About this role
Job summary
Bevan Medical Group are excited to welcome a new Advanced Nurse Practitioner to their established team. The successful candidate will serve a patient population of over 8,000 patients and be based in sites across the East Durham area. We are continually seeking new ways to support and improve local healthcare services to our patient population.
The successful candidate will be joining a growing multidisciplinary team including GP's, ANP's, Practice Nurses, HCA's, Clinical Pharmacists and PCN based roles.
We are committed to the ongoing development of our team, which includes mandatory and developmental training for all our staff. Team members are encouraged to highlight any training they feel would benefit them in the achievement of their role.
Main duties of the job
In your role, you will be based within the practice and will be required to provide some home visits to patients where appropriate.
The post holder will demonstrate courageous and critical thinking, they will be a caring, compassionate and committed experienced nurse who, acting within their professional boundaries, will provide care for the presenting patients 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 of all ages within general practice.
The post holder will commit to demonstrating critical thinking in the safe clinical decision-making process. They will communicate and work collaboratively with the team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.
About us
Our current team comprises of GP's, ANP's, Practice Nurse, Pharmacists and HCA's, supported by friendly and experienced administrative and management teams. We hold frequent practice, clinical, peer support sessions and encourage regular CPD sessions. We are proud to have been accredited as a training practice.
We have a patient list size of over 8,200 patients working from modern, purpose-built premises, based in County Durham. We are active members of Durham Coast Primary Care Network.
The applicant should have excellent communication and interpersonal skills and be able to provide high quality, patient-centred care. You will work alongside the team delivering and developing care relevant to the needs of our patient population in conjunction with organisational, local and national priorities.
For the right candidate we offer a competitive salary, dependant on experience and offer NHS pension.
Job description Job responsibilities
Key responsibilities
Clinical practice
Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis both in practice and within patients own homes.
Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs. Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan.
Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.
Work with patients to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care.
Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation.
Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health.
Implement and participate in vaccination and immunisation programmes for both adults and children.
Meet the needs of patients presenting for opportunistic wound care.
Communication
Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
Communicate with and support patients who are receiving bad news.
Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
Anticipate barriers to communication and take action to improve communication.
Maintain effective communication within the practice environment and with external stakeholders.
Act as an advocate for patients and colleagues.
Delivering a quality service
Recognise and work within own competence and professional code of conduct as regulated by the NMC.
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
Deliver care according to NSF, NICE guidelines and evidence-based care.
Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.
In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
Evaluate patients response to health care provision and the effectiveness of care.
Support and participate in shared learning across the practice and wider organisation.
Use a structured framework (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events.
Assess the impact of policy implementation on care delivery.
Working with the practice management monitor and develop the performance of the GPN team in accordance with practice policies.
Contribute to the appraisal of the performance of the team, providing feedback as appropriate.
Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance.
Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required.
Leadership personal and people development
Act as a clinical leader in the delivery of practice nursing services ensuring that the needs of the patient are a priority.
Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model.
Support staff development to maximise potential.
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services.
Critically evaluate and review innovations and developments that are relevant to the area of work.
Enlist support and influence stakeholders and decision-makers to bring about new developments in the provision of services.
Contribute to the development of local guidelines, protocols and standards.
Maintain effective communication with those responsible for the overall commissioning and procurement process.
Maintain active involvement in the planning and processes of practice-based commissioning or similar initiatives.
Promote the role of the advanced nurse practitioner in general practice.
Team working
Understand own role and scope and identify how this may develop over time.
Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
Create clear referral mechanisms to meet patient need.
Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team.
Work effectively with others to clearly define values, direction and policies impacting upon care delivery.
Discuss, highlight and work with the team to create opportunities to improve patient care.
Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team.
Agree plans and outcomes by which to measure success.
Management of risk
Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.
Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriate.
Working with the practice management, ensure the nursing team has access to and undertakes mandatory and statutory training requirements.
Apply infection-control measures within the practice according to local and national guidelines.
Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all.
Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.
Managing information
Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information.
Review and process data using accurate Read codes to ensure easy and accurate information retrieval for monitoring and audit processes.
Collate, analyse and present clinical data and information to the team.
Communicate essential financial restraints with the team and discuss with them ideas for effective and efficient working within these constraints.
Learning and development
Undertake mentorship for more junior staff, assessing competence against set standards.
Disseminate learning and information gained to other team members to share good practice and inform others about current and future developments (eg courses and conferences).
Assess own learning needs and undertake learning as appropriate.
Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.
Equality and diversity
Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity.
Enable others to promote equality and diversity in a non-discriminatory culture.
Support people who need assistance in exercising their rights.
Monitor and evaluate adherence to local chaperoning policies.
Act as a role model in the observance of equality and diversity good practice.
Accept the rights of individuals to choose their care providers, participate in care and refuse care.
Assist patients from marginalised groups to access quality care.
Person Specification
Personal Qualities Essential
Effective time management (planning and organising) Demonstrate personal accountability, emotional resilience and work well under pressure Ability to follow legal, ethical and professional policies/ procedures and codes of conduct Ability to work as a team member and autonomously Good interpersonal and organisational skills Sensitive and empathetic in distressing situations Knowledge of and ability to work to key policies and procedures
Desirable
Knowledge of IT systems including the ability to use word processing skills, emails and the internet Ability to identify risk and assess/manage risk when working with individuals
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 New patient medicals Chaperone procedure Requesting and processing pathology tests Advising patients accordingly Diabetes Hypertension Asthma Spirometry CHD Immunisations (routine and childhood) Womens health (cervical cytology, contraception, etc.) Ability to work within own scope of practice and understanding when to refer to GPs Good clinical system IT knowledge and the ability to record accurate clinical notes Broad knowledge of clinical governance Understanding of safeguarding adults and children Knowledge of public health issues in the local area and issues in the wider health arena Understanding of health promotion strategies Excellent interpersonal, influencing, negotiation and organisation skills with the ability to constructively challenge the view and practices of managers and clinicians Understanding and knowledge of healthcare provision in GP surgeries, QOF and enhanced service Detailed knowledge of national standards that inform general practice (NSF NICE guidelines)
Other Essential
Disclosure Barring Service (DBS) check Occupational Health clearance Meet the requirements and produce evidence for nurse revalidation Evidence of continuing professional development (CPD) commensurate with the role Flexibility to work outside core office hours
Desirable
Access to own transport and ability to travel across the locality on a regular basis
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
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.
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 South Durham Health CIC
Address Bevan Medical Group
Bevan Grove
Shotton Colliery
County Durham
DH6 2LQ
United Kingdom
Employer's website https://www.southdurhamhealth.co.uk/ (Opens in a new tab)