About this role
Job summary
We are looking for a motivated, confident and forward-thinking Advanced Nurse Practitioner (ANP) to join our clinical team. This is an exciting opportunity for an enthusiastic clinician who is passionate about delivering high-quality patient care, developing their clinical skills and contributing to the continued development of our nursing services.
You will work alongside a supportive team of highly experienced GPs, with opportunities for professional development, shared learning and involvement in the supervision and education of medical students within the practice.
The role
The successful candidate will provide comprehensive, evidence-based clinical care to patients presenting with a range of acute and chronic conditions, working autonomously within their professional scope of practice and recognising when further clinical input or referral is required.
Working arrangements
- Hours: 32 hours per week.
- Patient contacts: Approximately 2025 patient contacts per day.
- Appointment length: 15-minute appointments.
- Home visits: One home visit per day.
- Contract: Initial 12-month contract.
- Salary: Competitive, dependent on experience and qualifications.
Main duties of the job
- Assess, diagnose and manage patients presenting with a wide range of acute and chronic medical conditions.
- Provide advanced, specialist nursing care in line with evidence-based practice, NICE guidance and relevant national standards.
- Undertake comprehensive clinical assessments, prioritise health needs and initiate appropriate treatment plans.
- Recognise clinical deterioration, manage risk and escalate concerns or refer patients to secondary care and specialist services when appropriate.
- Recognise, assess and refer patients presenting with mental health needs.
- Support patients with substance misuse and addictive behaviours, referring to appropriate services when required.
- Participate in clinical emergencies and provide safe, effective care within your scope of practice.
- Act as an independent and/or supplementary prescriber, as appropriately qualified, registered and authorised.
- Prescribe safely and effectively in accordance with current legislation, professional guidance and practice policies.
- Review medication and support patients with the safe use of prescribed and over-the-counter medicines.
- Request, review and interpret investigations and pathology results, taking appropriate clinical action.
- Deliver chronic disease reviews and develop, implement and evaluate individualised treatment plans.
- Identify and support patients at risk of developing long-term conditions, promoting prevention and early intervention.
About us
We are friendly, dynamic, forward thinking and a supportive GMS practice, with above average earnings and have 3 GP partners, 1 salaried GP, 2 Nurse Practitioners, 2 Practice Nurses, 2 HCAs, pharmacists, physios, social prescribers, womens health nurse and a full comprehensive admin team.
We work closely with our neighbouring practices, and engage actively with our PCN Bosvena and 3 Harbours. We have good supportive working relationships and have completed and manage many successful projects providing additional benefits to our patients.
Job description
Job responsibilities
The following are the core responsibilities of the ANP in delivering health services.
a. Develop, implement and embed health promotion and wellbeing programmes
b. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice
c. Implement and evaluate individual specialised treatment plans for chronic disease patients
d. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health
e. Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
f. Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children
g. Request and collect pathological specimens. Upon receipt, to process and interpret pathology and other test results as required
h. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
i. Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively
j. Maintain chronic disease registers and implement and embed an effective call/recall system
k. Develop, implement and embed well woman and well man clinics
l. Chaperone patients where necessary
m. Prioritise health issues and intervene appropriately
n. Support the team in dealing with clinical emergencies
o. Recognise, assess and refer patients presenting with mental health needs
p. Support in the provision of vaccination programmes for both adults and children
q. Be an extended and supplementary prescriber, adhering to extant guidance
r. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
s. Contribute to practice targets (QOF, etc.), complying with local and regional guidance
t. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
u. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)
v. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
w. Deliver opportunistic health promotion where appropriate
x. Support Home Visits where possible
y. Support on-line triage and duty team
There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels
Person Specification
Experience
Essential
- Understanding of general practice and the wider NHS
- Experience of practice within the four pillars
- Experience of leading in chronic disease management
- Experience of prescribing and undertaking medication reviews
- Experience of infection prevention and control measures
- Experience of quality initiatives, i.e., benchmarking
Desirable
- Experience of working as a practice nurse or community nurse
- An appreciation of the new NHS landscape including the relationship between individual organisations, PCNs and the commissioners
Clinical Knowledge and Skills
Essential
- Understanding of the importance of evidence-based practice
- Ability to promote best practice regarding nursing matters
- Clinical knowledge and skills including:
- ECGs
- Venepuncture
- Chaperone procedure
- Requesting and processing pathology tests
- Advising patients accordingly
- Diabetes
- Hypertension
- Asthma
- Spirometry
- CHD
- Womens health (cervical cytology, contraception, etc.)
- Ability to work within own scope of practice and understanding when to refer to GPs
Qualifications
Essential
- Registered Nurse with Nursing and Midwifery Council (NMC)
- Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice (ALNP) or, a degree for Advanced Practice Qualification up to December 2020
- Qualified Independent Nurse Prescriber on the NMC register
- Has evidence of working at an enhanced level, as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework
- Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
- Confirmation of registration with the NMC
- Minor illness qualification
Desirable
- Qualified triage nurse
- Teaching qualification
- ALS and PALS
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
Middleway Surgery
Address
Middleway
St. Blazey
Par
Cornwall
PL24 2JL
United Kingdom
Employer's website
https://www.middlewaysurgery.co.uk (Opens in a new tab)