Advanced Nurse Practitioner/Advanced Clinical Prescribing Practitioner

Advanced Nurse Practitioner/Advanced Clinical Prescribing PractitionerWe are looking for an Advanced Clinical Prescribing Practitioner to add to our urgent care team. The successful candidate will be working alongside our ANPs, ACP and AHPs to provide urgent care to our population for 37,000 patients. The team will be led by a GP on site, and supported by the wider team across Hamble Valley Health.Main duties of the jobDuties will include telephone and face to face assessments of patients who have been signposted to an appointment at the Urgent Care Centre by our clinical team. You will work as part of a larger team, supported by a GP lead.About usBlackthornHealth Centre and Hedge End Medical Centre have merged and are now known asHamble Valley Health.Ourlist size is over 37000, and our patients are mainly concentrated in Hamble,Bursledon, Hedge End and Botley. Our aim is to provide high quality, accessiblemedical care to our patients, whilst maintaining a supportive and pleasantworking environment for clinicians and staff.Weare part of Hampshire and Isle of Wight ICB, and offer General Medical Servicesto our patients.Weare a training practice, and take registrar doctors and also teach medicalstudents from Southampton School of Medicine.The practice has eight Partners.The current Partnership team is Dr Tomson, Dr Harris, Dr Cropley, Dr Graham, DrSonpal, Dr Shahsavanspour, Dr Yates and Dr McKenzie.We employ fourteen salaried GPs,five Advanced Nurse Practitioners, a First Contact Prescribing Paramedic, threeVisiting Paramedics, a Nursing team of fifteen, and a reception/admin team of seventy.The practice uses Emis as aclinical system. We are paper light, so scan all incoming correspondence ontopatients medical records.Job responsibilitiesMain Purpose: To be responsible for independently leading and managing practice, using an advanced level of professional accountability, autonomy and judgement for highly complex decision-making across a broad range of situations/conditions.To work autonomously, but as part of the Duty Team, using advanced knowledge and skills, underpinned by theory and experience, to holistically assess the identified patient caseload, using a range of methods across a broad range of, often complex, patient conditions.To plan and manage complete episodes of care, working in partnership with others, delegating and referring as appropriate, to optimise health outcomes and resource use, as well as providing direct support to patients and carers.To promote the proposal and implementation of service and policy development and redesign, impacting beyond own area and other disciplines, informed by current best practice and evidence-base, in accordance with values-based care.The post holder is expected to be able to:Hold sole responsibility for a range of duties, relevant to postWorks unsupervised, clinically examining and assessing patients and initiating any appropriate action.Make independent, autonomous clinical decisions relating to patient condition and treatment / care. May require minimal support and will be expected to obtain support from GPs to make decisions, which may be outside their scope of clinical knowledge.Exercise significant discretion in the delivery of this role, being guided by policies and procedures and implementing appropriate action in order to achieve expected results. Proposes and implements appropriate changes to policy / service provision as consequence of interpretation of local and/or national guidance/research findings.Key Working Relationships: Working daily as part of the Duty Team, having own list of patients to assess and treat, but also assisting, where time allows, with Critical Care list and any emergencies that arise.Working with the Econsult administrators to ensure clinical and patient management is safe and time efficient.Working with the Reception team to ensure clinical and patient management is safe and time efficient.Key responsibilities (General Duties):Responsibility for patient care, communication, planning, organisation, analysis, freedom to act, research and service developmentAdvanced clinical practice / direct patient careTakes responsibility for providing care and treatment in line with current evidence base, at an advanced clinical practice level, demonstrating the ability to make critical judgements and problem-solving, regarding patient pathways, on a daily basis, for a distinct caseload of patients.Initiates and carries out highly complex patient assessment, analyses and interprets results, using highly developed advanced knowledge and skills that includes: Comprehensive patient history and health assessment, physical examination, clinical measurements using advanced clinical skills, detailed medicines history, undertaking and interpreting range of tests / investigations.If legally authorised and in accordance with Trust regulations, independently prescribes a range of medications, as agreed with the Partners, based on efficacy, safety and cost.Discusses and agrees assessment outcomes with patients, carers and other health professionals, to enable them to make informed decisions regarding treatment and care, and initiates appropriate, timely consultation and/or referral, when more expert input is requiredRapidly and continuously evaluates patients changing condition and response to therapeutic interventions and modifies plan of care for optimal patient outcomeCommunication and relationshipsEstablishes and maintains excellent communication, with individuals/ groups, providing and receiving highly complex, sensitive and/or contentious information and exploring complex issues across a wide range of care options and decisionsUses highly developed communication skills to provide guidance, advice and support to the patient/carer regarding management of their health/illness condition and its impact on patients/carers lifeCommunicates complex, very sensitive, sometimes distressing information to patient/carer using empathy and reassurance; identifies and overcome barriers to understanding as appropriateProvides verbal and written information to patient, to enable them to give informed consent for treatment and obtains written consent for specified procedures, using highly developed specialist knowledgeEstablishes supportive partnerships with patients/carers and communicates with them, sometimes in highly distressing or emotional circumstances, which may involve imparting bad newsIn all aspects of work, challenges and demonstrates an ability to work autonomously across organisational and professional boundariesEstablishes and maintains local and regional network of contacts sharing good practice, innovative ideas, promotes developments.Leadership and managementActs as a visible advanced practice role model by demonstrating high standards of care having both advisory and clinical input into care and treatment.Acts in such a way as to be a credible, effective leader, demonstrating values-based clinical leadership, on a daily basis.Uses their professional judgement in leading on and managing complex and unpredictable care events and captures learning from these experiences to improve patient care and service delivery.Formulates, develops, implements, monitors and evaluates policies/guidelines, relevant to caseload of patients.Leads on, plans and manages own workload and workload of the service, in a flexible