Advanced Clinical Practitioner

Job summary

An exciting opportunity hasrisen to work as an Advanced Nurse Practitioner within a committed team workingacross two sites in Chislehurst. You will work collaboratively within thePractice team to meet the needs of patients, supporting the delivery of policyand procedures, and providing nurse leadership as required. In order to work atthis level NMC requirements for advanced practice must be met.

Main duties of the job

Weare looking to employ a part-time experienced Advanced Nurse Practitioner tosupport our large patient list. You should feel comfortable workingindependently as well as alongside our multi-disciplinary medical team. Alwaysacting within your professional boundaries, You will provide care for thepresenting patient from initial history taking, clinical assessment, diagnosis,treatment and evaluation of care. You will demonstrate safe, clinicaldecision-making and expert care, including assessment and diagnostic skills,for patients within the general practice. The ideal candidate will demonstratecritical thinking in the clinical decision-making process.

Youwill possess the necessary skills, knowledge and behaviour by promoting andprotecting the interests of service users and carers, communicatingappropriately and effectively, working within the limits of your knowledge andskills, refer & delegate appropriately, respect confidentiality, managerisk, report concerns about safety, be honest and trustworthy and keep recordsof your work.

The role is for 30 hours per week, must be ableto work Monday and Friday, can be flexible on the other days. The successfulcandidates will be expected to work across the two sites.

About us

The Chislehurst Partnership is a friendly high achieving suburban partnership in the London Borough of Bromley with a countryside feel. Currently operating from two sites (The Chislehurst Medical Practice & The Woodlands Practice). The Partnership is passionate about providing a friendly, supportive and caring medical service to our population. The Partnership hopes to move to a purpose-built medical centre in the future but for the time being are operating from two premises.

We have a patient list size of circa 25,000. We are a 9 Partner partnership with a team of Salaried GPs, Advanced Nurse Practitioners and a Nursing team. Our staff are friendly and hard-working and together we provide a high level of care to the local community. We are a well organised, progressive, forward-thinking Partnership. We are part of the Mottingham, Downham & Chislehurst (MDC) Primary Care Network and share across our practices a wide range of additional roles including, Clinical pharmacists, Physicians associates, Social Prescribers, a Mental Health Practitioner and Paramedic.

Job description

Job responsibilities

The ANP will have the following key job responsibilities, in delivering health services;

will work as part of a multi-disciplinary team within the practice.

, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.

3. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly

4. They will advise patients on general healthcare and promote self-management where appropriate, including signposting patients to the practices social prescribing service, and where appropriate, other community or voluntary services.

5. Provide clinical leadership within the practice

6.Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice

7.Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.

8. They will communicate at all levels across organisations ensuring that an effective, person-centred service is delivered.

9. They will provide an alternative model to urgent and same day GP home visit for the partnership.

10. They will communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required.

11. They will maintain accurate health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associated with patient health care and registration with the practice.

12. Contribute to quality improvements

13. Communicate effectively with patients, and where appropriate family members and their carers, where applicable, complex and sensitive information regarding their physical health needs, results, findings, and treatment choices.

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

15.Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment

16. Communicate with and support patients who are receiving bad news

17. Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating

18. Anticipate barriers to communication and take action to improve communication

19. Maintain effective communication within the practice environment and with external stakeholders

20. Recognise and work within own competence and professional code of conduct as regulated by the NMC. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

21. Deliver care according to NICE guidelines and evidence-based care

22. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

23. Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities

24. Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

25. In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

26. Support and participate in shared learning across the practice and wider organisation

27. Use a structured framework to manage, review and identify learning from patient complaints, clinical incidents and near-miss events

28. Assess the impact of policy implementation on care delivery

29. Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance

Safeguarding Children and Adults

The Chislehurst Partnership is committed to safeguarding and promoting the welfare of children, young people (anyone under the age of 18) and adults. It expects all staff to share this commitment and act in such a way that safeguards and promotes the health and wellbeing of children, young people and adults.

Staff must ensure that they are familiar with the signs and symptoms of abuse and know what to do if any such concerns are raised. Staff are expected to know about and how to follow safeguarding children and safeguarding adult policies. All employees have a contractual right and a duty to raise genuine concerns they have with their employer about malpractice, patient safety, financial impropriety or any other serious risks they consider to be in the public interest.

General

The duties of this post are a guide to the range of responsibilities that may be required. These may change from time to time to meet the needs of the service and/or the development needs of the post holder. This job description will be revised regularly to take account of changes within the organisational structure and the practice business plan.

Other duties

The post holder will be required to undertake any other duties according to the needs of the service. This job description is not intended to be an exhaustive list of activities, but rather an outline of the main areas of responsibility. Any reasonable changes will be discussed and agreed with the post holder before any variations to the job description are made.

Travel to other sites

The post holder may be required to travel.

Reporting to:

Practice Manager & Partners

Person Specification

Clinical skills and knowledge

Essential

Understands the importance of evidence-based practice Broad knowledge of clinical governance Ability to record accurate clinical notes Ability to work within own scope of practice and understanding when to refer to GPs Knowledge of public health issues in the local area Awareness of issues within the wider health arena Knowledge of health promotion strategies Understands the requirement for PGDs and associated policy Wound Care / Removal of sutures & staples ECGs Venepuncture New patient medicals Chaperone procedure Requesting pathology tests and processing the results, advising patients accordingly Travel medicine Diabetes Hypertension Asthma Spirometry CHD Immunisations (routine, childhood and travel) Womens health

Experience

Essential

Working autonomously in an advanced nursing role Audits Research Nurse Prescribing

Desirable

Health Needs assessment Experience of working within primary care or general practice Nurse Led Triage Experience of case management Home visits

Skills

Essential

Ability to organise and prioritise workload efficiently Ability to exercise sound judgement when faced with conflicting pressures Excellent written and verbal communication skills Fully IT Literate Ability to formulate and implement policies, procedures and protocols with the partners Organisation skills Able to work both independently and in a team Able to work with external service providers to ensure seamless delivery of care Ability to assess and manage patient risk effectively and safely Excellent interpersonal, verbal and written communication skills Time management and ability to prioritise workload Able to analyse data and information, drawing out implications for the individual patient/impact on care plan Able to establish and maintain effective communication pathways within the organisation, the local PCT and with key external stakeholders Knowledge of Audit principles and evidence of participation in audit/Quality Improvement projects Experience of applying evidence to clinical practice

Qualifications

Essential

Registered with the NMC MSc in related subject Mentoring/teaching qualification Non-medical prescriber Has a postgraduate qualification at Level 7 or above relevant to your area of enhanced practice

Desirable

Long term conditions qualifications

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