Job summary
Hours: Up to full-time
Salary: £43,017.00 £46,928.00per annum pro-rata (depending on experience)
We are looking to welcome an Advanced Nurse Practitioner to join our On-The-Day-Team; our On-The-Day-Team currently consists of GPs, Nurse Practitioners, Paramedics and a Clinical Pharmacist. We are a training group, and offer development for our staff including external and internal training opportunities.
Main duties of the job
The successful candidate will provide care for the patient 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.
About us
Ruby Country Medical Group is a friendly, forward-looking partnership where work-life balance is important to us all. We have 28,000 patients across three sites spanning the border between Devon and Cornwall.
Surfing, open water sea-pool swimming, sea kayaking, the South West coastal path and moorland splendour are all in easy reach from our three site organisation. We extend inland from the beautiful sandy beaches of North Cornwall almost to the edge of the Dartmoor wilderness.
Our benefits:
- 27 days annual leave plus bank holidays
- Access to the NHS Pension Scheme
- Occupational sick pay from 6 months
Job description
Job responsibilities
Clinical
- Work autonomously and be accountable for own professional actions
- Undertake telephone triage work, telephone calls and face to face appointments
- Undertake clinical nursing practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to all patients accessing primary care services. In addition, to make any necessary referrals to other primary or secondary care teams
- Assess undifferentiated patients with a range of acute, non-acute and chronic medical conditions.
- Take history, make appropriate physical examinations, formulate differential diagnoses and carry through management treatment plans ensuring relevant follow up.
- Prescribe medication and treatment in accordance with NMC guidelines for non-clinical prescribers and NHS North Devon/Cornwall formulary
- Report, discuss and refer areas on clinical uncertainty with on-call GP, secondary care or partner organisations
- Where appropriate, review and action patient letters/discharges/results
Administration and Professional
- Ensure accurate and legible notes of all consultations and treatments are recorded in the patients notes
- Ensure the clinical computer system is kept up to date with accurate details recorded and amended
- Ensure accurate completion of all necessary documentation associated with patient health care and registration with the Group
- Attend and participate in Group meetings as required
- Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to practice
- 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
- Utilise Interpreting Support Services where appropriate
Delivering a quality service
- Recognise and work within own competence and professional code of conduct as regulated by the NMC
- Deliver care according to Group policies, local guidelines, SIGN, NICE guidelines and evidence-based care
- Consider and aim to deliver most cost effective prescribing, working towards Group and health board prescribing targets
Training and personal development
- Participate in the education and training of students of all disciplines and the introduction of all members of the Group staff where appropriate
- Develop and maintain an in house nurse-training programme reporting to the Nurse Practitioner Lead.
- Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development ensuring requirements are met.
- Develop, maintain and be responsible for own Personal Learning/Development Plan
- Partake in regular supervision for own development
- Assist in the mentorship and assessment of training nurse practitioners and OTDT members
- Act as a mentor for pre-registration students and other staff, if appropriate
Information Technology
- Develop competency with IT systems namely SystmOne, Accurx and e-consult
- Ensure good recordkeeping and maintain confidentiality in accordance with NMC guidelines
- Responsible for establishing how policies should be interpreted and translated across the Group
- Implement and adhere to local/national, Integrated Care Board and Group policies
Manage and use information
- Makes effective use of the clinical system by ensuring the consistent and accurate entering of data and Read Codes where appropriate
- Collate accurate and timely information as and when required
- Assist in the development of practice protocols for the Group and clinical protocols for the clinical team where required
Job description
Job responsibilities
Clinical
- Work autonomously and be accountable for own professional actions
- Undertake telephone triage work, telephone calls and face to face appointments
- Undertake clinical nursing practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to all patients accessing primary care services. In addition, to make any necessary referrals to other primary or secondary care teams
- Assess undifferentiated patients with a range of acute, non-acute and chronic medical conditions.
- Take history, make appropriate physical examinations, formulate differential diagnoses and carry through management treatment plans ensuring relevant follow up.
