Advanced Nurse Practitioner

Halesowen Medical Practice

Information:

This job is now closed

Job summary

To work as an autonomous practitioner working as part of the practice multidisciplinary team, delivering care within their scope of practice to the eligible patient population. The advanced nurse practitioner will hold a key role in managing acute minor illness to support GP colleagues. The ANP will provide care for patients presenting at the practice from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within general practice.

We are looking for a confident practitioner ready to face the challenges of primary care within a supportive and friendly team.

Part-time/Job share would be considered.

Main duties of the job

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.

To undertake care home ward rounds.

An interest in Diabetes Care would be desirable but not essential.

About us

We are a 7 GP training practice, looking after 10,000 patients. Our Nursing Team consists of 3 Practice Nurses, 2 Healthcare Assistants and 1 Nurse Associate. We are located on the border of Dudley, Romsley and Birmingham. We look after 2 care homes including an Advanced Dementia Unit. We are the lead practice for Halesowen Primary Care Network and our Senior Partner, Dr Gillian Love is the Clinical Director.

We have an established team of Primary Care Network staff to support the network allowing us to offer a variety of services to include Health and Well-being, Dementia and Frailty Support, First Contact Physiotherapy, Nurse Associate Services, Phlebotomy and Listening and Guidance Services.

We use Emis Web, Docman and Footfall.

The practice is committed to offering good patient care in a supportive and welcoming environment for both our patients and colleagues. We recognise the value in progression and encourage educational development of our healthcare team.

Date posted

29 March 2023

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A0308-23-6960

Job locations

2 Quarry Lane

Halesowen

West Midlands

B63 4WD


Job description

Job responsibilities

  • Assess patients presenting with acute illness or for review of chronic disease conditions by telephone or direct patient contact
  • Clinically examine and assess patient needs from a psychological and physiological perspective and plan care accordingly
  • Provide first point of contact within the practice for a specified group of patients presenting with undifferentiated and undiagnosed problems utilising skills in history taking, clinical examination, problem solving and clinical decision making
  • 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 and within scope of practice
  • Where the post holder is an independent prescriber, Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols and formularies
  • Work with patients in order to support compliance with and adherence to prescribed treatments
  • Provide information and advice on prescribed and over the counter medication on medication regimens, side effects and interactions.
  • With appropriate support, participate in the clinical administration within the practice, signing prescriptions, reviewing medication, Electronic Prescription Service, reviewing patient letters/discharges and respond to queries in an appropriate timeframe.
  • Make professional, autonomous decisions for which he/she is accountable.
  • Undertake home visits for acute illness or chronic disease management within competency.
  • 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
  • Assess, identify and refer patients presenting with mental health needs in accordance with current guidance for mental health.
  • Participate in vaccination and immunisation programmes for both adults and children
  • Instigate necessary invasive/non-invasive tests or investigations and interpret reports or findings
  • Understand the remit of the quality and outcomes framework and the long term conditions framework (where applied locally) and apply principles accordingly
  • To provide departmental cover for the practice nurse team to include duties currently undertaken by the team. This includes wound management, cervical cytology, immunisations and other duties within competency.
  • To assist in the proactive clinical management of End of Life Care within the practice.
  • To assist and lead on any clinical disease areas within competency as directed by GP Partners.
  • To undertake any other delegated duties as requested by Practice Manager or GP Partners which are considered appropriate to the post.

Job description

Job responsibilities

  • Assess patients presenting with acute illness or for review of chronic disease conditions by telephone or direct patient contact
  • Clinically examine and assess patient needs from a psychological and physiological perspective and plan care accordingly
  • Provide first point of contact within the practice for a specified group of patients presenting with undifferentiated and undiagnosed problems utilising skills in history taking, clinical examination, problem solving and clinical decision making
  • 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 and within scope of practice
  • Where the post holder is an independent prescriber, Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols and formularies
  • Work with patients in order to support compliance with and adherence to prescribed treatments
  • Provide information and advice on prescribed and over the counter medication on medication regimens, side effects and interactions.
  • With appropriate support, participate in the clinical administration within the practice, signing prescriptions, reviewing medication, Electronic Prescription Service, reviewing patient letters/discharges and respond to queries in an appropriate timeframe.
  • Make professional, autonomous decisions for which he/she is accountable.
  • Undertake home visits for acute illness or chronic disease management within competency.
  • 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
  • Assess, identify and refer patients presenting with mental health needs in accordance with current guidance for mental health.
  • Participate in vaccination and immunisation programmes for both adults and children
  • Instigate necessary invasive/non-invasive tests or investigations and interpret reports or findings
  • Understand the remit of the quality and outcomes framework and the long term conditions framework (where applied locally) and apply principles accordingly
  • To provide departmental cover for the practice nurse team to include duties currently undertaken by the team. This includes wound management, cervical cytology, immunisations and other duties within competency.
  • To assist in the proactive clinical management of End of Life Care within the practice.
  • To assist and lead on any clinical disease areas within competency as directed by GP Partners.
  • To undertake any other delegated duties as requested by Practice Manager or GP Partners which are considered appropriate to the post.

