About this role
Job summary
We are looking for a full-time or part-time trained Advanced Nurse or Paramedic Practitioner (with a prescribing qualification) to support our clinical team to provide patient access to both scheduled and unscheduled care provision. The aim of the role is to :
deliver convenient accessible careprovide assessment, differential diagnosis and treatments of acute episodes of minor health and minor injury conditionswork in partnership with patients in agreeing management planspromote self care in order that patients are empowered to manage their own health needsThe role:
Permanent role4 to 5 days a week (32 to 37.5 hours)Competitive salary and packageNHS pension
Main duties of the job
To conduct patient consultations using specialist knowledge in relation to minor injuries and health problems. Full assessments, history and differential diagnosis to be made in order that a management plan can be agreed with the patient. Interventions are timely, and may include provision of urgent care in an emergency. To contribute to the ongoing development of clinical guidelines reflecting best evidence based practice. To ensure that referrals to other primary and secondary services are made in line with agreed guidelines. To utilise diagnostic and clinical skills, developing new skills where appropriate. To prescribe according to and within scope of practice. Supply and administer medications in accordance with legislation and practice policies. To utilise clinical judgement, providing care and treatment within agreed guidelines where the need arises and within scope of practice. To have a working knowledge of child protection, the abuse of older people and domestic violence and refer to services as necessary.
About us
Our GP practice:
GMS training practice. CQC good & high QOF achieving10,000 patientsWell-organised practice with very good staff retention across all levels including 5 GP Partners, 2 GPs, 1 Nurse Practitioner, 1 Nurses and 2 HCAsRemote clinical pharmacists and pharmacy technicians for medication supportEMIS Web & Docman clinical systems and remote access availableDaily coffee meetings and approachable friendly teamGP Extended Hours clinics in the area provided by an external provider
Job description Job responsibilities
Role
Post Title: Advanced nurse practitioner / paramedic practitioner
Location: Fairfield Medical Centre
Organisational arrangements
(i) Reporting/Accountable to:
Clinically : GP partners Administratively : practice manager(ii) Responsible for:
Scheduled & unscheduled patient care
1. Main purpose of the role
To provide the local practice community with access to both scheduled and unscheduled care provision. The aim of the role is to :
- deliver convenient accessible care
- provide assessment, differential diagnosis and treatments of acute episodes of minor health and minor injury conditions
- work in partnership with patients in agreeing management plans
- promote self care in order that patients are empowered to manage their own health needs
2. Main responsibilities of the role
- work as an autonomous practitioner, providing completed episodes of care to individuals
- work within agreed guidelines and protocols where they exist and make autonomous decisions in the absence of guidelines
- prescribe within knowledge and skills and in accordance with National and Local Guidelines
- work within scope of practice and draw on relevant experience to deliver quality patient care
- work in partnership with other health and social care providers
- provide patients with the opportunity to contribute to the ongoing development of the service
- manage the nursing team
3. Key areas accountable for
3.1 Clinical
To conduct patient consultations using specialist knowledge in relation to minor injuries and health problems. Full assessments, history and differential diagnosis to be made in order that a management plan can be agreed with the patient. Interventions are timely, and may include provision of urgent care in an emergency. To contribute to the ongoing development of clinical guidelines reflecting best evidence based practice. To ensure that referrals to other primary and secondary services are made in line with agreed guidelines. To utilise diagnostic and clinical skills, developing new skills where appropriate. To prescribe according to and within scope of practice. Supply and administer medications in accordance with legislation and practice policies. To utilise clinical judgement, providing care and treatment within agreed guidelines where the need arises and within scope of practice. To have a working knowledge of child protection, the abuse of older people and domestic violence and refer to services as necessary. 3.2 Team work
To manage the nursing team on a day to day basisEnsure you are up to date with decisions made by the practice that might affect the care and support you give to patients. Share all major issues and new developments with the clinical team so that the practice can develop policies to make sure that all patients received the same standard and quality of care. 3.3 Communications
Ensure effective communication with patients offering informed choice. Recognise and address patients anxieties and behaviours when managing acute health problems. Maintain effective communication with other team members ensuring all team members are kept involved and informed in the delivery and continued development of the practice. Patients are referred to primary and secondary providers with clear contemporaneous notes which accurately reflect the consultation and reasons for referral. Caldicott Guardianship is effective. Consent and Confidentiality is maintained in line with data protection and consent policies. 3.4 Clinical governance
Quality controls and risk assessments are performed and forwarded for action. Awareness of health and safety for self and others and attend mandatory training. Give due consideration to the daily exposure to bodily fluids. All health and safety incidents are managed accordingly through the appropriate reporting mechanism. Medicines are managed safely in accordance with practice policy. 3.5 Education training
Demonstrate awareness of own professional development and training needs in accordance with service needs.
Promote and support the development and provision of work based learning to other clinical staff members.
Act as a mentor for other clinical staff members.
Continued professional development through reflective practice is integral to practice, clinical supervision is regularly undertaken.
3.6 Service development
Ensure service is efficient by monitoring and exploring opportunities for savings.
Undertake clinical audit to review practice and service, reporting results of audits.
Explore opportunities in line with National Health plans to support effective health care for patients.
4. Fairfield Medical Centre standards
We expect all staff to demonstrate the following standards within their job roles, and to be reviewed against them in their appraisals / development reviews:
to be friendly, helpful and welcoming to introduce ourselves by name and role, and explain what we do to listen and respond promptly to what patients really want or need to do what we have promised to offer to help not wait to be asked to find someone to help if we arent able to to deliver the best possible care / service at all times to provide an environment that is tidy and clean5. Other
To be aware of and work in line with all the practice protocols and procedures.
To carry out any other tasks that are commensurate with the grade in discussion with the post holder
Person Specification
Qualifications Essential
Registered General Nurse 1st level (or equivalent) Post registration/graduate diploma or equivalent in a specific field ALS or willingness to undertake Evidence of continuing professional development Nurse prescriber / Non medical prescriber
Desirable
Previous experience of management of nursing team
Experience Essential
A minimum of 4 years post registration experience in community, A & E or minor injury or walk in centre Experience of multi-disciplinary working Evidence of professional development
Desirable
Experience of working in primary care Experience of working in a GP practice Proven track record in relation to research based practice Experience with audit
Skills and abilities Essential
Ability to provide quality care Organisational skills Excellent communication and interpersonal skills Broad range of excellent clinical skills Ability to organise the work load, able to prioritise Good knowledge of health and safety and risk management Computer literate Effective written and verbal communication skills
Desirable
Home visiting Team management experience
Knowledge and understanding Essential
Good understanding of current nursing / practitioner workforce issues Clear understanding of current health service objectives
Personal qualities Essential
Good sense of humour Self-motivated Reliable and flexible Ability to work well in stressful situations Innovative Assertive Committed and hard working
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 Fairfield Medical Centre
Address Lower Road
Bookham
Leatherhead
Surrey
KT23 4DH
United Kingdom
Employer's website https://fairfieldmedical.nhs.uk/ (Opens in a new tab)