Advanced Nurse Practitioner
This job is now closed
Job summary
We are recruiting an ANP or ACP to join our team at Clifton Medical Centre. Part time or full time hours are available.
The ideal candidate will act as an autonomous practitioner working independently and in conjunction with other health care professionals to assess, diagnose and treat the conditions of patients attending the Practice and initiating direct referrals as appropriate. You will also provide expert professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence.
Main duties of the job
As an Advanced Nurse/Clinical Practitioner you will have had experience in Primary Care and/or Community Care and will have the ability to make professionally autonomous decisions, receiving patients with undifferentiated and undiagnosed problems and making an assessment of their health care needs, based on highly-developed nursing knowledge and skills, including skills such as physical examination, applied pharmacology and evidence-based prescribing.
It is essential that you have the ability to communicate highly complex, sensitive and contentious information and are able to manage clinical uncertainty to the highest order.
About us
Clifton Medical Centre is a well-established practice and we are passionate about providing a high quality care and service to it patients
Patient list size 13000
We are high QOF achievers, and CQC Good in all areas.
Clinical system is EMIS web
Active in the local primary care network
Details
Date posted
01 May 2023
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Full-time, Part-time, Job share
Reference number
A2561-23-7334
Job locations
Doncaster Gate
Rotherham
South Yorkshire
S65 1DA
Job description
Job responsibilities
JOB PURPOSE:
To act as an autonomous practitioner working independently and in conjunction with other health care professionals to assess, diagnose and treat the conditions of patients attending within primary care initiating direct referrals as appropriate.
Provide expert professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence.
To develop new and innovative concepts, models, methods and practices to deliver new and improved primary care services to meet the needs of the practice and PCT population.
To provide education and training to other staff and students.
To undertake research as part of the role.
PRIMARY DUTIES AND AREAS OF RESPONSIBILITIES
CLINICAL NURSING PRACTICE
The Advanced Nurse Practitioner works autonomously and is accountable for own professional actions.
•Undertakes Clinical Nursing Practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary health care services.
• Assesses diagnoses and treats patients attending primary health care services with a range of acute, non-acute and chronic medical conditions.
· Assesses diagnoses and treats patients in surgery or own home who require acute medical attention and refer to appropriate agency.
•Directly admits patients to secondary care hospital in acute medical need.
•Refers patients to other medical specialities for assessment if deemed appropriate.
•Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for x-ray.
•Has undertaken x-ray training as required by hospitals trust.
•Undertakes and interprets a range of diagnostic tests and routine clinical procedures
e.g. cytology, venepuncture, blood pressure monitoring etc.
•Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g. first contact with patients presenting acutely and manages care in the presence and absence of protocols.
•Makes decisions where precedents do not exist, where appropriate without recourse to others.
•Advises and supports others where standard protocols do not apply.
•Works within professional guidelines and codes of conduct.
•Works within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning, risk management.
•Extended and supplementary prescriber.
CARE AND PROGRAMME MANAGEMENT
• Develops and manages highly specialised programmes of care and care packages and provides highly specialised advice concerning care normally beyond the scope of normal Nursing practice e.g. establishes differential diagnoses, management/treatment plans and makes referrals as appropriate. Makes fast track referrals.
• Communicates highly sensitive condition related information to patients, relatives and carers.
• Initiates the process of diagnosis with patients suspected to have a chronic disease e.g. Diabetes, COPD, asthma, IHD referring to other clinical staff as appropriate.
• Contribute to practice targets both local and national within the disease management agenda e.g. QOF, prescribing incentive scheme, NSFs, National benchmarking.
• Contributes to disease registers.
· Audits outcomes of care against standards and initiate changes as necessary.
• Undertakes annual review of patients’ understanding and ability to self-manage.
• Refers to other members of the extended primary health care team as appropriate e.g. chiropodist, dietician, specialist Nurses.
