Primary Care Network Advanced Care Practitioner

Job summary

The post holder will be employed by Greenwich Health, the GP Federation in Greenwich. Greenwich has 6 primary care networks (PCNS) with list sizes of between 30-80,000 Post holder will work for Valentine Primary Care Network.

An ACP will demonstrate critical thinking and is a caring, compassionate and committed experiencednurse who, acting within their professional boundaries, will provide care forthe presenting patient from initial history taking, clinical assessment,diagnosis, treatment and evaluation of care. They will demonstrate safe,competent clinical decision-making and expert care, including assessment anddiagnostic skills, for patients within the general practice. They willcommunicate and work collaboratively with the general practice team to meet theneeds of patients, supporting the delivery of policy and procedures, andproviding nurse leadership as required.

Main duties of the job

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition (as appropriate) Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan 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 Work with patients in order to support compliance with and adherence to prescribed treatments Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects, and interactions Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care

About us

Greenwich Health is the GPFederation for the Greenwich Borough and have a not-for-profit ethos. Thismeans we reinvest all of our surplus into developing our staff, ourorganisation and to support our GP Practices in being sustainable for thefuture. We are committed to providing quality of care to our patients whilstbuilding resilience for General Practice and providing services and programmesof work to deliver care at scale to the Greenwich Population.

Why work for Greenwich Health?

- We arelocal organisation owned by our local GP Practices we care what happens inGreenwich and want to make a difference to our patients and our partners.

- We offercompetitive remuneration as well as other benefits including:

oOccupational sickness pay entitlement

oCounselling services

oElectric Vehicle Salary Sacrifice Scheme

oCycle to Work Scheme

o Private Healthcare Membership - BenendenHealthcare

- We have atrack record for developing individuals in their careers

- Throughour partnerships in our local healthcare environment, we can develop sharedposts for example, with the hospital trust and our GP practices.

- You willhave ongoing support and mentorship.

- We havedeveloped a working culture which harnesses openness and togetherness which hasresulted in high staff retention rates.

Job description

Job responsibilities

Clinical Practice:

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition (as appropriate) Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan 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 Work with patients in order to support compliance with and adherence to prescribed treatments Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects, and interactions Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation Assess, identify, and refer patients presenting with mental health needs in accordance with the NSF for Mental Health Implement and participate in vaccination and immunisation programmes for both adults and children Advise, support, and administer vaccinations for patients travelling abroad, where appropriate Promote and deliver evidence-based care for patients presenting with aural conditions Meet the needs of patients presenting for opportunistic wound care

Communication:

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment Communicate with and support patients who are receiving bad news 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

Delivering aquality service :

Recognise and work within own competence and professional code of conduct as regulated by the NMC or other relevant professional body Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies, and procedures Deliver care according to NSF, NICE guidelines, and evidence-based care Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation Evaluate patients response to health care provision and the effectiveness of care Support and participate in shared learning across the practice and wider organisation Use a structured framework ( root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents, and near-miss events Working with the practice management monitor and develop the performance of the GPN team in accordance with local policies

Leadership personal and people development:

Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model Support staff development in order to maximise potential Work with practice management to ensure sufficient staff of appropriate ability, quality and skill-mix are available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes Contribute to the development of local guidelines, protocols and standards

Team working :

Understand own role and scope and identify how this may develop over time Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence Create clear referral mechanisms to meet patient need

Managementof Risk:

Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelinesEnsure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriate

ManagingInformation:

Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes Understand responsibility of self and others to the practice and primary care trust regarding the Freedom of Information Act

Learning anddevelopment:

Undertake mentorship for more junior staff, assessing competence against set standards Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments ( courses and conferences) Assess own learning needs and undertake learning as appropriate Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Secondary Responsibilities:

Delivering aquality service:

Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate Assess the impact of policy implementation on care delivery Contribute to the appraisal of the performance of the team, providing feedback as appropriate 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 Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate

Leadership personal and people development:

