Advanced Nurse Practitioner or Nurse Practitioner

Job summary

The purpose of the role of AdvancedNurse Practitioner (ANP) or Nurse Practitioner (NP) within the SHP team will beto be an integral part of our clinical team, caring for patients with bothacute care needs, and where appropriate, where patients require some continuityof care. Interested ANPs and NPs with special interests such as in acute care,frailty and mental health are welcome to apply, however those who feel they aremore generalist ANPs and NPs should not be deterred.

As an experienced nurse, you will actwithin your professional boundaries. You will have skills to be able to providea first line clinical assessment of care via telephone or online triage and whereneeded and is best practice, you will review patients for face to faceassessment. You will take an initial history and clinical assessment to providea diagnosis, treatment and evaluation of the patients care. You willdemonstrate safe, clinical decision-making and expert care for patients within SHP.You will be part of a wider clinical team on site and will be welcome to askfor support or to escalate situations or health needs which feel out of yourscope of practice and learn from jointly caring for patients with the GPs.

Main duties of the job

The aim of the role will be to help thewider SHP team provide high quality care to our patient population and enhancepatient experience. As part of this role you will support service improvementand feed in where you feel we can provide a better service to our patients orbetter workforce satisfaction. The role will involve training and developmentof our wider clinical and non-clinical team as part of our ethos at SHP.

You will work collaborativelywithin the multidisciplinary general practice team to meet the needs ofpatients, supporting the delivery of policy and procedures, and providing nurseleadership as and when required. We are looking forhighly motivated ANPs and NPs with independent prescribing skills to join our team.The role will require you to provide timely, high quality, person centredclinical care to patients addressing their needs to the highest standard ofevidence based clinical care.

The role will involve following up patients who needfurther assessment, making and receiving referrals and actioning results ofinvestigations and medication requests

About us

SHP are a Solihull based partnership looking after over 56,000 patients and operating out of 7 sites. This

role provides an opportunity to join a large forward thinking organisation whose vision is to be the most

respected Primary Care provider in the West Midlands.

Through our centralised back-office functions, our systems are organised so we can concentrate on

healthcare and not administration. Our practices place great value on teaching, training and mentorship

within the Vision Statement: To provide person-centred care at the heart of the community.

Mission Statement:

Solihull Healthcare Partnership aims to be the provider of choice in delivering holistic care to our neighbourhood.

Honest - We practice and encourage open and honest communication, acting with integrity in all that we do.

Excellence - We strive to achieve the highest standards in the care we deliver

and enable our team to create an environment that encourages excellence.

Accountable - We take personal and collective responsibility for our actions and the way we deliver care.

Respectful - We engage with our team, our patients and our community with respect, providing kind and compassionate person-centred care.

Transformational - We are committed to continually improving our standards, working with the community, being responsive and adapting to the changing needs of the neighbourhood

Job description

Job responsibilities

Clinical practice

Competently triage patients via online forms or telephone conversations

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with a minor illness and/or an undifferentiated diagnosis

Assess patients via telephone or face to face, recognising the need to assess patients at the most appropriate place to take into account the healthcare need

Assess, diagnose, 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)

Assess, treat and educate patients as required, making use of prescribing experience to prescribe safe, effective and appropriate medication as defined by current legislative framework.

To follow up patients as appropriate dependent on healthcare need and the most appropriate use of resources for our population

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

Make professionally autonomous decisions for which you are accountable

Book diagnostic investigations as indicated.

Refer patients directly to other services/agencies as appropriate

Follow up patients as required by clinical need and guidelines within scope of practice

Undertake the assessment of pathology reports, interpret results and direct for further action as warranted

Complete medical reports for various agencies, including DWP and insurance companies (where the patient is known to you and it does not specifically require completion by a GP)

Delivering a quality service

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

Deliver care according to NICE guidelines and evidence-based care

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

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

Support and participate in training, shared learning across the practice and wider organisation 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

Act as nurse advisor to other members of the Primary Healthcare team.

Supervise other allied healthcare professionals where appropriate

Encourage and develop teamwork within the practice.

Involvement in quality improvement and service development particularly pertaining to access improvement as part of a team

Help the practice operate in a cost-effective manner.

Identify and manage nursing care risks on a continuing basis.

Participate in practice meetings and practice management meetings, reporting progress as required. 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 Practice Policies are fully implemented.

Health and Safety

To comply with the Health and Safety at Worketc. Act 1974.

To take responsibility for their own health andsafety and that of other persons who may be affected by their own acts oromissions.

Equality and Diversity

To carry out at all times their responsibilitiesin line with Equal Opportunities Policy and Procedure.

Risk Management and Clinical Governance

To work within the Clinical Governance Frameworkof the practice, incorporating Risk Management and all other qualityinitiatives and all aspects of CQC implementation.

Confidentiality

To maintain confidentiality of informationrelating to patients, clients, staff and other users of the services inaccordance with the General Data Protection Regulations 2018 including outsideof the work environment. Any breach ofconfidentiality may render an individual liable for dismissal and/orprosecution.

Safeguarding

Whilst in post, staff are expected to acquireand update their knowledge on safeguarding as per the intercollegiate documentrequirements and SHP policies.

Professional development

The post holder will participate in any trainingprogramme implemented by the practice as part of this employment

To participate in an annual individualperformance review, including taking responsibility for maintaining a record ofown personal and/or professional development

General

To undertake any other duties commensurate withthe role, within the bounds of their own competence as guided by the attachedmanagement framework.

To work across the various SHP sites as required.

In light of national policy and due to the needsof the business it may be necessary for the Partnership to alter the openinghours of the surgeries. This couldincorporate different opening hours and weekend working which may affect whenyou are required to work. The postholder is expected to be flexible and accommodating, following consultation, interms of any changes to operating times in the future.

Person Specification

Experience

Essential

Has worked autonomously in an ANP or NP role Worked within a primary care network or general practice setting Demonstrable experience in triage Experience of case management Experience of conducting audits Experience in handling and updating QOF data

Desirable

Experience of supervising or supporting the training of junior clinical team members

Qualifications

Essential

RGN Qualification Qualified Independent Nurse Prescriber on the NMC register Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet

Desirable

Masters degree for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice. Or Post graduate diploma or degree for Advanced Practice Qualification up to December 2020 Accredited training in Minor illness Urgent care Chronic disease management or frailty Mentor or teaching qualification

Skills and Knowledge

Essential

Clinical examination skills Able to triage patients Communicates effectively with patients and carers, recognising the need for alternative methods of communication to overcome difficult levels of understanding, cultural background and preferred ways of communicating, whilst ensuring the patient is fully informed Able to work as part of a wider clinical and non-clinical team for the benefit of the patient and organisation Management of patients with acute care needs Experience of managing patients with long term conditions and/or frailty or within care homes Experience of using prescribing qualification and carrying out medication reviews within skill set and competencies Knowledge of health promotion strategies and comfortable giving lifestyle advice and signposting to agencies to support patients Knowledge of clinical governance issues in primary care Effective decision making and negotiation skills Ability to work within own scope of practice and understand when to refer to GPs Ability to problem solve whilst working under pressure Excellent organisational skills Accountability of own role and other roles in a nurse-led service IT skills (MS Office and EMISweb) Flexibility to meet the needs of the business Able to travel to all SHP sites DBS required Meet the requirements and produce evidence for nurse revalidation Evidence of continuing professional development (CPD) commensurate with the role of an ANP or NP

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