Job summary
The post holder will ensure patients receive high quality care. They will manage a caseload of patients, whereby they will monitor and coordinate patients' treatment plans, educate them about their condition, connect them with health care providers, and evaluate their progress.
The post holder will be the first point of contact for patients and relatives in case their needs change or if something goes wrong with service delivery. Many elderly and disabled people have highly complex needs and would struggle to coordinate with all the relevant services directly. The care coordinator relieves them of this burden and ensures that there are no gaps in service provision.
This role is based out of Shere Surgery, and is a practice-based role.
Main duties of the job
- 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 to 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 population.
About us
We are 6 practices that span the rural areas around Guildford as well as central Guildford practices, covering over 50 000 patients. We meet together monthly as practice leads and practice managers to discuss development and plans. Our aim is to provide practices, through the scheme, with additional staff that can support practices and provide better care for our patients.
Your role will be based mainly out of the Shere Surgery and Dispensary.
We are a group of excellent, well run and committed practices and hope that these additions will build on our brilliant practice teams.
Procare Health Limited are the host employer. The successful applicant will be employed by Procare Health Ltd and seconded to the East Guildford Primary Care Network for the duration of the contract. A primary care network (PCN) consists of groups of general practices working together with a range of local providers, including primary care, community services, social care and the voluntary sector, to offer more personalised, coordinated health and social care to their local populations.
Job description
Job responsibilities
KEY RESPONSIBILITIES
CLINICAL
- The Advanced Nurse Practitioner works autonomously and is accountable for their 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 the appropriate agency.
- Direct 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.
- Interprets a range of diagnostic tests and routine clinical procedures.
- Makes critical judgements of the highest order to satisfy the expectations and demands of the job EG: 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 EG: direct referral of patients to Hospital Consultants without prior reference to other medical colleagues.
- Advises and supports others where standard protocols no not apply.
- Works within professional code of conduct.
- Works within all relevant practice policies and procedural guidelines EG: infection control, chaperoning, risk management.
- Extended and supplementary prescriber.
CARE AND MANAGEMENT PROGRAMME
- 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 practices EG: establishes differential diagnoses, management/treatment plans and makes referrals as appropriate. Makes fast track referrals.
- Communicates highly sensitive condition relates information to patients, relatives and carers.
- Initiates the process of diagnosis with patients suspected to have a chronic disease EG: diabetes, asthma, COPD, IHD referring to other clinical staff as appropriate.
- Contribute to practice and PCN targets both locally and nationally within the disease management agenda, EG: QOF, IIF, prescribing incentive scheme.
- Contributes to disease registers.
- Audits outcomes of care against standards and initiates changes as necessary.
- Undertakes annual review of patients understanding and ability to self-manage.
- Undertakes medication reviews
- Refers to other members of the extended primary health care team as appropriate EG: chiropodist, dietician, specialist nursing.
- To actively implement safeguarding protocols for children and vulnerable adults and to know who to refer to and how to escalate concerns about radicalisation.
STRATEGIC DEVELOPMENT OF PRIMARY CARE SERVICES
- Contributes to the strategic development of primary care service 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 advance primary care services for the benefit of patients, carers and communities.
- Recognition and involvement at Shere Surgery and Dispensary as a teaching unit and help to drive the Nursing element of training, including trainee NPs.
- Develop links within the CCG and other local and national bodies relevant to primary care nursing initiatives.
- Involvement in Shere Surgery and Dispensary and East Guildford PCN services and other ventures in conjunction with Shere Surgery.
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 EG: sexual health agenda.
- Shares innovation and new learning 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, Salaries GPs, 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 to large groups EG: local and national conferences, clinical meetings, empowers staff to develop presentation skills in order to promote good practice.
MANAGE/LEAD SELF/OTHERS
- Develops a special interest (dependant on experience) within the practice EG: teenage clinic, baby clinic, nursing home, cytology.
- 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, EG: implanon clinic, teenage health clinic.
- Develops and leads on evidence-based practice.
- Promotes effective communication and relationships within the team.
- Partakes in monthly clinical supervision for own development.
- Actively participates in clinical and practice meetings.
- Develops own knowledge and practice to meet objectives/changes in service, through attendance on study days, self-directed learning and reflection on practice.
- 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 and adheres to local/national, clinical commissioning group and practice policy, 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 in order to collate accurate and timely information as and when required by practice.
- Ensures a satisfactory call and recall system of patients.
- Assists in the development of practice protocols for the surgery and clinical protocols for the clinical team.
- Identifies monitors and 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 EG: new services.
- Identifies, applies and disseminates research findings relating to clinical practice.
Job description
Job responsibilities
KEY RESPONSIBILITIES
CLINICAL
- The Advanced Nurse Practitioner works autonomously and is accountable for their 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 the appropriate agency.
- Direct 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.
