Morris House Group Practice

Advanced Nurse Practitioner

Information:

This job is now closed

Job summary

We are looking for an experienced Advanced Clinical Practitioner (ACP) to work alongside our existing team of doctors, paramedics, practice nurse, Physicians Associate, Pharmacists, Physiotherapist and Health Care Assistants.

You will help to supervise and advise our team of Allied Healthcare Professionals and ideally be an independent prescriber and potentially provide the lead for Immunisations and Safeguarding. You will be expected to run routine and duty clinics. Part of the role will be to collaborate with our local PCN on various issues.

Main duties of the job

To lead the delivery of the Childrens Immunisation program

To become the practice Safeguarding Lead

To provide supervision, teaching and mentoring to the rest of the AHP team and assist partners on the annual appraisal process of the AHP team

To help with the delivery of the vaccination programs.

About us

Morris House is situated in Tottenham in a large, modern and airy purpose-built medical centre, which we share with district nurses, physiotherapists, podiatrists, psychologists, tissue-viability nurses and a sexual health clinic. Our list size is 14,900 patients. It is a diverse area and a cultural melting-pot.

Our practice has a very strong teaching ethos. We train GP registrars, medical students, physicians associates and foundation year 2 doctors among others. We have close links with Kings Medical School and the St Georges Physician Associate teaching program. We also have an active Covid vaccination service, having given over 170,000 immunisations so far. We have also organised vaccination events at Hotspur Football stadium and local mosques and community centres. Our vaccination centre has been visited by a former prime minister and the Royal Family as well as various MPs and the mayor of London.

We perform the full range of clinical roles that you would expect in primary care, including high level minor surgery. We offer a range of face to face and telephone appointment.

We also have a friendly, interactive practice. We support our staff with study leave allowance, study leave funding, regular meetings, morning coffee, teaching and social events / parties. We conduct regular satisfaction surveys.

We were awarded a Good in our last CQC inspection. We have high QOF achievement and are part of our local PCN.

Details

Date posted

14 December 2023

Pay scheme

Other

Salary

£60,000 to £71,450 a year depending on experience & qualifications

Contract

Permanent

Working pattern

Full-time

Reference number

A4089-23-0014

Job locations

239 Lordship Lane

London

N17 6AA


Job description

Job responsibilities

Job Responsibilities

Clinical:

To work autonomously and be accountable for own professional actions.

Undertake Clinical Nursing Practice at an advanced level using expert knowledge and clinical skills

Deliver holistic care to people accessing primary health care services.

Assess, diagnose and treat patients attending primary health care services with a range of acute, non-acute and long-term medical conditions.

Assess, diagnose and treat patients in surgery or own home who require acute medical attention and refer to appropriate agency.

Directly refer patients to secondary care in acute medical need.

Refer patients to other medical specialities for assessment when appropriate.

Refer patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for investigations

Interpret a range of diagnostic tests and routine clinical procedures.

2

Make critical judgements to satisfy the expectations and demands of the job

Advise and support other junior colleagues.

Work within professional guidelines and codes of conduct.

Work within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning, risk management.

Be an Independent Non-Medical Prescriber.

CARE AND PROGRAMME MANAGEMENT

Develop and manage care and provides highly specialised advice concerning care normally beyond the scope of normal Nursing practice. Consult, assess, establishes diagnoses, implements and evaluates management/treatment plans and makes referrals as appropriate. Makes fast track referrals.

Communicate highly sensitive condition related information to patients, relatives and carers.

Initiate the process of diagnosis with patients suspected to have a chronic disease

Contribute to practice targets both local and national within the disease management

Audit outcomes of care against standards and initiate changes as necessary.

Undertake annual reviews of long-term conditions

Refer to other members of the extended primary health care team as appropriate

To actively lead on and implement safeguarding protocols for children and vulnerable adults and to know who to refer to and how to escalate concerns. Be the point of contact in the practice for safeguarding matters and communicate with the social services for the safety of the vulnerable in our community

To lead on Childrens Immunisations as directed by national set targets

STRATEGIC DEVELOPMENT OF PRIMARY CARE SERVICES

Contribute to the strategic development of primary care and public health services to meet patient and population needs within the practice. Work/liaise across multi-professional and agency boundaries.

Work 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 Morris House Group Practice as a teaching practice and help drive the Nursing, paramedics, PAs, medical Students and GP trainees training and development.

Develop links within the Primary Care Network and other local and national bodies relevant to primary care Nursing initiatives.

HEALTH IMPROVEMENT

Initiate and carry out programmes of health screening and ensures other team members are aware of health agendas and screening programmes.

Introduce innovation in practice to meet ongoing health need demands of the practice population.

Work to introduce new developments that will improve health outcomes for patients

3

Share innovation and new learning with others.

Support practitioners in profiling the practice population in order to initiate contribute and promote improved health and prevent disease in individuals and groups.

Represent individuals and families interests when they are not able to do so themselves.

Make referrals to statutory and voluntary agencies as appropriate.

COMMUNICATION

Provide and receive highly complex, sensitive information and frequently deals with situations which are complex.

