Advanced Nurse Practitioner

Discovery Practice

Information:

This job is now closed

Job summary

To work as an autonomous practitioner carrying out assessments via telephone, video call and face to face including in patients home for patients presenting with undifferentiated and undiagnosed acute illness or with long term conditions. Providing care for the presenting patients from initial history taking, clinical assessment, ordering diagnostic testing, making necessary referrals, diagnosis, treatment, and evaluation of care. You will be expected to answer queries relating to ongoing patient care and medication reviews. Providing safe clinical practice working within boundaries of competence and skills, adhering to, and working within the NMC code of Conduct. To work collaboratively with the general practice team to meet the needs of patients supporting the delivery of policy and procedures.

Main duties of the job

Assess, diagnose, plan, implement and evaluate treatment/interventions for patients presenting with an undifferentiated diagnosis.

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.

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 regimes, side effects and interaction.

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.

Undertake sexual health service procedures as appropriate to competence.

Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret finding /reports.

Refer patients directly to other services/agencies as appropriate.

Other areas of relevant clinical importance as required.

Assist the practice in providing all service contract undertaken e.g. GMS/PMS Enhance or essential services plus DES/ LES local authority (list not exhaustive).

About us

The Discovery Practice serves a population of 8800 providing GMS services. Our clinical team comprises 3 GPs and 2 ANPs and 1 Trainee ANP supported by our Nursing team of 2 RGN with Respiratory and Diabetes specialties and our 2 Health Care Assistants. We are part of Central Middlesbrough PCN which incorporates additional roles such as Physiotherapists, clinical Pharmacists and technicians, Social Prescriber and link with TEWV Mental health practitioners. As well as Care Co-Ordinator's all which compliment and add to the services we provide to our registered patients.

We are an innovative and developing practice which supports CPD training and mentorship and supervision. Friendly and supportive we wish to welcome a new member to our team.

Although advertising for a Advanced Nurse Practitioner we would also welcome any Nurse Practitioners who are wanting to pursue a prescribing qualification and would be willing to support any suitable candidates at various stages of qualification.

Date posted

16 August 2024

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A1967-24-0003

Job locations

Cleveland Health Centre

20 Cleveland Centre

Middlesbrough

Cleveland

TS1 2NX


Job description

Job responsibilities

Team working

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.

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 clinical management team.

Provide and deliver training to develop the practice team.

Mentor and support other nurses in developing and maintaining clinical skills.

Contribute to the planning and implementation of the teaching for new and existing staff, such as medical students, NP students, GP registrars, health Care assistants, etc. within the practice.

Communication & Relationships

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

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. Consider patients communication requirements.

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 and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Attend practice and external meetings as requested.Maintain effective communication with the practice team.

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 and high standards.

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 and 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 and 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.

Understand and apply legal issues that support the identification of vulnerable and abused children and adults, be aware of statutory child/vulnerable patients health procedures and local guidance.

Understand and apply legislation such as the Mental Capacity act and consent and capability procedures.

Delivery of innovation with services/systems, research opportunities/studies (list not exhaustive).

Job description

Job responsibilities

Team working

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.

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 clinical management team.

Provide and deliver training to develop the practice team.

Mentor and support other nurses in developing and maintaining clinical skills.

Contribute to the planning and implementation of the teaching for new and existing staff, such as medical students, NP students, GP registrars, health Care assistants, etc. within the practice.

Communication & Relationships

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

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. Consider patients communication requirements.

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 and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Attend practice and external meetings as requested.Maintain effective communication with the practice team.

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 and high standards.

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 and 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 and 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.

Understand and apply legal issues that support the identification of vulnerable and abused children and adults, be aware of statutory child/vulnerable patients health procedures and local guidance.

Understand and apply legislation such as the Mental Capacity act and consent and capability procedures.

Delivery of innovation with services/systems, research opportunities/studies (list not exhaustive).

Person Specification

Qualifications

Essential

  • First Level registered nurse
  • Non-Medical prescribing qualification
  • Masters degree or equivalent post-registration education to SCQF level 11 to meet RCN recommendations for Advanced Practice
  • Evidence of experience using advanced clinical examination & assessment skills within practice supported by the appropriate post registration qualification.