- Interprets a range of diagnostic tests and routine clinical procedures.
- Makes critical judgements of the highest order to satisfy the expectations and demands of the job EG: 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 EG: direct referral of patients to Hospital Consultants without prior reference to other medical colleagues.
- Advises and supports others where standard protocols no not apply.
- Works within professional code of conduct.
- Works within all relevant practice policies and procedural guidelines EG: infection control, chaperoning, risk management.
- Extended and supplementary prescriber.
CARE AND MANAGEMENT PROGRAMME
- 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 practices EG: establishes differential diagnoses, management/treatment plans and makes referrals as appropriate. Makes fast track referrals.
- Communicates highly sensitive condition relates information to patients, relatives and carers.
- Initiates the process of diagnosis with patients suspected to have a chronic disease EG: diabetes, asthma, COPD, IHD referring to other clinical staff as appropriate.
- Contribute to practice and PCN targets both locally and nationally within the disease management agenda, EG: QOF, IIF, prescribing incentive scheme.
- Contributes to disease registers.
- Audits outcomes of care against standards and initiates changes as necessary.
- Undertakes annual review of patients understanding and ability to self-manage.
- Undertakes medication reviews
- Refers to other members of the extended primary health care team as appropriate EG: chiropodist, dietician, specialist nursing.
- To actively implement safeguarding protocols for children and vulnerable adults and to know who to refer to and how to escalate concerns about radicalisation.
STRATEGIC DEVELOPMENT OF PRIMARY CARE SERVICES
- Contributes to the strategic development of primary care service 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 advance primary care services for the benefit of patients, carers and communities.
- Recognition and involvement at Shere Surgery and Dispensary as a teaching unit and help to drive the Nursing element of training, including trainee NPs.
- Develop links within the CCG and other local and national bodies relevant to primary care nursing initiatives.
- Involvement in Shere Surgery and Dispensary and East Guildford PCN services and other ventures in conjunction with Shere Surgery.
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 EG: sexual health agenda.
- Shares innovation and new learning 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, Salaries GPs, 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 to large groups EG: local and national conferences, clinical meetings, empowers staff to develop presentation skills in order to promote good practice.
MANAGE/LEAD SELF/OTHERS
- Develops a special interest (dependant on experience) within the practice EG: teenage clinic, baby clinic, nursing home, cytology.
- 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, EG: implanon clinic, teenage health clinic.
- Develops and leads on evidence-based practice.
- Promotes effective communication and relationships within the team.
- Partakes in monthly clinical supervision for own development.
- Actively participates in clinical and practice meetings.
- Develops own knowledge and practice to meet objectives/changes in service, through attendance on study days, self-directed learning and reflection on practice.
- 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 and adheres to local/national, clinical commissioning group and practice policy, 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 in order to collate accurate and timely information as and when required by practice.
- Ensures a satisfactory call and recall system of patients.
- Assists in the development of practice protocols for the surgery and clinical protocols for the clinical team.
- Identifies monitors and 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 EG: new services.
- Identifies, applies and disseminates research findings relating to clinical practice.
Person Specification
Experience
Essential
- 2 years prescribing experience
- 2 years experience working as an ANP
Desirable
- Experience working within Primary Care
- Experience of working within a GP Practice
Qualifications
Essential
- NMC Registered
- Advanced Nurse Practitioner Qualification
Skills, Knowledge and Attributes
Essential
- Knowledge of the NMC Code of Conduct.
- Knowledge of acute or primary care developments.
- Knowledge of unscheduled care from a national & local perspective.
- Up to date knowledge of clinical practice
- Understanding of confidentiality regulations and protocols.
- Understanding of Health and Safety regulations.
- Understanding of Infection Control protocols.
- Understanding of local and national health policies
- Excellent interpersonal, verbal and written communication skills
- Reflective practitioner
- Time management and ability to prioritise workload
- Self-motivated and able to motivate others
- Car driver/access to car
Desirable
- Knowledge of public health issues.
Person Specification
Experience
Essential
- 2 years prescribing experience
- 2 years experience working as an ANP
Desirable
- Experience working within Primary Care
- Experience of working within a GP Practice
Qualifications
Essential
- NMC Registered
- Advanced Nurse Practitioner Qualification
Skills, Knowledge and Attributes
Essential
- Knowledge of the NMC Code of Conduct.
- Knowledge of acute or primary care developments.
- Knowledge of unscheduled care from a national & local perspective.
- Up to date knowledge of clinical practice
- Understanding of confidentiality regulations and protocols.
- Understanding of Health and Safety regulations.
- Understanding of Infection Control protocols.
- Understanding of local and national health policies
- Excellent interpersonal, verbal and written communication skills
- Reflective practitioner
- Time management and ability to prioritise workload
- Self-motivated and able to motivate others
- Car driver/access to car
Desirable
- Knowledge of public health issues.
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).
