Advanced Nurse Practitioner - Independent Prescriber

Taurus Healthcare Limited

Information:

This job is now closed

Job summary

Taurus Healthcare are recruiting an Advanced Nurse Practitioner (Independent Prescriber)

To act as an autonomous practitioner working independently in Taurus Healthcare Clinical service areas to assess, diagnose and treat the conditions of patients attending within primary care services and initiating direct referrals as appropriate. Provide expert professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence.

Lead prescribing clinician supporting nursing services and taking overall clinical responsibility for clinical areas where GP is physically not present (GP support available if needed which may be virtual.)

The post holder must possess competencies and capabilities across all four pillars of advanced practice.

Flexible working (Monday - Friday evenings and weekend daytime)

Location: Across all 9 hubs (Hereford, Ledbury, Leominster, Bromyard, Kington, Ross-on-Wye, Kingstone, Much Birch, Weobley).

Main duties of the job

  • Undertake safe clinical decision-making and expert care, including assessment and diagnostic skills and safety netting for patients using face to face (clinic and home visits), telephony and on line consultation platforms
  • Demonstrate critical thinking in the clinical decision-making process, with the ability to prioritise and triage the needs of patients, accordingly, instigating appropriate investigations or referrals to colleagues and other care providers
  • Demonstrate highly developed clinical reasoning and decision-making
  • Follow local and national guidelines and pathways, working to the latest evidence base, and will practise in a reflective manner, completing significant event analyses and audits to evaluate the effectiveness of the care they provide.
  • Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation
  • Use advanced clinical skills to provide education to service users, promoting self-care and empowering them to make informed choices about their treatment.
  • Prevent inappropriate hospital admissions or attendances by providing/co-coordinating the provision of specialist care by other agencies for the patient in the most appropriate and agreed environment
  • Work collaboratively with hospital and community colleagues ensuring patients receive the right care in the right place at the right time.
  • Refer patients to other medical specialties for assessment if deemed appropriate.

About us

Employee Benefits:

  • NHS Pension
  • Up to 30 days annual leave plus bank holidays (for reckonable service)

Taurus Healthcare was established in 2012, as the provider arm of the GP Federation serving 185,000 patients in Herefordshire. Founded and owned by the partners of the entire Herefordshire Primary Care community, Taurus is focused on providing excellent out of hospital services for patients. Our ethos is to provide high quality and cost-effective health outcomes that are delivered as close as possible to the patients home, whilst ensuring that patients who do require in hospital services are seen as quickly and effectively as possible.

At Taurus Healthcare we strive to create a diverse, inclusive workplace, and welcome applications from candidates from all backgrounds including those from Military Veterans and family members of serving personnel.

Date posted

15 November 2023

Pay scheme

Other

Salary

£35.52 an hour

Contract

Permanent

Working pattern

Flexible working

Reference number

S0001-23-0089

Job locations

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


Job description

Job responsibilities

Clinical Practice Responsibilities

Undertake safe clinical decision-making and expert care, including assessment and diagnostic skills and safety netting for patients using face to face (clinic and home visits), telephony and on line consultation platforms

Demonstrate critical thinking in the clinical decision-making process, with the ability to prioritise and triage the needs of patients, accordingly, instigating appropriate investigations or referrals to colleagues and other care providers

Demonstrate highly developed clinical reasoning and decision-making

Follow local and national guidelines and pathways, working to the latest evidence base, and will practise in a reflective manner, completing significant event analyses and audits to evaluate the effectiveness of the care they provide.

Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation

Use advanced clinical skills to provide education to service users, promoting self-care and empowering them to make informed choices about their treatment.

Prevent inappropriate hospital admissions or attendances by providing/co-coordinating the provision of specialist care by other agencies for the patient in the most appropriate and agreed environment

Work collaboratively with hospital and community colleagues ensuring patients receive the right care in the right place at the right time.

Refer patients to other medical specialities for assessment if deemed appropriate.

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

Undertakes and interprets a range of diagnostic tests and routine clinical procedures

Work independently and without direct supervision in the home environment as required

To act as an autonomous practitioner who directs, provides and evaluates the highest standard of evidence based clinical care to patients within their own home, founded on agreed management care plans and protocols

  • Prioritise own clinical workload
  • work with wider clinical team to manage on the day demand and priorities
  • Appropriate intervene to manage the patient in complex, urgent or emergency situations, including initiation of effective emergency care

Review, prescribe and administer medication in line with national guidance and local formularies utilising EMIS local guidance and cost saving software prompts

Whilst working in GP OOH service, receive medication bags for urgent care dispensing use complying with Good Distribution Practice Standard Operating Procedures.

  • Recognise professional responsibility in promoting welfare and safeguarding of children, young people and adults and statutory reporting of safeguarding concerns.
  • Ensuring patients are protected from abuse, or the risk of abuse and that their human rights are respected

Work within own competence and scope of practice

Report and manage clinical incidents

Job description

Job responsibilities

Clinical Practice Responsibilities

Undertake safe clinical decision-making and expert care, including assessment and diagnostic skills and safety netting for patients using face to face (clinic and home visits), telephony and on line consultation platforms

Demonstrate critical thinking in the clinical decision-making process, with the ability to prioritise and triage the needs of patients, accordingly, instigating appropriate investigations or referrals to colleagues and other care providers

Demonstrate highly developed clinical reasoning and decision-making

Follow local and national guidelines and pathways, working to the latest evidence base, and will practise in a reflective manner, completing significant event analyses and audits to evaluate the effectiveness of the care they provide.

Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation

Use advanced clinical skills to provide education to service users, promoting self-care and empowering them to make informed choices about their treatment.

Prevent inappropriate hospital admissions or attendances by providing/co-coordinating the provision of specialist care by other agencies for the patient in the most appropriate and agreed environment

Work collaboratively with hospital and community colleagues ensuring patients receive the right care in the right place at the right time.

Refer patients to other medical specialities for assessment if deemed appropriate.

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

Undertakes and interprets a range of diagnostic tests and routine clinical procedures

Work independently and without direct supervision in the home environment as required

To act as an autonomous practitioner who directs, provides and evaluates the highest standard of evidence based clinical care to patients within their own home, founded on agreed management care plans and protocols

  • Prioritise own clinical workload
  • work with wider clinical team to manage on the day demand and priorities
  • Appropriate intervene to manage the patient in complex, urgent or emergency situations, including initiation of effective emergency care

Review, prescribe and administer medication in line with national guidance and local formularies utilising EMIS local guidance and cost saving software prompts

Whilst working in GP OOH service, receive medication bags for urgent care dispensing use complying with Good Distribution Practice Standard Operating Procedures.

  • Recognise professional responsibility in promoting welfare and safeguarding of children, young people and adults and statutory reporting of safeguarding concerns.
  • Ensuring patients are protected from abuse, or the risk of abuse and that their human rights are respected

Work within own competence and scope of practice

Report and manage clinical incidents

Person Specification

Experience

Essential

  • Works autonomously and collaboratively, recognising when referrals are required.
  • Excellent communication skills both written and verbal.
  • IT skills - computer and keyboard literate.
  • Good time management and the ability to work under pressure.
  • Relay clinical information and maintain accurate, comprehensive consultation records in line with NMC requirements.

Desirable

  • Managerial experience.

Qualifications

Essential

  • RGN - current NMC registration with minimum 4 years experience in primary care.
  • A demonstrable commitment to professional development.
  • Advanced Clinical Practice (ACP) qualification - MSc level or equivalent (demonstrated by professional credentialling or professional equivalent).
  • Independent prescribing qualification.
  • NMC registered Independent Prescriber.
  • Safeguarding adults and children.
  • In date CPR training (within 18 months).

Personal Qualities or Attributes

Essential

  • Organised, friendly, approachable, polite and empathetic.
  • Adaptable and comfortable dealing with changing priorities and a team player.
  • Driver with clean licence.

Desirable

  • Works a flexible pattern of evenings, weekends and bank holidays and covers team annual leave and sickness when applicable.

Skills

Essential

  • Experience of working in Primary Care in autonomous ACP role.
  • Experience of working in a multi-professional environment.
  • Experience as an Independent Prescriber.
  • Awareness of own accountability and other aspects of NMC code of conduct.
  • An understanding, acceptance and adherence to the need for strict confidentiality.

Desirable

  • Experience of working under pressure.
  • Experience of EMIS clinical system and using templates.
  • Understanding of Quality Outcomes Framework.
Person Specification

Experience

Essential

  • Works autonomously and collaboratively, recognising when referrals are required.
  • Excellent communication skills both written and verbal.
  • IT skills - computer and keyboard literate.
  • Good time management and the ability to work under pressure.
  • Relay clinical information and maintain accurate, comprehensive consultation records in line with NMC requirements.

Desirable

  • Managerial experience.

Qualifications

Essential

  • RGN - current NMC registration with minimum 4 years experience in primary care.
  • A demonstrable commitment to professional development.
  • Advanced Clinical Practice (ACP) qualification - MSc level or equivalent (demonstrated by professional credentialling or professional equivalent).
  • Independent prescribing qualification.
  • NMC registered Independent Prescriber.
  • Safeguarding adults and children.
  • In date CPR training (within 18 months).

Personal Qualities or Attributes

Essential

  • Organised, friendly, approachable, polite and empathetic.
  • Adaptable and comfortable dealing with changing priorities and a team player.
  • Driver with clean licence.

Desirable

  • Works a flexible pattern of evenings, weekends and bank holidays and covers team annual leave and sickness when applicable.

Skills

Essential

  • Experience of working in Primary Care in autonomous ACP role.
  • Experience of working in a multi-professional environment.
  • Experience as an Independent Prescriber.
  • Awareness of own accountability and other aspects of NMC code of conduct.
  • An understanding, acceptance and adherence to the need for strict confidentiality.

Desirable

  • Experience of working under pressure.
  • Experience of EMIS clinical system and using templates.
  • Understanding of Quality Outcomes Framework.

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

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

Taurus Healthcare Limited

Address

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


Employer's website

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

Employer details

Employer name

Taurus Healthcare Limited

Address

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


Employer's website

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

For questions about the job, contact:

Recruitment Team

recruitment@taurushealthcare.co.uk

01432270636

Date posted

15 November 2023

Pay scheme

Other

Salary

£35.52 an hour

Contract

Permanent

Working pattern

Flexible working

Reference number

S0001-23-0089

Job locations

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


Supporting documents

Privacy notice

Taurus Healthcare Limited's privacy notice (opens in a new tab)