Advanced Nurse Practitioner in Todmorden

We are looking for a highly motivated and enthusiastic Advanced Nurse Practitioner. We are family friendly and happy to discuss flexible arrangements. The post holder will manage a caseload and deal with a wide range of health needs in a primary care setting, ensuring the highest standards of care for all registered and temporary patients.

Clinical practice

• Assess, diagnose, plan, implement and evaluate treatment and or interventions of care for patients presenting with an undifferentiated diagnosis.
• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
• Assess, diagnose, plan, implement and evaluate interventions and or 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).
• Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan.
• Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.
• Work with patients in order to support compliance with and adherence to prescribed treatments.
• Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.
• 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.

Communication

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
• Communicate with and support patients who are receiving bad news.
• Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
• Anticipate barriers to communication and take action to improve communication.
• Maintain effective communication within the practice environment and with external stakeholders.
• Act as an advocate for patients and colleagues.
• Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

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.
• Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
• 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.
• Evaluate patients response to health care provision and the effectiveness of care.
• Support and participate in shared learning across the practice and wider organization.
• Use a structured framework (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events.
• Assess the impact of policy implementation on care delivery.
• 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.

Leadership personal and people development

• Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model.
• Support staff development in order to maximise potential.
• Critically evaluate and review innovations and developments that are relevant to the area of work.
• Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services.
• Take a lead role in planning and implementing changes within the area of care and responsibility.
• Contribute to the development of local guidelines, protocols and standards.
• Market the role of the nurse practitioner in general practice.

Team working

• Understand own role and scope and identify how this may develop over time.
• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
• Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
• Create clear referral mechanisms to meet patient need.
• Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team.
• Work effectively with others to clearly define values, direction and policies impacting upon care delivery.
• Discuss, highlight and work with the team to create opportunities to improve patient care.
• Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team.
• Agree plans and outcomes by which to measure success.

Management of risk

• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.
• Apply infection-control measures within the practice according to local and national guidelines.
• Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all.
• Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.

Managing information

• Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information.
• Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.
• Manage information searches using the internet and local library databases.
• Understand responsibility of self and others to the practice regarding the Freedom and Information Act.

Learning and development

• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences).
• Assess own learning needs and undertake learning 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 and take action to overcome this and promote diversity and equality of opportunity.
• Enable others to promote equality and diversity in a non-discriminatory culture.
• Support people who need assistance in exercising their rights.
• Monitor and evaluate adherence to local chaperoning policies.
• Act as a role model in the observance of equality and diversity good practice.
• Accept the rights of individuals to choose their care providers, participate in care and refuse care.
• Assist patients from marginalised groups to access quality care.
• Undertake any training required in order to meet the needs of the practice.

Qualifications

• Registered first level nurse
• Relevant nursing degree
• Independent prescribing qualification
• Level 7 (PG Cert) in: Consultation, clinical skills-diagnostics, MSc or equivalent

The team consists of 4 GP Partners, 4 Salaried GPs and a nursing team of 8.