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Advanced Nurse Practitioner
4 months ago
Job summary
We have developed a fully interoperable/integrated PCN Hub - this is a truly transformational project which has been fully supported by NHSE/NHSI and Kent and Medway ICB. We are looking for an experienced Advanced Clinical Practitioner to be at the forefront of clinical delivery. This post is available due the retirement of the current post-holder. You will be joining a supported and motivated team of ANP's, Nurses and Care Co-ordinators who provide clinical triage for PCN e-consult requests plus deliver minor illness appointments for our patient population, which are held across several of our member practices.
The PCN have utilised considerable resource and expertise to ensure all digital systems are in place to support clinicians and administrative staff to work seamlessly across our member practices.
We are a PCN known to have an innovative and transformational approach to care for our residents. This is a really exciting time for our PCN - come and work for us and be at the forefront of innovative practice.
Main duties of the job
Our Advanced Nurse Practitioners provide high level clinical triage within our centralised e-hub, this may result in onward referral or discussion with other services.
The post holder will also be part of our centralised minor illness hub service, this may be via telephone consultation or face to face clinics that are held each day - the venue for the clinics are rotated around our member practices. Supervision and support is provided by our members.
The PCN Hub is still evolving and developing and the ANP's are at the forefront of new initiatives and ideas and are currently developing a proposal for centralise HRT services for our patients.
About us
Our PCN has a patient population of just under 50,000 across 7 practices. The PCN team is now around 40 staff delivering 12 centralised services, we have our own office base providing an excellent working environment for staff, this office is very close to our Lead Practice. We have a very motivated work-force always striving to provide excellent care for our patient population. All staff are valued and have opportunity to share ideas for future developments. Our Clinical Director is often working from the PCN offices and has an open door policy. We have just incorporated our new Limited Company and will be submitting our CQC application soon.
All staff are encouraged to develop, with study time supported, plus we have a robust PLT programme to support all staff.
Job description
Job responsibilities
The post holder is an Advanced Clinical Practitioner (ACP) or Advanced Nurse Practitioner (ANP) who acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patients. Experience of on-line consultation and minor illness is essential for this role. They will work collaboratively with the multi-disciplinary team across all member PCN practices, to meet the needs of patients, supporting the delivery of policy and procedures, and providing leadership as required. In order to work at this level, NMC or HCPC requirements for advanced practice must be met.
To deliver a high standard of patient care within the PCN Hub, through triage of e-consultation(s), telephone consultations and face to face appointments.
Utilisation of advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base
To deliver a minor illness service for patients registered across any of the 7 member practices. This may be via telephone consultation or face to face appointments.
The following are the core responsibilities of the Advanced Clinical Practitioner. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
a. Develop, implement and embed health promotion and well-being programmes
b. Provide a triage service, actively managing or referring patients or treating patients within own scope of practice
c. Deliver minor illness clinics
d. Prescribe in a safe an effective manner, in accordance with PGD and extant legislation
e. Support the clinical team in the development of individual treatment plans for chronic disease patients
f. Identify, manage and support patients as risk of developing long-term conditions, preventing adverse effects on the patients health
g. Provide routine nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
h. Request pathology services as necessary, processing and interpreting results as required
i. Refer patients directly to other services as appropriate
j. Maintain accurate clinical records in conjunction with extant legislation
k. Ensure read codes are used effectively
l. Maintain chronic disease registers
m. Chaperone patients where necessary
n. Assist GPs with minor surgery when required
o. Prioritise health issues and intervene appropriately
p. Support the team in dealing with clinical emergencies
q. Recognise, assess and refer patients presenting with mental health needs
r. Recognise, assess and refer patients with community health needs, developing strategies for effective care pathways
s. Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
t. Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
u. Support the clinical team with all safeguarding matters, in accordance with local and national policies
v. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
w. Deliver opportunistic health promotion where appropriate
Secondary Responsibilities
In addition to the primary responsibilities, the nurse practitioner may be requested to:
a. Act as the audit lead, effectively utilising the audit cycle
b. Monitor and ensure the safe storage, rotation and disposal of medications.
c. Contribute to the implementation of an effective training programme for staff and students within the practice
d. Participate in local initiatives to enhance service delivery and patient care
e. Support and participate in shared learning within the practice
f. Continually review clinical practices, responding to national policies and initiatives where appropriate
g. Be aware of and contribute to the planning and implementation of ICB patient pathway initiatives
h. Participate in the review of significant and near-miss events applying a structured approach root cause analysis (RCA).
i. Maintain professional registration and adhere to revalidation requirements
Person Specification
Qualifications
Essential
ACP/ANP registered with appropriate professional body Post graduate diploma or degree Independent Prescribing Qualification
Experience
Essential
Experience of minor illness management Experience of on-line consultation/triage Experience of autonomous working
Desirable
Experience of working as a practice nurse or community nurse.
Skills/Abilities
Essential
Excellent communication skills (written and oral) Strong IT skills Clear, polite telephone manner Competent in the use of Office and Outlook EMIS / Systmone / Vision user skills 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
Desirable
Experience with audit and able to lead audit programmes Experience with clinical risk management Personal Qualities
Clinical Knowledge and Skills
Essential
Minor Illness Venepuncture Chaperone Procedure Requesting pathology tests and processing the results, advising patients accordingly Diebetes Hypertension Asthma CHD Immunisations/Vaccinations ( covid and flu) Womens health (Cervical cytology, contraception, etc.) 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
Desirable
Wound Care / Removal of sutures and staples Knowledge of public health issues in the local area Awareness of issues within the wider health arena