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 their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services Critically evaluate and review innovations and developments that are relevant to the area of work Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services Maintain effective communication with those responsible for the overall commissioning and procurement process Maintain active involvement in the planning and processes of practice-based commissioning or similar initiatives Promote the role of the advanced nurse practitioner in general practice

Teamworking:

Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team Work effectively with others to clearly define values, direction and policies impacting upon care delivery Discuss, highlight, and work with the team to create opportunities to improve patient care Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team Agree plans and outcomes

Equity andDiversity:

Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity Enable others to promote equality and diversity in a non-discriminatory culture Support people who need assistance in exercising their rights Monitor and evaluate adherence to local chaperoning policies Act as a role model in the observance of equality and diversity good practice Accept the rights of individuals to choose their care providers, participate in care and refuse careAssistpatients from marginalised groups to access quality care Person Specification

Qualifications

Essential

Registered first level nurse / Advanced Clinical Practitioner MSc in a nursing or related Clinical Advanced Practice qualification at Masters Level Mentor/teaching qualification Non-Medical Prescriber

Desirable

NMCs Academic Assessors 'Practice Supervisors, and Practice Assessors accreditations or equivalent Clinical supervision training and experience

Personal Qualities

Essential

Polite and confident Flexible and cooperative Motivated, forward thinker Problem solver with the ability to process information accurately and effectively, interpreting data as required High levels of integrity and loyalty Sensitive and empathetic in distressing situations Ability to work under pressure / in stressful situations Effectively able to communicate and understand the needs of the patient Commitment to ongoing professional development Effectively utilises resources Punctual and committed to supporting the team effort

Clinical Knowledge & Skills

Essential

Management of management of minor illness, minor ailments, and injuries Immunisations (routine, childhood, B12, travel) Wound Care / Treatment of advanced injuries / Removal of sutures & staples Womens health (Cervical cytology, contraception, etc.) Dressings Diabetes review Hypertension Cardiovascular disease primary prevention Coronary Heart Disease Blood pressure Travel medicine Mental Health Asthma Ability to work within own scope of practice and understanding when to refer to GPs Advanced clinical practice skills Management of patients with long-term conditions Management of patients with complex needs and chronic diseases Clinical examination skills Ability to record accurate clinical notes Clinical governance issues in primary care Patient group directions and associated policy Understands the importance of evidence-based practice Cytology certificates Chaperone procedure Requesting pathology tests and processing the results, advising patients accordingly

Desirable

ECG interpretation Local and national health policy Venepuncture New patient medicals Knowledge of public health issues in the local area Able to identify determinants on health in the area Awareness of issues within the wider health arena

Experience/Knowledge

Essential

5 years post registration experience including 6 months experience in a GP practice/ Walk in Centre/ Urgent Care Centre Advanced clinical Practitioner-led management of minor illness, minor ailments, and injuries Advanced Clinical Practitoner-led triage Compiling protocols and clinical guidelines Clinical Leadership Nurse prescribing Audit

Desirable

Project management Working with community dev. initiatives Health-needs assessment Research

General Skills

Essential

Excellent communication skills (written and oral) Clinical leadership skills Negotiation and conflict management skills Strong IT skills Clear, polite telephone manner Competent in the use of Office and Outlook Competent in the use of patient record management systems: EMIS Competent in Document Management systems: Docman Competent in other portals: Open Exeter, Coordinate my Care Effective time management (Planning & Organising) Ability to work as a team member and autonomously Good interpersonal skills Problem solving & analytical skills Ability to follow clinical policy and procedure Experience with audit and able to lead audit programmes Experience with clinical risk management

Desirable

Change management Teaching and mentorship clinical setting Resource management Facilitation of Learning for patients, carers, other staff and students Leadership and management skills, as part of a general practice nursing team with delegated accountability and responsibility for patient care Evidence, research and development - has an enquiring approach to practice to ensure best quality care is offered within any constraints of the service

---