Use developed communication, negotiation and management skills

Regularly communicate service-related information to Partners, Practice Manager, Salaried GPs, Nursing, AHPs, Administrative staff, patients, relatives and carers.

Make operational judgements, manages conflicting views and reconciles inter and intra professional differences of opinion.

Build and communicate therapeutic working relationships with a wide array of statutory and voluntary organisations for the benefit of patient care and facilitates good working relationships.

Develop and deliver presentations to groups

MANAGEMENT & LEADERSHIP

Develop a special interest (dependent on experience) 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,

Develop and lead on evidence-based practice, standards and promote best practice.

Promote effective communication and relationships within the team.

Actively participate in clinical and practice meetings.

Develop own knowledge and practice to meet objectives/changes in service, through attendance on study days, self-directed learning and reflection on practice.

Integrate theory into practice and establish formal links with educational institutions.

Assist in the mentorship, assessment, appraisals.

Act as mentor for any students and other staff within the practice.

Operate high standards of probity.

Complete mandatory training in a timely fashion

Assist the practice achieve CQC targets

INFLUENCE AND DEVELOP POLICY

Implement and adhere to practice/local/national, clinical commissioning group protocols and pathways, propose developments and improvements to service delivery.

4

MANAGE AND USE INFORMATION

Make effective use of the clinical system by ensuring the consistent and accurate entering of data and use of Read Codes.

Facilitate the use of up to date information technology in order to collate accurate and timely information as and when required by the practice.

Ensure a satisfactory call and recall system of patients.

Assist in the development of practice protocols for the surgery and clinical protocols for the clinical team.

Identify, monitor and review deficiencies in procedures and implements remedial action.

Equality and Diversity

Morris House is committed to developing, supporting and sustaining a diverse workforce, representative of the community it serves, through the creation of a work environment where staff are able to do their jobs to the best of their abilities without discrimination or harassment. All employees have a responsibility to ensure that they understand the standards we expect and to promote and adhere to the policies and measures adopted by the practice.

You will support the equality, diversity and rights of patients, carers and colleagues by:

Acting in a way that recognizes the importance of peoples rights and that is consistent with practice policies and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a welcoming manner which is non-judgmental and respects the circumstances, feelings priorities and rights of others

Vulnerable Adults, Children & Young People

All members of staff have a duty to safeguard and promote the welfare of vulnerable adults, children and young people in all relevant areas of their work. This will include timely attendance at relevant training events and compliance with practice procedures.

Personal/Professional development

You will participate in any training or development programme implemented by the practice as part of your employment. This will include:

Participating in an annual development review including taking responsibility for maintaining a record of your own personal and/or professional development

Taking responsibility for your own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work

Keeping abreast of legislative changes and guidance relating to your role

Quality

You will strive to maintain quality within the practice, and will:

Alert other team members to issues of quality and risk

5

Assess your own performance and take accountability for your own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on your own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage your own time, workload and resources

Communication

You should recognize the importance of effective communication within the team and will strive to:

Communicate effectively with other team members

Communicate effectively with patients and carers

Recognize peoples needs for alternative methods of communication and respond accordingly

Job description

Job responsibilities

Job Responsibilities

Clinical:

To work autonomously and be accountable for own professional actions.

Undertake Clinical Nursing Practice at an advanced level using expert knowledge and clinical skills

Deliver holistic care to people accessing primary health care services.

Assess, diagnose and treat patients attending primary health care services with a range of acute, non-acute and long-term medical conditions.

Assess, diagnose and treat patients in surgery or own home who require acute medical attention and refer to appropriate agency.

Directly refer patients to secondary care in acute medical need.

Refer patients to other medical specialities for assessment when appropriate.

Refer patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for investigations

Interpret a range of diagnostic tests and routine clinical procedures.

2

Make critical judgements to satisfy the expectations and demands of the job

Advise and support other junior colleagues.

Work within professional guidelines and codes of conduct.

Work within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning, risk management.

Be an Independent Non-Medical Prescriber.

CARE AND PROGRAMME MANAGEMENT

Develop and manage care and provides highly specialised advice concerning care normally beyond the scope of normal Nursing practice. Consult, assess, establishes diagnoses, implements and evaluates management/treatment plans and makes referrals as appropriate. Makes fast track referrals.

Communicate highly sensitive condition related information to patients, relatives and carers.

Initiate the process of diagnosis with patients suspected to have a chronic disease

Contribute to practice targets both local and national within the disease management

Audit outcomes of care against standards and initiate changes as necessary.

Undertake annual reviews of long-term conditions

Refer to other members of the extended primary health care team as appropriate

To actively lead on and implement safeguarding protocols for children and vulnerable adults and to know who to refer to and how to escalate concerns. Be the point of contact in the practice for safeguarding matters and communicate with the social services for the safety of the vulnerable in our community

To lead on Childrens Immunisations as directed by national set targets

STRATEGIC DEVELOPMENT OF PRIMARY CARE SERVICES

Contribute to the strategic development of primary care and public health services to meet patient and population needs within the practice. Work/liaise across multi-professional and agency boundaries.

