Advanced Clinical/Nurse Practitioner
This job is now closed
Job summary
Mytton Oak Surgery is currently seeking an enthusiastic and skilled Advanced Clinical/Nurse Practitioner (ACP/ANP) to join our dynamic team. This is an exciting opportunity to contribute to the delivery of high-quality healthcare services within our practice.
At Mytton Oak Surgery, we are committed to fostering a supportive and collaborative work environment where every team member is valued, respected ad empowered to reach their full potential.
Salary is competitive and dependant upon experience.
Main duties of the job
As an Advanced Clinical/Nurse Practitioner (ACP/ANP), you will play a key role in providing advanced clinical assessment, diagnosis and treatment to our patients. Working collaboratively with our multidisciplinary team, you will have the opportunity to manage a diverse caseload, including acute and chronic conditions, minor injuries and long term health needs.
About us
We are a practice close to historic Shrewsbury town centre with easy access to the motorway network. We are a forward thinking practice with 10,100 patients and are committed to providing them with high quality care.
We are a close working team which comprises of 4 GP partners, two salaried GPs, 2 Advanced Clinical Practitioners, 3 Practice Nurses, 1 Nursing Associate and a team of dedicated administrative staff who support our clinical team on a daily basis. We also have a range of Primary Care Network Advanced Role staff that support us.
We have an experienced and very supportive administrative team led by our Practice Manager
We use Emis Web and Docman 10
We are part of Shrewsbury Primary Care Network Ltd.
Details
Date posted
01 May 2024
Pay scheme
Other
Salary
£57,000 to £63,000 a year
Contract
Permanent
Working pattern
Full-time, Compressed hours
Reference number
A1448-24-0000
Job locations
Racecourse Lane
Shrewsbury
SY3 5LZ
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. 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 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.
Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation.
Assess, identify, and refer patients presenting with mental health needs in accordance with the National and Local Guidelines for Mental Health.
Implement and participate in vaccination and immunisation programmes for both adults and children.
Advise, support, and administer vaccinations for patients travelling abroad, where appropriate.
Promote and deliver evidence-based care for patients presenting with aural conditions.
Meet the needs of patients presenting for opportunistic wound care.
Undertake minor surgery as appropriate to competence.
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 (eg 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 National and Local Guidelines, 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.
Support and participate in shared learning across the practice and wider organisation.
Use a structured framework (eg 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 in order to maximise potential.
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
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.
Critically evaluate and review innovations and developments that are relevant to the area of work.
Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services.
Work with practice management to ensure sufficient staff of appropriate ability, quality and skill-mix are available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes.
Contribute to the development of local guidelines, protocols and standards.
Maintain effective communication with those responsible for the overall commissioning and procurement process.
Maintain active involvement in the planning and processes of practice-based commissioning or similar initiatives.
Promote the role of the advanced nurse practitioner in general practice.
Team Working
Understand own role and scope and identify how this may develop over time.
Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
Create clear referral mechanisms to meet patient need.
Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team.
Work effectively with others to clearly define values, direction and policies impacting upon care delivery.
Discuss, highlight, and work with the team to create opportunities to improve patient care.
Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team.
Agree plans and outcomes by which to measure success.
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.
Working with the practice management, ensure the nursing team has access to and undertakes mandatory and statutory training requirements.
Apply infection-control measures within the practice according to local and national guidelines.
Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all.
Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.
Managing Information
Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting, and communicating information.
Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.
Manage information searches using the internet and local library databases.
Understand responsibility of self and others to the practice and primary care trust regarding the Freedom of Information Act
Collate, analyse, and present clinical data and information to the team.
Communicate essential financial restraints with the team and discuss with them ideas for effective and efficient working within these constraints.
Manage, if agreed, the nursing budget within financial principles.
SEE FULL JOB DESCRIPTION IN SUPPORTING DOCUMENTATION WHICH ALSO INCLUDES LEARNING & DEVELOPEMENT AS WELL AS EQUALITY & DIVERSITY.
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. 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 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.
Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation.
Assess, identify, and refer patients presenting with mental health needs in accordance with the National and Local Guidelines for Mental Health.
Implement and participate in vaccination and immunisation programmes for both adults and children.
Advise, support, and administer vaccinations for patients travelling abroad, where appropriate.
Promote and deliver evidence-based care for patients presenting with aural conditions.
Meet the needs of patients presenting for opportunistic wound care.
Undertake minor surgery as appropriate to competence.
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 (eg 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 National and Local Guidelines, 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.
Support and participate in shared learning across the practice and wider organisation.
Use a structured framework (eg 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 in order to maximise potential.
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
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.
