Job summary
Charlton Hill Surgery is a friendly and supportive
training practice located in Andover. We pride ourselves in working as a
cohesive team and meet for daily coffee breaks and social events.
We are looking for an experienced, enthusiastic and
motivated Advanced Nurse Practitioner, with prescribing experience, to join our
team. We would support clinical learning and role development and a desire to
undertake and develop a role in nurse training.
Andover is a growing town, set in the heart of the beautiful
Test Valley. It has good transport links, is within a 25 minute drive of
Winchester, Salisbury and Basingstoke, and there are direct trains to London
and the Coast.
Main duties of the job
Job summary
The post holder is an experienced
nurse who, acting within their professional boundaries, will provide care for
the presenting patient from initial history taking, clinical assessment,
diagnosis, treatment and evaluation of care. They will demonstrate safe,
competent clinical decision-making and expert care, including assessment and
diagnostic skills, for patients within the general practice. The post holder
will demonstrate critical thinking in the clinical decision-making process.
They will communicate and work collaboratively with the general practice team
to meet the needs of patients, supporting the delivery of policy and
procedures, and providing nurse leadership as required. In order to work at
this level NMC requirements for advanced practice must be met.
About us
About us..
7 GP partners, 3 associate GPs, 1 ANP and an experienced nursing team of 4 practice nurses
The practice..
15,100 patients, mix of urban and rural, steady growth of patients
Recently extended premises
The surgery is adjacent to Andover War Memorial Community Hospital with on site phlebotomy, radiology, MIU and the Countess of Brecknock Hospice
In-house physiotherapy and clinical pharmacists
CQC Good
Teaching practice (both GP registrars and medical students)
Coffee break with other clinicians
Monthly practice lunch provided
Job description
Job responsibilities
The post holder is an experienced
nurse who, acting within their professional boundaries, will provide care for
the presenting patient from initial history taking, clinical assessment,
diagnosis, treatment and evaluation of care. They will demonstrate safe,
competent clinical decision-making and expert care, including assessment and
diagnostic skills, for patients within the general practice. The post holder
will demonstrate critical thinking in the clinical decision-making process.
They will communicate and work collaboratively with the general practice team
to meet the needs of patients, supporting the delivery of policy and
procedures, and providing nurse leadership as required. In order to work at
this level NMC requirements for advanced practice must be met.
Clinical
practice
- Assess, diagnose, plan, implement and evaluate
treatment/interventions and care for patients presenting with an
undifferentiated diagnosis
- 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 complex needs. Proactively
identify, diagnose and manage treatment plans for patients at risk of
developing a long-term condition
- Diagnose and manage both acute and chronic conditions,
integrating both drug- and non-drug-based treatment methods into a
management plan
- Prescribe and review medication for therapeutic
effectiveness, appropriate to patient needs and in accordance with evidence-based
practice and national and practice protocols, and within scope of practice
- Work with patients in order to support compliance with
and adherence to prescribed treatments.
Provide information and advice on prescribed or over-the-counter medication
on medication regimens, 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
- Support patients to adopt health promotion strategies
that promote healthy lifestyles, and apply principles of self-care. Support
and manage health needs of women presenting for family planning, cervical
cytology or sexual health consultation
- Assess, identify and refer patients presenting with
mental health needs in accordance with the NSF for Mental Health.
Communication
- Utilise and demonstrate sensitive communication styles,
to ensure patients are fully informed and consent to treatment
- Communicate with and support patients who are receiving
‘bad news’
- 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 practice
environment and with external stakeholders
- Act as an advocate for patients and colleagues
- Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients,
recognising any difficulties and referring where appropriate
Delivering
a quality service
- Recognise and work within own competence and
professional code of conduct as regulated by the NMC. Produce accurate,
contemporaneous and complete records of patient consultation, consistent
with legislation, policies and procedures
- Prioritise, organise and manage own workload in a
manner that maintains and promotes quality
- Deliver care according to NSF, NICE guidelines and
evidence-based care
- Assess effectiveness of care delivery through self and
peer review, benchmarking and formal evaluation
- Initiate and participate in the maintenance of quality
governance systems and processes across the organisation 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
- In partnership with other clinical teams, collaborate
on improving the quality of health care responding 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
practice and wider organisation
- Use a structured framework 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
Leadership
– personal and people development
- Take responsibility for own learning and performance
including participating in clinical supervision and acting as a positive
role model
- Support staff development in order to maximise
potential
- Critically evaluate and review innovations and
developments that are relevant to the area of work
- Enlist support and influence stakeholders and
decision-makers in order to bring about new developments in the provision
of services
- Contribute to the development of local guidelines,
protocols and standards
- Promote the role of the advanced nurse practitioner in
general practice
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 practice management
team
- Agree plans and outcomes by which to measure success
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
- Apply infection-control measures within the practice
according to local and national guidelines
- Advocate for policies that reduce environmental health
risks, are culturally sensitive and increase access to health care for all
- Interpret national strategies and policies into local
implementation strategies that are aligned to the values and culture of
general practice
Managing information
- 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
practice and primary care trust regarding the Freedom of Information Act
Learning
and development
- Undertake mentorship for more junior staff, assessing
competence against set standards
- Disseminate learning and information gained to other
team members in order to share good practice and inform others about
current and future developments
- 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
Equality
and diversity
- 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
- 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 in care and refuse care
- Assist patients from marginalised groups to access
quality care
- Undertake any training required in order to meet the
needs of the practice
Person Specification
Qualifications
Essential
- Registered first level nurse MSc or equivalent
- Relevant nursing/health degree
- Independent prescribing qualification
- Clinical supervision training and experience
- Working autonomously in an advanced nursing role
- Clinical leadership skills
- Communication skills, both written and verbal
- Communication of difficult messages to patients and families
- Negotiation and conflict management skills
- Change management
- Resource management
- Advanced clinical practice skills
- Management of patients with long term conditions
- Management of patients with complex needs
- Clinical examination skills
- Accountability of own role and other roles in a nurse led service
- Clinical governance issues in primary care
Desirable
- Long term conditions qualification Diabetes or Respiratory
- Experience of working within a primary care setting
- Experience of case management
- Mentor/teaching qualification
- Teaching and mentorship clinical setting
- Working with community development initiatives
- Health-needs assessment
- EMIS web
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 .
Employer details
Employer name
Charlton Hill Surgery
Address
Charlton Road
Andover
Hampshire
SP10 3JY