Advanced Nurse practitioner

The Nightingale Practice

The closing date is 12 May 2025

Job summary

We welcome your application to our friendly, high performing and innovative training practice in City & Hackney. We pride ourselves on being a sociable and supportive team with excellent staff retention. There is a morning break for tea/coffee/walk to local cafe.

Weekly clinical and practice meetings.

Modern purpose built premises with a staff car park & cycle storage.

Main duties of the job

Work as part of a multi-disciplinary team to deliver safe and high-quality care.

Carries out clinical nursing practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

Provide holistic and complex chronic disease management reviews.

Delivery of care in line with local and national guidelines and evidence-based care.

Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.

Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.

Reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.

Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.

Request diagnostic investigations and interpret within agreed protocols.

Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.

Refers patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.

About us

Modern purpose built premises

GP training and undergraduate teaching practiceFour partners and nine salaried GP's, Practice Nurse, Apprentice nursing associate & Trainee Nursing Associate

Excellent clinical staff retention

12,421 patients

Emis Web paperless

In-house minor surgery

Dedicated clinical admin team to support clinician's excellent QOF/enhanced service achievement

Active role in local GP Confederation and CCG

Car park; close to bus and rail links; safe cycle storage

Date posted

25 April 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A3085-25-0003

Job locations

Nightingale Practice

10 Kenninghall Road

London

E5 8BY


Job description

Job responsibilities

Care Management

Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.

Provide highly specialised care advice beyond the scope of normal Nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).

Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.

To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.

Health Improvement

Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.

Innovation in practice to meet ongoing demands on the practices delivery of care.

Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.

Supports practitioners in reporting the practice population to promote health improvement and disease prevention.

Administration and professional responsibilities

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.

Participate in the administrative and professional responsibilities of the practice team.

Accurate and legible notes of all consultations and treatments are recorded in the patients notes.

Ensure clinical systems kept up to date, recording and/or amending accurate details.

Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator.

Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice.

Attend and participate in practice and clinical meetings.

Training and personal development

Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.

Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.

Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements. Develop and maintain a Personal Learning Plan. Regularlyparticipate in clinical supervision.

Leadership personal and people developmentSupport staff development in order to maximise potential.Contribute to a supportive environment in the interest of staff morale.Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice. Critically evaluate and review innovations and developments that are relevant to the area of work. Work with practice management to ensure sufficient staffing to provide a safe service, and that staff have the appropriate ability, quality and skill-mix to meet current and future service delivery. Take part in recruitment processes where appropriate. Maintaineffective communication and 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.

Confidentiality:

In the course of seeking treatment, patients entrust practice staff with, or allow us to gather, sensitive information in relation to their health and other matters.

Comply with Legislation with regards to data protection act and ensure confidentiality is maintained at all times. The post-holder must regard all information relating to patients and their carers, practice staff and other healthcare workers (as well as information relating to the practice as a business organisation) as strictly confidential Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality, data protection legislation and the protection of personal and sensitive data, as well as other related healthcare legislation (e.g. the NHS Confidentiality Code of Practice) .

Health & Safety:

The post-holder will comply with practice policies, procedures and clinical guidelines for self and others. This includes (but not limited to):Identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised. Identifying issues and hazards / risks in relation to other work areas within the business. Awarenessof national standards of infection control and cleanliness, as well as ownership of infection control and clinically based patient care protocols and implementing them across the practice.Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses / training needs are identified, escalating issues as appropriate. Identifying the risks involved in work activities, raising them with appropriate management and managing those risks across clinical and patient processes.

Safe management of sharps procedures, including training, use, storage and disposal Keeping own work areas and general / patient areas generally clean, sterile, assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other managers.

Routine management of own team / team areas, and maintenance of work space standards;

Waste management, including collection, handling, segregation, container management, storage and collection

Spillage control procedures, management and training

Decontamination control procedures, management and training, and equipment maintenance

Demonstrate due regard for safeguarding and promoting the welfare of children.

