Primary Care Network Advanced Care Practitioner in London

The post holder will be employed by Greenwich Health, the GP Federation in Greenwich. Greenwich has 7 primary care networks (PCNS) with list sizes of between 30-80,000 patients. The Post holder will work for Valentine Primary Care Network.

An ACP will demonstrate critical thinking and is a caring, compassionate and committed experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice. They will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.

The successful candidate must work a minimum of 2 days (4 sessions) and working face to face from up to 2 sites, depending on business needs. Pro-rata participation in Extended Hours is essential for this role.

• Assess, diagnose, plan, implement and evaluate treatment/interventions and 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/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.

Greenwich Health is the GP Federation for the Greenwich Borough and have a not-for-profit ethos. This means we reinvest all of our surplus into developing our staff, our organisation and to support our GP Practices in being sustainable for the future. We are committed to providing quality of care to our patients whilst building resilience for General Practice and providing services and programmes of work to deliver care at scale to the Greenwich Population.

We offer competitive remuneration as well as other benefits including:

• Occupational sickness pay entitlement
• Counselling services
• Electric Vehicle Salary Sacrifice Scheme
• Cycle to Work Scheme

Clinical Practice:

• Assess, diagnose, plan, implement and evaluate treatment/interventions and 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/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.

• 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.

• Recognise and work within own competence and professional code of conduct as regulated by the NMC or other relevant professional body.
• Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies, and procedures.
• Deliver care according to NSF, NICE guidelines, and evidence-based care.
• Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation.
• Evaluate patients response to health care provision and the effectiveness of care.
• Support and participate in shared learning across the practice and wider organisation.
• Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents, and near-miss events.

• Monitor and develop the performance of the GPN team in accordance with local policies.

• 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.
• Work with practice management to ensure sufficient staff of appropriate ability, quality and skill-mix are available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes.
• Contribute to the development of local guidelines, protocols and standards.
• 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.

• 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.
• Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriate.

• 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.
• Understand responsibility of self and others to the practice and primary care trust regarding the Freedom of Information Act.

• Undertake mentorship for more junior staff, assessing competence against set standards.
• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. 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.

Delivering a quality service:

• 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.
• Assess the impact of policy implementation on care delivery.
• Contribute to the appraisal of the performance of the team, providing feedback as appropriate.
• 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.
• Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour.
• Provide guidance and support to ensure appropriate.

• Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
• Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services.
• 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.
• Maintain effective communication with those responsible for the overall commissioning and procurement process.
• Maintain active involvement in the planning and processes of practice-based commissioning or similar initiatives.
• Promote the role of the advanced nurse practitioner in general practice.

• 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.

• 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.

This position is open to both full time and part time candidates, provided they will be available to work on Mondays and/or Fridays. Please note, unfortunately we cannot provide sponsorship for this role. Applicants must have the right to work within the UK.

Qualifications:

• Registered first level nurse / Advanced Clinical Practitioner.
• MSc in a nursing or related Clinical Advanced Practice qualification at Masters Level.
• Non-Medical Prescriber.
• NMC's Academic Assessors 'Practice Supervisors, and Practice Assessors accreditations or equivalent.
• Clinical supervision training and experience.

Personal Qualities:

• Polite and confident.
• Flexible and cooperative.
• Motivated, forward thinker.
• Problem solver with the ability to process information accurately and effectively, interpreting data as required.
• High levels of integrity and loyalty.
• Sensitive and empathetic in distressing situations.
• Ability to work under pressure / in stressful situations.
• Effectively able to communicate and understand the needs of the patient.
• Commitment to ongoing professional development.
• Punctual and committed to supporting the team effort.

Clinical Knowledge & Skills:

• Management of minor illness, minor ailments, and injuries.
• Immunisations (routine, childhood, B12, travel).
• Wound Care / Treatment of advanced injuries / Removal of sutures & staples.
• Dressings.
• Diabetes review.
• Cardiovascular disease primary prevention.
• Coronary Heart Disease.
• Blood pressure.
• Mental Health.
• Asthma.
• Ability to work within own scope of practice and understanding when to refer to GPs.
• Advanced clinical practice skills.
• Management of patients with long-term conditions.
• Management of patients with complex needs and chronic diseases.
• Clinical examination skills.
• Ability to record accurate clinical notes.
• Clinical governance issues in primary care.
• Patient group directions and associated policy.
• Understands the importance of evidence-based practice.
• Cytology certificates.
• Chaperone procedure.
• Requesting pathology tests and processing the results, advising patients accordingly.
• ECG interpretation.
• Local and national health policy.
• Venepuncture.
• New patient medicals.
• Knowledge of public health issues in the local area.
• Able to identify determinants on health in the area.
• Aware of issues within the wider health arena.

Experience/Knowledge:

• 5 years post registration experience including 6 months experience in a GP practice/ Walk in Centre/ Urgent Care Centre.
• Advanced clinical Practitioner-led management of minor illness, minor ailments, and injuries.
• Advanced Clinical Practitioner-led triage.
• Compiling protocols and clinical guidelines.
• Clinical Leadership.
• Nurse prescribing.
• Audit.

We kindly ask that if you have applied for this role within the last 12 months and have not been successful, that you do not reapply at this time.