Job summary
An
exciting opportunity has arisen for an Advanced Nurse Practitioner to join our
friendly and supportive practice team. Chastleton is a long-established,
successful training practice with a list size of 10500 patients, set just
outside of Durham city. You will be joining us at an exciting time as we focus
on adapting to the current changes within the NHS to provide the highest
possible standard of holistic patient care.
Roles
and responsibilities would include a mixture of acute care and chronic disease
management, investigating and treating as appropriate.
The
successful candidate will:
Be competent in practice using their expert clinical knowledge and
skills. They have the freedom and authority to act and make autonomous
decisions in the assessment, diagnosis and treatment of patients.
Provide an opportunity for patients to receive timely care and
negate unnecessarily delay in receiving treatment and without the need to refer
to a GP.
Develop close, long-term relationships with their patients and
work in partnership with them to achieve optimum health. They will be
autonomous in making decisions based on assessment, diagnosis and
interpretation of test results.
Independently prescribe appropriate medication, evaluate or refer
to other specialists if necessary.
Main duties of the job
The
following are the core responsibilities of the Advanced Nurse Practitioner.
There may be, on occasion, a requirement to carry out other tasks; this will
be dependent upon factors such as workload and staffing levels:
a. Develop,
implement and embed health promotion and wellbeing programmes
b. Manage
patients presenting with a range of acute and chronic medical conditions,
providing subject matter expert advice
c. Implement
and evaluate individual specialised treatment plans for chronic disease
patients
d. Identify,
manage and support patients at risk of developing long-term conditions,
preventing adverse effects to the patients health
e. Provide
advanced, specialist nursing care to patients as required in accordance with
clinical based evidence, NICE and the NSF
f. Request
pathology services as necessary
g. Process
and interpret pathology and other test results as required
h. Provide
chronic disease clinics, delivering patient care as necessary, referring
patients to secondary/specialist care as required
i. Maintain
accurate clinical records in conjunction with extant legislation
j. Ensure
read/SNOMED CT codes are used effectively
k. Prioritise
health issues and intervene appropriately
About us
About us:
- Training practice for Durham Dales VTS and participation in medical student teaching
- Daily coffee meeting - informal opportunity to mix with colleagues to discuss matters clinical and otherwise!
- Surgery hours 8.30am to 6pm, no extended access requirement (opportunity to work extended hours/Federation shifts on a voluntary basis if wished)
- Skilled MDT including 4 partners, 5 salaried GPs, pharmacist, pharmacist assistant, community nurse practitioner, nursing team, care coordinators and social prescribing link worker
- Paperless Systm1 practice
- Tier 2 visa sponsor
- Low turnover of clinical staff in a well established, supportive and welcoming team.
Chastleton is a long established, successful practice with a list size of 10500 patients, set just outside of Durham city. You will be joining us at an exciting time as we focus on adapting to the current changes within the NHS to provide the highest possible standard of holistic patient care. We welcome all levels of experience and any additional skills you may bring. We encourage persoanl development of your areas of interest. We cover a mixed demographic in a primarily suburban location.
Job description
Job responsibilities
The
following are the core responsibilities of the Advanced Nurse Practitioner. There
may be, on occasion, a requirement to carry out other tasks; this will be
dependent upon factors such as workload and staffing levels:
a.
Develop,
implement and embed health promotion and wellbeing programmes
b.
Manage
patients presenting with a range of acute and chronic medical conditions,
providing subject matter expert advice
c.
Implement
and evaluate individual specialised treatment plans for chronic disease
patients
d.
Identify,
manage and support patients at risk of developing long-term conditions,
preventing adverse effects to the patients health
e.
Provide
advanced, specialist nursing care to patients as required in accordance with
clinical based evidence, NICE and the NSF
f.
Request
pathology services as necessary
g.
Process
and interpret pathology and other test results as required
h.
Provide
chronic disease clinics, delivering patient care as necessary, referring
patients to secondary/specialist care as required
i.
Maintain
accurate clinical records in conjunction with extant legislation
j.
Ensure
read/SNOMED CT codes are used effectively
k.
Prioritise
health issues and intervene appropriately
l.
Support
the team in dealing with clinical emergencies
m.
