About this role
Job summary
We are looking for an experienced Clinical Practitioner to come and join our highly skilled, friendly clinical team.
You'll work under the supervision of the Practices Community Nurse Team Leader alongside 2 other Community Nurse Practitioners. Strictly in accordance with specific practice guidelines and protocols, the post holder will assist the practice clinical team in the provision and delivery of prescribed programmes of patient care mainly for house bound patients and specifically linked to long term conditions monitoring and management.
The post holder, who acting within their professional boundaries, will provide care specifically but not limited to the practices elderly population and those assessed as being at high risk of emergency admissions to hospital. They will work collaboratively with the multi-disciplinary general practice team under the supervision of the Practices Community Nurse Team Leader to support the needs of practice patients.
Main duties of the job
Home & Care Home visits specifically to patients with Long Term Conditions
Act as liaison with secondary care when patients are admitted and on planning discharge
**PLEASE SEE FULL JOB DESCRIPTION ATTACHED**
About us
We have an ethos of team work and support and we offer our team:
Access to our in house Wellbeing team and Mental Health First Aiders, WhatsApp groups to keep you in the 'know' and socialise, a newly refurbished break room with free fresh ground coffee from a state of the art bean to cup coffee machine, fresh fruit, snacks, chilled spring water, herbal teas etc.
Access to the NHS pension.
Cycle to Work scheme.
An amazing outdoor sun terrace where you can relax on breaks when the weather is nice.
2 minute walk to the main shops and numerous cafes in Fishponds.
Themed events such as: Ice cream van in the car park, pancake day celebrations, cake baking, staff parties and once a Taco Van in the car park!
Some of the wellbeing activities staff have participated in were: Mental Health Awareness Week Nature Competition + which team could grow the tallest sunflower where we gave a pack of seeds for everyone.
We offer free fruit and biscuits everyday.
We love working here and we are sure you will too!
**Unfortunately we cannot offer Visa Sponsorship for this role**
**No recruitment agencies please**
Job description Job responsibilities
Provide the choice of direct access to a NP, both in the Practice and over the telephone, for the general practice population, specific responsibility for this post is for those patients identified as being at high risk of emergency hospital admission (mainly elderly population) Acting as liaison with secondary care when patients are admitted and on planning discharge Act as a first contact within the practice for patients and carers to discuss changes in the care plan or any deterioration in condition. Educate patients and carers about the important indicators of any deterioration in their chronic conditions so that appropriate action can be planned and taken before they reach the point of needing hospital admission. Utilising community services like intermediate care, social services, voluntary sector etc when required Long term conditions management / annual reviews. When necessary to refer onto Sirona district nursing/long term conditions team. Supported by practice nursing team. Nursing home weekly visit e.g. Quarry House, Frenchay Park, The Elms and The Worthies. Make professionally autonomous decisions for which he/she is accountable 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 Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports Where the post holder is an independent prescriber: to prescribe safe, effective and appropriate medication as defined by current legislative framework Provide safe, evidence-based, cost-effective, individualised patient care Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care Promote health and well-being through the use of health promotion, health education, screening, and therapeutic communication skills Initiate discussions with patients and carers around end-of-life care and preferred place of death. Sharing and documenting patient wishes about when they would not want to be resuscitated. Taking a lead role (alongside the lead GP) in the safeguarding of vulnerable adults and applying the principles of the Mental Capacity Act (2005) Refer patients directly to other services/agencies as appropriate Work with mutli-disciplinary team within the Practice, and across the wider NHS, to promote integrated and seamless pathways of care Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery Participate in identification of community health needs and develop patient/family-centred strategies to address them Management of vaccines to care home and housebound patients Help develop and set up new patient services and participate in initiatives to improve existing patient services
Be aware of and contribute to planning and delivery of practice-based commissioning
Person Specification
Knowledge and Skills Essential
Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS 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 the Mental Capacity Act (2005) and the principles of Safeguarding vulnerable adults Understanding of evidence based practice Knowledge of national standards that inform practice (eg National Service Frameworks, NICE guidelines etc) Understanding of their accountability arising from the NMC Code of Professional Conduct (2004) and medico-legal aspects of the Nurse Practitioner role 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, drawing out implications for the individual patient/impact on care plan Able to establish and maintain effective communication pathways within the organisation, the local PCT and with key external stakeholders Understanding of equal opportunity and diversity issues
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
Competencies/Behaviours Essential
Patient Focused. Team Member. Drive, Energy and determination. Empathy. Ability to respond well under pressure. Self motivation. Resilience. Sense of humour!
Qualifications Essential
Registered General Nurse (Currently registered with the Nursing & Midwifery Council) Recognised NP qualification at minimum of degree level or equivalent
Desirable
Independent Nurse Prescriber Teaching / Mentoring experience and /or qualification
Experience Essential
Minimum of 5 years post registration experience LTC management and community care for Frail and elderly Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the NP role Experience in management long term conditions e.g. asthma, COPD, diabetes, CHD Evidence of working autonomously and as part of a team Proven ability to evaluate the safety and effectiveness of their own clinical practice Previous experience of managing and developing a nursing team
Desirable
Interpreting and implementing local and National policy agendas for health
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 The Old School Surgery
Address Manor Road
Fishponds
Bristol
BS16 2JD
United Kingdom
Employer's website https://www.oldschoolsurgery.org.uk/ (Opens in a new tab)