Job summary
This is an exciting opportunity for an Advanced Nurse Practitioner to work at French Weir Health Centre. The successful applicant will enhance the established team of clinical support clinicians, comprising Advanced Nurse Practitioners and Emergency Care Practitioners. We welcome applications from Advanced Nurse Practitioners from a secondary care environment as we offer supervision, mentorship for skills and knowledge to seemlessly integrate the candidate into primary care.Study leave in addition to annual leave is offered for continuous professional development working within the four pillars of advance nurse practice.
We are seeking a dedicated and experienced Advanced Nurse Practitioner, who will be a non-medical prescriber to join the team.
The ideal candidate will be a caring, compassionate and committed 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. 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.
Up to 32 hours per week, over 4 days, one day finishing at 8.00 pm
Main duties of the job
- 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 (as appropriate)
- 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, menopause or sexual health consultation
About us
French Weir Health Centre is a busy, thriving Practice in the County town of Taunton, Somerset. The 11 GP Partners look after 17000 patients assisted by more than 40 clinical and administrative staff. The Practice ethos is to offer a unique balance of a traditional GP healthcare environment, whereby the GP Partners and salaried GP still operate a personal list system, while embracing progressive technology to support these core values.
French Weir Health Centre hasan established team of five Advanced Nurse Practitioners and Emergency Care Practitioners and the successful candidate will benefit from their experience of the role and the support the team can offer.
The culture of the Practice promotes positive well-being for staff. Staff are rewarded with an attractive salary, NHS pension, cycle to work scheme, free onsite parking, no shift working, no weekend working, hence recognising the need for a positive work:life balance.
Job description
Job responsibilities
The Advanced Nurse Practitioner (ANP) will act autonomously within their professional scope of practice providing care for patients face to face, telephone consultations and home visits.
The postholder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence.
The Advanced Nurse Practitioner will need to prioritise and triage the needs of patients accordingly, making any necessary referrals for investigations in the appropriate manner.
The postholder will use skills, knowledge and competencies as a qualified Advanced Nurse Practitioner in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate.
Job responsibilities:
Clinical Nursing Practice
- Work as part of a multi-disciplinary team to deliver safe and high quality care.
- Carries out clinical nursing practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.
Delivery of care in line with NSF, NICE guidelines and evidence-based care
- Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.
Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.
- Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.
- Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.
Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.
- Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.
- Refers patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.
Care Management
Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.
Provide highly specialised care advice beyond the scope of normal Nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).
Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.
To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.
Health Improvement
Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.
Providing assessment, screening services, health education advice:
These may include (but not restricted to);
- Blood pressure checks
- Urinalysis
Administration and professional responsibilities
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
- Participate in the administrative and professional responsibilities of the practice team
- Accurate and legible notes of all consultations and treatments are recorded in the patients notes
- Ensure clinical systems kept up to date, recording and/or amending accurate details
- Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator
- Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
- Attend and participate in practice meetings as required
Training and personal development
- Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.
- Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements.
Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.
Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education.
- Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.
- Develop and maintain a Personal Learning Plan.
- Regularly participate in clinical supervision.
Confidentiality:
In the course of seeking treatment, patients entrust practice staff with, or allow us to gather, sensitive information in relation to their health and other matters.
Comply with Legislation with regards to data protection act and ensure confidentiality is maintained at all times.
- The post-holder must regard all information relating to patients and their carers, practice staff and other healthcare workers (as well as information relating to the practice as a business organisation) as strictly confidential
- Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality, data protection legislation and the protection of personal and sensitive data, as well as other related healthcare legislation (e.g. the NHS Confidentiality Code of Practice)
Health & Safety:
The post-holder will comply with practice policies, procedures and clinical guidelines for self and others. This includes (but not limited to):
Identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised
- Identifying issues and hazards / risks in relation to other work areas within the business
- Awareness and active observation of national standards of infection control and cleanliness, as well as ownership of infection control and clinically based patient care protocols and implementing them across the practice.
- Identifying the risks involved in work activities, raising them with appropriate management and managing those risks across clinical and patient processes.
- Safe management of sharps procedures, including training, use, storage and disposal
- Keeping own work areas and general / patient areas generally clean, sterile, assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other managers
- Demonstrate due regard for safeguarding and promoting the welfare of children.
- Routine management of own team / team areas, and maintenance of work space standards;
- Waste management, including collection, handling, segregation, container management, storage and collection
- Spillage control procedures, management and training
- Decontamination control procedures, management and training, and equipment maintenance
Equality and Diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
- Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
- Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
- Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity.
- Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
- Support people who need assistance in exercising their rights.
Quality:
The post-holder will strive to maintain quality within the practice, and will:
- Alert other team members to issues of quality and risk
- Assess own performance and take accountability for own actions, either directly or under supervision
- Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
- Work effectively with individuals in other agencies to meet patients needs
- Effectively manage own time, workload and resources
Communication:
The post-holder should recognize the importance of effective communication within the team and will strive to:
- Communicate effectively with other team members
- Communicate effectively with patients and carers
- Recognize peoples needs for alternative methods of communication and respond accordingly
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.
Contribution to the implementation of services:
The post-holder will:
- Apply practice policies, standards and guidance
- Discuss with other members of the team how the policies, standards and guidelines will affect own work
- Participate in audit where appropriate.
Person Specification
Qualifications
Essential
- RGN / RN With current NMC registration
- MSc or BSc, Nurse Practitioner degree
- Independent prescriber
- Completed Nurse Practitioner (Primary Care) Post Graduate Diploma level
Experience
Essential
- Minimum of 2 years experience post-registration experience of working in primary / community / acute health care setting
- Able to analyse and interpret prescribing data
- Able to manage acute illnesses, long term conditions and minor ailments
- Refer patients independently as appropriate
- Interprets a range of diagnostic tests and routine clinical procedures
- Understanding and experience of inter-agency working across health groups and networks
- Has provided effective health education and health promotion to patients presenting with a range of health needs
- Has a planned and organised approach with an ability to prioritise their own workload to meet strict deadlines
- Excellent understanding of data protection and confidentiality issues
- Able to think analytically; anticipating obstacles and thinking ahead; using analytical techniques to come up with solutions
- Excellent verbal and written communication skills with team members, patients, carers, and other healthcare professionals whilst recognising peoples needs for alternative methods of communication
- Has attention to detail, able to work accurately, identifying errors quickly and easily
- Experience of Clinical Governance and risk assessment
- Committed to own continuing personal development and an ability to support others to develop and progress
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
French Weir Health Centre
Address
French Weir Health Centre
1 French Weir Avenue
Taunton
Somerset
TA1 1NW