About this role
Job summary
The Advanced Nurse Practitioner (ANP) / Emergency Care Practitioner (EP) will act autonomously within their professional scope of practice providing care for patients face to face, telephone consultations and home visits.
The postholder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence.
The Advanced Nurse Practitioner will need to prioritise and triage the needs of patients accordingly, making any necessary referrals for investigations in the appropriate manner.
The postholder will use skills, knowledge and competencies as a qualified Advanced Nurse Practitioner in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate.
Main duties of the job
Work within a multi-disciplinary team to deliver safe, high-quality, patient-centred care.Provide advanced clinical nursing, including assessment, diagnosis, treatment, and referral.Deliver care in line with NICE/NSF guidance and evidence-based practice.Triage, manage acute and chronic conditions, and develop appropriate care plans.Prescribe and review medication within guidelines and scope of practice.Request and interpret diagnostic tests (e.g. bloods, X-rays, scans).Provide care in practice or home settings, including minor illness management.Ensure timely care delivery and accurate clinical record-keeping in line with NMC standards.Support continuity of care (e.g. chronic disease, end-of-life care).Follow safeguarding procedures and make appropriate referrals across services.
About us
The Rame Group Practice is an innovative, forward thinking, friendly, welcoming and supportive practice, based in a modern, purpose-built health centre in Torpoint with a branch surgery on the Rame Peninsula.
Our organisation is led by a team of 8 dedicated GP Partners, a Business Partner and supported by a multidisciplinary team that includes Salaried GPs, Advanced Nurse and Emergency Care Practitioners, Practice Nurses, Healthcare Assistants, and a General Practice Assistant. We are also supported by a pharmacy team comprising Clinical Pharmacists and Pharmacy Technicians and Physio team all serving 12,000 patients.
The clinical team is underpinned by a highly skilled and efficient administrative team that ensures the seamless operation of the practice. Together, our multidisciplinary team is committed to providing outstanding care and continually improving health outcomes for the communities we serve.
We have a thriving and growing dermatology service as well as a busy award-winning clinical trials team which is also expanding. We are a training practice and have GP registrars working with us, as well as a number of medical students on a rotational basis.
Rame has a proven track record of high QOF achievement and was rated GOOD at the last CQC inspection.
Our practice culture values team members wellbeing and we seek to promote work life balance in these challenging times for general practice.
Job description Job responsibilities
Clinical
Work as part of a multi-disciplinary team to deliver safe and high quality care. Carries out clinical nursing practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care. Delivery of care in line with NSF, NICE guidelines and evidence-based care
Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate. Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.
Making appropriate referrals to primary, secondary and social services care, following practice pathways and protocols.
Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice. Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan. Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.
Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency. Minor illness assessment, diagnosis and treatment with access to seek advice, review and onward referral within clinical teams. Deliver high quality clinical care in a timely manner to patients. Understanding local safeguarding referral process and be aware of appropriate referral mechanisms for children and vulnerable adults. Ensure complete and accurate documentation of every patient contact, including advice given. Records must be accurate and reflect the clinical activity in accordance with NMC guidelines on clinical record keeping. To develop care plans for patients when required. (as development and supervised by the Partners) Be involved with continuity of care of our patients, e.g end of life care, chronic disease management. Refers patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.
Care Management
Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.
Provide highly specialised care advice beyond the scope of normal Nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).
Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.
To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.
Health Improvement
Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.
Innovation in practice to meet ongoing demands on the practices delivery of care.
Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.
Supports practitioners in reporting the practice population to promote health improvement and disease prevention.
Makes referrals to appropriate agencies (statutory and voluntary) where necessary.
Providing assessment, screening services, health education advice:
These may include (but not restricted to);
Blood pressure checks Urinalysis Ear syringing Dressings Contraception/ fitting contraceptive devices Routine immunisations and vaccinations Removal of sutures / clips First registration checks / health surveillance / general health advice Assisting with minor procedures in the treatment room
Administration and professional responsibilities Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Participate in the administrative and professional responsibilities of the practice team Accurate and legible notes of all consultations and treatments are recorded in the patients notes Ensure clinical systems kept up to date, recording and/or amending accurate details Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice Attend and participate in practice meetings as required Restocking and maintenance of clinical areas and consulting rooms
Person Specification
Qualifications Essential
Registered in relevant field i.e RGN/RN current NMC registration / Qualified paramedic or specialist paramedic - FDSc or BSc qualified and registered with HPCP Recognised qualification to diploma level or above. Demonstrate commitment to professional development. UK work permit (if required) UK driving licence
Experience Essential
Experience of minor illness/injury Experience of working as party of a multi-disciplinary team Clinical governance Experience of using clinical patient records software Experience of working in accordance with the Code of Professional Conduct and The Scope of Professional Practice relevant to your profession i.e. UKCC, AHPC Experience of Microsoft Office software Experience of dealing with the public/patients Self-audit and reflection Organised and efficient in record keeping and completion of paperwork Time management - being able to prioritise work an work under pressure Independent and/or Supplementary Prescriber Qualification
Desirable
Delivery of QoF targets Experience of EMIS clinical system Adaptability to change Leadership Experience working in a GP Practice Chronic disease management Primary prevention & screening services
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name The Rame Group Practice
Address Penntorr Health
Trevol Road
Torpoint
Cornwall
PL11 2TB
United Kingdom
Employer's website https://www.theramegrouppractice.co.uk/ (Opens in a new tab)