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Advanced Nurse
3 months ago
Job summary
Mirfield Centre Centre is seeking an Advanced Clinical Practitioner to join our supportive team of GPs, Advanced Clinical Practitioners, Pharmacists and Nurses.
Main duties of the job
TheAdvanced Clinical Practitioner(ACP) has been assessed as competent inpractice using their expert clinical knowledge and skills. They have thefreedom and authority to act and make autonomous decisions in the assessment,diagnosis and treatment of patients.
The postholder works at the level of advanced clinical practice and has developed andcan evidence the underpinning competencies applicable to the specialty orsubject area, , the knowledge, skills and behaviours appropriate to the healthcareprofessionals (HCP) setting and job role.
The roleprovidesan opportunity for patients to avoid the need to be referred to a GP, therebyenabling them to receive timely care and negate unnecessary delay in receivingtreatment.
An ACP is autonomous in making decisions basedon assessment, diagnosis and interpretation of test results and will initiate,evaluate and modify a range of interventions which mayinclude prescribing medicines, therapies, lifestyle advice and care.
About us
We are a friendly, innovative GP practice located in the heart of Mirfield with registered patients.
Job descriptionJob responsibilities
Keyresponsibilities
Clinicalpractice
Assess,diagnose, plan, implement and evaluate treatment/interventions and care forpatients presenting with an undifferentiated diagnosis.
Clinicallyexamine and assess patient needs from a physiological and psychologicalperspective, and plan clinical care accordingly.
Assess,diagnose, plan, implement and evaluate interventions/treatments for patientswith complex needs.
Proactivelyidentify, diagnose and manage treatment plans for patients at risk ofdeveloping a long-term condition (as appropriate).
Diagnoseand manage both acute and chronic conditions, integrating both drug- andnon-drug-based treatment methods into a management plan.
Prescribeand review medication for therapeutic effectiveness, appropriate to patientneeds and in accordance with evidence-based practice and national and practiceprotocols, and within scope of practice.
Workwith patients in order to support compliance with and adherence to prescribedtreatments.
Provideinformation and advice on prescribed or over-the-counter medication onmedication regimens, side-effects and interactions.
Prioritisehealth problems and intervene appropriately to assist the patient in complex,urgent or emergency situations, including initiation of effective emergencycare.
Supportpatients to adopt health promotion strategies that promote healthy lifestyles,and apply principles of self-care.
Communication
Utiliseand demonstrate sensitive communication styles, to ensure patients are fullyinformed and consent to treatment.
Communicatewith and support patients who are receiving bad news
Communicateeffectively with patients and carers, recognising the need for alternativemethods of communication to overcome different levels of understanding,cultural background and preferred ways of communicating
Anticipatebarriers to communication and take action to improve communication
Maintaineffective communication within the practice environment and with externalstakeholders
Actas an advocate for patients and colleagues
Ensureawareness of sources of support and guidance (eg PALS) and provide informationin an acceptable format to all patients, recognising any difficulties andreferring where appropriate
Deliveringa quality service
Recogniseand work within own competence and professional code of conduct as regulated bythe NMC.
Produceaccurate, 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 promotesquality
Delivercare according to NICE guidelines and evidence-based care
Assesseffectiveness of care delivery through self and peer review, benchmarking andformal evaluation
Initiateand participate in the maintenance of quality governance systems and processesacross the organisation and its activities
Utilisethe audit cycle as a means of evaluating the quality of the work of self andthe team, implementing improvements where required
Inpartnership with other clinical teams, collaborate on improving the quality ofhealth care responding to local and national policies and initiatives asappropriate
Evaluatepatients response to health care provision and the effectiveness of care
Supportand participate in shared learning across the practice and wider organisation
Usea structured framework ( root-cause analysis) to manage, review andidentify learning from patient complaints, clinical incidents and near-missevents
Assessthe impact of policy implementation on care delivery
Understandand apply legal issues that support the identification of vulnerable and abusedchildren and adults, and be aware of statutory child/vulnerable patients healthprocedures and local guidance
Leadership personal and people development
Takeresponsibility for own learning and performance including participating inclinical supervision and acting as a positive role mode
Supportstaff development in order to maximise potential
Criticallyevaluate and review innovations and developments that are relevant to the areaof work
Enlistsupport and influence stakeholders and decision-makers in order to bring aboutnew developments in the provision of services
Takea lead role in planning and implementing changes within the area of care andresponsibility
Contributeto the development of local guidelines, protocols and standards
Marketthe role of the advanced nurse practitioner in general practice
Teamworking
Understandown role and scope and identify how this may develop over time
Work as an effective and responsible teammember, supporting others and exploring the mechanisms to develop new ways ofworking
Delegateclearly and appropriately, adopting the principles of safe practice andassessment of competence
Createclear referral mechanisms to meet patient need
Prioritiseown workload and ensure effective time-management strategies are embeddedwithin the culture of the team
Workeffectively with others to clearly define values, direction and policiesimpacting upon care delivery
Discuss,highlight and work with the team to create opportunities to improve patientcare
Manageand lead on the delivery of specifically identified services or projects asagreed with the practice management team
Agreeplans and outcomes by which to measure success
Management of risk
Manageand assess risk within the areas of responsibility, ensuring adequate measuresare in place to protect staff and patients
Monitorwork areas and practices to ensure they are safe and free from hazards andconform to health, safety and security legislation, policies, procedures andguidelines
Applyinfection-control measures within the practice according to local and nationalguidelines
Advocatefor policies that reduce environmental health risks, are culturally sensitiveand increase access to health care for all
Interpretnational strategies and policies into local implementation strategies that arealigned to the values and culture of general practice
Managing information
Usetechnology and appropriate software as an aid to management in planning,implementation and monitoring of care, presenting and communicating information
Reviewand process data using accurate Read codes in order to ensure easy and accurateinformation retrieval for monitoring and audit processes
Manageinformation searches using the internet and local library databases
Understandresponsibility of self and others to the practice and primary care trustregarding the Freedom and Information Act
Learning anddevelopment
Undertakementorship for more junior staff, assessing competence against set standards
Disseminatelearning and information gained to other team members in order to share goodpractice and inform others about current and future developments (eg coursesand conferences)
Assessown learning needs and undertake learning as appropriate
Providean educational role to patients, carers, families and colleagues in anenvironment that facilitates learning
Equality and diversity
Identifypatterns of discrimination and take action to overcome this and promotediversity and equality of opportunity
Enableothers to promote equality and diversity in a non-discriminatory culture
Supportpeople who need assistance in exercising their rights
Monitorand evaluate adherence to local chaperoning policies
Actas a role model in the observance of equality and diversity good practice
Acceptthe rights of individuals to choose their care providers, participate in careand refuse care
Assistpatients from marginalised groups to access quality care
Undertakeany training required in order to meet the needs of the practice
Person SpecificationQualifications
Essential
Qualified healthcare professional Educated to Masters degree as detailed within the HEE document tilted Multi-professional framework for advanced clinical practice in England Qualified independent prescriber - V300 Registered on their appropriate professional registerExperience
Essential
Experience of practice within the four pillars Job plan that demonstrates advanced clinical practice and has equity with peers working at this levelDesirable
Experience of working within a GP practice