Critically evaluate and review innovations and developments that are relevant to the area of work.
Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services.
Work with practice management to ensure sufficient staff of appropriate ability, quality and skill-mix are available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes.
Contribute to the development of local guidelines, protocols and standards.
Maintain effective communication with those responsible for the overall commissioning and procurement process.
Maintain active involvement in the planning and processes of practice-based commissioning or similar initiatives.
Promote the role of the advanced nurse practitioner in general practice.
Team Working
Understand own role and scope and identify how this may develop over time.
Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
Create clear referral mechanisms to meet patient need.
Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team.
Work effectively with others to clearly define values, direction and policies impacting upon care delivery.
Discuss, highlight, and work with the team to create opportunities to improve patient care.
Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team.
Agree plans and outcomes by which to measure success.
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.
Working with the practice management, ensure the nursing team has access to and undertakes mandatory and statutory training requirements.
Apply infection-control measures within the practice according to local and national guidelines.
Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all.
Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.
Managing Information
Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting, and communicating information.
Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.
Manage information searches using the internet and local library databases.
Understand responsibility of self and others to the practice and primary care trust regarding the Freedom of Information Act
Collate, analyse, and present clinical data and information to the team.
Communicate essential financial restraints with the team and discuss with them ideas for effective and efficient working within these constraints.
Manage, if agreed, the nursing budget within financial principles.
SEE FULL JOB DESCRIPTION IN SUPPORTING DOCUMENTATION WHICH ALSO INCLUDES LEARNING & DEVELOPEMENT AS WELL AS EQUALITY & DIVERSITY.
Person Specification
Qualifications
Essential
- Registered nurse with current NMC registration. Masters degree in Advanced Clinical Practice or Advanced Nursing Practice. Prescribing qualification and experience.
Desirable
- Teaching/mentoring experience and/or qualification
Experience
Essential
- Understanding of evidence based practice.
- Polite, confident, flexible and cooperative. Excellent interpersonal, verbal and written communication skills. Reflective practitioner, motivated and a forward thinker, willingness to undertake training at a higher level if necessary. Problem solver with the ability to process information accurately and effectively, interpreting data as required.
- Understanding of the national and local health agenda, awareness of legal and ethical issues of the role. Skills in clinical examination and diagnostic techniques, empathetic and sensitive in distressing situation as well as the ability to work under pressure/ in stressful situations.
- Extensive experience working autonomously in primary care or community settings. Commitment to continuous professional development and evidence based practice.
Desirable
- Ability to be self motivated. Ability to think strategically. Experience of use of medical software package- EMIS/Ardens.
- Evidence of clinical audit, evaluation research and implementation of evidence based practice. Interpreting and implementing local and national policy agendas for health.
Person Specification
Qualifications
Essential
- Registered nurse with current NMC registration. Masters degree in Advanced Clinical Practice or Advanced Nursing Practice. Prescribing qualification and experience.
Desirable
- Teaching/mentoring experience and/or qualification
Experience
Essential
- Understanding of evidence based practice.
- Polite, confident, flexible and cooperative. Excellent interpersonal, verbal and written communication skills. Reflective practitioner, motivated and a forward thinker, willingness to undertake training at a higher level if necessary. Problem solver with the ability to process information accurately and effectively, interpreting data as required.
- Understanding of the national and local health agenda, awareness of legal and ethical issues of the role. Skills in clinical examination and diagnostic techniques, empathetic and sensitive in distressing situation as well as the ability to work under pressure/ in stressful situations.
- Extensive experience working autonomously in primary care or community settings. Commitment to continuous professional development and evidence based practice.
Desirable
- Ability to be self motivated. Ability to think strategically. Experience of use of medical software package- EMIS/Ardens.
- Evidence of clinical audit, evaluation research and implementation of evidence based practice. Interpreting and implementing local and national policy agendas for health.
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
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).
Employer details
Employer name
Mytton Oak Surgery
Address
Racecourse Lane
Shrewsbury
SY3 5LZ
Employer's website
https://www.myttonoakmedpractice.co.uk/ (Opens in a new tab)
Employer details
Employer name
Mytton Oak Surgery
Address
Racecourse Lane
Shrewsbury
SY3 5LZ
Employer's website
https://www.myttonoakmedpractice.co.uk/ (Opens in a new tab)
Employer contact details
For questions about the job, contact:
Details
Date posted
01 May 2024
Pay scheme
Other
Salary
£57,000 to £63,000 a year
Contract
Permanent
Working pattern
Full-time, Compressed hours
Reference number
A1448-24-0000
Job locations
Racecourse Lane
Shrewsbury
SY3 5LZ