Advanced Nurse Practitioner

Job summary

We are looking for a salaried ANP (prescribing) at our innovative GP practice now run by the GP federation, where we champion the doctor-patient relationship and continuity of care at practice level, underpinned by the expertise of the federation and at scale services. If you're interested in a role that gives you flexibility as your career evolves, then the following options are available:

You can tailor a salaried role to work hours that suit your lifestyle clinical interests. We provide a safe and well-supported working environment so you can focus on providing great clinical care to patients. To do this, we take as much admin burden away from you as possible, support you with other members of the MDT and give you more time with each patient. Supportive environment with GP oversight. Opportunity to develop specialist areas or CPD to support your career. 15 minute booked face-to-face appointments. No more than 16 booked patient contacts per session. Reducing clinical admin (referrals, results, letters) due to our centralised functions. Support from other practices in the group when required.

Main duties of the job

Provide the best in-class patient care to our patients. Drive quality with colleagues to improve the health of all registered patients. Work with and support members of the MDT team to provide excellent joint patient care. Help us to foster a collaborative, ambitious and innovative culture so we can build the best primary care service in the UK; a service which exceeds the expectations for patients and clinicians. Supporting trainees and other members of the team

About us

We are a rapidly growing GP-led organisation with a mission to ensure that all patients have access to comprehensive, coordinated and continuous care within a sustainable primary care system.

We appreciate that our whole primary care system is struggling, which is causing a negative effect on patient care and staff happiness. We believe that we can turn this around by reimagining how primary care is delivered from the ground up by placing a focus on data insights, technology and clinical innovation. Ultimately, we want to improve patient access, patient experience and health outcomes to significantly increase the quality of care for our patients.

The Much Birch GMS contract was novated to the Federation in February 2024, but the practice team remains unchanged as does the identity of the surgery in the local community. Much Birch is :-

A busy rural dispensing practice at the heart of the community. Located in the village of Much Birch, between Ross-on-Wye and Hereford city. Covering an area reaching from the edges of Hereford to Ross-on-Wye and extending into the villages of the Golden Valley. List size of circa 5000+ patients A supportive clinical team of GPs, ANPs, Paramedics, Practice Nurses, HCAs, Physiotherapist, Social Prescriber & Remote Pharmacists. Job description

Job responsibilities

Job Summary

The role will provide a specialist resource as an Advanced Nurse Practitioner for our patients working clinicians, nursing team and in collaboration with other members of the practice's multi-disciplinary teams. To work within our practice community, as an autonomous, accountable advanced nurse practitioner providing holistic care whilst assessing, diagnosing and providing treatment to patients. To use competent and up to date clinical skills. To assess, diagnose, treat, refer or direct to other services; our patients who attend surgery or request domicile visits relating to unscheduled minor conditions, injuries, or acute illnesses. To promote self-care and educate service users to allow them to be empowered to make informed choices about their treatment. The post holder will have clinical supervision from a GP available at all times, and would be expected to liaise with said GP about clinical decisions.

Job Responsibilities

Clinical

To practice as an advanced nurse practitioner and demonstrate advanced clinical competence and knowledge about those associated with conventional nursing roles. Assess, plan, treat and refer patients appropriately, carrying out consultations in the surgery or the community as an autonomous practitioner. Using own clinical judgement to diagnose and treat patients either face-to-face consultation, clinical telephone triage or other mediums. Making appropriate referrals to primary, secondary and social services care, following practice (and/or locally agreed) pathways and protocols. Deliver high-quality clinical care in a timely manner to patients. Supply, administer and prescribe medicines as indicated (and appropriate) to address patient need, according to medicines management policy, Patient Group Directions (PGDs), NMC standards or referring to a registered GP as necessary. To recognise the need for and initiate where appropriate relevant diagnostic investigations, using their skills in this area to take the correct course of action. Understanding local safeguarding referral process and be aware of appropriate referral mechanisms for children and vulnerable adults. Ensure complete and accurate documentation of every patient contact, including advice given. Records must be accurate and reflect the clinical activity in accordance with NMC guidelines on clinical record keeping. Minor illness assessment, diagnosis and treatment with access to seek advice, review and onward referral within clinical teams. To develop care plans for patients when required (as developed and supervised with the Partners). Be involved with continuity of care of our patients , end of life care, chronic disease management. Ensure the practitioner has the appropriate indemnity cover in place.

Clinical Governance

To participate in the clinical governance requirements within the practice. To practice within the parameters of practice policies, protocols and guidelines. To participate in quality improvement within the practice as necessary. Reflect and assess results of own decisions, outcomes and treatment; identify any shortfalls in delivery of patient services and report to relevant management. Ensure they follow health and safety legislation and COSHH regulations, reporting any breaches as necessary. Awareness of personal responsibilities in maintaining knowledge of PGDs, medicines policy and legislation regarding safe and secure medicines management. Take part in research and development activities where necessary (as directed by the Lead GP, Partners and/or senior management team).

Continued Professional Development & Learning

Maintain clinical knowledge and practice tostandards of capabilities and competencies expected of the position of AdvancedClinical Practitioner. To participate in the ongoing clinicalsupervision framework and individual professional development for clinicianswithin the Practice. Ensure registration and qualifications with theHealth and Care Professionals Council is kept up to date. Be involved in ongoing education within thepractice; to support and provide training to staff members as identifiedthrough clinical supervision sessions and reflective practice with clinicalcolleagues. Actively participate in annual performance review(with necessary audits), engage in self-appraisal and provide clear objectivesand evidence and develop continuous professional development plans.

Professional

Effectively manage own time, workload andresources To work within the regulatory requirements, codesand guidance of the Health and Care Professions Council. Punctual and professional. Demonstrate highly effective communication skillswith patients, carers, practice colleagues and other healthcare professionalsand groups To lead by action and inspire others; to promoteconfidence and trust in patients and uphold the reputation and image of thePractice.

