Advanced Nurse Practitioner

Job summary

We are looking to recruit a Nurse Practitioner to join our existing team of 2 full‑time Advanced Nurse Practitioners based in our modern purpose-built medical centre in Kidderminster at Northumberland House Surgery.

We are looking for an independent prescriber who can work for 2 days per week (Wednesdays and Fridays).

Main duties of the job

You will be part of the team managing our on the day acute access for our 14k patients, through telephone and face to face consultations, working as part of a supportive and innovative practice.

About us

In addition to our Nurse Practitioners, we have a team of 8 GPs, 4 Practice Nurses, 3 HCAs, Pharmacists, Pharmacy Technicians and very supportive admin staff. We are a training practice Doctors, Nurses and Medical Students and play an active role in our Primary Care Network.

Job responsibilities

Job Title: Nurse Practitioner

Responsible to: Practice Manager

Nominated GP [Clinical Supervision]

KEY QUALIFICATIONS

Recognised Nurse Practitioner Qualification (Degree or equivalent) recorded on NMC Advanced Level practice. Current NMC registration extended / Supplementary Prescribing or working towards this qualification.

JOB SUMMARY

To initiate assessment, diagnosis and the implementation of a range of care interventions for patients presenting with undifferentiated and undiagnosed problems. To evaluate the effectiveness of the treatment and referrals through autonomous and accountable decisions in nursing practice supported by current research and in accordance to Practice / Hereford & Worcestershire CCG protocols and procedures

MAIN DUTIES AND RESPONSIBILITIES

Clinical Responsibilities

• Provide telephone triage and undertake an initial assessment and treatment of all referrals within the scope of practice protocol.
• To receive patients/carers with complex undifferentiated and undiagnosed problems, initiate assessment and treatment of appropriate patients and refer on to the relevant health professional following agreed protocols and quality standards.
• To work with the GPs of the surgery who will provide continuous supervision of the Nurse Practitioner.
• To only see patients who are appropriate for my skills knowledge and competencies.
• To prescribe as appropriate to patient need and in line with current NHS Nurse Prescribing standards.
• Analyses and interprets history, presenting symptoms, physical finding and diagnostic information to develop appropriate differential diagnosis.
• Assumes responsibility and accountability for own decisions and practice and strives to attain the highest standards of practice.
• Orders the appropriate clinical investigations to support initial diagnosis.
• Diagnoses and manages acute and chronic conditions while attending to the patients response to illness.
• Screen patients/clients for disease risk factors as part of the ongoing assessment and provides health promotion and disease prevention services to clients.
• Priorities health problems and intervenes appropriately including the initiation of effective emergency care.
• Provide counselling to promote health and reduce risk factors preventing disease and disability as required.
• Recognise environmental health problems affecting clients/patients and provide health protection interventions that provide health environments for individuals, families and communities.
• To monitor and evaluate practice through clinical audit and formal evaluation processes.
• Receive direct referrals from Practice Nurses, District Nurses and Health Visitors.
• Provide General Nursing skills as required by patients attending the surgery.
• Contribute to the work of Practice Clinical Working Groups.

Team Working / Education

• Promote Team working and support other team members encouraging innovation and change to improve service delivery.
• Initiate links with other clinical nurse specialists in order to share and /or learn from examples of best practice
• Records contemporaneous and accurate records of delivered care on the Practices Medical System, using agreed Read Codes.
• Work with other primary care team members to establish the health needs of the practice population and develop services appropriate to those needs as agreed by the Practice Manager.
• Maintains professional credibility as an advanced nurse practitioner by continuously updating knowledge in fields relating to primary care.
• Contributes to own professional development using a Personal Development Plan agreed with the Practice Manager.
• Apply all relevant regulations for Nurse Practitioner practice including the NMC Scope of Professional Practice and the NMC Code of Professional Conduct.

Research/Audit/Quality

• Carry out clinical audit as required.
• Identifies, applies and disseminates research findings relating to evidence‑based practice
• Acts ethically to meet the needs of patients
• Participates in clinical supervision and self‑evaluation concerning practice and uses this reflective practice as a means to improve personal practice and patient outcomes
• Uses evidence based approach to client management and critically evaluates and applies research findings appropriately
• Evaluates the patients response to the health care provided and the effectiveness of the care
• Comply with the Practices Health and Safety Policy and related procedures.
• Act in accordance with all instruction, information and training required in relation to those duties

Clinical Governance

The Post holder will exercise individual accountability in line with clinical governance and professional requirements.

Any Other Duties

• To observe confidentiality of records and health information at all times and be aware of and practice the principles of the GDPR as this applies to computerised information.
• To comply with all duties placed on employees by Northumberland House Surgery.
• Any other duties as designated by senior staff and commensurate with the post.

Training and Development

Northumberland House Surgery is firmly committed to the continuous development of all staff and to promote lifelong learning throughout the organization.

All clinical staff have a specific personal responsibility for their own development which includes their involvement in:

• Identification of individual training needs
• Pre‑course discussions to identify objectives
• Post‑course reviews to establish if objectives are achieved
• Transfer of knowledge into the workplace
• Evaluation of individual training

Person Specification

Experience

Essential

• Level 1 Registered Nurse with 4/5 years experience in Primary Care
• Demonstrates advanced nursing practice
• Experience of prioritising needs and informed decision making in care delivery
• Knowledge relating to current primary care organisational policy and national legislation

Desirable

• Experience of developing services which are based on assessed needs of client group)

Qualifications

Essential

• Recognised Nurse Practitioner qualification (degree/diploma) *
• Extended/supplementary nurse prescriber or working towards
• Current NMC registration

Desirable

• Masters Degree or working towards
• Recognised teaching/assessing qualification
• Specialist courses appropriate to primary care e.g. CHD, Diabetes, Family Planning etc

Specific Skills

Essential

• Strong organisational skills
• Excellent communication skills- able to relate and communicate with all levels
• Excellent Interpersonal skills- able to work independently and with others to ensure achievement of results
• Team working Skills- able to work as a key member of team
• Ability to provide quality care that is responsive to client need and work in partnership with patients and carers empowering them to make informed decisions on treatment pathway for their future well‑being
• Excellent presentation skills
• PC literate
• Excellent report writing skills and experience of presenting information to others in a user‑friendly format

Desirable

• Able to demonstrate competencies in a whole range of disease area
• Ability to demonstrate critical analytical skills to problem solve
• Ability to lead, develop and initiate innovation in practice
• Ability to work across professional and organisational boundaries
• Data analysis- identifies and uses appropriate analytical methods to ensure the successful analysis of data
• Understanding of computer systems / read code usage in general practice

Personal Qualities

Essential

• Ability to work autonomously and independently
• Self motivated
• Well developed communication and interpersonal Skills
• Experience of working within a role involving multidisciplinary communication
• Able to influence, inspire and effectively work with those around them
• Flexible approach to working in practice and willingness to develop new approaches to care
• Ability to demonstrate leadership skills giving focus and meaning to teamwork to enhance commitment and holistic contribution to care
• Ability to handle conflict respecting others values and opinions

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.

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

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