About this role
Job summary
We now have an opportunity for an Advanced Practitioner Nurse to join our experienced and friendly team.
The successful applicant will demonstrate courageous and critical thinking and will be a caring, compassionate and committed 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, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice.
The successful applicant will commit to demonstrating critical thinking in the safe clinical decision-making process. They will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.
Main duties of the job
Assess and triage patients, including same day triage, and asappropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team;Manage undifferentiated undiagnosed condition and identify red flagsand underlying serious pathology and take appropriate action;Use complex decision making to inform the diagnosis, investigation,Complete management of episodes of care within a broad scope of practice;Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person;Complete the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.
About us
Parish Fields is a friendly, efficient GP Practice based in the market town of Diss on the Norfolk/Suffolk border.
The Practice has approximately 8,150 registered patients, and utilises the SystmONE Clinical IT system.
The Mission Statement for Parish Fields is to deliver outstanding patient centred care within a safe, inclusive and respectful practice environment.
We protect and value our staff, and we support patients to take shared responsibility for their health through informed choice, prevention, and partnership.
The Practice has achieved strong results in latest publications of both the GP Patient Survey and NHS Staff Survey.
Our monthly monitoring of feedback consistently indicates that over 92%+ of patients rate the care and service from the Practice as "Very Good" or "Good".
Job description Job responsibilities
Key responsibilities
Clinical practice
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 complex needs
Proactively identify diagnose and manage treatment plans for patients at risk of developing a long-termcondition (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 and within scope of practice
Work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication 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. Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation
Assess identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health. Implement and participate in vaccination and immunisation programmes for both adults and children
Advise support and administer vaccinations for patients travelling abroad, where appropriate
Promote and deliver evidence-based care for patients presenting with aural conditions
Meet the needs of patients presenting for opportunistic wound care
Communication
Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consentto 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
Maintain effective communication within the practice environment and with external stakeholders
Act as an advocate for patients and colleagues
Ensure awareness of sources of support and guidance (eg 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
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 practice 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
Working with the practice management monitor and develop the performance of the GPN team in accordance with local policies
Contribute to the appraisal of 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
Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required
Leadership personal and people development
Act as a clinical leader in the delivery of practice nursing services ensuring that the needs of the patient are a priority
Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model
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
Work with practice management to ensure sufficient staff of appropriate ability quality and skill-mix are available to meet current and future service delivery that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes
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 practice-based commissioning or similar initiatives
Promote the role of the Advanced Practitioner Nurse 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 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. Contribute to the regular updating of the Practice Risk Register
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. Oversee the monitoring stock control and documentation of controlled drug usage according to legal requirements where appropriate
Working with the practice management ensure the Nursing Team has access to and undertakes mandatory and statutory training requirements
Apply infection-control measures within the practice 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 practice and primary care trust regarding the Freedom of Information Act
Collate, analyse and present clinical data and information to the teamCommunicate essential financial restraints with the team and discuss with them ideas for effective and efficient working within these constraints
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 appropriateProvide an educational role to patients carers families and colleagues in an environment that facilitates learning
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 refuse care
Assist patients from marginalised groups to access quality care
Person Specification
Experience Essential
Significant post registration experience Recent primary and community nursing experience Nurse-led management of minor illness minor ailments and injuries Nurse-led triage Compiling protocols and clinical guidelines Clinical Leadership Audit Research Nurse prescribing
Desirable
Audit Research
Qualifications Essential
Masters degree in Advanced Practice Current professional registration (NMC) with independent non-medical prescribing qualification (V300 or equivalent). Extensive post-registration clinical experience in a relevant specialty Working at a Master's level or equivalent encompassing the four pillars of clinical practice, leadership and management, education and research, with demonstration of core capabilities and area specific competencies. Graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or having completed the Centre's ePortfolio (Supported) Route. Both pathways enable the eligibility for an "Advanced" digital badge issued by the Centre for Advancing Practice.
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 Parish Fields Practice
Address Parish Fields Practice
The Health Centre
Mount Street
Diss
Norfolk
IP22 4WG
United Kingdom
Employer's website https://www.parishfields.co.uk/ (Opens in a new tab)