manner, ensuring service provision meets needs of patients.Assesses risks to health, safety and security using the results to take appropriate action and to promote and improve practice.Contributes to the Practice governance process, including adverse incident and complaints reporting and investigation.Supports the introduction and maintenance of quality and safety systems and processes within own area and monitors quality of own and others practice and participates in continuous quality improvement, using current evidence, making adjustments as requiredEducation /ProfessionalActively engages in continuous professional development in line with advanced clinical practice role and service development, maintains a suitable CPD record and ensures adheres to revalidation requirementsDevelops and delivers relevant specialist teaching for all disciplines and levels of staff, patient and carer groups within Trust, in relation to own area of expertise. This will include development of links with other organisations.Uses high-level communication skills and contributes to wider development of those working in their area of practice by disseminating best practice, regionally, nationally and Internationally.Generates and applies new knowledge to own and others practice.Evaluation and researchInitiates, facilitates and leads change at individual, team, Practice levels, in order to improve practice and health outcomes, consistent with national and international standards.Continually evaluates and audits practice at individual and systems levels, selecting and applying valid and reliable approaches and methods, appropriate to needs and context, and acts on findings.Frequently critically appraises and synthesises outcomes of relevant research and evaluations, and applies them to improve practice.Regularly involved in the initiation and implementation of research and clinical audit activities in own area and takes action, based on results of these activities, to ensure patient care is optimised.Responsibility for financial, HR, Information and physical resourcesIncorporates current technology appropriately in care delivery and uses information systems to support decision-making, to improve careEnsures that documentation is of the highest standard, adhering to local and national guidelinesContributes to discussions regarding allocation of financial resources through consultation, service redesign, participation in meetings, audit, evaluation and research activities.Ensures that accurate, essential and appropriate written and verbal information is relayed to staff, ensuring adequate facilities are in place to maintain safety in the environment, ensuring effective management of patient caseload.Mental, physical and emotional effortThis post requires:Frequent concentration for long periods, undertaking tasks such as entering and verifying data, carrying out complex treatmentsWorking on a continuous basis with identified patient caseload/carers. This can involve periods of emotional stressFrequent requirement to exert need for light to moderate physical activity during post-holders shift, including patient support and manual handling, manoeuvring equipmentWorking on an occasional to regular basis with exposure to patients with infectious conditions, exposure to bodily fluids and unpleasant conditionsPossibility of being subject to violence and aggression from patients/carers, general public, which may or may not be related to patients illness.Person SpecificationQualificationsProfessional registration with relevant professional bodyMasters level Advanced Clinical Practice courseNon-medical prescriberDemonstrable theoretical and practical advanced clinical practice knowledgeDemonstrable theoretical and practical knowledge of Minor Illness and Injury managementLegal, ethical and professional issues of advanced practiceDigital BadgeBudget managementRecognised teaching qualificationConversant with speciality-specific and advanced practice developments at national / local levelsLeadership / management relevant to health care environmentPersonal QualitiesSelf-motivation and reliabilityProfessional role model for advanced clinical practiceAbility to work unsupervised and on own initiative and as part of a multi-disciplinary teamAbility to lead on and respond positively to change.ExperienceDemonstrable experience of Minor Illness and injuryManaging defined caseload of patientsApplication of advanced clinical skills into practicePatient education and empowermentParticipation in research and audit and appraisal of evidenceManaging changeService and practice developmentWorking in partnership with all levels of staffDeveloping policies and protocolsTeaching and developing staffAptitudes and skillsExcellent interpersonal and communication skills, using a range of methods, e.g. verbal, written, record keeping, complex report writingTo be competent to deal calmly and professionally with patients, relatives and work colleagues in a confidential and sensitive mannerComputer literacy with a range of software, databases, spreadsheetsAdvanced clinical skills, such as assessing patients physical status requiring precision, accuracy, dexterityExcellent interpersonal and communication skills, using a range of methods, e.g. verbal, written, record keeping, complex report writingTo be competent to deal calmly and professionally with patients, relatives and work colleagues in a confidential and sensitive mannerComputer literacy with a range of software, databases, spreadsheetsAdvanced clinical skills, such as assessing patients physical status requiring precision, accuracy, dexterityAbility to analyse and interpret complex information from patient assessment and interventions and freedom to act in managing patients careAble to deal with demands of rapidly developing and changing service, problem-solving and prioritising abilitiesClinical reasoning, problem-solving and decision-making skills at an advanced levelDemonstrable ability to work in a busy environment and cope when the service is under pressure.Drive for improvement with the proven ability to set and meet ambitious targets and monitor against targets;Seeks out, and takes, opportunities for improving the service offered, with customer focus in foresight;Takes pride in their work and has the ability to complete projects to a satisfactory conclusion;A strong sense of personal and team accountability coupled to a clear understanding of the boundaries around delegated authority, responsibility and accountability;Strong sense of commitment to openness, honesty and integrity in undertaking the roleAbility to be intellectually flexible and to look beyond existing structures, ways of working, boundaries and organisations to produce more effective and innovative service delivery and partnerships;A commitment to improving patient services through an ability to sustain a clear performance focus on achieving demanding goalsGood organisational skillsTo be flexible and multi skilled to ensure the priorities of the service can be met.Able to work independently as an autonomous practitioner, exercising a high degree of freedom to actSuccessful team player and skills to lead/motivate othersWillingness to take on challenges and comfortable with constructive challengePhysical RequirementsManual dexterity, precision and accuracy in physical skillsDisclosure and Barring Service CheckThis 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. #J-18808-Ljbffr