- Prescribe medication and treatment in accordance with NMC guidelines for non-clinical prescribers and NHS North Devon/Cornwall formulary
- Report, discuss and refer areas on clinical uncertainty with on-call GP, secondary care or partner organisations
- Where appropriate, review and action patient letters/discharges/results
Administration and Professional
- Ensure accurate and legible notes of all consultations and treatments are recorded in the patients notes
- Ensure the clinical computer system is kept up to date with accurate details recorded and amended
- Ensure accurate completion of all necessary documentation associated with patient health care and registration with the Group
- Attend and participate in Group meetings as required
- Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to practice
- 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
- Utilise Interpreting Support Services where appropriate
Delivering a quality service
- Recognise and work within own competence and professional code of conduct as regulated by the NMC
- Deliver care according to Group policies, local guidelines, SIGN, NICE guidelines and evidence-based care
- Consider and aim to deliver most cost effective prescribing, working towards Group and health board prescribing targets
Training and personal development
- Participate in the education and training of students of all disciplines and the introduction of all members of the Group staff where appropriate
- Develop and maintain an in house nurse-training programme reporting to the Nurse Practitioner Lead.
- Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development ensuring requirements are met.
- Develop, maintain and be responsible for own Personal Learning/Development Plan
- Partake in regular supervision for own development
- Assist in the mentorship and assessment of training nurse practitioners and OTDT members
- Act as a mentor for pre-registration students and other staff, if appropriate
Information Technology
- Develop competency with IT systems namely SystmOne, Accurx and e-consult
- Ensure good recordkeeping and maintain confidentiality in accordance with NMC guidelines
- Responsible for establishing how policies should be interpreted and translated across the Group
- Implement and adhere to local/national, Integrated Care Board and Group policies
Manage and use information
- Makes effective use of the clinical system by ensuring the consistent and accurate entering of data and Read Codes where appropriate
- Collate accurate and timely information as and when required
- Assist in the development of practice protocols for the Group and clinical protocols for the clinical team where required
Person Specification
Additional Criteria
Essential
Qualifications
Essential
- MSc or BSc (Nursing or Nurse Practitioner)
- Nurse Practitioner (Primary Care) Post Graduate Diploma
- RGN/RN with current NMC registration
Desirable
- MSc in Advanced Clinical Practice
- Advanced clinical skills qualification
Knowledge and Skills
Essential
- Knowledge of primary & community health care
- Ability to form management plan for patients with acute & chronic conditions & complex needs
- Can autonomously make decisions & management plans
- Communication skills, both written and verbal
- Able to use IT based clinical record system
- Time management and ability to prioritise workload
Desirable
- Good understanding of General Practice
- Local & national health policy and impact on General Practice
- Advanced clinical practice & examination skills
Experience
Essential
- Autonomous practitioner
- Nurse-led management of minor illness, minor ailments and injuries and chronic disease management
- Nurse-led triage
- Evidence of CPD/PDP in autonomous practice
Desirable
- Use of SystmOne
- Involvement in mentoring/teaching learners
- Experience in telephone triage
- Experience in Primary Care
Person Specification
Additional Criteria
Essential
Qualifications
Essential
- MSc or BSc (Nursing or Nurse Practitioner)
- Nurse Practitioner (Primary Care) Post Graduate Diploma
- RGN/RN with current NMC registration
Desirable
- MSc in Advanced Clinical Practice
- Advanced clinical skills qualification
Knowledge and Skills
Essential
- Knowledge of primary & community health care
- Ability to form management plan for patients with acute & chronic conditions & complex needs
- Can autonomously make decisions & management plans
- Communication skills, both written and verbal
- Able to use IT based clinical record system
- Time management and ability to prioritise workload
Desirable
- Good understanding of General Practice
- Local & national health policy and impact on General Practice
- Advanced clinical practice & examination skills
Experience
Essential
- Autonomous practitioner
- Nurse-led management of minor illness, minor ailments and injuries and chronic disease management
- Nurse-led triage
- Evidence of CPD/PDP in autonomous practice
Desirable
- Use of SystmOne
- Involvement in mentoring/teaching learners
- Experience in telephone triage
- Experience in Primary Care
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).