STRATEGIC DEVELOPMENT OF PRIMARY CARE SERVICES
• Contributes to the strategic development of primary care and public health services to meet patient and population needs within the practice and across the wider organisation. Works/liaises across multi-professional and agency boundaries.
• Works at the forefront of practice innovation. Determines how to deal with ambiguous or unique problems to develop and advance primary care services for the benefit of patients, carers and communities.
• Recognition and involvement in the Practice as a teaching unit and help drive the Nursing element of training.
• Develop links within the Federation and other local and national bodies relevant to primary care Nursing initiatives.
HEALTH IMPROVEMENT
• Initiates and carries out programmes of health screening and ensures other team members are aware of health agendas and screening programmes.
• Introduces innovation in practice to meet on going health need demands of the practice.
• Works to introduce new developments that will improve health outcomes for patients and is able to demonstrate through written and presentation these developments.
• Shares innovation with others.
• Supports practitioners in profiling the practice population in order to initiate contribute and promote improved health and prevent disease in individuals and groups.
• Represents individuals and families interests when they are not able to do so themselves.
• Makes referrals to statutory and voluntary agencies as appropriate.
COMMUNICATION
• Provides and receives highly complex, sensitive or contentious information and frequently deals with situations which are hostile or emotive.
• Uses developed communication, negotiation, conflict management skills which require empathy, reassurance and persuasive skills where there can be significant barriers to acceptance which need to be overcome.
• Regularly communicates service related information to Partners, Business Manager, Salaried GP’s, Nursing and Administrative staff, patients, relatives and carers.
• Makes operational judgements, manages conflicting views and reconciles inter and intra professional differences of opinion.
• Builds and communicates therapeutic working relationships with a wide array of statutory and voluntary organisations for the benefit of patient care and facilitates good working relationships.
• Develops and delivers presentations at clinical meetings, empowers staff to develop presentation skills to promote good practice.
MANAGE/LEAD SELF/OTHERS
• Develops a leadership role within the practice.
• Encourage and motivate others to be forward thinking in ideas that address the health needs of the practice that will be innovative whilst managing and developing new ways of working.
• Develops and leads on evidence based practice.
• Promotes effective communication and relationships within the team.
• Partakes in clinical supervision for own development.
• Actively participates in clinical and practice meetings.
• Develops own knowledge and practice to meet objectives/changes in service.
• Integrates theory into practice and establishes formal links with educational institutions.
• Assists in the mentorship and assessment of trainee Nurse Practitioners.
• Acts as mentor for pre-registration students and other staff within the practice.
• Leads on setting standards and promotes best practice.
· Operates high standards of probity.
INFLUENCE AND DEVELOP POLICY
• Responsible for establishing how policies should be interpreted and translated within the practice.
• Implements local/national, PCT and practice policies, proposes developments and improvements to service delivery.
MANAGE AND USE INFORMATION
• Makes effective use of the clinical system by ensuring the consistent and accurate entering of data and use of Read Codes.
• Facilitates the use of up to date information technology to collate accurate and timely information as and when required by the practice.
• Assist in the development of practice protocols for the surgery and clinical protocols for the clinical team.
• Identifies, monitors and review
reviews deficiencies in procedures and implements remedial action.
RESEARCH AND DEVELOPMENT
• Continuous involvement in research/evaluation and/or development work which may be as part of one or more formal research programmes or activities.
• Actively contributes to Practice/Service/Team audit/Research activity as required.
• Instigates audit activity as required e.g. new services.
• Identifies, applies and disseminates research findings relating to clinical practice.
Job description
Job responsibilities
JOB PURPOSE:
To act as an autonomous practitioner working independently and in conjunction with other health care professionals to assess, diagnose and treat the conditions of patients attending within primary care initiating direct referrals as appropriate.
Provide expert professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence.
To develop new and innovative concepts, models, methods and practices to deliver new and improved primary care services to meet the needs of the practice and PCT population.
To provide education and training to other staff and students.
To undertake research as part of the role.
