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Advanced Nurse Practitioner
2 months ago
Job summary
Thepost holder is an experienced nurse, who has either graduated from a Centre forAdvancing Practice accredited MSc advanced practice programme or completed theCentres ePortfolio (supported). They will act within their professionalboundaries, will provide care for the presenting patient from initial historytaking, clinical assessment, diagnosis, treatment and evaluation of care. Theywill demonstrate safe, clinical decision-making and expert care, including assessmentand diagnostic skills, for patients within general practice. The post holderwill demonstrate critical thinking in the clinical decision-making process.They will work collaboratively with the general practice teams to meet theneeds of patients, supporting the delivery of policy and procedures, andproviding nurse leadership as required. In order to work at this level NMCrequirements for advanced practice must be met. They must also be anindependent prescriber.
Main duties of the job
Whilst General Practice has somechallenging times ahead, this role provides an exciting and innovativeopportunity for someone who wants to make a real difference in the communitiesthey serve. The successful candidate will be provided with excellent support,the opportunity for development in the role, and will be clinically supervisedby a General Practitioner.
About us
Alliance for Better Care CIC is a GP Federation that unites 47 NHS GPpractices across 12 Primary Care Networks in Sussex and Surrey. We support ourPrimary Care colleagues as well as their patients, to transform how healthcareis managed within the community. As a membership organisation, our focus is to work in partnership with ourmembers and help them to improve the provision of General Practices in thelocal area. We work with and listen to our GP Practices, PCNs, Hospitals, CommunityOrganisations and the Third Sector. These vital partnerships ensure that,together, we deliver a truly integrated approach that offers the support andexpertise needed to effectively serve our communities.
About Healthy Crawley PCN
Healthy Crawley PCN is a NHS Collaboration between 4 GP Practices Furnace Green Surgery,Ifield Medical Practice, Poundhill Surgery and The Woodlands/ClerklandsPartnership - working together to provide enhanced access services.
Our PCN builds on the existing primary careservices and enables a greater provision of proactive, personalised and moreintegrated health and social care. We are supported by practitioners inadditional roles who allow us to create bespoke multi-disciplinary teams basedon the needs of our local population. Byworking together with local community services, this allows us to make supportavailable to people where it is most needed.
Job description
Job responsibilities
ClinicalPractice
Assess,diagnose, plan, implement and evaluate treatment/interventions and care forpatients presenting with an undifferentiated diagnosis. Clinically examine andassess patient needs from a physiological and psychological perspective.
Assess,diagnose, plan, implement and evaluate interventions/treatments for patientswith complex needs. Proactively identify, diagnose and manage treatment plansfor patients at risk of developing a long-term condition.
Diagnoseand manage both acute and chronic conditions, integrating both drug- andnon-drug-based treatment methods into a management plan.
Prescribeand review medication for therapeutic effectiveness, appropriate to patientneeds and in accordance with evidence-based practice and national, local andpractice protocols, and within scope of practice.
Workwith patients in order to support compliance with and adherence to prescribedtreatments. Provide information and advice on prescribed or over-the-countermedication on medication regimens, side-effects and interactions.
Prioritisehealth problems and intervene appropriately to assist the patient in complex,urgent or emergency situations, including initiation of effective emergencycare.
Supportpatients to adopt health promotion strategies that promote healthy lifestyles,and apply principles of self-care.
Communication
Utiliseand demonstrate sensitive communication styles, to ensure patients are fullyinformed and consent to treatment, including communication with, and supportof, patients and their significant persons who are receiving bad news.
Communicateeffectively with patients and carers, recognising the need for alternativemethods of communication to overcome different levels of understanding,cultural background and preferred ways of communicating. Anticipate barriers tocommunication and take action to improve communication.
Maintaineffective communication within the practice environment and with externalstakeholders
Act asan advocate for patients and colleagues.
Ensureawareness of sources of support and guidance and provide information in anacceptable format to all patients, recognising any difficulties and referringwhere appropriate.
Deliveringa Quality Service
Recogniseand work within own competence and professional code of conduct as regulated bythe NMC (Nursing & Midwifery Council, 2015c).
Produceaccurate, contemporaneous and complete records of patient consultation,consistent with legislation, policies and procedures
Prioritise,organise and manage own workload in a manner that maintains and promotes quality
Delivercare according to NICE guidelines and evidence-based care
Assesseffectiveness of care delivery through self and peer review, benchmarking andformal evaluation
Initiateand participate in the maintenance of quality governance systems and processesacross the organisation and its activities
Utilisethe audit cycle as a means of evaluating the quality of the work of self andthe team, implementing improvements where required
Inpartnership with other clinical teams, collaborate on improving the quality ofhealth care responding to local and national policies and initiatives asappropriate
Evaluatepatients response to health care provision and the effectiveness of care
Supportand participate in shared learning across the practice and wider organisation
Use astructured framework root-cause analysis to manage, review and identifylearning from patient complaints, clinical incidents, and near-miss events.
