Advanced Nurse Practitioner

Job summary

Sutton PCNs are looking to employ an Advanced Nurse Practitioner to work with our GP Practices to identify patients who are at a higher risk of developing cardiovascular disease, and run our clinic to help monitor and improve their health. You will be working as part of the PCN multidisciplinary team, delivering care within your scope of practice to the entitled patient population.

You should be an enthusiastic and highly motivated ANP with GP Practice experience. The successful candidate will be using advanced autonomous clinical skills and a broad and in-depth theoretical knowledge base in line with the latest RCN guidance on ANP competencies. You'll be joining a great team in a great place, where your commitment will be genuinely valued, your skills respected, and your ambition rewarded.

Main duties of the job

The Advanced Nurse Practitioner will work within their professional boundaries;

providing care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care.

in an autonomous role

to provide in-person & telephone-based triage, assessments and consultations.

to demonstrate safe, clinical decision-making and expert care for patients within the general practice maintaining clinical excellence.

to work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures. In order to work at this level, NMC requirements for advanced practice must be met.

to develop new and innovative concepts, models, methods and practices to deliver new and improved primary care services to meet the needs of PCN Patient population

to promote education and training to other staff and students, acting as a training resource

The post holder will work strictly in accordance with PCN protocols, policies and guidelines after appropriate training and assessment of competences have been completed and satisfied. Flexible working will be required to meet the needs of the patients group and the service as it continues to develop.

About us

Sutton has a population of approximately 200,000 residents registered to 22 practices across 4 Primary Care Networks (PCNs); Carshalton, Cheam & South Sutton, Central Sutton and Wallington PCN; each serving a population of approximately 50,000 patients. PCNs form a key building block of the NHS long-term plan. Bringing general practices together to work at scale has been a policy priority for some years for a range of reasons, including improving the ability of practices to recruit and retain staff; to manage financial and estates pressures; to provide a wider range of services to patients and to more easily integrate with the wider health and care system. (The Kings Fund, Primary Care Networks Explained,

Our Sutton PCNs are forward-looking, friendly and focused on providing a wide range of excellent healthcare services to patients in Sutton and the surrounding area. Our PCNs between them are led 7 PCN Clinical Directors. The PCNs work together as they see the benefits of working together in a larger GP partnership and are delighted to be realising some of those benefits now. Because of our scale, not only are we more resilient and efficient but we are able to invest in continuous quality improvement, enhanced care, new services and training and developing our workforce. We value the diversity of our colleagues and actively champion an inclusive culture and are committed to helping our colleagues achieve a work/life balance.

Job description

Job responsibilities

Clinical Care Delivery

Provide a first point of contact within the practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision making, to establish a diagnosis and management plan Make professionally autonomous decisions for which he/she is accountable Instigate necessary invasive and non-invasive diagnostic tests or investigation and interpret findings/reports To prescribe safe, effective and appropriate medication as defined by current legislative framework Provide safe, evidence-based, cost effective, individualised patient care Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills Refer patients directly to other services/agencies as appropriate Participate in developing and delivering specialist primary care services such as long term disease management (diabetes, asthma, chronic obstructive pulmonary disease, coronary heart disease and hypertension). Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks ( Coronary Heart Disease/Older People/Diabetes/Mental Health) are being delivered Work with multi-disciplinary teams within the practice and across the wider CIC, to promote integrated and seamless pathways of care Contribute to the PCN achieving its quality targets to sustain the high standards of patient care and service delivery Participate in identification of community health needs and develop patient/family-centred strategies to address them in liaison with appropriate community health professionals and agencies Be aware of and contribute to, planning and delivery of practice-based commissioning This is not an exhaustive list and may be amended dependent on staff competency and service need

ANPs cannot:

Provide care to pregnant women if this involves assessment of the pregnancy, unless they are also a practising midwife meeting the NMC requirements of registration

Professional role

Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review Maintain their professional registration Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained Work within the latest NMC Code of Professional Conduct Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation Pro-actively promote the role of the Advanced Nurse Practitioner externally to key stakeholders and agencies Participate in multi-disciplinary protocol and patient group directions development Identify appropriate opportunities to delegate both clinical and administrative tasks to more junior staff Help the practice operate in a cost effective manner Identify and manage nursing care risks on a continuing basis Participate in practice meetings Participate in audits and inspections as appropriate Work closely with the doctors and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets Ensure that all PCN policies are fully implemented Work collaboratively with colleagues within and external to the PCN Participate in audits and inspections as appropriate

Communication

The post-holder should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with other team members, including the Community team, Social Services and Voluntary Organisations staffs as required. Communicate effectively with patients and carers Recognise peoples needs for alternative methods of communication and respond accordingly

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the PCN as part of this employment, such training to include:

Participation in an annual appraisal, including taking responsibility for maintaining a record of own personal and/or professional development Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work. Attending relevant professional courses and study days. Ensure they are carrying out regular clinical audits of their own and nursing team clinics and consultations

Safeguarding Children and Adults

The Sutton PCN 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 working in at Sutton PCNs 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. Sutton PCNs have local policies in place that emphasise that it is safe and acceptable for staff to raise concerns.

General

This job description reflects the current situation. It is subject to review and updating in the light of changing service needs. Details may be changed in consultation with the role holder and/or reviewed at their annual appraisal. Job descriptions are not designed to be all-inclusive although they will, as far as practicable, be a reasonably accurate and understandable specification of duties. The nature of the organisation demands a flexible approach in order to provide efficient and modern services to our patients. This job description may be amended by the PCN and the post holder may be required to carry out additional or other duties as may be reasonably required. This job description may be subject to periodic review and amendment in consultation with the postholder. Person Specification

Competency Skills

Essential

Communication and consultation skills Practising holistically Data gathering and interpretation Making a diagnosis or decision Managing medical complexity Clinical management lead Project management and leadership Working in a team Community orientation Continuous professional development Maintaining an ethical approach Fitness to practise Clinical examination and procedural skills Learning and development PCN Core values

Personal

Essential

Ability to work effectively with other members of the team and other partners and agencies Commitment to on-going personal and professional development

Desirable

Ability to be self-directed and self-motivated

Qualifications

Essential

NMC Registration Advanced Nurse Practitioner MSc or working towards Independent Non- Medical Prescriber Qualification (V300)

Experience

Essential

Previous primary care experience Experience of nurse led minor illness and triage

Desirable

Supervisory and management experience Experience of managing chronic disease Work within a multicultural environment Experience of clinical audit, evaluation research and implementation of evidence-based practice Worked within teaching /training environment.

Skills & Abilities

Essential

A sound understanding of the national and local health agenda Willingness to undertake training at a higher level if necessary Willingness to participate in clinical supervision and performance review Awareness of the legal and ethical issues of the role Excellent interpersonal and communication skills Ability to work effectively in a multidisciplinary team as a key player Skills in clinical examination and diagnostic techniques Information technology skills

Desirable

IT experience / computer skills Willingness to undertake training at a higher level if necessary Work within a multicultural environment Awareness of clinical governance issues in primary care

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