Advanced Nurse Practitioner

Job description

Job responsibilities

Job Summary

To work as an autonomous practitioner, responsible for the delivery of Minor illness and Triage services. They will also work closely with the Lead Practice Nurse to manage & improve Chronic Disease Monitoring across both sites and to create, develop and deliver a minor surgical service for our patients.

Mission Statement

Villages Medical Group is an established but still developing GP surgery that is committed to preserve and enhance its good reputation for being caring and innovative by providing high quality medical services in a friendly, happy and healthy environment

Generic Responsibilities

All staff at Villages Medical Group have a duty to conform to the following:

Equality, Diversity & Inclusion

A good attitude and positive action towards ED&I creates and environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that you treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

This practice is committed to supporting and promoting opportunities to for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

Confidentiality

This practice is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters, pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times. It is essential that if, the legal requirements are to be met and the trust of our patients is to be retained that all staff protect patient information and provide a confidential service.

Quality & Continuous Improvement (CI)

To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice.

This practice continually strives to improve work processes which deliver health care with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Induction Training

On arrival at the practice all personnel are to complete a practice induction programme; this is managed by the Practice Manager.

Learning and Development

The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to partake and complete mandatory training as directed by the training coordinator, as well as participating in the practice training programme. Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and ultimately, enable them to improve processes and service delivery.

Collaborative Working

All staff are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

Service Delivery

Staff at Villages Medical Group must adhere to the information contained with practice policies and regional directives, ensuring protocols are adhered to at all times. Staff will be given detailed information during the induction process regarding policy and procedure.

Security

The security of the practice is the responsibility of all personnel. Staff must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager. Under no circumstances are staff to share the codes for the door locks to anyone and are to ensure that restricted areas remain effectively secured.

Professional Conduct

At Villages Medical Group, staff are required to dress appropriately for their role. Administrative staff will be provided with a uniform whilst clinical staff must dress in accordance with their role.

Leave

All personnel are entitled to take leave. Line managers are to ensure all of their staff are afforded the opportunity to take a minimum of 20 days leave each year, and should be encouraged to take all of their leave entitlement.

Primary Responsibilities

The following are the core responsibilities of the advanced nurse practitioner.There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

a. Work as part of the GP team assisting with care such as triage and minor illness clinics for children and adults.

b. Work alongside the Lead Practice Nurse to provide a high quality and responsive Chronic Disease programme.

c. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice to patients

d. Implement and evaluate individual specialised treatment plans for chronic disease patients

e. Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF

f. Provide wound care (ulcer /Doppler etc.) to patients

g. Provide specialist clinics eg contraception etc.

h. Process and interpret pathology and other test results as required

i. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / specialist care as required

j. Maintain accurate clinical records in conjunction with extant legislation

k. Ensure read codes are used effectively

l. Maintain chronic disease registers

m. Chaperone patients where necessary

n. Prioritise health issues and intervene appropriately

o. Support the team in dealing with clinical emergencies

p. Recognise, assess and refer patients presenting with mental health needs

q. Extended and supplementary prescriber, adhering to extant guidance

r. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required

s. Contribute to practice targets (QOF etc.), complying with local and regional guidance

t. Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

u. Support the clinical team and apply safeguarding policies approapriately

v. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

w. Deliver opportunistic health promotion where appropriate

Secondary Responsibilities

In addition to the primary responsibilities, the advanced nurse practitioner may be requested to:

a. Work alongside the Senior Management Team in audit and quality improvement.

b. Monitor and ensure the safe storage, rotation and disposal of medication

c. Participate in local initiatives to enhance service delivery and patient care

d. Support and participate in shared learning within the practice

e. Develops an area of specialist interest, taking the lead within the practice

f. Continually review clinical practices, responding to national policies and initiatives where appropriate

g. Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA)

h. Work alongside the Lead practice Nurse in the development of nursing services within the practice, liaising with external agencies and professional organisations as required

i. Develops practice administrative and clinical protocols in line with the needs of the patient and current legislation

This document may be amended following consultation with the post holder, to facilitate the development of the role, the practice and the individual. All personnel should be prepared to accept additional, or surrender existing duties, to enable the efficient running of the practice.

Person Specification

Qualifications

Essential

• Registered Nurse Post graduate diploma or degree (Advanced Practice Qualification) Qualified Nurse Prescriber Qualified Triage Nurse Minor Illness Qualification Teaching Qualification ALS, PALS Experience Experience of working in a primary care environment Experience of working as a practice nurse or community nurse Experience of chronic disease management Experience of prescribing and undertaking medication reviews Clinical Knowledge & Skills Wound Care / Removal of sutures & staples ECGs Venepuncture New patient medicals Chaperone procedure Requesting pathology tests and processing the results, advising patients accordingly Travel medicine Diabetes Hypertension Asthma Spirometry CHD Immunisations (routine, childhood and travel) Womens health (Cervical cytology, contraception, etc.) Understands the importance of evidence based practice Broad knowledge of clinical governance Ability to record accurate clinical notes Ability to work within own scope of practice and understanding when to refer to GPs Knowledge of public health issues in the local area Awareness of issues within the wider health arena Knowledge of health promotion strategies Understands the requirement for PGDs and associated policy Skills Excellent communication skills (written and oral) Strong IT skills Clear, polite telephone manner Competent in the use of Office and Outlook Effective time management (Planning & Organising) Ability to work as a team member and autonomously Good interpersonal skills Problem solving & analytical skills Ability to follow clinical policy and procedure Experience with audit and able to lead audit programmes Experience with clinical risk management Personal Qualities Polite and confident Flexible and cooperative Motivated, forward thinker Problem solver with the ability to process information accurately and effectively, interpreting data as required High levels of integrity and loyalty Sensitive and empathetic in distressing situations Ability to work under pressure / in stressful situations Effectively able to communicate and understand the needs of the patient Commitment to ongoing professional development Effectively utilises resources Punctual and committed to supporting the team effort Flexibility to work outside of core office hours Disclosure Barring Service (DBS) check Occupational Health Clearance

Desirable

• Experienced in the use of Ardens and clinical reporting. Familiar and confident with using System One

Experience

Essential

• Experience of running own caseload. Experience of working in one site with medical cover available in another.

Desirable

• Experience working in a GP practice.

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).

Employer details

Employer name

Gardiner Crescent Surgery

Address

21 Gardiner Crescent

Pelton Fell

Chester le Street

Co. Durham

DH2 2NJ

Employer's website

https://www.peltonfellsurgery.nhs.uk/ (Opens in a new tab)