ANP/Nurse Practitioner

Job summary

This excellent GP surgery based over 2 sites in Lowestoft is looking to add to our clinical team. We are seeking an ANP or Nurse Practitioner who can work autonomously or part of a team.

Main duties of the job

On a daily bases you will be triaging and seeing patients face to face running your own clinics. You will deal with referrals, scripts, test results and help colleagues when necessary. Must be flexible, hardworking and willing to muck in when needed. Ideally the candidate will see all patients from young children to mature adults and have experience in dealing with all types of medical conditions. We also look after a local care home and provide twice weekly ward rounds.

About us

We have a very hardworking, friendly and very supportive team both clinically and administrative. We are a teaching and research practice. We are based over 2 sites and have 15300 patients between both sites. Our team consists of 3 GP Partners, 2 Salaried GPs, 3 NP/ACP, 5 Practice Nurses and 5 HCA's we have 2 Pharmacists and 3 Pharmacy technicians, also a large Reception/Admin team. We will offer a good rate of pay, 6 weeks holiday and pro rate bank holidays and NHS pension. We work with the Lowestoft PCN and have several PCN staff members who work with us and are part of our team.

Job description

Job responsibilities

Job Description - Nurse Practitioner

The post holder is an experienced nurse who, actingwithin their professional boundaries, will provide care for the presentingpatient from initial history taking, clinical assessment, diagnosis, treatmentand evaluation of care. They will demonstrate safe, clinical decision-makingand expert care, including assessment and diagnostic skills, for patientswithin the general practice. The post holder will demonstrate critical thinkingin the clinical decision-making process. They will work collaboratively withthe general practice team to meet the needs of patients, supporting thedelivery of policy and procedures, and providing nurse leadership as required.In order to work at this level Nursing and Midwifery Council (NMC) requirementsfor advanced practice must be met and kept up to date.

Clinical practice

Assess, diagnose, plan, implement andevaluate treatment/interventions and care for patients presenting with anundifferentiated diagnosis

Clinically examine and assess patientneeds from a physiological and psychological perspective, and plan clinicalcare accordingly

Assess, diagnose, plan, implement andevaluate interventions/treatments for patients with complex needs

Proactively identify, diagnose andmanage treatment plans for patients at risk of developing a long-term condition(as appropriate)

Diagnose and manage both acute andchronic conditions, integrating both drug- and non-drug-based treatment methodsinto a management plan

Prescribe and review medication fortherapeutic effectiveness, appropriate to patient needs and in accordance withevidence-based practice and national and practice protocols, and within scopeof practice

Work with patients in order to supportcompliance with and adherence to prescribed treatments

Provide information and advice onprescribed or over-the-counter medication on medication regimens, side-effectsand interactions

Prioritise health problems andintervene appropriately to assist the patient in complex, urgent or emergency situations,including initiation of effective emergency care

Support patients to adopt healthpromotion strategies that promote healthy lifestyles, and apply principles ofself-care

Support and manage health needs ofwomen presenting for family planning, cervical cytology or sexual healthconsultation

Assess, identify and refer patientspresenting with mental health needs in accordance with the NSF for MentalHealth

Implement and participate in vaccinationand immunisation programmes for both adults and children

Advise, support and administervaccinations for patients travelling abroad, where appropriate

Promote and deliver evidence-based carefor patients presenting with aural conditions

Meet the needs of patients presentingfor opportunistic wound care

Undertake minor surgery as appropriateto competence

Understand how to identify and act upon safeguarding concerns(about children and vulnerable adults) in an appropriate manner (to Level 3East of England Guidance on Safeguarding Children)

Delivering a quality service

Recognise and work within owncompetence and professional code of conduct as regulated by the NMC

Produce accurate, contemporaneous andcomplete records of patient consultation, consistent with legislation, policiesand procedures

Prioritise, organise and manage ownworkload in a manner that maintains and promotes quality

Deliver care according to National ServiceFrameworks, NICE guidelines and evidence-based care

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

Initiate and participate in themaintenance of quality governance systems and processes across the organisationand its activities

Utilise the audit cycle as a means ofevaluating the quality of the work of self and the team, implementingimprovements where required

In partnership with other clinicalteams, collaborate on improving the quality of health care responding to localand national policies and initiatives as appropriate

Evaluate patients response to healthcare provision and the effectiveness of care

Support and participate in sharedlearning across the practice and wider organisation

