Advanced Nurse Practitioner in London

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, referring & delegating appropriately, respecting confidentiality, managing risk, reporting concerns about safety, being honest and trustworthy and keeping 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 a 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.
• They will 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.
• They will communicate at all levels across organisations ensuring that an effective, person-centred service is delivered.
• On occasion they will provide same-day home visits to housebound patients.
• They will communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required.
• They will 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, complex and sensitive information 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.
• 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.
• 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.
• 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.
• Support and participate in shared learning across the practice and wider organisation.
• Use a structured framework 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.

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. Staff are expected to know about and how to follow safeguarding children and safeguarding adult policies. All employees have a contractual right and a duty to raise genuine concerns they have with their employer about malpractice, patient safety, financial impropriety or any other serious risks they consider to be in the public interest.

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.