LS25/26 PCN Advanced Nurse Practitioner

Job summary

Ourstaff sit within 5 teams: Pharmacy, Clinical, Health & Wellbeing,Operational and Frailty, with the aim of supporting our practices and improvingthe health outcomes for our patients.

The Role

The postholder will be an autonomous practitioner who will be expected to take anactive role in managing acute care pathways by delivery of advanced assessment,by responding through assessment, management and treatment of patients, usuallyover 65 years of age living with Frailty both in the community and incare/nursing homes across the PCN.

TheFrailty ANP will have a key role in supporting the work of PCN in transformingthe care of frail patients, delivering integrated out of hospital care. They will support practices to meet therequirements of the enhanced frailty scheme, QOF and the NHS long term plan.

TheAdvanced Nurse Practitioner role within the PCN will provide comprehensivehealthcare sensitive to the needs of the population, including advancedclinical assessments, history taking, diagnosis, plan and deliver treatment,prescribe, and evaluate care. Working as part of a multidisciplinary team andacross the primary care, neighbourhood teams and social care in the LS25/26PCN.

Main duties of the job

The postholder will be responsible for working with the frailty team to co-ordinate thedelivery of proactive and reactive care needs of living with frailty . Thisincludes direct referrals from GP practices, discharge reviews, social care,Neighbourhood teams, PCN staff, other professionals and from data from theclinical system.

The postholder will provide highly specialised health assessments and input as anindependent and autonomous practitioner developing and leading relationshipswith members of the multi-professional team allowing for consultation andcollaboration.

Thefocus will be to provide ongoing medical support and prevent unnecessary acutehospital admissions and enable patients to remain safely and supported withintheir own homes/nursing and residential homes.

The postholder will aid in developing, delivering, and evaluating high quality patientcentred interventions in conjunction with the associated clinical teams toensure this is incorporated within both the overarching PCN Frailty Service andLS25/26 PCN objectives.

About us

LS25/26 PCN is a PCN with a patient population of circa 75,000across 7 practices.

Garforth Medical Centre

Gibson Lane Practice

Kippax Hall Surgery

Lofthouse Surgery

Moorfield House Surgery

Nova Scotia Medical Centre

Oulton Medical Centre

We are a dynamic, forward thinkingPCN team who are passionate about developing and delivering excellent qualitylocal services to meet the needs of our patients. Please have a look at ourwebsite to find out more about our team, projects, services and partners.(

Wehave a team of over 40 staff including pharmacists, pharmacy technicians,trainee pharmacist, paramedics, social prescribers (general and working withyoung people), Health Care Assistant/social prescribers, health and wellbeingcoaches, care coordinators, occupational therapists, physiotherapists,physician associates, admiral (dementia) nurse, nurse associate, Advanced Nurse Practitioner, and aCommunity Matron . Please see our staffing structure but note that it may beupdated as we continue to develop and grow our team.

Job description

Job responsibilities

The opportunity

LS25/26 PCN is a PCN with a patient population of circa 75,000across 7 practices.

Garforth Medical Centre

Gibson Lane Practice

Kippax Hall Surgery

Lofthouse Surgery

Moorfield House Surgery

Nova Scotia Medical Centre

Oulton Medical Centre

We are a dynamic, forward thinkingPCN team who are passionate about developing and delivering excellent qualitylocal services to meet the needs of our patients. Please have a look at ourwebsite to find out more about our team, projects, services and partners.(

Wehave a team of over 40 staff including pharmacists, pharmacy technicians,trainee pharmacist, paramedics, social prescribers (general and working withyoung people), Health Care Assistant/social prescribers, health and wellbeingcoaches, care coordinators, occupational therapists, physiotherapists,physician associates, admiral (dementia) nurse, nurse associate, Advanced Nurse Practitioner, and aCommunity Matron . Please see our staffing structure but note that it may beupdated as we continue to develop and grow our team.

Ourstaff sit within 5 teams: Pharmacy, Clinical, Health & Wellbeing,Operational and Frailty, with the aim of supporting our practices and improvingthe health outcomes for our patients.

The Role

The postholder will be an autonomous practitioner who will be expected to take anactive role in managing acute care pathways by delivery of advanced assessment,by responding through assessment, management and treatment of patients, usuallyover 65 years of age living with Frailty both in the community and incare/nursing homes across the PCN.

TheFrailty ANP will have a key role in supporting the work of PCN in transformingthe care of frail patients, delivering integrated out of hospital care. They will support practices to meet therequirements of the enhanced frailty scheme, QOF and the NHS long term plan.

TheAdvanced Nurse Practitioner role within the PCN will provide comprehensivehealthcare sensitive to the needs of the population, including advancedclinical assessments, history taking, diagnosis, plan and deliver treatment,prescribe, and evaluate care. Working as part of a multidisciplinary team andacross the primary care, neighbourhood teams and social care in the LS25/26PCN.

The postholder will be responsible for working with the frailty team to co-ordinate thedelivery of proactive and reactive care needs of living with frailty . Thisincludes direct referrals from GP practices, discharge reviews, social care,Neighbourhood teams, PCN staff, other professionals and from data from theclinical system.

The postholder will provide highly specialised health assessments and input as anindependent and autonomous practitioner developing and leading relationshipswith members of the multi-professional team allowing for consultation andcollaboration.

Thefocus will be to provide ongoing medical support and prevent unnecessary acutehospital admissions and enable patients to remain safely and supported withintheir own homes/nursing and residential homes.

