Paramedic / Advanced Nurse Practitioner (ANP) (30hrs - Full Time) @ Harbourside Family Practice

Job summary

Harbourside Family Practice is seeking an experienced and motivated Advanced Paramedic, Advanced Nurse Practitioner (ANP) or Emergency Nurse Practitioner (ENP) to join our friendly and supportive clinical team.

We are offering this role on a 30-hour to full-time basis, with flexibility available for the right candidate.

The successful candidate will work autonomously, assessing, diagnosing and managing patients presenting with minor illness, acute conditions and undifferentiated symptoms. You will be confident making safe clinical decisions within your scope of practice and managing same-day demand.

Home visiting is an essential part of this role. Applicants must be willing and able to undertake regular visits to housebound patients and those requiring assessment in the community, working independently when required.

You will work closely with GPs and the wider multidisciplinary team to provide high-quality, patient-centred care and improve access to urgent and same-day appointments.

We are looking for a clinician with strong assessment and decision-making skills, experience managing acute presentations, excellent communication skills, and a commitment to delivering outstanding patient care.

In return, we offer a supportive, forward-thinking environment within a well-established GP practice committed to delivering excellent care to our local community.

Main duties of the job

The post holder will provide advanced clinical assessment, diagnosis and treatment for patients presenting with minor illness, acute conditions and undifferentiated symptoms. Working autonomously within their scope of practice, they will manage same-day and urgent patient demand, formulate management plans, arrange appropriate investigations, make referrals where necessary and provide health advice to patients.

A key responsibility of the role is undertaking home visits for housebound patients and those unable to attend the surgery, assessing and managing their clinical needs within the community.

The successful candidate will work collaboratively with GPs and the wider multidisciplinary team to deliver safe, effective and patient-centred care, contributing to improved patient access and outcomes while maintaining accurate clinical records and adhering to practice policies and professional standards.

About us

We are a high-achieving, five-partner PMS practice based in Portishead, a beautiful coastal town in North Somerset overlooking the Severn Estuary and within easy reach of Bristol.

We are proud of the quality of care and service we provide to our patients. In the 2023 NHS GP Patient Survey, we were rated as the 4th best-performing practice in BNSSG, reflecting the positive experience of our patients.

We are a forward-thinking practice with a strong emphasis on teamwork, patient-centred care and continuous improvement. We operate from a modern, purpose-built health centre with bright, spacious facilities, enabling our multidisciplinary team to provide high-quality clinical services to our growing population of approximately 11,500 patients.

As a training practice, we are committed to learning and development and provide a supportive environment in which members of our team can develop their skills and experience.

We have consistently achieved strong QOF results and were rated Good at our most recent CQC inspection. We are also proud to have a 4.4-star Google rating, further reflecting the positive experience of patients using our services.

Job description

Job responsibilities

Job summary

The role will provide an experienced Advanced Paramedic, Advanced Nurse Practitioner (ANP) or Emergency Nurse Practitioner (ENP) resource within the practice, working collaboratively with the multidisciplinary team to deliver high-quality patient care.

A significant part of the role involves undertaking home visits for housebound patients and those requiring assessment in the community. Candidates must be confident, experienced and willing to undertake regular home visits independently.

The post holder will assess, diagnose, treat, refer and signpost patients presenting with a wide range of acute and urgent conditions, both in the surgery and during home visits.

The successful candidate must be highly skilled and experienced in managing minor illness and undifferentiated acute presentations, using advanced clinical assessment and diagnostic skills to make safe clinical decisions.

To work autonomously within professional competence, providing holistic assessment, diagnosis, treatment and management plans for patients across all age groups.

To work closely with GPs and other members of the multidisciplinary team to support the management of patients with acute, chronic and complex healthcare needs.

The post holder must have access to their own vehicle and be able to travel independently for home visits.