Assessthe impact of policy implementation on care delivery
Understandand apply legal issues that support the identification of vulnerable and abusedchildren and adults, and be aware of statutory child/vulnerable patients healthprocedures and local guidance
Leadership Personal and People Development
Takeresponsibility for own learning and performance including participating inclinical supervision and acting as a positive role model
Supportstaff development in order to maximise potential
Buildinga PCN-wide nursing forum for all the nursing team in our PCN this includespulling together training needs
RepresentGPNs in a local Primary Care Network (PCN) so that their contribution tomeeting local population needs is clear.
Criticallyevaluate and review innovations and developments that are relevant to the areaof work
Enlistsupport and influence stakeholders and decision-makers in order to bring aboutnew developments in the provision of services
Contributeactively to the PCN Board, attending all meetings that are relevant while beingthat voice for nurses in the PCN
Contributeto developing effective links and ways of working across the Primary CareNetwork.
Takepart in relevant leadership roles that might arise, that will support PCNs andpractices to meet their contractual requirements
Take alead role in planning and implementing changes within the area of care andresponsibility
Contributeto the development of local guidelines, protocols and standards
Marketthe role of the advanced nurse practitioner in general practice
TeamWorking
Understandown role and scope and identify how this may develop over time
Work asan effective and responsible team member, supporting others and exploring themechanisms to develop new ways of working
Delegateclearly and appropriately, adopting the principles of safe practice and assessmentof competence
Createclear referral mechanisms to meet patient need
Prioritiseown workload and ensure effective time-management strategies are embeddedwithin the culture of the team
Workeffectively with others to clearly define values, direction and policiesimpacting upon care delivery
Discuss,highlight and work win the team to create opportunities to improve patient care
Manageand lead on the delivery of specifically identified services or projects asagreed with the practice management team
Agreeplans and outcomes to measure success
Managementof Risk
Manageand assess risk within the areas of responsibility, ensuring adequate measuresare in place to protect staff and patients
Monitorwork areas and practices to ensure they are safe and free from hazards andconform to health, safety and security legislation, policies, procedures andguidelines
Ensureappropriate supervision of safe storage, rotation and disposal of vaccines anddrugs. Oversee the monitoring, stock control and documentation of controlleddrug usage according to legal requirements where appropriate
Ensurethe nursing team undertakes mandatory and statutory training requirements
Applyinfection-control measures within the practice according to local and nationalguidelines
Advocatefor policies that reduce environmental health risks, are culturally sensitiveand increase access to health care for all
Interpretnational strategies and policies into local implementation strategies that arealigned to the values and culture of general practice
ManagingInformation
Usetechnology and appropriate software as an aid to management in planning,implementation and monitoring of care, presenting and communicating information
Reviewand process data using accurate Read codes in order to ensure easy and accurateinformation retrieval for monitoring and audit processes
Manageinformation searches using the internet and local library databases
Understandresponsibility of self and others to the practice and primary care trustregarding the Freedom and Information Act
Monitorand confirm that the nursing team are receiving and processing data andinformation in an agreed format
Collate,analyse and present clinical data and information to the team
Communicateessential financial restraints with the team and discuss with them ideas foreffective and efficient working within these constraints
Manage,if agreed, a nursing budget within financial principles
Person Specification
Qualifications
Essential
Registered first level nurse MSc or equivalent Relevant nursing/health degree Mentor/teaching qualification Clinical supervision training and experience Independent Prescribing qualification
Desirable
Community nursing specialist qualification
Experience
Essential
Significant post registration experience Recent primary and community nursing experience Nurse-led management of minor illness, minor ailments and injuries Nurse-led triage Compiling protocols and clinical guidelines Clinical Leadership Audit Research Independent nurse prescribing
Desirable
Project management Working with community development initiatives Health-needs assessment
Knowledge and Skills
Essential
Advanced clinical practice skills Management of patients with long-term conditions Management of patients with complex needs Clinical examination skills Accountability of own role and other roles in a nurse-led service Local and national health policy Wider health economy Clinical governance issues in primary care Patient group directions and associated policy Clinical leadership skills Communication skills, both written and verbal Communication of difficult messages to patients and families Negotiation and conflict management skills Change management Teaching and mentorship clinical setting Resource management
Desirable
Knowledge of public health issues Able to identify determinants on health in the area
Other Requirements
Essential
Commitment to reducing health inequalities and proactively working to reach people from all communities Able to recognise personal limitations and refer to more appropriate colleague(s) when needed Able to provide leadership and maintain effective working relationships and to promote collaborative practice with all colleagues Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines Ability to work flexibly and enthusiastically within a team or on own initiative Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes