Job summary
Due to a growing patient list, we have an exciting opportunity for a PCN Advanced Clinical Practitioner (Nurse Practitioner or Paramedic) to join Bramblehaies team, working three days week supporting our same day duty service.
Our same day duty service is currently covered by a Duty Doctor and Nurse
Practitioner and supported by well-trained care navigation and administration teams.
The Advanced Clinical Practitioner will share the duty list with the duty GP,
providing a service to our patients presenting with acute conditions.
Applicants must be NMC or HCPC registered, qualified as an Advanced Practitioner and be an Independent Prescriber. If a registered nurse they must be educated to master's level or equivalent that encompasses the four pillars of clinical practice with demonstration of core capabilities and area-specific clinical competencies.
If you are an experienced Advanced Clinical Practitioner
looking for a new challenge we would like to hear from you.
Main duties of the job
The post holder will be an integral part of our General
Practice multi-disciplinary team, working within their scope of practice using
their enhanced clinical assessment and treatment skills to assess and manage
patients presenting with acute presentations as part of the on the day duty
service team.
About us
Bramblehaies Surgery, in Cullompton, is a PMS training practice in the
heart of Devon yet conveniently situated 3 minutes off Junction 28 of the M5. We
deliver a high standard of care to our 7,400-patient list in the town and
surrounding villages from a partner-owned modern, purpose-built building which
has recently been extended to provide further consulting rooms.
Our team currently consists of four GP Partners, two salaried GPs, Practice Manager, Patient Services Manager, Data Quality Administrator, Clinical Pharmacist and Pharmacy Technician, a team of Practice Nurses headed by a Lead Nurse, three HCAs, a GP Assistant, a committed admin/reception team and our much-needed housekeeping team.
We continue to rise to the challenges experienced from working in such a
dynamic environment, maintaining our enthusiasm for delivery of care and retaining
our sense of humour.
We are a member practice of Culm Valley Primary Care Network and are well
supported with Social Prescribers for Adults and Young People, a Health and Wellbeing
Coach, First Contact Physiotherapist, Mental Health Worker and the Community
Healthcare Team. Our Care Home Team consists of a Nurse Practitioner and an
Occupational Therapist.
Our clinical system is SystmOne; we offer 15-minute appointments, a
daily clinical huddle which provides an opportunity discuss clinical matters as
a multidisciplinary team to provide support
for our entire team.
Job description
Job responsibilities
The Advanced Clinical Nurse Practitioner will:
a.Work as part of a multi-disciplinary team (MDT) within Bramblehaies Surgery and as part of the wider PCN clinical team.
b.Assess and triage patients including same day triage and, as appropriate, provide definitive treatment (including prescribing medications, following policy, patient group directives, national e.g. NICE and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.
c.Manage undifferentiated undiagnosed conditions and identify red flags and underlying serious pathology and take appropriate action.
d.Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice.
e.Actively take a personalised care approach and population-centred care approach to enable shared decision making with the presenting person.
f.Be able to perform specialist health checks and reviews within their scope of practice and in line with local and national guidance;
g.Support the delivery of anticipatory care plans and provide an alternative model to urgent and same day GP home visit for the Practice/PCN.
h.Complete the relevant training to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example Practice Nurses and the personalised care roles.
i.Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to the PCNs social prescribing service and, where appropriate, other community or voluntary services.
j.Communicate at all levels across organisations ensuring that an effective, person-centred service is delivered.
k.Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required.
l.Maintain accurate and contemporaneous health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associated with patient health care and registration with the practice.
m.Communicate effectively with patients, and where appropriate family members and their carers, where applicable, complex and sensitive information regarding their physical health needs, results, findings, and treatment choices.
Job description
Job responsibilities
The Advanced Clinical Nurse Practitioner will:
a.Work as part of a multi-disciplinary team (MDT) within Bramblehaies Surgery and as part of the wider PCN clinical team.
b.Assess and triage patients including same day triage and, as appropriate, provide definitive treatment (including prescribing medications, following policy, patient group directives, national e.g. NICE and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.
c.Manage undifferentiated undiagnosed conditions and identify red flags and underlying serious pathology and take appropriate action.
d.Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice.
e.Actively take a personalised care approach and population-centred care approach to enable shared decision making with the presenting person.
f.Be able to perform specialist health checks and reviews within their scope of practice and in line with local and national guidance;
g.Support the delivery of anticipatory care plans and provide an alternative model to urgent and same day GP home visit for the Practice/PCN.
h.Complete the relevant training to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example Practice Nurses and the personalised care roles.
i.Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to the PCNs social prescribing service and, where appropriate, other community or voluntary services.
j.Communicate at all levels across organisations ensuring that an effective, person-centred service is delivered.
k.Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required.
l.Maintain accurate and contemporaneous health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associated with patient health care and registration with the practice.
m.Communicate effectively with patients, and where appropriate family members and their carers, where applicable, complex and sensitive information regarding their physical health needs, results, findings, and treatment choices.
Person Specification
Other requirements
Essential
- Willingness to work flexible hours when required to meet work demands.
- Disclosure Barring Service (DBS) check enhanced.
- Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home.
Desirable
- Has previously worked in primary care setting or a Primary Care Network.
Qualifications
Essential
- Registered with the Nursing and Midwifery Council OR HCPC registered as an Advanced Practitioner and be an Independent Prescriber
- Has a master's degree level award AND covered all 4 pillars of advanced clinical practice
- Graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centre's ePortfolio (supported) Route
Experience
Essential
- Experience in a senior clinical nurse role
Knowledge/skills
Essential
- Has the ability to assess and triage patients, including same day triage and, as appropriate, provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.
- Has the ability to manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action.
- Can demonstrate complex decision-making skills to inform the diagnosis, investigation and complete management of episodes of care within a broad scope of practice.
- Can demonstrate a personalised care approach and population centred care approach to enable shared decision making with the presenting person.
- Has completed the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example Practice Nurses and the personalised care roles.
- Ability to communicate complex and sensitive information effectively with people at all levels by telephone, messaging in clinical system, email and face to face.
- Ability to identify risk and assess/manage risk when working with individuals.
- Understanding of scope of experience and competence and when to seek advice and refer to another health or social care professional.
- Ability to maintain effective working relationships and to promote collaborative practice with all colleagues.
- Ability to take part in reflective practice and clinical supervision activities.
- High level of written and oral communication skills.
- Working knowledge of IT systems including ability to use word processing skills, emails and the internet to create simple plans and reports.
- Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety.
Desirable
- EMIS/SystmOne/Vision user skills
Qualities/Attributes
Essential
- Ability to listen, empathise with people and provide person centred support in a non-judgmental way.
- Courteous, respectful and helpful at all times and has the ability to use own initiative, discretion and sensitivity.
- Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity.
- Commitment to reducing health inequalities and proactively working to reach people from all communities.
- High levels of integrity and loyalty and able to support people in a way that inspires trust and confidence, motivating others to reach their potential.
- Demonstrate personal accountability, emotional resilience and work well under pressure.
- Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
- Punctual and committed to supporting the team effort
Person Specification
Other requirements
Essential
- Willingness to work flexible hours when required to meet work demands.
- Disclosure Barring Service (DBS) check enhanced.
- Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home.
Desirable
- Has previously worked in primary care setting or a Primary Care Network.
Qualifications
Essential
- Registered with the Nursing and Midwifery Council OR HCPC registered as an Advanced Practitioner and be an Independent Prescriber
- Has a master's degree level award AND covered all 4 pillars of advanced clinical practice
- Graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centre's ePortfolio (supported) Route
Experience
Essential
- Experience in a senior clinical nurse role
Knowledge/skills
Essential
- Has the ability to assess and triage patients, including same day triage and, as appropriate, provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.
- Has the ability to manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action.
- Can demonstrate complex decision-making skills to inform the diagnosis, investigation and complete management of episodes of care within a broad scope of practice.
- Can demonstrate a personalised care approach and population centred care approach to enable shared decision making with the presenting person.
- Has completed the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example Practice Nurses and the personalised care roles.
- Ability to communicate complex and sensitive information effectively with people at all levels by telephone, messaging in clinical system, email and face to face.
- Ability to identify risk and assess/manage risk when working with individuals.
- Understanding of scope of experience and competence and when to seek advice and refer to another health or social care professional.
- Ability to maintain effective working relationships and to promote collaborative practice with all colleagues.
- Ability to take part in reflective practice and clinical supervision activities.
- High level of written and oral communication skills.
- Working knowledge of IT systems including ability to use word processing skills, emails and the internet to create simple plans and reports.
- Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety.
Desirable
- EMIS/SystmOne/Vision user skills
Qualities/Attributes
Essential
- Ability to listen, empathise with people and provide person centred support in a non-judgmental way.
- Courteous, respectful and helpful at all times and has the ability to use own initiative, discretion and sensitivity.
- Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity.
- Commitment to reducing health inequalities and proactively working to reach people from all communities.
- High levels of integrity and loyalty and able to support people in a way that inspires trust and confidence, motivating others to reach their potential.
- Demonstrate personal accountability, emotional resilience and work well under pressure.
- Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
- Punctual and committed to supporting the team effort
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).