PRIMARY DUTIES AND AREAS OF RESPONSIBILITIES
CLINICAL NURSING PRACTICE
The Advanced Nurse Practitioner works autonomously and is accountable for own professional actions.
•Undertakes Clinical Nursing Practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary health care services.
• Assesses diagnoses and treats patients attending primary health care services with a range of acute, non-acute and chronic medical conditions.
· Assesses diagnoses and treats patients in surgery or own home who require acute medical attention and refer to appropriate agency.
•Directly admits patients to secondary care hospital in acute medical need.
•Refers patients to other medical specialities for assessment if deemed appropriate.
•Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for x-ray.
•Has undertaken x-ray training as required by hospitals trust.
•Undertakes and interprets a range of diagnostic tests and routine clinical procedures
e.g. cytology, venepuncture, blood pressure monitoring etc.
•Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g. first contact with patients presenting acutely and manages care in the presence and absence of protocols.
•Makes decisions where precedents do not exist, where appropriate without recourse to others.
•Advises and supports others where standard protocols do not apply.
•Works within professional guidelines and codes of conduct.
•Works within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning, risk management.
•Extended and supplementary prescriber.
CARE AND PROGRAMME MANAGEMENT
• Develops and manages highly specialised programmes of care and care packages and provides highly specialised advice concerning care normally beyond the scope of normal Nursing practice e.g. establishes differential diagnoses, management/treatment plans and makes referrals as appropriate. Makes fast track referrals.
• Communicates highly sensitive condition related information to patients, relatives and carers.
• Initiates the process of diagnosis with patients suspected to have a chronic disease e.g. Diabetes, COPD, asthma, IHD referring to other clinical staff as appropriate.
• Contribute to practice targets both local and national within the disease management agenda e.g. QOF, prescribing incentive scheme, NSFs, National benchmarking.
• Contributes to disease registers.
· Audits outcomes of care against standards and initiate changes as necessary.
• Undertakes annual review of patients’ understanding and ability to self-manage.
• Refers to other members of the extended primary health care team as appropriate e.g. chiropodist, dietician, specialist Nurses.
STRATEGIC DEVELOPMENT OF PRIMARY CARE SERVICES
• Contributes to the strategic development of primary care and public health services to meet patient and population needs within the practice and across the wider organisation. Works/liaises across multi-professional and agency boundaries.
• Works at the forefront of practice innovation. Determines how to deal with ambiguous or unique problems to develop and advance primary care services for the benefit of patients, carers and communities.
• Recognition and involvement in the Practice as a teaching unit and help drive the Nursing element of training.
• Develop links within the Federation and other local and national bodies relevant to primary care Nursing initiatives.
HEALTH IMPROVEMENT
• Initiates and carries out programmes of health screening and ensures other team members are aware of health agendas and screening programmes.
• Introduces innovation in practice to meet on going health need demands of the practice.
• Works to introduce new developments that will improve health outcomes for patients and is able to demonstrate through written and presentation these developments.
• Shares innovation with others.
• Supports practitioners in profiling the practice population in order to initiate contribute and promote improved health and prevent disease in individuals and groups.
• Represents individuals and families interests when they are not able to do so themselves.
• Makes referrals to statutory and voluntary agencies as appropriate.
COMMUNICATION
• Provides and receives highly complex, sensitive or contentious information and frequently deals with situations which are hostile or emotive.
• Uses developed communication, negotiation, conflict management skills which require empathy, reassurance and persuasive skills where there can be significant barriers to acceptance which need to be overcome.
• Regularly communicates service related information to Partners, Business Manager, Salaried GP’s, Nursing and Administrative staff, patients, relatives and carers.
• Makes operational judgements, manages conflicting views and reconciles inter and intra professional differences of opinion.
• Builds and communicates therapeutic working relationships with a wide array of statutory and voluntary organisations for the benefit of patient care and facilitates good working relationships.
• Develops and delivers presentations at clinical meetings, empowers staff to develop presentation skills to promote good practice.
MANAGE/LEAD SELF/OTHERS
• Develops a leadership role within the practice.
