About this role
Job summary
Cheadle Medical Practice and Alvanley Family Practice are looking for a motivated, caring and clinically curious Advanced Nurse Practitioner to join our friendly and supportive team.
This role would suit an Advanced Nurse Practitioner with Primary Care experience who is an independent prescriber. We are looking for someone who is committed to high-quality, patient-centred care and who is willing to undertake a mixture of minor illness/acute style appointments as well as care home and ideally Women's Health responsibilities.
The post will primarily be based at Cheadle Medical Practice, although the successful candidate must be willing and able to work across both Cheadle and Alvanley Family Practice when required to meet patient and service needs.
We are looking for a full timerole, ideally with availability to work 12:00-20:00 on Mondays, and regular 09:00-17:00 Saturdays.
Main duties of the job
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, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs.
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
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
Read, manage and action laboratory results acting as lead clinician, processing normal and investigating abnormal values.
Complete medical reports, insurance reports and other non NHS reports on behalf of the practice
Lead patient clinical care in our designated nursing home providing first point of contact for staff and a weekly ward round and acute visits where necessary.
About us
Cheadle Medical Practice and Alvanley Family Practice work together to provide high-quality, patient-centred primary care to our local communities.
We have a supportive, multidisciplinary team including GPs, nurses, healthcare assistants, pharmacists, physician associate colleagues and administrative staff. We value teamwork, flexibility, kindness and professional development.
The successful candidate will be joining a team that recognises the important role of practice nursing in long-term condition management, prevention, screening, immunisation and day-to-day access to safe clinical care.
Although the role is likely to be primarily based at Cheadle, we work across two sites and the ability to work at both Cheadle and Alvanley when required is an important part of the role.
Job description Job responsibilities
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 the general practice. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures.
Particular emphasis will be on carrying out acute home visits, supporting frail and palliative patients and our patients in nursing homes which will require a weekly ward round. There will be a requirement for the individual to lead on our Multidisciplinary team for complex cases across the health and social care system.
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 practice environment and with external stakeholders
Act as an advocate for patients and colleagues
Ensure awareness of sources of support and guidance 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 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 practice and wider organisation
Use a structured framework (eg 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
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
Leadership personal and people 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
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
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
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
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 and Information Act
Learning and development
Undertake mentorship for more junior staff, assessing competence against set standards
Undertake clinical learning and development in the area of Womens Health, as part of the continued growth of Womens Health Wednesdays, working alongside Operations Managers to enhance the service.
Disseminate learning and information gained to other practice staff in order to share good practice and inform others about current and future developments (eg 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
Work with the Managing Partner, Operations Managers and GP Partners to develop a holistic approach to health and wellbeing, using innovative practice to link medicine, community solutions and social care to address those patients that may be lonely and isolated.
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
Undertake any training required in order to meet the needs of the practice
Person Specification
Experience Essential
Experience of delivering safe and compassionate patient care in a GP practice setting Ability to undertake clinical assessment within scope of competence Ability to maintain accurate and timely clinical records Strong communication and interpersonal skills Ability to work both independently and as part of a multidisciplinary team Good organisational skills and ability to manage competing priorities Understanding of infection prevention and control principles Awareness of safeguarding responsibilities Competent IT skills Willingness to work across both Cheadle and Alvanley sites when required
Skills and Personal Qualities Essential
Kind, professional and patient-focused approach Ability to adapt your style of work around practice systems to ensure a consistent approach across our team Reliable and adaptable Willingness to learn and develop Able to recognise professional limits and ask for support appropriately Able to prioritise workload safely Able to work in a busy general practice environment Good attention to detail Commitment to high standards of care
Qualifications Essential
Qualified Advanced Nurse Practitioner Independent Prescriber Cervical cytology qualification Immunisation and vaccination training Long-term condition management training including Diabetes, asthma, COPD and cardiovascular disease training Contraception or womens health training Travel health training
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 Cheadle Medical Practice
Address 1-5 Ashfield Crescent
Cheadle
Cheshire
SK8 1BH
United Kingdom
Employer's website https://www.cheadlemedical.co.uk/ (Opens in a new tab)