Job responsibilities

Diagnosing and treating patients presenting with minor illness

• Triage and treat patients at home or in the surgery wishing to see a health care professional, making any necessary referrals to other members of the primary health care team / community teams including local frailty hub. This will also involve some telephone triage.
• Patients with problems needing referral to secondary care should be discussed with the registered GP before making such referral.
• Ensure clinical practice is safe and effective and remains within boundaries of competence, and to acknowledge limitations.
• Advise patients on general health care and minor ailments, with referral to other members of the primary and secondary health care team as necessary
• Works from the surgery and within communities as an autonomous practitioner caring for patients and families.
• Works as an autonomous practitioner, in accordance with the Health Professions Council. Ensure that personal and professional clinical standards are maintained.
• To undertake assessment for patients within the community and those attending the surgery, using diagnostic skills and initiation of investigations where appropriate.
• Prescribe/issue medications as appropriate following policy, patient group directives and local pathways.
• To formally and informally impart knowledge and skills to colleagues promoting peer review and best practice within the work environment.
• To communicate at all levels within the team ensuring an effective service is delivered.
• To maintain accurate, contemporaneous healthcare records appropriate to the consultation.
• Ensure evidenced-based care is delivered at the highest standards ensuring delivery of high quality patient care.
• Works with local policies and procedures.
• Enhance own performance through Continuous Professional Development, imparting own knowledge and behaviours to meet the needs of the service.
• To achieve and demonstrate agreed standards of personal and professional development in order to meet the needs of the service.
• To participate in the audit process, evaluation and implementing plans and practice change in order to meet patient need.
• Contribute positively to the effectiveness and efficiency of the team and work colleagues.

Pathological specimens and investigatory procedures

• Undertake the collection of pathological specimens including intravenous blood samples, swabs, urine samples etc. Perform investigatory procedures requested by the GPs

Administration and professional responsibilities

• Participate in the administrative and professional responsibilities of the practice team
• Ensure accurate and legible notes of all consultations and treatments are recorded in the patients notes
• Ensure the clinical computer system is kept up to date, with accurate details recorded and amended
• Ensure appropriate items of service claims are made accurately, reporting any problems to the practice management team
• Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
• Ensure collection and maintenance of statistical information required for regular and ad hoc reports and audit
• Attend and participate in practice meetings as required
• Restocking and maintenance of clinical areas and consulting rooms

Training and personal development

• Training requirements will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice. It is the individuals responsibility to remain up to date with recent developments.
• Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate
• Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development, ensuring PREP requirements are met.
• If it is necessary to expand the role to include additional responsibilities, full training will be given.
• Develop and maintain a Personal Learning Plan

Meetings

• It will be necessary to attend and contribute to various practice meetings as requested.

Confidentiality

• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
• In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

Equality and diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
• Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/Professional development

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work

Person Specification

Organisational Skills

Essential

• Ability to organise and prioritise workload
• Able to work under pressure
• Ability to keep accurate and effective clinical records

Experience

Essential

• 3 years post registration working experience
• Experience of working to protocols, guidelines and Patient Group or Patient Specific Directives
• Significant experience assessing and managing patients presenting with minor illness and acute or undifferentiated conditions.
• Experience working autonomously in primary care, urgent care, A&E, GP Out of Hours or a similar setting.
• Experience undertaking clinical home visits and managing patients in community settings.

Desirable

• 2 years experience of working as a Advanced Paramedic, Advanced Nurse Practitioner (ANP) or Emergency Nurse Practitioner (ENP) in one of the following:
• General Practice
• WIC/MIU
• GP OOHs
• A&E

Knowledge

Essential

• Ability to work autonomously
• Knowledge of unscheduled care practice
• Excellent clinical skills
• Advanced clinical assessment and diagnostic skills.
• Confidence in managing clinical uncertainty and undifferentiated presentations.
• Ability to independently assess risk, formulate management plans and recognise when escalation or referral is required.

Qualifications

Essential

• Registered Paramedic with the Health and Care Professions Council (HCPC), or Registered Nurse with the Nursing and Midwifery Council (NMC), with current professional registration and no restrictions on practice.
• Qualified and practising as an Advanced Paramedic, Advanced Nurse Practitioner (ANP) or Emergency Nurse Practitioner (ENP).
• Evidence of ongoing continuing professional development relevant to advanced clinical practice.
• Full valid EU driving licence

Desirable

• Degree in health care (or equivalent)
• Teaching and assessing qualification

Communication & People Skills

Essential

• Excellent communication and interpersonal skills
• Ability to evidence sound writing, verbal and listening skills
• Personal understanding and use of English language
• Able to work as part of a multi-disciplinary team

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.

Employer details

Employer name

Harbourside Family Practice

Address

2 Haven View

Portishead

Bristol

BS20 7QA

United Kingdom

Employer's website

https://www.harboursidefmp.nhs.uk/ (Opens in a new tab)