Work 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 Morris House Group Practice as a teaching practice and help drive the Nursing, paramedics, PAs, medical Students and GP trainees training and development.

Develop links within the Primary Care Network and other local and national bodies relevant to primary care Nursing initiatives.

HEALTH IMPROVEMENT

Initiate and carry out programmes of health screening and ensures other team members are aware of health agendas and screening programmes.

Introduce innovation in practice to meet ongoing health need demands of the practice population.

Work to introduce new developments that will improve health outcomes for patients

3

Share innovation and new learning with others.

Support practitioners in profiling the practice population in order to initiate contribute and promote improved health and prevent disease in individuals and groups.

Represent individuals and families interests when they are not able to do so themselves.

Make referrals to statutory and voluntary agencies as appropriate.

COMMUNICATION

Provide and receive highly complex, sensitive information and frequently deals with situations which are complex.

Use developed communication, negotiation and management skills

Regularly communicate service-related information to Partners, Practice Manager, Salaried GPs, Nursing, AHPs, Administrative staff, patients, relatives and carers.

Make operational judgements, manages conflicting views and reconciles inter and intra professional differences of opinion.

Build and communicate therapeutic working relationships with a wide array of statutory and voluntary organisations for the benefit of patient care and facilitates good working relationships.

Develop and deliver presentations to groups

MANAGEMENT & LEADERSHIP

Develop a special interest (dependent on experience) 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,

Develop and lead on evidence-based practice, standards and promote best practice.

Promote effective communication and relationships within the team.

Actively participate in clinical and practice meetings.

Develop own knowledge and practice to meet objectives/changes in service, through attendance on study days, self-directed learning and reflection on practice.

Integrate theory into practice and establish formal links with educational institutions.

Assist in the mentorship, assessment, appraisals.

Act as mentor for any students and other staff within the practice.

Operate high standards of probity.

Complete mandatory training in a timely fashion

Assist the practice achieve CQC targets

INFLUENCE AND DEVELOP POLICY

Implement and adhere to practice/local/national, clinical commissioning group protocols and pathways, propose developments and improvements to service delivery.

4

MANAGE AND USE INFORMATION

Make effective use of the clinical system by ensuring the consistent and accurate entering of data and use of Read Codes.

Facilitate the use of up to date information technology in order to collate accurate and timely information as and when required by the practice.

Ensure a satisfactory call and recall system of patients.

Assist in the development of practice protocols for the surgery and clinical protocols for the clinical team.

Identify, monitor and review deficiencies in procedures and implements remedial action.

Equality and Diversity

Morris House is committed to developing, supporting and sustaining a diverse workforce, representative of the community it serves, through the creation of a work environment where staff are able to do their jobs to the best of their abilities without discrimination or harassment. All employees have a responsibility to ensure that they understand the standards we expect and to promote and adhere to the policies and measures adopted by the practice.

You will support the equality, diversity and rights of patients, carers and colleagues by:

Acting in a way that recognizes the importance of peoples rights and that is consistent with practice policies and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a welcoming manner which is non-judgmental and respects the circumstances, feelings priorities and rights of others

Vulnerable Adults, Children & Young People

All members of staff have a duty to safeguard and promote the welfare of vulnerable adults, children and young people in all relevant areas of their work. This will include timely attendance at relevant training events and compliance with practice procedures.

Personal/Professional development

You will participate in any training or development programme implemented by the practice as part of your employment. This will include:

Participating in an annual development review including taking responsibility for maintaining a record of your own personal and/or professional development

Taking responsibility for your own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work

Keeping abreast of legislative changes and guidance relating to your role

Quality

You will strive to maintain quality within the practice, and will:

Alert other team members to issues of quality and risk

5

Assess your own performance and take accountability for your own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on your own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage your own time, workload and resources

Communication

You should recognize the importance of effective communication within the team and will strive to:

Communicate effectively with other team members

Communicate effectively with patients and carers

Recognize peoples needs for alternative methods of communication and respond accordingly

Person Specification

Qualifications

Essential

  • Please see the attached Person Specification document.

Desirable

  • Please see the attached Person Specification document.
Person Specification

Qualifications

Essential

  • Please see the attached Person Specification document.

Desirable

  • Please see the attached Person Specification document.

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

Morris House Group Practice

Address

239 Lordship Lane

London

N17 6AA


Employer's website

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

Employer details

Employer name

Morris House Group Practice

Address

239 Lordship Lane

London

N17 6AA


Employer's website

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

Employer contact details

For questions about the job, contact:

Practice Manager

Sarah McLaughlin

sarah.mclaughlin1@nhs.net

02031433600

Details

Date posted

14 December 2023

Pay scheme

Other

Salary

£60,000 to £71,450 a year depending on experience & qualifications

Contract

Permanent

Working pattern

Full-time

Reference number

A4089-23-0014

Job locations

239 Lordship Lane

London

N17 6AA


Supporting documents

Privacy notice

Morris House Group Practice's privacy notice (opens in a new tab)