Recognise,
assess and refer patients presenting with mental health needs
n.
Be
an extended and supplementary prescriber, adhering to extant guidance
o.
Support
patients in the use of their prescribed medicines or over the counter medicines
(within own scope of practice), reviewing annually as required
p.
Contribute
to practice targets (QOF etc.), complying with local and regional guidance
q.
Liaise
with external services/agencies to ensure the patient is supported
appropriately (vulnerable patients etc.)
r.
Delegate
clinical responsibilities appropriately (ensuring safe practice and the task is
within the scope of practice of the individual
s.
Support
the clinical team with all safeguarding matters in accordance with local and
national policies
t.
Understand
practice and local policies for substance abuse and addictive behaviour,
referring patients appropriately
u.
Deliver
opportunistic health promotion where appropriate
In
addition to the primary responsibilities, the Advanced Nurse Practitioner may
be requested to:
a.
Participate
in local initiatives to enhance service delivery and patient care
b.
Support
and participate in shared learning within the organisation
c.
Develop
an area of specialist interest, taking the lead within the organisation
d.
Continually
review clinical practices, responding to national policies and initiatives
where appropriate
e.
Participate
in the review of significant and near-miss events applying a structured
approach i.e., root cause analysis (RCA)
f.
Develop
practice administrative and clinical protocols in line with the needs of the
patient and current legislation
Job description
Job responsibilities
The
following are the core responsibilities of the Advanced Nurse Practitioner. There
may be, on occasion, a requirement to carry out other tasks; this will be
dependent upon factors such as workload and staffing levels:
a.
Develop,
implement and embed health promotion and wellbeing programmes
b.
Manage
patients presenting with a range of acute and chronic medical conditions,
providing subject matter expert advice
c.
Implement
and evaluate individual specialised treatment plans for chronic disease
patients
d.
Identify,
manage and support patients at risk of developing long-term conditions,
preventing adverse effects to the patients health
e.
Provide
advanced, specialist nursing care to patients as required in accordance with
clinical based evidence, NICE and the NSF
f.
Request
pathology services as necessary
g.
Process
and interpret pathology and other test results as required
h.
Provide
chronic disease clinics, delivering patient care as necessary, referring
patients to secondary/specialist care as required
i.
Maintain
accurate clinical records in conjunction with extant legislation
j.
Ensure
read/SNOMED CT codes are used effectively
k.
Prioritise
health issues and intervene appropriately
l.
Support
the team in dealing with clinical emergencies
m.
Recognise,
assess and refer patients presenting with mental health needs
n.
Be
an extended and supplementary prescriber, adhering to extant guidance
o.
Support
patients in the use of their prescribed medicines or over the counter medicines
(within own scope of practice), reviewing annually as required
p.
Contribute
to practice targets (QOF etc.), complying with local and regional guidance
q.
Liaise
with external services/agencies to ensure the patient is supported
appropriately (vulnerable patients etc.)
r.
Delegate
clinical responsibilities appropriately (ensuring safe practice and the task is
within the scope of practice of the individual
s.
Support
the clinical team with all safeguarding matters in accordance with local and
national policies
t.
Understand
practice and local policies for substance abuse and addictive behaviour,
referring patients appropriately
u.
Deliver
opportunistic health promotion where appropriate
In
addition to the primary responsibilities, the Advanced Nurse Practitioner may
be requested to:
a.
Participate
in local initiatives to enhance service delivery and patient care
b.
Support
and participate in shared learning within the organisation
c.
Develop
an area of specialist interest, taking the lead within the organisation
d.
Continually
review clinical practices, responding to national policies and initiatives
where appropriate
e.
Participate
in the review of significant and near-miss events applying a structured
approach i.e., root cause analysis (RCA)
f.
Develop
practice administrative and clinical protocols in line with the needs of the
patient and current legislation
Person Specification
Clinical Knowledge & Skills
Essential
- Clinical knowledge and skills including:
- Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy. Patient group directives, NICE and local clinical guidelines and local care pathways or make necessary referrals to other members of the primary care team
- Manage undifferentiated, undiagnosed conditions and identify red flags and underlying serious pathology and take appropriate action
- Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice
- Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person
- Complete the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.
