Advanced Nurse Practitioner

4 weeks ago

Deeside, United Kingdom GP Practice in Wales Full time

Job summary

The Stables Medical Practice would like to recruit an Advanced Nurse Practitioner, Clinical Practitioner, Paramedic or Nurse Practitioner with a Prescribing qualification who can help us to continue providing excellent care to our patients. We would consider full time or part-time hours and can be flexible for the right candidate.

You will be an integral member of the duty team, working alongside the GP's, ANP's and Practice Nurses to run our practice. This will involve a combination of triage, face to face and home visits.

Main duties of the job

We are looking for an ANP who is a team player, and committed to Primary Care . Currently we provide a mix of triage, routine phone calls and face to face appointments but are continually adapting to the changing situation. The successful candidate would do a mix of these as well as a share of home visits. We are also looking to expand the role to include an element of clinical admin such as medication reviews to support the GPs. There is the opportunity to lead in a specific area of interest.

About us

We are a large, friendly, dedicated practice with a determination to provide high quality clinical care for our patients, at the same time we are highly committed to looking after our doctors as well. We are situated in North East Wales on the Welsh/English border. There are good connections to nearby cities with the historical city of Chester being only 5 miles away. There are also excellent schooling options in the local area. We have a list size of 10500 patients and deliver our GMS contract over 3 sites. Our main site is Hawarden Health Centre with branch sites in Saltney and Buckley. Hawarden is located miles from Chester and is 4 miles from the English border, we are close to motorway links giving direct access to Liverpool and Manchester.

Job description

Job responsibilities

JOB TITLE: ADVANCED NURSE PRACTITIONER

REPORTS TO: THE PARTNERS (Clinically)

THE PRACTICE MANAGER (Administratively)

HOURS: hours per week

Job Summary:

The Advanced Nurse Practitioner (ANP) will act autonomously within their professional scope of practice providing care for patients face to face, telephone consultations and home visits.

The postholder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence.

The Advanced Nurse Practitioner will need to prioritise and triage the needs of patients accordingly, making any necessary referrals for investigations in the appropriate manner.

The postholder will use skills, knowledge and competencies as a qualified Advanced Nurse Practitioner in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate.

Job responsibilities:

Clinical Nursing Practice

Work as part of a multi-disciplinary team to deliver safe and high quality care.

Carries out clinical nursing practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

Delivery of care in line with NSF, NICE guidelines and evidence-based care

Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.

Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.

Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.

Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.

Request diagnostic investigations and interpret within agreed protocols x-ray, blood tests, scans, etc.

Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.

Refers patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.

Care Management

Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition. Provide highly specialised care advice beyond the scope of normal Nursing practice care treatment plans, making referrals as appropriate (including fast track referrals). Contribute to local and national practice targets clinical remit QOF, prescribing incentive scheme, National benchmarking. To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.

Health Improvement

Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes. Innovation in practice to meet ongoing demands on the practices delivery of care. Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate. Supports practitioners in reporting the practice population to promote health improvement and disease prevention. Makes referrals to appropriate agencies (statutory and voluntary) where necessary

Providing assessment, screening services, health education advice:

These may include (but not restricted to);

Blood pressure checks

Urinalysis

Ear syringing

Dressings

Contraception/ fitting contraceptive devices

Routine immunisations and vaccinations

Removal of sutures / clips

First registration checks / health surveillance / general health advice

Assisting with minor procedures in the treatment room

Organise and plan the provision of nursing services for the practice to include the delegation of duties to other members of the practice nurse team as appropriate

Administration and professional responsibilities Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

Participate in the administrative and professional responsibilities of the practice team

Accurate and legible notes of all consultations and treatments are recorded in the patients notes

Ensure clinical systems kept up to date, recording and/or amending accurate details

Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator

Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice

Attend and participate in practice meetings as required

Restocking and maintenance of clinical areas and consulting rooms

Training and personal development

Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.

Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.

Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation. Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education.

Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.

Develop and maintain an in house nurse-training programme reporting to the practice manager.

Act as a mentor for junior staff, assessing competence against set standards.

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.

Develop and maintain a Personal Learning Plan.

Regularly participate in clinical supervision.

Person Specification

Qualifications

Essential

Fully qualified Registered Nurse holding relevant entry on the NMC register

Desirable

Non-Medical prescribing with minimum 2 years prescribing in Primary Care Setting

Experience

Essential

Experience of working within a nursing team.

Desirable

Experience of working in primary case

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