Person Specification

Qualifications

Essential

  • Registered Nurse
  • Clinical supervision training and experience
  • Extended /independent nurse Prescribing (V300)
  • Physical Assessment and History Taking

Desirable

  • Insulin initiation qualification
  • Community nursing specialist qualification
  • MSc or equivalent experience
  • Mentor/teaching qualification
  • Verification of Expected Death

Experience

Essential

  • Minimum 5 years post registration experience
  • Minimum 2 years recent primary or community nursing experience
  • Extended and supplementary nurse prescribing

Desirable

  • Experience in Diabetes Management in Primary Care

Knowledge and Skills

Essential

  • Advanced clinical practice skills
  • Management of patients with long term conditions
  • Management of patients with complex need, including advance care planning and end of life care
  • Clinical examination skills appropriate to role
  • Accountability of own role
  • Local and national health policy
  • Clinical Governance issues within primary care
  • Patient group directions and associated policy.Clinical leadership skills
  • Excellent communication (oral and written) and inter personal skills
  • Negotiation and conflict management skills
  • Change management
  • Teaching and mentorship skills
  • Good time and resource management

Other Attributes

Essential

  • Full UK driving licence
  • Self-directed practitioner
  • Ability to work as part of an integrated multi-skilled team
  • Flexibility
  • Honest, caring and sympathetic
  • Hard working, reliable and resourceful
  • Enthusiasm
Person Specification

Qualifications

Essential

  • Registered Nurse
  • Clinical supervision training and experience
  • Extended /independent nurse Prescribing (V300)
  • Physical Assessment and History Taking

Desirable

  • Insulin initiation qualification
  • Community nursing specialist qualification
  • MSc or equivalent experience
  • Mentor/teaching qualification
  • Verification of Expected Death

Experience

Essential

  • Minimum 5 years post registration experience
  • Minimum 2 years recent primary or community nursing experience
  • Extended and supplementary nurse prescribing

Desirable

  • Experience in Diabetes Management in Primary Care

Knowledge and Skills

Essential

  • Advanced clinical practice skills
  • Management of patients with long term conditions
  • Management of patients with complex need, including advance care planning and end of life care
  • Clinical examination skills appropriate to role
  • Accountability of own role
  • Local and national health policy
  • Clinical Governance issues within primary care
  • Patient group directions and associated policy.Clinical leadership skills
  • Excellent communication (oral and written) and inter personal skills
  • Negotiation and conflict management skills
  • Change management
  • Teaching and mentorship skills
  • Good time and resource management

Other Attributes

Essential

  • Full UK driving licence
  • Self-directed practitioner
  • Ability to work as part of an integrated multi-skilled team
  • Flexibility
  • Honest, caring and sympathetic
  • Hard working, reliable and resourceful
  • Enthusiasm

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.

UK Registration

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

Additional information

UK Registration

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

Employer details

Employer name

Halesowen Medical Practice

Address

2 Quarry Lane

Halesowen

West Midlands

B63 4WD


Employer's website

https://www.halesowenmedicalpractice.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Halesowen Medical Practice

Address

2 Quarry Lane

Halesowen

West Midlands

B63 4WD


Employer's website

https://www.halesowenmedicalpractice.nhs.uk/ (Opens in a new tab)

For questions about the job, contact:

Practice Manager

Rose Dunnington

rose.dunnington@nhs.net

01215504917

Date posted

29 March 2023

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A0308-23-6960

Job locations

2 Quarry Lane

Halesowen

West Midlands

B63 4WD


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