Job summary
Birchington Medical Centre have a fantastic opportunity for an ANP/ACP Nurse Practitioner to join the practice team and work to deliver excellent primary health care services for patents including initial history taking, clinical assessment, diagnosis, treatment, and evaluation of care.
Main duties of the job
The post holder will work within the practice team to deliver excellent primary health care services for patents including initial history taking, clinical assessment, diagnosis, treatment, and evaluation of care.
The post holder will demonstrate safe, competent clinical decision-making and expert care within scope of practice, including assessment and diagnostic skills, for patients within the general practice.
The post holder will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.
Depending upon experience and level of competence the post holder will be responsible for:
o Cancer Care Reviews
o Learning Disabilities reviews
o Dementia Reviews
o Frailty reviews
o Seeing Babies and Children
o Interpreting, commenting and actioning pathology, microbiology, and radiology results
About us
Birchington Medical Centre are part of Invicta Health CIC, a not for profit company, with a passion for primary care.
We are formed by a federation of General Practitioners working in Canterbury and South Kent Coast areas of East Kent.
Our aim is to provide local, high quality services for local people by collaborating with other established organisations in the health and social care community.
Job description
Job responsibilities
Clinical 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.
- Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs.
- Assess, diagnose, and offer treatment to patients with minor illness, supporting and advising the wider MDT on best practice.
- 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 to support compliance with and adherence to prescribed treatments.
- Provide information and advice on prescribed or over-the-counter medication on medication regimens, side- effects, and interactions.
- 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.
Care in the community
- Work with the current practice team to develop and deliver an improved model of care to our patients in the community.
- Achieve this through structured service design and implementation, focusing on 3 key areas of care: Palliative patients and those at high risk of deterioration, Frailty and complex care and Nursing or care home residents.
- Work with the PCN team and CCG to be involved in the decision-making process for new services and roles that may affect the care of our patients.
- Work to help the practice meet any requirements for the frailty service DES or any future services which involve care in the community, care homes, frailty or palliative care.
- Aid in the education of care home and practice staff in areas that affect patient care or clinical assessment, e.g. NEWS2 scoring.
Communication
- 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.
- Act as an advocate for patients and colleagues.
- Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.
Delivering a Quality Service
- 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.
- Prioritise, organise, and manage own workload in a manner that maintains and promotes quality.
- Deliver care according to NSF, 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.
- Evaluate patients’ response to health care provision and the effectiveness of care.
- Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents, and near-miss events.
- Assess the impact of policy implementation on care delivery.
- Working with the practice management monitor and develop the performance of the GPN team in accordance with local policies.
- Contribute to the appraisal of the performance of the team, providing feedback as appropriate.
- 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
- Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required.
Leadership – Personal and People Development
- Act as a clinical leader in the delivery of practice nursing services ensuring that the needs of the patient are a priority
- Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model
- Support staff development to maximise potential.
-
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services.
- Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services.
Management of Risk
- Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
- Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures, and guidelines.
- Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs.
- Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriate.
- Apply infection-control measures within the practice according to local and national guidelines.
Job description
Job responsibilities
Clinical 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.
- Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs.
- Assess, diagnose, and offer treatment to patients with minor illness, supporting and advising the wider MDT on best practice.
- 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 to support compliance with and adherence to prescribed treatments.
- Provide information and advice on prescribed or over-the-counter medication on medication regimens, side- effects, and interactions.
- 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.
Care in the community
- Work with the current practice team to develop and deliver an improved model of care to our patients in the community.
- Achieve this through structured service design and implementation, focusing on 3 key areas of care: Palliative patients and those at high risk of deterioration, Frailty and complex care and Nursing or care home residents.
- Work with the PCN team and CCG to be involved in the decision-making process for new services and roles that may affect the care of our patients.
- Work to help the practice meet any requirements for the frailty service DES or any future services which involve care in the community, care homes, frailty or palliative care.
- Aid in the education of care home and practice staff in areas that affect patient care or clinical assessment, e.g. NEWS2 scoring.
Communication
- 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.
- Act as an advocate for patients and colleagues.
- Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.
Delivering a Quality Service
- 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.
- Prioritise, organise, and manage own workload in a manner that maintains and promotes quality.
- Deliver care according to NSF, 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.
- Evaluate patients’ response to health care provision and the effectiveness of care.
- Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents, and near-miss events.
- Assess the impact of policy implementation on care delivery.
- Working with the practice management monitor and develop the performance of the GPN team in accordance with local policies.
- Contribute to the appraisal of the performance of the team, providing feedback as appropriate.
- 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
- Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required.
Leadership – Personal and People Development
- Act as a clinical leader in the delivery of practice nursing services ensuring that the needs of the patient are a priority
- Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model
- Support staff development to maximise potential.
-
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services.
- Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services.
Management of Risk
- Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
- Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures, and guidelines.
- Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs.
- Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriate.
- Apply infection-control measures within the practice according to local and national guidelines.
Person Specification
Qualifications
Essential
- Registered Nurse or AHP with professional body
- Non-Medical Prescriber qualification
- Relevant Nursing/Health degree Mentor/Teaching qualification
- Extended/Independent Nurse Prescribing qualification
Desirable
- Community nursing specialist qualification
Experience
Essential
- Clinical Supervision training and experience
- Post-Registration experience
- Recent Primary and Community AHP experience
- AHP-led management of minor illness, minor ailments, and injuries
- AHP-led triage experience
- Experience in Clinical Leadership Audit
- Independent Prescribing
- Management of patients with Complex Needs
- Clinical Examination skills
- Clinical Governance issues in Primary Care
Desirable
- Project management
- Working with Community Development Initiatives
- Health-needs assessment
- Knowledge of Public Health issues
- Able to identify determinants on health in the area
- Knowledge of Public Health issues in the area
Person Specification
Qualifications
Essential
- Registered Nurse or AHP with professional body
- Non-Medical Prescriber qualification
- Relevant Nursing/Health degree Mentor/Teaching qualification
- Extended/Independent Nurse Prescribing qualification
Desirable
- Community nursing specialist qualification
Experience
Essential
- Clinical Supervision training and experience
- Post-Registration experience
- Recent Primary and Community AHP experience
- AHP-led management of minor illness, minor ailments, and injuries
- AHP-led triage experience
- Experience in Clinical Leadership Audit
- Independent Prescribing
- Management of patients with Complex Needs
- Clinical Examination skills
- Clinical Governance issues in Primary Care
Desirable
- Project management
- Working with Community Development Initiatives
- Health-needs assessment
- Knowledge of Public Health issues
- Able to identify determinants on health in the area
- Knowledge of Public Health issues in the area
Additional information
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
