About this role
Job summary
Taunton Deane West Primary Care Network is seeking an experienced and motivated Advanced Nurse Practitioner to join our multidisciplinary team in an Additional Roles Reimbursement Scheme ARRS funded post The role is hosted by Lister House Surgery on behalf of the Primary Care Network and will support the delivery of high quality patient centred care
You will work as an autonomous clinician providing advanced assessment diagnosis treatment and management for patients presenting with acute illness long term conditions and complex health needs You will work closely with GPs practice nurses pharmacists first contact practitioners and other members of the multidisciplinary team to provide safe effective and timely care
The successful candidate will help improve access to primary care support prevention and wellbeing and contribute to the continued development of integrated services across the Primary Care Network You will play an important role in improving patient outcomes reducing health inequalities and delivering proactive coordinated care
Working pattern
Tuesday 8 30am to 6 00pm
Thursday 8 30am to 2 30pm
Friday 9 00am to 5 00pm and 6.30pm to 8.00pm (Late night can be remote)
Main duties of the job
We are looking for an experienced and motivated Advanced Nurse Practitioner to join our PCN team You will work at Lister House Surgery to provide high quality patient centred care for people with acute and long term conditions
You will work as an autonomous clinician using advanced clinical assessment examination diagnosis and treatment skills You will support the delivery of safe effective and accessible primary care while working closely with clinicians and the wider multidisciplinary team
This is an excellent opportunity to contribute to innovative models of care and help improve health outcomes across the local population
Main duties
Provide autonomous assessment diagnosis treatment and management of patients presenting with undifferentiated and undiagnosed conditions
Manage acute presentations and long term conditions within your scope of practice
Prescribe safely and appropriately where qualified as an independent prescriber
Request interpret and act on investigations
Develop management plans and make referrals where appropriate
Provide health promotion prevention and patient education
Work collaboratively with the practice and the wider multidisciplinary team
Support service development quality improvement and clinical audit
Maintain accurate clinical records using electronic patient record systems
Act as a resource and support learning for colleagues where appropriate
Participate in safeguarding infection prevention clinical governance and continuing professional development
About us
Taunton Deane West Primary Care Network is an NHS collaboration between two GP practices Wellington Medical Centre and Lister House Partnership Our practice teams work closely together sharing expertise resources and ideas to develop new and innovative services that improve care for our local population
As an approved PCN Learning Organisation we are committed to creating a positive learning culture where both learners and educators are supported to develop their skills and thrive We value teamwork continuous improvement and the sharing of knowledge across our practices
Together we care for approximately 28000 registered patients across the two practices Our vision is to continue improving the quality and accessibility of care we provide by responding to the needs of our patient population and developing services that support better health outcomes
Being part of a Primary Care Network enables us to benefit from additional roles and expertise through the Additional Roles Reimbursement Scheme These roles strengthen our existing teams and help us provide the right care at the right time from the right professional
We are committed to delivering compassionate person centred care while working collaboratively with our patients our practices and our wider healthcare partners
Job description Job responsibilities
Job role:
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 at an advanced level, for patients within the general Primary Care Network. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the general Primary Care Network team to meet the needs of patients, supporting the delivery of policy and procedures. In order to work at this level, NMC requirements for advanced Primary Care Network must be met
KEY RESPONSIBILITIES
Clinical Primary Care Network
Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with highly 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 Primary Care Network and national and Primary Care Network protocols, and within scope of Primary Care Network
Communication
Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
Communicate with and support patients who are receiving bad news
Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating
Anticipate barriers to communication and take action to improve communication
Maintain effective communication within the Primary Care Network environment 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 where 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
Prioritise, organise and manage own workload in a manner that maintains and promotes quality
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
Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate
Evaluate patients response to health care provision and the effectiveness of care
Support and participate in shared learning across the Primary Care Network and wider organisation
Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning 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
Approve the performance of the team, providing feedback as appropriate
Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance
Ensure you have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required
Personal development
Take responsibility for own learning and performance including participating in clinical 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 realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services
Critically evaluate and review innovations and developments that are relevant to the area of work
Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services
Take a lead role in planning and implementing changes within the area of care and responsibility
Contribute to the development of local guidelines, protocols and standards
Maintain effective communication with those responsible for the overall commissioning and procurement process
Maintain active involvement in the planning and processes of Primary Care Network-based commissioning or similar initiatives
Market the role of the advanced nurse practitioner in general Practice
Team working
Understand own role and scope and identify how this may develop over time
Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
Delegate clearly and appropriately, adopting the principles of safe Practice and assessment of competence
Create clear referral mechanisms to meet patient need
Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team
Work effectively with others to clearly define values, direction and policies impacting upon care delivery
Discuss, highlight and work with the team to create opportunities to improve patient care
Manage and lead on the delivery of specifically identified services or projects as agreed with the Primary Care Network and Practice management team
Agree plans and outcomes by which to measure success
Management of risk
Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines
Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs
Apply infection-control measures within the Primary Care Network according to local and national guidelines
Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all
Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general Practice.
Managing information
Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information
Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes
Manage information searches using the internet and local library databases
Understand responsibility of self and others to the Primary Care Network and Practice regarding the Freedom and Information Act
Manage, in conjunction with the QoF team, the QoF targets or the equivalent SPQS requirements.
Learning and development
Undertake mentorship for more junior staff, assessing competence against set standards
Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences)
Assess own learning needs and undertake learning as appropriate
Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning
Establish an evidence base for practice, through benchmarking, audit, Quality Improvement and research ensuring that outcomes are disseminated locally, regionally, and nationally as appropriate.
Equality and diversity
Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity
Enable others to promote equality and diversity in a non-discriminatory culture
Support people who need assistance in exercising their rights
Monitor and evaluate adherence to local chaperoning policies
Act as a role model in the observance of equality and diversity good practice
Accept the rights of individuals to choose their care providers, participate in care and refuses care. Assist patients from marginalised groups to access quality care
Person Specification
Qualifications Essential
Registered first level nurse MSc or equivalent Independent/supplementary nurse prescribing qualification Advanced nursing specialist qualification Relevant nursing/health degree Clinical supervision training and experience
Desirable
Mentor/teaching qualification
Experience Essential
Advanced clinical practice skills Management of patients with long-term conditions Management of patients with complex needs Clinical examination skills 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 directives and associated policy Communication skills, both written and verbal Communication of difficult messages to patients and families Negotiation and conflict management skills Change management Resource management Experience Minimum 5 years post-registration experience At least 2 years recent primary / community nursing experience Nurse prescribing Nurse-led management of minor illness, minor ailments and injuries Nurse-led triage Compiling protocols and clinical guidelines Audit Research QI
Desirable
Knowledge of public health issues Able to identify determinants on health in the area Knowledge of public health issues in the area Experience of working in Primary Care
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 Taunton Deane West Primary Care Network
Address Lister House Surgery
Croft Way
Wiveliscombe
Somerset
TA4 2BF
United Kingdom
Employer's website https://tauntondeanewestpcn.gpweb.org.uk/our-primary-care-network (Opens in a new tab)