Job summary
Job Title:Advanced Nurse Practitioner / Advanced Clinical Practitioner
Reports to:Operational - Service Lead / Assistant Director of Clinical
Services or Clinical - Clinical Lead / Assistant
Director of Clinical Services
Accountable to:Assistant Director of Clinical
Services
Salary:Dependant on experience and qualifications Please
note that NPC is not an agenda for change employer
Job Summary
You will be an experienced Primary Care clinician,
who will be acting autonomously within their
professional boundaries and competencies. You will identify appropriate patients to
attend the service based on current inclusion and exclusion criteria, as well
as your clinical acumen to provide appropriate care for the presenting patient, from initial history
taking, clinical assessment,
diagnosis, treatment, referral (where required), evaluation, and discharge from
our service.
You will demonstrate safe, clinical
decision-making and
expert care, including assessment and diagnostic skills,
for the patients within GPFD. The post holder will demonstrate critical thinking in the clinical decision-making
process. They will work collaboratively with the ED and Acute Hospitals to ensure patient journeys are appropriate and
timely.
Main duties of the job
Job Summary
You will be an experienced Primary Care clinician,
who will be acting autonomously within their
professional boundaries and competencies. You will identify appropriate patients to
attend the service based on current inclusion and exclusion criteria, as well
as your clinical acumen to provide appropriate care for the presenting patient, from initial history
taking, clinical assessment,
diagnosis, treatment, referral (where required), evaluation, and discharge from
our service.
You will demonstrate safe, clinical
decision-making and
expert care, including assessment and diagnostic skills,
for the patients within GPFD. The post holder will demonstrate critical thinking in the clinical decision-making
process. They will work collaboratively with the ED and Acute Hospitals to ensure patient journeys are appropriate and
timely.
In order to work at this level, those registered with the NMC / HCPC, requirements for Advanced Practice must be met.
The UK government regulates the ability of employers to
recruit non UK residents by issuing licenses to provide Visa Sponsorship.
Unfortunately NPC does not hold a license for Visa Sponsorship and so cannot
progress any applications for candidates without the right to work in the UK.
About us
Norfolk Primary Care CIC (NPC) is an established Primary Care provider
of clinical services. We are a key
provider of Primary Care services in the Norfolk & Waveney system working
with the local GP practices.
NPC has been sub-contracted to provide a Primary Care / General Practice type service within the
Emergency Departments (ED) of the local Acute Hospitals. This comprises
of a team of clinicians who are GPs, Advanced
Nurse Practitioners or Advanced Clinical
Practitioners working across the various locations. The staff provide additional Primary Care support to the ED by streaming patients away from the Front
door into a Service capable of supporting demand.
The aim of the GPFD is to reduce the number of avoidable attendances seen within ED, to direct the
patients to appropriate services and free up ED staff to see appropriate
emergency patients.
Job description
Job responsibilities
Key Responsibilities:
- Identify patients appropriate to the service based on
initial conversation and excellent communication skills.
- Clinically examine and assess patient needs from a
physiological and psychological perspective and plan clinical care accordingly.
- Assess, diagnosis, plan, implement and evaluate
interventions/treatments for patients with simple or complex, on the day needs.
- Proactively identify, diagnose and identify treatment plans
for patients at risk of developing a long-term condition (as appropriate).
- Refer patients for investigation for specialist opinion,
where appropriate.
- Diagnose and manage both acute and chronic conditions with
an acute presentation, integrating both drug and non-drug based treatment
methods into a management plan.
- Work with patients in order to support compliance with and
adherence to prescribed treatments.
- Ensure provision of continuity of care including safety
netting and suggest follow up, as required.
- Take advice, guidance and instruction from the registered
GP, when and if required.
- Prescribe safe, effective and appropriate medication as
defined by current legislative framework and local formularies.
- Provide information and advice on prescribed or
over-the-counter medication on medication regimes, side-effects and
interactions.
- Prioritise health problems and intervene appropriately to
assist the patient in complex, urgent or emergency situations, including
initiation of effective emergency care. Escalate to the Acute Hospital staff as
required
- Refer patients to other health care professionals as
appropriate for clinical needs and in accordance with local
framework/guidelines if indicated.
- Meet the needs of patients presenting for opportunistic long
term condition management or assessment
- Be able to undertake general telephone triage / first
contact assessment.
- To manage own clinical workload within the GPFD Service,
responding effectively to patient need.
- Adhere to the NMC / HCPC Code of Professional Conduct at all
times.
Communication
- Utilise and demonstrate sensitive communication styles, to
ensure patients are fully informed and consent to treatment.