Use a structured framework (root-cause analysis) to manage, review and identify learning from patientcomplaints, clinical incidents and near-miss events

Assess the impact of policyimplementation on care delivery

Monitor and develop the performance ofthe practice nursing team in accordance with local policies

Approve the performance of the nursing team,providing feedback as appropriate

Understand and apply legal issues thatsupport the identification of vulnerable and abused children and adults, and beaware of statutory child/vulnerable patients health procedures and localguidance

Ensure the whole team have skills andknowledge regarding domestic violence, vulnerable adults, substance abuse andaddictive behaviour. Provide guidance and support to ensure appropriatereferral if required

Leadership personal and peopledevelopment

Take responsibility for own learningand performance including participating in clinical supervision and acting as apositive role mode

Support staff development in order tomaximise potential

Actively promote the workplace as alearning environment, encouraging everyone to learn from each other and fromexternal good practice

Encourage others to make realisticself-assessment of their application of knowledge and skills, challenging anycomplacency or actions that are not in the interest of the public and/or usersof services

Critically evaluate and reviewinnovations and developments that are relevant to the area of work

Enlist support and influencestakeholders and decision-makers in order to bring about new developments inthe provision of services

Work with practice management to ensuresufficient staff of appropriate ability, quality and skill-mix are available tomeet current and future service delivery, that selection and recruitmentprocesses are effective and that equality of treatment of the team incorporatesquality HR principles and processes

Contribute to the development of localguidelines, protocols and standards

Maintain effective communication withthose responsible for the overall commissioning and procurement process

Remain informed and involved whereappropriate in the planning and processes of practice-based commissioning orsimilar initiatives

Market the role of the advanced nursepractitioner in general practice

Team working

Understand own role and scope andidentify how this may develop over time

Work as an effective and responsibleteam member, supporting others and exploring the mechanisms to develop new waysof working

Delegate clearly and appropriately,adopting the principles of safe practice and assessment of competence

Create clear referral mechanisms tomeet patient need

Prioritise own workload and ensureeffective time-management strategies are embedded within the culture of theteam

Work effectively with others to clearlydefine values, direction and policies impacting upon care delivery

Discuss, highlight and work with theteam to create opportunities to improve patient care

Manage and lead on the delivery ofspecifically identified services or projects as agreed with the practicemanagement team

Agree plans and outcomes by which tomeasure success

Apply infection-control measures withinthe practice according to local and national guidelines

Advocate for policies that reduceenvironmental health risks, are culturally sensitive and increase access tohealth care for all

Interpret national strategies andpolicies into local implementation strategies that are aligned to the values andculture of general practice

Managing information

Use technology and appropriate softwareas an aid to management in planning, implementation and monitoring of care,presenting and communicating information

Review and process data using accurateRead codes in order to ensure easy and accurate information retrieval formonitoring and audit processes

Manage information searches using theinternet and local library databases

Understand responsibility of self andothers to the practice and primary care trust regarding the Freedom and InformationAct

Monitor and confirm that the nursingteam are receiving and processing data and information in an agreed format

Collate, analyse and present clinicaldata and information to the team

Communicate essential financialrestraints with the team and discuss with them ideas for effective andefficient working within these constraints

Learning and development

Undertake mentorship for more juniorstaff, assessing competence against set standards

Disseminate learning and informationgained to other team members in order to share good practice and inform othersabout current and future developments ( courses and conferences)

Assess own learning needs and undertakelearning as appropriate

Provide an educational role to patients,carers, families and colleagues in an environment that facilitates learning

Equality and diversity

Identify patterns of discrimination andtake action to overcome this and promote diversity and equality of opportunity

Enable others to promote equality anddiversity in a non-discriminatory culture

Support people who need assistance inexercising their rights

Monitor and evaluate adherence to localchaperoning policies

Act as a role model in the observanceof equality and diversity good practice

Accept the rights of individuals tochoose their care providers, participate in care and refuse care

Assist patients from marginalisedgroups to access quality care

Person Specification

Knowledge and skills

Essential

Good communication skills Provide good quality care Proactive

Desirable

IT skills to use clinical system, we currently use SystmOne.

Qualifications

Essential

GCSA grade A to C in English and Maths Minor illness Independent Prescribing Chronic disease management.

Desirable

Minor injuries Contraception

Experience

Essential

Working as part of a team Experience in dealing with vulnerable patients Dealing with Pathology results Telephone triage

Desirable

Working in a GP practice Management or Leadership

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