About this role
Job summary
We are looking for an Advanced Nurse or Clinical Practitioner to join our friendly team for 20-25 hours a week.
The role will include undertaking predominately acute consultations, telephone and face to face basis, alongside associated administrative work. On occasion the ideal candidate may also be asked to perform a home visit or participate in vaccination clinics or other core activities. The practice would be happy to support development of a special interest, if that fitted with the needs and ethos of the practice.
Main duties of the job
The candidate we are looking for
Able to deliver independent high quality care including prescribing
Have the ability to be involved in acute and chronic disease management
Able to deliver high quality patient care and share in the clinical workload, which will include participation in telephone consultations and occasional home visits.
Demonstrate the ability to contribute towards the development of our practice, by being an active member of the team joining us for both more formal meetings and our informal coffee and lunch breaks.
It is essential that the successful applicant is safely able to manage acute, undifferentiated minor illness and is a competent prescriber for such conditions. They should be clinically competent to deal with patients over the age of two, autonomously, although senior support from a named GP will always be available on site. It is important the candidate is up to date in safeguarding training and has an ability to demonstrate this in clinical practice. As a training practice education is important to us and we would encourage the successful applicant to be involved in the development of junior staff including GP trainees and student nurses within the practice.
About us
We have strong links to our PCN and work collaboratively with other practices and the PCN staff working within the practice including a pharmacist and physiotherapists.
We maintain a high level of communication with the community teams by holding regular MDT meetings and work closely with our supportive PPG. To maintain clinical skills and knowledge, we have protected time each month using a combination of in house and external training as well as informal weekly meetings to discuss clinical cases. We pride ourselves as being a patient friendly and caring practice, which can only be achieved by supporting each individual member of our team.
TPP SystmOne clinical system
List size of 8,800
IUD and implants
High QOF and Enhanced Services achievement
Achieved Good in all areas in our CQC inspection
Job description Job responsibilities
Job Summary:
The Advanced Nurse/Clinical Practitioner (ANP/ACP) will operate autonomously within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety.
The ANP/ACP will need to prioritise and triage the needs of patients accordingly over the telephone, face to face and on home visits. They will provide treatment, including prescriptions and arrange any necessary referrals for investigations in the appropriate manner.
Job responsibilities:
Clinical Practice
Work as part of a multi-disciplinary team to deliver safe and high quality care.
Carries out clinical practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care autonomously.
Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan
Delivery of care in line with local and NICE guidelines, providing evidence-based care
Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.
Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.
Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.
Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.
Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.
Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.
Care Management
Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.
Provide highly specialised care advice e.g. care treatment plans, prescribing and making referrals as appropriate (including fast track referrals).
Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.
To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.
Health Improvement
Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.
Innovation in practice to meet ongoing demands on the practices delivery of care.
Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.
Supports practitioners in reporting the practice population to promote health improvement and disease prevention.
Makes referrals to appropriate agencies (statutory and voluntary) where necessary
Administration and professional responsibilities
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Maintain their professional registration, working within their code of conduct
Participate in the administrative and professional responsibilities of the practice team
Accurate and legible notes of all consultations and treatments are recorded in the patients notes
Ensure clinical systems kept up to date, recording and/or amending accurate details
Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator
Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
Attend and participate in practice meetings as required
Training and personal development
Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.
Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.
Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.
Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education.
Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.
Act as a mentor for junior staff, assessing competence against set standards.
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.
Develop and maintain a Personal Learning Plan.
Regularly participate in clinical supervision.
Leadership personal and people development
Act as a clinical leader in the delivery of practice services ensuring that the needs of the patient are a priority
Support staff development in order to maximise potential
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
Critically evaluate and review innovations and developments that are relevant to the area of work
Promote the role of the advanced clinical practitioner in general practice.
Person Specification
Qualifications Essential
Registered Health Care Practitioner Recognised Advanced Nurse Practitioner or Advanced Clinical Practitioner qualification at Masters level Independent Non Medical prescriber who is confident to prescribe a range of medications.
Desirable
Teaching/Mentoring experience and /or qualification.
Experience Essential
Minimum of 5 years post registration experience with the ability to take comprehensive history and assess/examine patients. Experience of working as an ANP/ACP autonomously diagnosing and treating patients with undifferentiated medical and psychiatric conditions over the age of two years Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the ANP/ACP role Evidence of working autonomously and as part of a team Proven ability to evaluate the safety and effectiveness of their own clinical practice
Desirable
Interpreting and implementing local and National policy agendas for health Experience in management long term conditions e.g. asthma, COPD, diabetes, CHD
Knowledge Essential
Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS/PMS contract, Clinical Governance, Quality & Outcomes Framework Understanding of systems to gain an understanding of the health needs of the Practice population as they relate to primary care Understanding of evidence-based practice Knowledge of national standards that inform practice (e.g. National Service Frameworks, NICE guidelines etc) Understanding of their accountability under their professional code of practice Understanding of equal opportunity and diversity issues
Skills Essential
Ability to assess and manage patient risk effectively and safely Well developed word processing/data collection/IT skills Excellent interpersonal, verbal and written communication skills Reflective practitioner Time management and ability to prioritise workload Able to analyse data and information, including diagnostics, drawing out implications for the individual patient/impact on care plan Able to establish and maintain effective communication pathways within the organisation, the PCN and with key external stakeholders
Desirable
Experience of use of a medical software package Proven record of effective use of networking and influencing skills Ability to think strategically Experience of presenting information to wider audience
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 Abbey Medical Practice
Address 95 Monks Road
Lincoln
LN2 5HR
United Kingdom
Employer's website https://www.abbeymedicalpractice.co.uk/ (Opens in a new tab)