Desirable

  • Prescribing but willing to support the right candidate if required

Experience

Essential

  • Autonomous practice working and multi-professional team working.
  • Can show evidence of using advanced physical examination and assessment skills in practice
  • Can demonstrate knowledge of complex and common conditions in primary care in both adults and children
  • Has experience in nurse led clinics or emergency care centres, out of hours facilities or walk in centres

Desirable

  • Has experience of using patient group directives in practice
  • Use of primary care IT systems

Knowledge and Skills

Essential

  • Can give evidence of using effective communication skills within practice whether verbal and written.
  • Good IT skills
  • Excellent interpersonal skills
  • Has experience of concise history taking and differential diagnosis skills at and advanced level, employing critical thinking.
  • Ability to identify individual client needs
  • Demonstrable awareness of accountability in clinical practice
  • Able to prioritize, effective time management.
  • Can undertake audit and clinical governance
  • Uses evidence based practice
  • Facilitation & negotiation skills
  • Aware of current structures and developments in out of hours care, health and social care
  • Specialist clinical/Technical skills
  • Awareness and ability to fulfil primary care contract (GMS Essential/Additional svcs and other enhanced contracts).

Personal Qualities

Essential

  • Commitment to the role.
  • Flexibility to meet service/Rota needs
  • Be prepared to travel between multiple sites.
  • Full driving license. Use of a vehicle.
  • Work within given systems or triaging as determined by the practice.
  • Proven team player
  • Able to work autonomously
  • Committed to continuing professional development
  • Positive effect
  • High level of interpersonal skills
  • Ability to lead , develop and initiate innovation in practice
  • Reflective practitioner
Person Specification

Qualifications

Essential

  • First Level registered nurse
  • Non-Medical prescribing qualification
  • Masters degree or equivalent post-registration education to SCQF level 11 to meet RCN recommendations for Advanced Practice
  • Evidence of experience using advanced clinical examination & assessment skills within practice supported by the appropriate post registration qualification.

Desirable

  • Prescribing but willing to support the right candidate if required

Experience

Essential

  • Autonomous practice working and multi-professional team working.
  • Can show evidence of using advanced physical examination and assessment skills in practice
  • Can demonstrate knowledge of complex and common conditions in primary care in both adults and children
  • Has experience in nurse led clinics or emergency care centres, out of hours facilities or walk in centres

Desirable

  • Has experience of using patient group directives in practice
  • Use of primary care IT systems

Knowledge and Skills

Essential

  • Can give evidence of using effective communication skills within practice whether verbal and written.
  • Good IT skills
  • Excellent interpersonal skills
  • Has experience of concise history taking and differential diagnosis skills at and advanced level, employing critical thinking.
  • Ability to identify individual client needs
  • Demonstrable awareness of accountability in clinical practice
  • Able to prioritize, effective time management.
  • Can undertake audit and clinical governance
  • Uses evidence based practice
  • Facilitation & negotiation skills
  • Aware of current structures and developments in out of hours care, health and social care
  • Specialist clinical/Technical skills
  • Awareness and ability to fulfil primary care contract (GMS Essential/Additional svcs and other enhanced contracts).

Personal Qualities

Essential

  • Commitment to the role.
  • Flexibility to meet service/Rota needs
  • Be prepared to travel between multiple sites.
  • Full driving license. Use of a vehicle.
  • Work within given systems or triaging as determined by the practice.
  • Proven team player
  • Able to work autonomously
  • Committed to continuing professional development
  • Positive effect
  • High level of interpersonal skills
  • Ability to lead , develop and initiate innovation in practice
  • Reflective practitioner

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

Discovery Practice

Address

Cleveland Health Centre

20 Cleveland Centre

Middlesbrough

Cleveland

TS1 2NX


Employer's website

https://www.thediscoverypractice.co.uk/ (Opens in a new tab)

Employer details

Employer name

Discovery Practice

Address

Cleveland Health Centre

20 Cleveland Centre

Middlesbrough

Cleveland

TS1 2NX


Employer's website

https://www.thediscoverypractice.co.uk/ (Opens in a new tab)

For questions about the job, contact:

Practice Manager

Kendra Stock

kendra.stock@nhs.net

01642245069

Date posted

16 August 2024

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A1967-24-0003

Job locations

Cleveland Health Centre

20 Cleveland Centre

Middlesbrough

Cleveland

TS1 2NX


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