- Communicate effectively with patients and carers,
recognising the need for alternative methods of communication to overcome
different levels of understanding, cultural background and preferred ways of
communicating.
- Anticipate barriers to communication and take action to
improve communication.
- Maintain effective communication within the hospital
environment and with external stakeholders.
- Act as an advocate for patients and colleagues.
- Ensure awareness of sources of support and guidance (e.g.
PALS) and provide information in an acceptable format to all patients,
recognising any difficulties and referring where appropriate.
Delivering a Quality Service
- Prioritise, organise and manage own workload in a manner
that maintains and promotes high quality care.
- Participate in quality assurance audits and safety processes
across the organisation and its
activities.
- Participate in shared learning across the service and wider
organisation.
- Use a structured framework (e.g. systems based analysis) to
manage, review and identify learning from patient complaints, clinical
incidents and near-miss events.
- Assess the impact of policy implementation on care delivery.
- Understand and apply legal issues that support the
identification of vulnerable and abused children and adults, and be aware of
statutory child/vulnerable patients health procedures and local guidance.
- Encourage patient feedback.
Team Working
- Understand own role and scope and identify how this may
develop over time.
- Work as an effective and responsible team member, supporting
others and exploring the mechanisms to develop new ways of working.
- Delegate clearly and appropriately, adopting the principles
of safe practice and assessment of competence.
- Create clear referral mechanisms to meet patient need.
- Prioritise own workload and ensure effective time-management
strategies are embedded within the culture of the team.
- Work effectively with others to clearly define values ,
direction and policies impacting upon care delivery.
- Discuss, highlight and work with the team to create
opportunities to improve patient care.
- Manage and lead on the delivery of specifically identified
services or projects as agreed with the management team.
- Agree plans and outcomes by which to measure success.
Safeguarding Children and Vulnerable Adults
- All staff are expected to behave in such a way that supports
the commitment of NPC to safeguard and promote the welfare of children, young
adults, and vulnerable adults.
- You will be responsible for safeguarding the interests of
children and adults who you come into contact during your work. To fulfil these
duties, you will be required to have attended or attend training and
development to recognise the signs and symptoms of abuse or individuals at
risk, to follow local and national policy relating to safeguarding practice and
to report and act on concerns you may have appropriately.
Health & Safety / Management of Risk
- Manage and assess risk within the areas of responsibility,
ensuring adequate measures are in place to protect staff and patients.
- Monitor work areas and practices to ensure they are safe and
free from hazards and conform to health, safety and security legislation,
policies, procedures and guidelines.
- Ensure appropriate supervision of safe storage, rotation and
disposal of drugs, when required.
- Participate in mandatory and statutory training requirements.
- Apply infection control measures within the service,
according to local and national guidelines.
- The post holder will comply with the Data Protection Act
(1984) and the Access to Health Records Act (1990).
- Assist in the interpretation of national strategies and
policies into local implementation strategies that are aligned to the values and culture of General
Practice.
Information Governance
- Use technology and appropriate software as an aid to
management in planning, implementation and monitoring of care, presenting and
communicating information.
- Review and process data using accurate Read codes in order
to ensure easy and accurate information retrieval for monitoring and audit
processes.
- Manage information searches using the internet and local
library databases.
- Understand responsibility of self and others to the Freedom
and Information Act.
- Monitor and confirm that the nursing team are receiving and
processing data and information in an agreed format.
- Collate, analyse and present clinical data and information
to the team.
Learning and Development
- Undertake mentorship for team members.
- Disseminate learning and information gained to other team
members in order to share good practice and inform others about current and
future developments (e.g. courses and
conferences).
- Assess own learning needs and undertake learning, as
appropriate.
- Provide an educational role to patients, carers, families
and colleagues in an environment that
facilitates learning.
- Undertake and participate in clinical supervision sessions
with the clinical lead.
Equality, Diversity, and Inclusion
- Identify patterns of discrimination and take action to
overcome this and promote diversity and
equality of opportunity.
- Enable others to promote equality and diversity in a
non-discriminatory culture.
- Support people who need assistance in exercising their
rights.
- Monitor and evaluate adherence to local chaperoning
policies.
- Act as a role model in the observance of equality and
diversity good practice.
- Accept the rights of individuals to choose their care
providers, participate or refuse care and to request a second opinion, where
required
- Assist patients from marginalised groups to access quality
care.
Sustainability and Carbon Reduction
All staff are expected to work in a sustainable manner,
demonstrating consideration for environmental issues and the adoption of
alternative working practices where possible to contribute to carbon reduction.
Other Duties
Any other duties may be considered, as agreed with the
Service or Clinical Lead to meet the needs of the organisation, and may involve travel to other sites within the
organisation.
