South and East Leeds GP Group

Cross Gates PCN Advance Nurse Practitioner

This job is now closed

Job summary

The position is for 19 hours per week.

You will work within the PCN multidisciplinary team and be expected to undertake acute and planned visits to patients in their own homes and those living in residential and nursing homes and be able to appropriately assess, examine, investigate, diagnose and treat a wide range of complex or urgent conditions, resulting in the safe management and appropriate referral of patients with undifferentiated, undiagnosed and complex presentations. You will also support practices with on the day demand by delivering acute clinics for patients across all four practices.

You will also be expected to take on a leadership role within the PCN clinical team providing the team with clinical supervision and supporting the team in their day to day responsibilities across the PCN. Working with the Clinical Director, PCN Manager and clinical leads you will ensure that all the PCN employed staff are working to agreed protocols and are delivering services in line with the PCN plans.

You will be expected to work flexibly outside core hours where required and be able to adapt to changes within primary care when needed.

The post has two main functions:

To carry out the duties as outlined and
To be proactive in continuously improving service delivery.

Main duties of the job

Clinical Responsibilities:

To assess and triage patients, including same day triage, and as appropriate provide definitive treatment including prescribing medications following policy, patient group directives, NICE national and local clinical guidelines and local care pathways or make necessary referrals to other members of the primary care team for patients unable to attend the surgery and requiring a home visit or to those patients living in residential or care homes within the PCN area.

To work at an advanced level of practice working within PCN policies and procedures and your own professional codes of conduct

You will assess, examine, investigate, diagnose and treat patients in practice, their own homes or in a care home setting undertaking relevant history taking and physical examinations managing undifferentiated undiagnosed conditions and identify red flags and underlying serious pathology and take appropriate action.

Demonstrate the ability to make sound clinical decisions supported by complex decision making within a broad scope of practice using evidence-based practice to inform your decisions.

Manage a range of patient long-term conditions including but not limited to Asthma, COPD, Diabetes and CHD following practice guidelines and supporting the practice in achieving management of these conditions in line with QOF, QIS and other local guidelines and targets.

About us

Cross Gates Primary Care Network includes four practices working across seven sites: Ashfield and The Grange Medical Centre, Colton Mill and The Grange Medical Centre, Family Doctors and Manston and Surgery. The PCN has a patient population of 30,000 including patients living across 5 care homes.

We believe in providing a holistic approach to managing patient care and supporting individuals to meet their own needs and aspirations. You will be part of an organisation whose leadership team are supportive and innovative, focused on change and transforming services.

Our team currently includes Clinical pharmacists, pharmacy technician, mental health practitioners, advanced clinical practitioner, admiral nurse, nurse associate, physician associate, first contact physiotherapists and care coordinators, and aims to support our practices and improve health outcomes for our patients. We do this through the integration of PCN teams and services with our practices, continuous evaluation, and ongoing development of our services and projects, looking for opportunities for innovation and transformation and sharing best practice.

In addition, we have built close working relationships with statutory and voluntary sector organisations including Linking Leeds, Memory Support Workers, LCH Neighbourhood teams, Cross Gates Good Neighbours, our Local Care Partnership, community pharmacies and our care homes.

Date posted

24 February 2025

Pay scheme

Other

Salary

£28,407 to £34,581 a year Depending on experience

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

U0053-25-0008

Job locations

Hosted employer's address

1st Floor Park Edge Practice

Leeds

West Yorkshire

LS14 1HX

Job description

Job responsibilities

Actively take a personalised care approach prioritising health needs and creating clinically appropriate treatment and management plans, ensuring the patients views are considered in the decision-making process.

Identify the need for appropriate diagnostic tests and demonstrate the ability to interpret results.

Prescribe and review medication within relevant professional scope of practice and training appropriate to patient needs and in accordance with evidence based practice, national and local protocols, and within scope of PCN.

Ensure patients are informed and consent is obtained prior to treatment, investigation and management, as appropriate.

Provide health promotion advice.