• Encourage and motivate others to be forward thinking in ideas that address the health needs of the practice that will be innovative whilst managing and developing new ways of working.
• Develops and leads on evidence based practice.
• Promotes effective communication and relationships within the team.
• Partakes in clinical supervision for own development.
• Actively participates in clinical and practice meetings.
• Develops own knowledge and practice to meet objectives/changes in service.
• Integrates theory into practice and establishes formal links with educational institutions.
• Assists in the mentorship and assessment of trainee Nurse Practitioners.
• Acts as mentor for pre-registration students and other staff within the practice.
• Leads on setting standards and promotes best practice.
· Operates high standards of probity.
INFLUENCE AND DEVELOP POLICY
• Responsible for establishing how policies should be interpreted and translated within the practice.
• Implements local/national, PCT and practice policies, proposes developments and improvements to service delivery.
MANAGE AND USE INFORMATION
• Makes effective use of the clinical system by ensuring the consistent and accurate entering of data and use of Read Codes.
• Facilitates the use of up to date information technology to collate accurate and timely information as and when required by the practice.
• Assist in the development of practice protocols for the surgery and clinical protocols for the clinical team.
• Identifies, monitors and review
reviews deficiencies in procedures and implements remedial action.
RESEARCH AND DEVELOPMENT
• Continuous involvement in research/evaluation and/or development work which may be as part of one or more formal research programmes or activities.
• Actively contributes to Practice/Service/Team audit/Research activity as required.
• Instigates audit activity as required e.g. new services.
• Identifies, applies and disseminates research findings relating to clinical practice.
Person Specification
Qualifications
Essential
- RGN/RN
- Degree level in Nurse Practitioner Studies, plus supplementary post graduate level courses: Extended and Supplementary Nurse Prescriber
- Teaching and assessing in clinical practice.
- Counselling skills.
Desirable
- Minimum of 1 years post Nurse Practitioner experience within the clinical field.
- Demonstrate the application of evidenced based practice.
- Able to demonstrate a depth and breadth of current issues and policies within the NHS and have the ability to translate into practice
- Experience in leadership role and change management.
- Autonomous practitioner working independently and in conjunction with other health care professionals.
- Very high level of clinical skills and competency relevant to the role.
- Understanding and experience of interagency working and adult/child protection.
- Evidence of teaching/mentoring students / groups
- Evidence of continued professional development.
- Experience of Clinical Governance and risk assessment
Person Specification
Qualifications
Essential
- RGN/RN
- Degree level in Nurse Practitioner Studies, plus supplementary post graduate level courses: Extended and Supplementary Nurse Prescriber
- Teaching and assessing in clinical practice.
- Counselling skills.
Desirable
- Minimum of 1 years post Nurse Practitioner experience within the clinical field.
- Demonstrate the application of evidenced based practice.
- Able to demonstrate a depth and breadth of current issues and policies within the NHS and have the ability to translate into practice
- Experience in leadership role and change management.
- Autonomous practitioner working independently and in conjunction with other health care professionals.
- Very high level of clinical skills and competency relevant to the role.
- Understanding and experience of interagency working and adult/child protection.
- Evidence of teaching/mentoring students / groups
- Evidence of continued professional development.
- Experience of Clinical Governance and risk assessment
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
Clifton Medical Centre
Address
Doncaster Gate
Rotherham
South Yorkshire
S65 1DA
Employer's website
https://www.cliftonmedicalcentre.co.uk/ (Opens in a new tab)
Employer details
Employer name
Clifton Medical Centre
Address
Doncaster Gate
Rotherham
South Yorkshire
S65 1DA
Employer's website
https://www.cliftonmedicalcentre.co.uk/ (Opens in a new tab)
Employer contact details
For questions about the job, contact:
Details
Date posted
01 May 2023
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Full-time, Part-time, Job share
Reference number
A2561-23-7334
Job locations
Doncaster Gate
Rotherham
South Yorkshire
S65 1DA
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