You must hold a full drivers licence with access to a
vehicle to use for purposes of travel to and from Acute hospital sites. This
will involve having the appropriate insurance to use your vehicle for business
use.
Job description
Job responsibilities
Key Responsibilities:
- Identify patients appropriate to the service based on
initial conversation and excellent communication skills.
- Clinically examine and assess patient needs from a
physiological and psychological perspective and plan clinical care accordingly.
- Assess, diagnosis, plan, implement and evaluate
interventions/treatments for patients with simple or complex, on the day needs.
- Proactively identify, diagnose and identify treatment plans
for patients at risk of developing a long-term condition (as appropriate).
- Refer patients for investigation for specialist opinion,
where appropriate.
- Diagnose and manage both acute and chronic conditions with
an acute presentation, integrating both drug and non-drug based treatment
methods into a management plan.
- Work with patients in order to support compliance with and
adherence to prescribed treatments.
- Ensure provision of continuity of care including safety
netting and suggest follow up, as required.
- Take advice, guidance and instruction from the registered
GP, when and if required.
- Prescribe safe, effective and appropriate medication as
defined by current legislative framework and local formularies.
- Provide information and advice on prescribed or
over-the-counter medication on medication regimes, side-effects and
interactions.
- Prioritise health problems and intervene appropriately to
assist the patient in complex, urgent or emergency situations, including
initiation of effective emergency care. Escalate to the Acute Hospital staff as
required
- Refer patients to other health care professionals as
appropriate for clinical needs and in accordance with local
framework/guidelines if indicated.
- Meet the needs of patients presenting for opportunistic long
term condition management or assessment
- Be able to undertake general telephone triage / first
contact assessment.
- To manage own clinical workload within the GPFD Service,
responding effectively to patient need.
- Adhere to the NMC / HCPC Code of Professional Conduct at all
times.
Communication
- Utilise and demonstrate sensitive communication styles, to
ensure patients are fully informed and consent to treatment.
- Communicate effectively with patients and carers,
recognising the need for alternative methods of communication to overcome
different levels of understanding, cultural background and preferred ways of
communicating.
- Anticipate barriers to communication and take action to
improve communication.
- Maintain effective communication within the hospital
environment and with external stakeholders.
- Act as an advocate for patients and colleagues.
- Ensure awareness of sources of support and guidance (e.g.
PALS) and provide information in an acceptable format to all patients,
recognising any difficulties and referring where appropriate.
Delivering a Quality Service
- Prioritise, organise and manage own workload in a manner
that maintains and promotes high quality care.
- Participate in quality assurance audits and safety processes
across the organisation and its
activities.
- Participate in shared learning across the service and wider
organisation.
- Use a structured framework (e.g. systems based analysis) to
manage, review and identify learning from patient complaints, clinical
incidents and near-miss events.
- Assess the impact of policy implementation on care delivery.
- Understand and apply legal issues that support the
identification of vulnerable and abused children and adults, and be aware of
statutory child/vulnerable patients health procedures and local guidance.
- Encourage patient feedback.
Team Working
- Understand own role and scope and identify how this may
develop over time.
- Work as an effective and responsible team member, supporting
others and exploring the mechanisms to develop new ways of working.
- Delegate clearly and appropriately, adopting the principles
of safe practice and assessment of competence.
- Create clear referral mechanisms to meet patient need.
- Prioritise own workload and ensure effective time-management
strategies are embedded within the culture of the team.
- Work effectively with others to clearly define values ,
direction and policies impacting upon care delivery.
- Discuss, highlight and work with the team to create
opportunities to improve patient care.
- Manage and lead on the delivery of specifically identified
services or projects as agreed with the management team.
- Agree plans and outcomes by which to measure success.
Safeguarding Children and Vulnerable Adults
- All staff are expected to behave in such a way that supports
the commitment of NPC to safeguard and promote the welfare of children, young
adults, and vulnerable adults.
- You will be responsible for safeguarding the interests of
children and adults who you come into contact during your work. To fulfil these
duties, you will be required to have attended or attend training and
development to recognise the signs and symptoms of abuse or individuals at
risk, to follow local and national policy relating to safeguarding practice and
to report and act on concerns you may have appropriately.
Health & Safety / Management of Risk
- Manage and assess risk within the areas of responsibility,
ensuring adequate measures are in place to protect staff and patients.
- Monitor work areas and practices to ensure they are safe and
free from hazards and conform to health, safety and security legislation,
policies, procedures and guidelines.
- Ensure appropriate supervision of safe storage, rotation and
disposal of drugs, when required.
- Participate in mandatory and statutory training requirements.
- Apply infection control measures within the service,
according to local and national guidelines.