Appropriately refer patients to the wider MDT to ensure the safe management and treatment of the patient cohort.

Continuously evaluate the patients condition and response to therapeutic intervention and treatment modalities, modifying the care plan for optimal patient centred outcomes, responding in a timely manner

To maintain up-to-date contemporaneous clinical records in accordance with national guidelines.

To share knowledge and expertise, acting as an expert resource to others across the PCN, as appropriate.

Consult by telephone, online and face to face as appropriate.

Leadership Professional Responsibilities:

Working with the PCN manager to ensure that all PCN employed clinical staff are appropriately supported in their day to day roles and can work to agreed job plans and are delivering services that meet the PCN DES and other plans.

Accountable for own professional actions, undertaking all duties in accordance with Codes of Professional Conduct, PCN policies and protocols that apply to the work you are undertaking.

To identify and intervene proactively where circumstances contribute to an unsafe environment for patients, staff or relatives and escalate these appropriately.

Actively implement effective systems and processes for infection prevention and control management and relevant audit within their clinical area

Lead and develop advanced clinical practice, developing and implementing protocols and procedures for emergency care that impact across the PCN.

Contribute to the review and development of clinical patient pathways to ensure a standardised approach to care.

Adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care.

Work with your line manager to access regular clinical supervision, to enable you to deal effectively with the difficult issues that people present.

Promote and adhere to the principles and practice of clinical governance.

To maintain knowledge and training in key areas to support professional competence including safeguarding, infection control and keep mandatory training up to date.

To work with the relevant leadership team to develop and evaluate the role and job description and to undertake other duties that are consistent with the duties and responsibilities of this post as required.

Participate in an annual review of progress and develop clear plans to achieve results within priorities set by others.

Responsible for accessing own continuing education, having undertaken modules and courses at masters level, including advanced health physical assessment and managing complex patients.

Maintain, advance and develop personal theoretical knowledge, high standards of clinical competence and professional development through self education.

Maintain own portfolio in line with professional registration requirements.

Generic Responsibilities

Personal & Professional development

Maintain continued education by attendance at courses as deemed essential for professional development.

Participation in annual appraisal review

Maintaining a record of own personal and or professional development

Governance

Produce complete and accurate records of patient consultation, in line with best practice, confidentiality, policies and procedures.

Deliver care according to NHS guidance, NICE guidelines and evidence based care.

Take part in the maintenance of quality governance systems and processes across the PCN and its activities.

Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.

Work with other clinical teams on improving the quality of healthcare in response to local and national policies and initiatives as appropriate.

Evaluate patients response to health care provision and the effectiveness of care.

Support and participate in shared learning across the PCN and wider organisation.

Awareness of statutory safeguarding, notification processes and local guidance for children vulnerable patients, applying relevant policies and legislation to protect them.

Ensure compliance with policies, procedures and guidelines for self and others, by taking action or alerting senior management team if the practice appears to contravene policy, or if there are concerns over any aspect of patient care.

Health and Safety

The post-holder will manage their own and others health & safety and infection control as defined in the SEL GP Group Health & Safety Policy, the SEL GP Group Health & Safety Manual, and the SEL GP Group Infection Control Policy and published procedures.

Comply with SEL GP Group health and safety policies by following agreed safe working procedures.

Awareness and compliance with national standards of infection control, hygiene, regulatory, contractual, professional requirements, and good practice guidelines.

Correct personal use of Personal Protective Equipment PPE and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff and patients.

Reporting incidents using the organisations Incident Reporting System

Confidentiality

Maintain confidentiality of information, acting within the terms of the Data Protection Act and Caldicott guidance on patient confidentiality at all times.

Maintain an awareness of the Freedom of Information Act.

Equality and Diversity

The post-holder will support, promote and maintain the SEL GP Group Equality & Diversity Policy.

No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc.

The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families.

Other delegated duties

This job description is not intended to be exhaustive it may be changed after consultation with the post holder. The employee shares with the employer the responsibility for review and modification of duties.