Job summary
At Halesowen Medical Practice the role of the Advanced Nurse Practitioner/Nurse Practitioner will include the triage and treatment of patients with acute medical problems and where appropriate long term conditions. We are looking for a confident and experienced prescriber who can work autonomously in their prescribing clinical practice and work as part of a multidiscipline primary care team.
The Advanced Nurse Practitioner/Nurse Practitioner will be expected to undertake home visits, telephone triage and face to face 10 minute appointments.
Main duties of the job
Diagnosing and treating patients presenting with minor illness
Triage and treat patients presenting with minor illnesses making any necessary referrals to other members of the primary health care team.
Ensure clinical practice is safe and effective and remains within boundaries of competence and to acknowledge individual limitations.
Advise patients on general health care and minor ailments with referral to other members of the primary and secondary health care team as necessary.
Undertake the collection of pathological specimens including intravenous blood samples, swabs etc. Perform appropriate investigatory procedures requested by the GPs.
Administration and professional responsibilities
Participate in the administrative and professional responsibilities of the practice team.
All patient activities are completed daily.
Ensure accurate and legible notes of all consultations and management plans are recorded in the patients notes on the clinical system
Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice.
Ensure collection and maintenance of statistical information required for regular and ad hoc reports and audit.
Attend and participate in practice meetings and mandatory training sessions.
Undertake the on line training and other training required for the role of NP or ANP as agreed with the Practice Manager or Partners.
About us
We are a supportive clinical team of 2 GP Partners, 6 salaried GPs, 3 Practice Nurses, 1 Nurse Associate and 2 Healthcare Assistants. In addition we are a Training Practice and house a number of additional clinical practitioners, practice based pharmacists and social prescribing colleagues as a member of Halesowen Primary Care Network.
We have a record of high QOF achievement and our systems include Emis Web, Docman and Accurx.
We value our team and enjoy social activities and events with an inclusive approach for all.
We are based at St. Margaret's Well Surgery, 2 Quarry Lane, Halesowen B63 4WD
Job description
Job responsibilities
Clinical Practice
- Assess patients presenting with acute illness or for review of chronic disease conditions by telephone or direct patient contact
- Clinically examine and assess patient needs from a psychological and physiological perspective and plan care accordingly
- Provide first point of contact within the practice for a specified group of patients presenting with undifferentiated and undiagnosed problems utilising skills in history taking, clinical examination, problem solving and clinical decision making
- Assess diagnose, 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 and within scope of practice
- As an independent prescriber, Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols and formularies
- Work with patients in order to support compliance with and adherence to prescribed treatments
- Provide information and advice on prescribed and over the counter medication on medication regimens, side effects and interactions.
- With appropriate support, participate in the clinical administration within the practice, signing prescriptions, reviewing medication, Electronic Prescription Service, reviewing patient letters/discharges and respond to queries in an appropriate timeframe.
- Make professional, autonomous decisions for which he/she is accountable.
- Undertake home visits for acute illness or chronic disease management within competency.
- 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
- Assess, identify and refer patients presenting with mental health needs in accordance with current guidance for mental health.
- Participate in vaccination and immunisation programmes for both adults and children
- Instigate necessary invasive/non-invasive tests or investigations and interpret reports or findings
- Understand the remit of the quality and outcomes framework and the long term conditions framework (where applied locally) and apply principles accordingly
- To provide departmental cover for the practice nurse team to include duties currently undertaken by the team. This includes wound management, cervical cytology, immunisations and other duties within competency.
- To assist in the proactive clinical management of End of Life Care within the practice.
- To assist and lead on any clinical disease areas within competency as directed by GP Partners.
- To undertake any other delegated duties as requested by Practice Manager or GP Partners which are considered appropriate to the post.
See acompanying Job Description for further details.
Job description
Job responsibilities
Clinical Practice
- Assess patients presenting with acute illness or for review of chronic disease conditions by telephone or direct patient contact
- Clinically examine and assess patient needs from a psychological and physiological perspective and plan care accordingly
- Provide first point of contact within the practice for a specified group of patients presenting with undifferentiated and undiagnosed problems utilising skills in history taking, clinical examination, problem solving and clinical decision making
- Assess diagnose, 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 and within scope of practice
- As an independent prescriber, Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols and formularies
- Work with patients in order to support compliance with and adherence to prescribed treatments
- Provide information and advice on prescribed and over the counter medication on medication regimens, side effects and interactions.
- With appropriate support, participate in the clinical administration within the practice, signing prescriptions, reviewing medication, Electronic Prescription Service, reviewing patient letters/discharges and respond to queries in an appropriate timeframe.
- Make professional, autonomous decisions for which he/she is accountable.
- Undertake home visits for acute illness or chronic disease management within competency.
- 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
- Assess, identify and refer patients presenting with mental health needs in accordance with current guidance for mental health.
- Participate in vaccination and immunisation programmes for both adults and children
- Instigate necessary invasive/non-invasive tests or investigations and interpret reports or findings
- Understand the remit of the quality and outcomes framework and the long term conditions framework (where applied locally) and apply principles accordingly
- To provide departmental cover for the practice nurse team to include duties currently undertaken by the team. This includes wound management, cervical cytology, immunisations and other duties within competency.
- To assist in the proactive clinical management of End of Life Care within the practice.
- To assist and lead on any clinical disease areas within competency as directed by GP Partners.
- To undertake any other delegated duties as requested by Practice Manager or GP Partners which are considered appropriate to the post.
See acompanying Job Description for further details.
Person Specification
Qualifications
Essential
- -Basic nursing qualification and NMC registration
- -Master's degree in advanced clinical practice
- -Independent prescribing qualification
Desirable
- -Disease management specialty qualification eg diabetes or respiratory diploma
- - Training and supervision qualification
Experience
Essential
- - Minimum of 5 years post registration experience
- -2 years experience of working in an acute or primary care setting
- - Competency in advanced practice
Skills
Essential
- - Clinical Leadership
- - Excellent communication skills
- - Good time management
Attributes
Essential
- - Ability to work under pressure
- - Full UK driving licence
- - Hard working, reliable and resourceful
Person Specification
Qualifications
Essential
- -Basic nursing qualification and NMC registration
- -Master's degree in advanced clinical practice
- -Independent prescribing qualification
Desirable
- -Disease management specialty qualification eg diabetes or respiratory diploma
- - Training and supervision qualification
Experience
Essential
- - Minimum of 5 years post registration experience
- -2 years experience of working in an acute or primary care setting
- - Competency in advanced practice
Skills
Essential
- - Clinical Leadership
- - Excellent communication skills
- - Good time management
Attributes
Essential
- - Ability to work under pressure
- - Full UK driving licence
- - Hard working, reliable and resourceful
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).