- The post holder will comply with the Data Protection Act
(1984) and the Access to Health Records Act (1990).
- Assist in the interpretation of national strategies and
policies into local implementation strategies that are aligned to the values and culture of General
Practice.
Information Governance
- Use technology and appropriate software as an aid to
management in planning, implementation and monitoring of care, presenting and
communicating information.
- Review and process data using accurate Read codes in order
to ensure easy and accurate information retrieval for monitoring and audit
processes.
- Manage information searches using the internet and local
library databases.
- Understand responsibility of self and others to the Freedom
and Information Act.
- Monitor and confirm that the nursing team are receiving and
processing data and information in an agreed format.
- Collate, analyse and present clinical data and information
to the team.
Learning and Development
- Undertake mentorship for team members.
- Disseminate learning and information gained to other team
members in order to share good practice and inform others about current and
future developments (e.g. courses and
conferences).
- Assess own learning needs and undertake learning, as
appropriate.
- Provide an educational role to patients, carers, families
and colleagues in an environment that
facilitates learning.
- Undertake and participate in clinical supervision sessions
with the clinical lead.
Equality, Diversity, and Inclusion
- Identify patterns of discrimination and take action to
overcome this and promote diversity and
equality of opportunity.
- Enable others to promote equality and diversity in a
non-discriminatory culture.
- Support people who need assistance in exercising their
rights.
- Monitor and evaluate adherence to local chaperoning
policies.
- Act as a role model in the observance of equality and
diversity good practice.
- Accept the rights of individuals to choose their care
providers, participate or refuse care and to request a second opinion, where
required
- Assist patients from marginalised groups to access quality
care.
Sustainability and Carbon Reduction
All staff are expected to work in a sustainable manner,
demonstrating consideration for environmental issues and the adoption of
alternative working practices where possible to contribute to carbon reduction.
Other Duties
Any other duties may be considered, as agreed with the
Service or Clinical Lead to meet the needs of the organisation, and may involve travel to other sites within the
organisation.
You must hold a full drivers licence with access to a
vehicle to use for purposes of travel to and from Acute hospital sites. This
will involve having the appropriate insurance to use your vehicle for business
use.
Person Specification
Skills and Attributes
Essential
- Advanced clinical practice skills.
- Management and treatment of patients with acute exacerbation of long-term conditions.
- Clinical examination skills.
- Clinical leadership skills.
- Clinical Systems e.g. SystmOne.
- Communication skills, both written and verbal.
- Negotiation and conflict management skills.
- Change management.
- Highly motivated.
- Flexibility.
- Enthusiasm.
- Team Player.
Desirable
- Management of patients with complex needs.
- Teaching and mentorship in a clinical setting.
- Resource Management.
Qualifications
Essential
- Registered first level nurse / BSc (Hons) or MSc Advanced Practice (or equivalent), or HCPC registration, whichever is appropriate.
- Post registration qualification Advanced Nursing Practice, autonomous practice or equivalent.
- Independent Non-Medical Prescriber.
- Basic Life Support.
Desirable
- Masters level qualification.
- Mentor / Teaching qualification.
- Clinical supervision training and experience.
Experience
Essential
- Experience of working as senior clinician.
- Experience of having worked in Primary Care.
Desirable
- Experience in leading / managing a clinical team.
- Experience of working in an unscheduled care service.
- Accountability of own role and other roles in a Primary Care provided service.
- Experience of leading/managing quality improvement.
Person Specification
Skills and Attributes
Essential
- Advanced clinical practice skills.
- Management and treatment of patients with acute exacerbation of long-term conditions.
- Clinical examination skills.
- Clinical leadership skills.
- Clinical Systems e.g. SystmOne.
- Communication skills, both written and verbal.
- Negotiation and conflict management skills.
- Change management.
- Highly motivated.
- Flexibility.
- Enthusiasm.
- Team Player.
Desirable
- Management of patients with complex needs.
- Teaching and mentorship in a clinical setting.
- Resource Management.
Qualifications
Essential
- Registered first level nurse / BSc (Hons) or MSc Advanced Practice (or equivalent), or HCPC registration, whichever is appropriate.
- Post registration qualification Advanced Nursing Practice, autonomous practice or equivalent.
- Independent Non-Medical Prescriber.
- Basic Life Support.
Desirable
- Masters level qualification.
- Mentor / Teaching qualification.
- Clinical supervision training and experience.
Experience
Essential
- Experience of working as senior clinician.
- Experience of having worked in Primary Care.
Desirable
- Experience in leading / managing a clinical team.
- Experience of working in an unscheduled care service.
- Accountability of own role and other roles in a Primary Care provided service.
- Experience of leading/managing quality improvement.
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).