- Requesting and processing pathology tests
- Diabetes
- Hypertension
- Asthma
- CHD
- Womens health (cervical cytology, contraception, etc.)
- Understand the importance of evidence-based practice
- Broad knowledge of clinical governance
- Ability to record accurate clinical notes
- Ability to work within own scope of practice and understand when to refer to GPs
- Knowledge of health promotion strategies
- Understand the requirement for PGDs and associated policy
- Polite and confident, flexible and cooperative
- Motivated, forward thinker
- Problem solver with the ability to process information accurately and effectively, interpreting data as required
- High levels of integrity and loyalty
- Sensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situations
Desirable
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
Experience
Essential
- Experience of practice within the four pillars of clinical practice; leadership and management, education and research with demonstration of core capabilities and area specific clinical competencies
- Job plan that demonstrates advanced nursing practice and has equity with peers working at this level
- Experience of prescribing and undertaking medication reviews
- Experience of working in a primary care environment
Desirable
- Experience of working as a practice nurse or community nurse
Qualifications
Essential
- Registered Nurse with Nursing and Midwifery Council
- Masters degree in the relevant area of expertise or is working at a Master's level or equivalent that encompasses the four pillars of clinical practice; leadership and management, education and research with demonstration of core capabilities and area specific clinical competencies
- Have either graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centres ePortfolio (supported) route; both pathways enable eligibility for an 'Advanced' digital badge issued by the Centre, demonstrating recognized educational and experiential preparation in advanced practice.
- Qualified Independent Nurse Prescriber on the NMC register
- Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
- Meets the standards for registered ANP working at advanced level
Desirable
- Qualified triage nurse
- Minor illness qualification
- Teaching qualification
- ALS and PALS
Other Requirements
Essential
- Disclosure Barring Service (DBS) check
- Occupational health clearance
- Meet the requirements and produce evidence for nurse revalidation
- Evidence of continuing professional development (CPD) commensurate with the role of an ANP
Person Specification
Clinical Knowledge & Skills
Essential
- Clinical knowledge and skills including:
- Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy. Patient group directives, NICE and local clinical guidelines and local care pathways or make necessary referrals to other members of the primary care team
- Manage undifferentiated, undiagnosed conditions and identify red flags and underlying serious pathology and take appropriate action
- Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice
- Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person
- Complete the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.
- Requesting and processing pathology tests
- Diabetes
- Hypertension
- Asthma
- CHD
- Womens health (cervical cytology, contraception, etc.)
- Understand the importance of evidence-based practice
- Broad knowledge of clinical governance
- Ability to record accurate clinical notes
- Ability to work within own scope of practice and understand when to refer to GPs
- Knowledge of health promotion strategies
- Understand the requirement for PGDs and associated policy
- Polite and confident, flexible and cooperative
- Motivated, forward thinker
- Problem solver with the ability to process information accurately and effectively, interpreting data as required
- High levels of integrity and loyalty
- Sensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situations
Desirable
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
Experience
Essential
- Experience of practice within the four pillars of clinical practice; leadership and management, education and research with demonstration of core capabilities and area specific clinical competencies
- Job plan that demonstrates advanced nursing practice and has equity with peers working at this level
- Experience of prescribing and undertaking medication reviews
- Experience of working in a primary care environment
Desirable
- Experience of working as a practice nurse or community nurse
Qualifications
Essential
- Registered Nurse with Nursing and Midwifery Council
- Masters degree in the relevant area of expertise or is working at a Master's level or equivalent that encompasses the four pillars of clinical practice; leadership and management, education and research with demonstration of core capabilities and area specific clinical competencies
- Have either graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centres ePortfolio (supported) route; both pathways enable eligibility for an 'Advanced' digital badge issued by the Centre, demonstrating recognized educational and experiential preparation in advanced practice.
- Qualified Independent Nurse Prescriber on the NMC register
- Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
- Meets the standards for registered ANP working at advanced level
Desirable
- Qualified triage nurse
- Minor illness qualification
- Teaching qualification
- ALS and PALS
Other Requirements
Essential
- Disclosure Barring Service (DBS) check
- Occupational health clearance
- Meet the requirements and produce evidence for nurse revalidation
- Evidence of continuing professional development (CPD) commensurate with the role of an ANP
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).