Administration

Participate in the administrative andprofessional responsibilities of the practice team. Ensure appropriate expenses are made accuratelyand submitted to the Finance Manager. Ensure all necessary paperwork and registrationdocumentation is completed and submitted to the Quality Assurance Manager. Postholder has a legal responsibility to complywith the Health and Safety at Work Act 1974, other relevant information and anyrisk or safety related issues within the Practice in the interests of staff,patients and contractors. Aware of their responsibilities under the HealthAct 2008 Code of Practice for the Prevention and control of HealthcareAssociated Infections.

Health and Safety

The post-holder willimplement and manage their own and others health and safety and infectioncontrol as defined in the practice Health & Safety policy, the practiceHealth & Safety manual, and the practice Infection Control policy andpublished procedures. This will include (but will not be limited to):

Using personalsecurity systems within the workplace according to practice guidelines Awareness ofnational standards of infection control and cleanliness and regulatory /contractual / professional requirements, and good practice guidelines Responsiblefor the correct and safe management of the specimens process includingcollection, labelling, handling, use of correct and clean containers, storageand transport arrangements Management andmaintenance of Personal Protective Equipment (PPE) for the practice includingprovision, ordering and availability Work with thelead nurse on implementing hand hygiene across the practice Work with thelead nurse on infection control and clinically based patient care protocols,and implementation of those protocols across the practice Identifyingthe risks involved in work activities and undertaking such activities in a waythat manages those risks across clinical and patient process Makingeffective use of training to update knowledge and skills Monitoringpractice facilities and equipment in relation to infection control, ensuringthat provision of hand cleansing facilities, wipes etc are sufficient to ensurea good clinical working environment. Lack of facilities to be escalated asappropriate. Safemanagement of sharps procedures including use, storage and disposal Usingappropriate infection control procedures, maintaining work areas in a tidy,clean and sterile, and safe way, free from hazards. Initiation of remedial /corrective action where needed or escalation to responsible management Activelyidentifying, reporting, and correction of health and safety hazards andinfection hazards immediately when recognised Keeping ownwork areas and general / patient areas generally clean, sterile, identifyingissues and hazards / risks in relation to other work areas within the business,and assuming responsibility in the maintenance of general standards ofcleanliness across the business in consultation (where appropriate) with othersector managers Undertakingperiodic infection control training (minimum annually) Routinemanagement of own team areas, and maintenance of work space standards Wastemanagement including collection, handling, segregation, container management,storage and collection Spillagecontrol procedures, management and training Decontaminationcontrol procedures, management and training, and equipment maintenance Maintenance ofsterile environments Demonstrate due regard for safeguarding andpromoting the welfare of children.

Confidentiality

Under the Data Protection Act 2018 and(associated legislation for healthcare workers), the post holder must maintainthe confidentiality of information relating to patients and staff. It is theresponsibility of each member of staff to ensure that all personal datarelating to patients and members of staff, whether held in manual or electronicformat, is always kept secure.

In the course of carrying out the duties as an advancednurse practitioner , the postholder may have access to confidentialinformation relating to patients and their carers, practice staff and others.They may also have access to information relating to the practice as a businessorganisation. All such information from any source is to be regarded asstrictly confidential.

Any information relating to the above may only bedivulged to authorised persons in accordance with the practice policies andprocedures relating to confidentiality and the protection of personal andsensitive data. This work is of a confidential nature and information gainedmust not be communicated to other persons except in the recognised course ofduty.

Any unauthorised disclosure of confidentialinformation will result in disciplinary action and may ultimately lead todismissal.

Person Specification

Qualifications

Essential

Professional registration with either NMC, GPhC, or HCPC Evidence of MSc level education such as: MSc Advanced Practice Equivalent/other MSc mapped to the four pillars of advanced practice Demonstrated competence at an advance practice level through Royal College or HEE credentialling. Evidence of CPD Non-medical prescribing if appropriate to registered profession/role. Relevant role specific qualifications ( Advanced Resuscitation, ALS/EPLS/ATLS, surgical skills qualification or radiology interpretation skills) Leadership/management course or validated portfolio evidence (if not part of MSc level qualification)

Experience

Essential

Significant demonstrable experience of working as a registered practitioner in a provider organisation ( acute sector, community provider, third sector, social care or primary care) and within a relevant specialty (suggested 4-5 years minimum) Demonstrate an up to date and detailed knowledge of relevant guidelines and clinical practice in the specialty. Evidence of recent teaching, mentorship, and supervision of staff. Evidence of recent audit and/or research experience.

Desirable

Evidence of involvement in change management and/or clinical service improvement.

Skills & Abilities

Essential

Evidence of theoretical and practical skills allowing autonomous patient management (, patient assessment, diagnosis and management) related to clinical scope of practice. Understand, encourage and support clinical supervision and mentorship both within and across professional roles. Effective leadership skills relevant to role (, demonstrated ability to provide clinical professional leadership and mentorship) Effective written and verbal communication skills. Educational skills such as identification of learning needs, delivery, and evaluation, proving work-based learning. Experience of multi-professional working Ability to interpret and evaluate national and international guidelines and apply to local protocols and practice as appropriate. Works on own initiative with strong organisational skills and ability to achieve to deadlines. Able to use high-level problem-solving and analytical skills and manage complexity. Effective time-management and prioritisation skills Appropriate level of literacy ( for radiology, pathology, microbiology ordering as per Trust/organisational protocols, utilising patient systems).

Desirable

Ability to communicate effectively with all stakeholders including service users, clinicians, and senior leadership teams. This will require proven ability and leadership skills demonstrating motivational, visionary, diplomacy and negotiation skills.

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