Advanced Clinical Practitioner / Advanced Nurse Practitioner in Hereford

Come and be part of an innovative team, working in a fast-paced environment open to new ideas and thinking, with the patient at the forefront of our mission.

We are looking for an experienced Advanced Nurse/Care Practitioner educated to masters level in Advanced Health Assessment, holding a Prescribing qualification. Working as part of our urgent care team, you will work autonomously yet collaboratively to provide advice, diagnosis and treatment both on the phone and face to face in surgery or within the community. Part of the role includes the review of patients in a Nursing Home setting, therefore you will need the use of your own car.

• Provide the choice of direct access to an ANP/ACP, both in the practice and over the telephone, and dependent on the individual, at home and in the community for the general practice population with an acute or chronic health problem.
• Provide a first point of contact within the practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.
• To prescribe safe, effective and appropriate medication as defined by current legislative framework. Registered Independent Prescribing.
• Offer a holistic service to patients and their families, developing where appropriate an ongoing plan of care/support, with an emphasis on prevention and self-care.
• Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills.
• Work with multi-disciplinary team within the Practice and with other service providers to promote integrated and seamless pathways of care.
• Assess acute and chronic illness in the surgery and in Nursing and Care homes.

Hereford Medical Group is a large General Practice operating over 4 sites in and around Hereford City. Our main hub is a purpose-built practice in the Centre of Hereford, close to the train station. We are a people-centered organisation, caring for a population of approximately 49,000 patients and employing approximately 180 permanent staff in addition to trainees. We place great value on our staff and offer many employee benefits, such as:

• 25 to 30 days annual leave entitlement in addition to bank holidays, depending on service (pro rata for part-time staff).
• On-site Occupational Health Services and support.
• Cycle to Work Scheme.
• Access to a generous NHS pension scheme with 14.38% employer contribution.
• Specsavers eVoucher once per year.
• Access to the Blue Light extensive discount scheme.

Our mission is to provide high-quality and compassionate primary care.

The post holder should be an experienced nurse or paramedic, educated to at least Masters Level in advanced health assessment and non-medical prescribing who will act within their professional boundaries to provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision making and expert care for patients within the surgery. The Practitioner will have the ability and training to work autonomously yet collaboratively within the team to provide clinical care and support colleagues within the team clinically and operationally. The role includes additional duties remunerated dependent upon provision of evidence and indirect observation of duties.

• Experience of working in an autonomous role relevant to primary care.
• Experience of working in a multi-professional environment.
• Experience of working under pressure.
• Awareness of own accountability and other aspects of NMC code of conduct.
• An understanding, acceptance and adherence to the need for strict confidentiality.
• Works autonomously and collaboratively, recognising when referrals are required.
• Excellent communication skills both written and verbal.
• IT skills computer and keyboard literate.
• Good time management and the ability to work under pressure prioritising workload.
• Relay clinical information and maintain accurate, comprehensive consultation records in line with NMC requirements.
• A demonstrable commitment to professional development and The NMC Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates.
• Experience of dealing with the public/patients.
• Experience as a non-medical prescriber.
• Experience of EMIS WEB clinical system and using templates.
• Knowledge on Quality outcomes Framework.
• Experience of leadership.
• Experience of managing others.

• RGN current NMC registration with minimum 4 years post registration experience.
• A demonstrable commitment to professional development.
• Advanced health assessment.
• Registered as a non-medical prescriber.
• Safeguarding adults and children.
• In date CPR training (within 18 months).
• Qualification in chronic disease.
• Disclosure and Barring Service Check.

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

£53,635 to £57,213 a year, dependent on experience.