Recognise and ensure a balance between professional and personal life that meets work commitments, maintains ones own health, promotes well-being and builds resilience.

Demonstrate insight into any personal health issues and take effective steps to address any health issue or habit that is impacting on own performance.

Job description

Job responsibilities

Care Management

Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.

Provide highly specialised care advice beyond the scope of normal Nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).

Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.

To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.

Health Improvement

Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.

Innovation in practice to meet ongoing demands on the practices delivery of care.

Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.

Supports practitioners in reporting the practice population to promote health improvement and disease prevention.

Administration and professional responsibilities

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.

Participate in the administrative and professional responsibilities of the practice team.

Accurate and legible notes of all consultations and treatments are recorded in the patients notes.

Ensure clinical systems kept up to date, recording and/or amending accurate details.

Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator.

Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice.

Attend and participate in practice and clinical meetings.

Training and personal development

Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.

Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.

Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements. Develop and maintain a Personal Learning Plan. Regularlyparticipate in clinical supervision.

Leadership personal and people developmentSupport staff development in order to maximise potential.Contribute to a supportive environment in the interest of staff morale.Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice. Critically evaluate and review innovations and developments that are relevant to the area of work. Work with practice management to ensure sufficient staffing to provide a safe service, and that staff have the appropriate ability, quality and skill-mix to meet current and future service delivery. Take part in recruitment processes where appropriate. Maintaineffective communication and 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.

Confidentiality:

In the course of seeking treatment, patients entrust practice staff with, or allow us to gather, sensitive information in relation to their health and other matters.

Comply with Legislation with regards to data protection act and ensure confidentiality is maintained at all times. The post-holder must regard all information relating to patients and their carers, practice staff and other healthcare workers (as well as information relating to the practice as a business organisation) as strictly confidential Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality, data protection legislation and the protection of personal and sensitive data, as well as other related healthcare legislation (e.g. the NHS Confidentiality Code of Practice) .

Health & Safety:

The post-holder will comply with practice policies, procedures and clinical guidelines for self and others. This includes (but not limited to):Identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised. Identifying issues and hazards / risks in relation to other work areas within the business. Awarenessof national standards of infection control and cleanliness, as well as ownership of infection control and clinically based patient care protocols and implementing them across the practice.Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses / training needs are identified, escalating issues as appropriate. Identifying the risks involved in work activities, raising them with appropriate management and managing those risks across clinical and patient processes.

Safe management of sharps procedures, including training, use, storage and disposal Keeping own work areas and general / patient areas generally clean, sterile, assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other managers.

Routine management of own team / team areas, and maintenance of work space standards;

Waste management, including collection, handling, segregation, container management, storage and collection

Spillage control procedures, management and training

Decontamination control procedures, management and training, and equipment maintenance

Demonstrate due regard for safeguarding and promoting the welfare of children.

Recognise and ensure a balance between professional and personal life that meets work commitments, maintains ones own health, promotes well-being and builds resilience.

Demonstrate insight into any personal health issues and take effective steps to address any health issue or habit that is impacting on own performance.

Person Specification

Qualifications

Essential

  • Registered Nurse
  • Level 7 MSc qualifications in clinical assessment:
  • History taking
  • Physical Examination

Desirable

  • Independent prescribing
Person Specification

Qualifications

Essential

  • Registered Nurse
  • Level 7 MSc qualifications in clinical assessment:
  • History taking
  • Physical Examination

Desirable

  • Independent prescribing

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

The Nightingale Practice

Address

Nightingale Practice

10 Kenninghall Road

London

E5 8BY


Employer's website

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

Employer details

Employer name

The Nightingale Practice

Address

Nightingale Practice

10 Kenninghall Road

London

E5 8BY


Employer's website

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

For questions about the job, contact:

Deputy Practice manager

Rebecca Simpson

rebecca.simpson@nhs.net

Date posted

25 April 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A3085-25-0003

Job locations

Nightingale Practice

10 Kenninghall Road

London

E5 8BY


Privacy notice

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