About this role
Job summary
Charlton Hill Surgery has a fantastic opportunity for an experienced, enthusiastic and motivated Advanced Nurse Practitioner, with prescribing experience, to join our team. You will be working primarily with patients presenting with acute illnesses.
We are looking for someone to work 30 hours a week, Monday, Wednesday, Thursday and Friday, although we will consider three of these days.
Main duties of the job
- You will be part of the duty team, seeing patients who present with symptoms that require same day care.
- Prioritising health problems and intervening appropriately, to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
- Be up to date with all necessary training in this field.
About us
7 GP partners, 5 associate GPs, 2 ANPs and an experienced nursing team of 4 practice nurses
The practice..
15,800 patients, mix of urban and rural, steady growth of patients
Recently extended premises
The surgery is adjacent to Andover War Memorial Community Hospital with on site phlebotomy, radiology, MIU and the Countess of Brecknock Hospice
In-house MSK physiotherapy and clinical pharmacists
CQC Good
Teaching practice (both GP registrars and medical students)
Coffee break with other clinicians
Monthly practice lunch provided
Job description
Job responsibilities
Job summary
The post holder is an experienced clinical practitioner 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 post holder will demonstrate critical thinking in the 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.
In order to work at this level, you should have:
a. masters degree level in the relevant area of expertise
b. is working at a masters level aware or equivalent that encompasses the four pillars of clinical practice, leadership and management, education and research, with demonstration of core capabilities and area specific clinical competencies
c. NMC requirements for advanced practice must be met
d. have either graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centres e-Portfolio (supported) Route; both pathways enable eligibility for an Advanced digital badge issued by the Centre, demonstrating recognised educational and experiential preparation in advanced practice.
Overview of Key Responsibilities
a. Assess and triage patients, including same day triage, and as appropriate 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
b. Manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action
c. Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice
d. Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person
e. 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.
f. Youll be working at a masters level or equivalent that encompasses the four pillars of clinical practice, leadership and management, education and research, with demonstration of core capabilities and area specific clinical competencies.
Primary Responsibilities
You will be an experienced clinician who will provide care to patients registered at the surgery. This includes telephone triage and F2F assessments.
a. Develop, implement and embed health promotion and well-being programmes.
b. Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.
c. Diagnose and manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice to patients
d. Identify, manage and support patients as risk of developing long-term conditions, preventing adverse effects on the patients health
e. Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
f. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / highly specialised care advice beyond the scope of normal nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals)
g. Support the team in dealing with clinical emergencies
h. Recognise, assess, and refer patients presenting with mental health needs
i. Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme and national benchmarking.
j. Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
k. Support the clinical team with all safeguarding matters for children and vulnerable adults, in accordance with local and national protocols
l. Understand PCN and local policies for substance abuse and addictive behaviour, referring patients appropriately
m. Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, nation and practice protocols and within the scope of qualified practice
n. Management of health screening programmes and ensure other team members are aware of health priorities and screening objectives and programmes.
Person Specification
Qualifications
Essential
- Registered first level nurse MSc or equivalent
- Relevant nursing/health degree
- Mentor/teaching qualification
- Clinical supervision training and experience
- Independent prescribing qualification
- Up to date training in BLS and anaphylaxis management
- An ability to work as part of a team
- Commitment to continuing professional development
- Commitment to raising the high standards of Charlton Hill Surgery
Desirable
- Long term conditions qualification Diabetes or Respiratory
Experience
Essential
- Compassionate manner with an empathetic approach and demonstrable kindness in all aspects of your work. The successful candidate will value the dignity of our patients, their relatives and carers, as well as their colleagues at the practice.
- Knowledge, and experience of its application, in supporting long-term conditions.
- Insight and understanding of current issues in nursing and the wider NHS.
- Nurse prescriber.
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
Charlton Hill Surgery
Address
Charlton Road
Andover
Hampshire
SP10 3JY
United Kingdom
Employer's website
https://www.charltonhillsurgery.co.uk/ (Opens in a new tab)