The postholder will aid in developing, delivering, and evaluating high quality patientcentred interventions in conjunction with the associated clinical teams toensure this is incorporated within both the overarching PCN Frailty Service andLS25/26 PCN objectives.

As anadvanced practitioner defined a first level nurse/allied health professional,the post holder will work within the PCN and be responsible for:

Workingalongside the PCN manager in developing and leading the PCN frailty team,taking a lead on developments related to frailty.

Leadingand supervising clinical staff within the service.

Providinghighly specialised care within the community and care settings, to thosepatients with unscheduled care needs using advanced clinical knowledge that isevidence based, assessing, diagnosing, treating patients, and advising peoplein respect of their health care needs.

Provideexpert advice and clinical leadership to ensure the needs of the patient aremet by leading, challenging, and changing practice within the community.

Providecommunity wide team working in the development of the role of the frailtyadvanced Practitioners.

Topro-actively support and maintain patients within the community.

To helpto develop clinical pathways and protocols, leading on clinical audit andresearch.

Torecognise and act as an advocate for patients, carers, services andorganisations.

Mayrequire travel between practices and to carry out home visits.

Keyduties and responsibilities

1. ClinicalPractice

Assess and holistically clinically examine patients with bothminor and complex needs through history taking, physical examination andappropriate use of investigations to confirm diagnosis.

Recognise the early symptoms ofdisease exacerbation and acute illness based on an understanding of disease,the disease process, and current evidence and practice standards.

Plan, implement and evaluate an effective management plan for thepatient, ensuring safe discharge/referral and/or transfer to an appropriate healthcare service.

Provide information and advice on prescribed or over-the-countermedication on medication regimens, side-effects and interactions.

Prioritise health problems and intervene appropriately to assistthe patient in complex, urgent or emergency situations, including initiation ofeffective emergency care.

Triage telephone call referralsfrom external clinicians, patients and others into a range of servicesappropriately as required utilising video consultation resources

2. Communication

Utilise and demonstrate sensitive communication styles, to ensurepatients are fully informed and consent to treatment.

Communicate effectively with patients and carers, recognising theneed for alternative methods of communication to overcome different levels ofunderstanding, cultural background and preferred ways of communicating.

Anticipate barriers to communication and take action to improvecommunication.

Maintain effective communication within the organisation and withexternal stakeholders.

Ensure awareness of sources of support and guidance and provideinformation in an acceptable format to all patients, recognising anydifficulties and referring where appropriate.

3. Non-Medical-Prescribing

If you are employed in a prescribing capacity, you must only dothis if qualified and competent to do so. This applies to those practitionerswith V300 qualification, who have active registration with the NMC or thepractitioners professional regulatory body.

With relevant training, authorisationand experience,practitioners may be trained to use a set of specific patient group directions(PGD's). These are applicable only to nominated, authorised and competentpractitioners who have undertaken training in this sphere of practice.

You must maintain your knowledge and skills with regards toprescribing and administration of drugs, keeping up to date with any changes,alerts, recalls and other reasonable professional knowledge.

4. Delivering aQuality Service

Recognise and work within own competence and professional code ofconduct as regulated by the NMC/HPC etc. Understand own role and scope andidentify how this may develop over time.

Produce accurate, contemporaneous and complete records of patientconsultation, consistent with legislation, policies and procedures.

Prioritise, organise and manage own workload in a manner thatmaintains and promotes quality.

Ensure professional revalidation requirements are met.

Deliver care according to NSF, NICE guidelines and evidence-basedcare.

Assess effectiveness of care delivery through self and peerreview, benchmarking and formal evaluation.

Initiate and participate in the maintenance of quality governancesystems and processes across the organisation and its activities.

In partnership with other clinical teams, collaborate on improvingthe quality of health care responding to local and national policies andinitiatives as appropriate.

Support and participate in shared learning across the organisationand wider organisation.

Understand and apply guidance that supports the identification ofvulnerable and abused children andadults, and be aware of statutory child/vulnerable patient health proceduresand local guidance.

5. Leadership Personal and People Development

Take responsibility for own learning and performance includingparticipating in clinical supervision and acting as a positive role mode.

Provide supervison and mentoring and support staff development inorder 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 theirapplication of knowledge and skills, challenging any complacency or actionsthat are not in the interest of the public and/or users of services.

Critically evaluate and review innovations and developments thatare relevant to the area of work.

Take a lead role in planning and implementing changes within thearea of care and responsibility.

Please see attached job description

Person Specification

Experience

Essential

Experience of working as senior clinician Experience in leading managing a team of health professionals Accountability of own role and other roles in a practitioner-led service

Desirable

Experience of working in an unscheduled care service Experience of having worked in Primary Care Experience of leading managing quality improvement Experience of developing or delivering a new service or project

Qualifications

Essential

Registered first level nurse with MSc Advanced Practice or equivalent Non Medical Prescriber

Desirable

Mentor Teaching qualification Clinical supervision training and experience

EXPERIENCE

Essential

Commit to a DBS Check Access to a car and hold a driving license

Skills and knowledge

Essential

Advanced clinical practice skills Management and treatment of patients with acute exacerbation of long term conditions Management of patients with complex needs Clinical examination skills Clinical leadership skills Communication skills both written and verbal Negotiation and conflict management skills Change management Highly motivated Flexibility Enthusiasm Team Player

Desirable

Teaching and mentorship in a clinical setting Resource Management

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