Advanced Nurse Practitioner

An exciting opportunity has arisen to work as an Advanced Nurse Practitioner within a committed team working across two sites in Chislehurst. You will work collaboratively within the Practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required. In order to work at this level NMC requirements for advanced practice must be met.

Main duties of the job:

• We are looking to employ a part-time experienced Advanced Nurse Practitioner to support our large patient list.
• You should feel comfortable working independently as well as alongside our multi-disciplinary medical team.
• Always acting within your professional boundaries, you will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.
• You will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice.
• The ideal candidate will demonstrate critical thinking in the clinical decision-making process.
• You will possess the necessary skills, knowledge and behaviour by promoting and protecting the interests of service users and carers, communicating appropriately and effectively, working within the limits of your knowledge and skills, refer & delegate appropriately, respect confidentiality, manage risk, report concerns about safety, be honest and trustworthy and keep records of your work.

The role is for 16 - 20 hours per week, must be able to work Monday and Tuesday. We have some flexibility for Thursday in addition to M/T. The successful candidates will be expected to work across the two sites.

About us:

We are dynamic, patient focused and high achieving partnership that strives to provide first class care for our 24,000 patients. Our clinical system is EMIS which integrates with AccuRx to communicate with our patients. Home visiting is supported by our practice Paramedic and Advanced Nurse Practitioner who work alongside the Bromley Healthcare District Nursing team. We are part of a PCN which has several additional practitioners including Clinical Pharmacists, Social Prescribers, a Mental Health Practitioner, First Contact Physiotherapist and Paramedic.

Job responsibilities:

• The ANP will have the following key job responsibilities, in delivering health services; they will work as part of a multi-disciplinary team within the 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.
• Advise patients on general healthcare and promote self‑management where appropriate, including signposting patients to the practice's social prescribing service, and where appropriate, other community or voluntary services.
• Provide clinical leadership within the practice.
• 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.
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
• Communicate at all levels across organisations ensuring that an effective, person‑centred service is delivered.
• On occasion, provide same‑day home visit to housebound patients.
• Maintain accurate health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associated with patient health care and registration with the practice.
• Contribute to quality improvements.
• Communicate effectively with patients, and where appropriate family members and their carers, regarding their physical health needs, results, findings, and treatment choices.
• Diagnose and manage both acute and chronic conditions, integrating both drug‑ and non‑drug‑based treatment methods into a management plan.
• 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.
• 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.
• 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.
• Support and participate in shared learning across the practice and wider organisation.

Safeguarding Children and Adults:

The Chislehurst Partnership is committed to safeguarding and promoting the welfare of children, young people (anyone under the age of 18) and adults. It expects all staff to share this commitment and act in such a way that safeguards and promotes the health and wellbeing of children, young people and adults. Staff must ensure that they are familiar with the signs and symptoms of abuse and know what to do if any such concerns are raised.

General:

The duties of this post are a guide to the range of responsibilities that may be required. These may change from time to time to meet the needs of the service and/or the development needs of the post holder. This job description will be revised regularly to take account of changes within the organisational structure and the practice business plan.

Other duties:

The post holder will be required to undertake any other duties according to the needs of the service. This job description is not intended to be an exhaustive list of activities, but rather an outline of the main areas of responsibility. Any reasonable changes will be discussed and agreed with the post holder before any variations to the job description are made.

Travel to other sites:

The post holder may be required to travel.

Reporting to: Person Specification

Clinical skills and knowledge:

• Understands the importance of evidence-based practice.
• Broad knowledge of clinical governance.
• Ability to record accurate clinical notes.
• Ability to work within own scope of practice and understanding when to refer to GPs.
• Knowledge of public health issues in the local area.
• Awareness of issues within the wider health arena.
• Knowledge of health promotion strategies.
• Understands the requirement for PGDs and associated policy.
• Wound Care / Removal of sutures & staples.
• ECGs.
• Venepuncture.
• New patient medicals.
• Chaperone procedure.
• Requesting pathology tests and processing the results, advising patients accordingly.
• Diabetes, Asthma, CHD, Immunisations (routine, childhood and travel).

Experience:

• Working autonomously in an advanced nursing role.
• Audits.
• Research.
• Nurse Prescribing.
• Health Needs assessment.
• Experience of working within primary care or general practice.
• Experience of case management.
• Home visits.

Skills:

• Ability to organise and prioritise workload efficiently.
• Ability to exercise sound judgement when faced with conflicting pressures.
• Excellent written and verbal communication skills.
• Fully IT Literate.
• Ability to formulate and implement policies, procedures and protocols with the partners.
• Able to work both independently and in a team.
• Able to work with external service providers to ensure seamless delivery of care.
• Ability to assess and manage patient risk effectively and safely.
• Excellent interpersonal, verbal and written communication skills.
• Time management and ability to prioritise workload.
• Able to analyse data and information, drawing out implications for the individual patient/impact on care plan.
• Able to establish and maintain effective communication pathways within the organisation, the local PCT and with key external stakeholders.
• Knowledge of Audit principles and evidence of participation in audit/Quality Improvement projects.
• Experience of applying evidence to clinical practice.

Qualifications:

• Registered with the NMC.
• MSc in related subject.
• Non-medical prescriber.
• Has a postgraduate qualification at Level 7 or above relevant to your area of enhanced practice.
• Long term conditions qualifications.

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.