, plan, and manage treatment plans 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, within scope of practice.
• Work with patients to support compliance with and adherence to prescribed treatments.
• Provide information and advice on prescribed or over-the-counter medication, including 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.
• Assess, identify and refer patients presenting with mental health needs.
• Promote and deliver evidence-based care for patients presenting with all conditions.
• 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 effectively with patients and carers, recognising the need for alternative methods of communication to accommodate different levels of understanding, cultural backgrounds and preferred ways of communicating.
• Anticipate barriers to communication and take action to improve communication.
• Maintain effective communication within the practice and with external stakeholders.
• Act as an advocate for patients and colleagues.
• Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring as appropriate.

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.
• Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
• Collaborate with other clinical teams to improve the quality of healthcare in response to local and national policies and initiatives.
• 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 learn from patient complaints, clinical incidents and near-miss events.
• Assess the impact of policy implementation on care delivery.
• Monitor and develop the performance of the GPN team in accordance with local policies and provide appropriate feedback.
• Understand and apply legal issues that support identification of vulnerable and abused children and adults, and be aware of statutory policies and local guidance.
• Ensure the team has skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour, providing guidance and ensuring referrals when required.

Leadership — personal and people development

• Take responsibility for own learning and performance, including clinical supervision and acting as a positive role model.
• Support staff development and participate in staff appraisal.
• Promote the workplace as a learning environment and encourage sharing of good practice.
• Critically evaluate innovations relevant to the area of work and lead the nursing team to ensure support structures for smooth practice operation.
• Lead planning and implementation of changes within the area of care and responsibility.
• Contribute to development of local guidelines, protocols and standards and promote the role of the Nurse Practitioner in general practice.

Team Working

• Understand own role and scope and how it may develop over time.
• Work as an effective team member, supporting others and exploring new ways of working.
• Delegate clearly and appropriately with safe practice and competence assessment.
• Prioritise workload and adopt effective time-management within the team.
• Collaborate with others to define values, direction and policies affecting care delivery and discuss opportunities to improve patient care.

Management of risk

• Manage and assess risk within areas of responsibility with appropriate safeguarding for staff and patients.
• Ensure work areas are safe, hazard-free and compliant with health, safety and security legislation, policies, procedures and guidelines.
• Ensure safe storage, rotation and disposal of vaccines and drugs.
• Apply infection-control measures according to local and national guidelines.
• Interpret national strategies and policies for local implementation aligned to the values and culture of general practice.

Managing information

• Review and process data using accurate Read codes to enable easy information retrieval for monitoring and audit processes.
• Manage information searches using the internet and local library databases.
• Understand responsibilities regarding Freedom of Information Act for self and others.
• Collate, analyse and present clinical data and information to the team.

Learning and Development

• Undertake mentorship for more junior staff and assess competence against set standards.
• Disseminate learning and information to team members to share good practice and inform others about current and future developments.
• Assess own learning needs and engage in learning where 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 promote diversity and equality of opportunity.
• Promote equality and diversity in a non-discriminatory culture and support those exercising their rights.
• Monitor and evaluate adherence to local chaperoning policies and act as a role model in equality and diversity good practice.

Person Specification

Qualifications

• Clinical supervision training and experience
• Mentor/teaching qualification or equivalent experience
• Extended/Independent Nurse Prescriber
• Registered first level nurse MSC or equivalent/Degree

Experience

• At least 1 year experience working as a Nurse Practitioner in primary care or equivalent
• Nurse-led management of minor illness, minor ailments
• Nurse-led triage
• Compiling protocols and clinical guidelines
• Audit
• Research
• Project management
• Working with community development initiatives
• Health-needs assessment
• Highly motivated
• Flexibility
• Team player
• Ability to work across boundaries
• Management of patients with long-term conditions
• Management of patients with complex needs
• Accountability of own role and other roles in a nurse-led service
• Local and national health policy
• Clinical governance issues in primary care
• Patient group directions and associated policy
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Teaching and mentorship in a clinical setting
• Advanced Clinical skills
• Knowledge of public health issues
• Understanding of clinical governance issues in primary care
• Able to identify determinants on health in the area
• Knowledge of public health issues in the area
• Demonstrate an understanding of the data protection act and patient confidentiality, clinical and information governance and Caldicott requirements

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 CRB) to check for any previous criminal convictions.