Nurse Practitioner

Job responsibilities

Central Surgery

Job Description

Job Title: Nurse Practitioner

Responsible to: Partners and Managing Partner

Hours : 37.5

Salary To be discussed

Job Summary

The post holder is an experienced nurse with a prescribing qualification who, acting within their professional boundaries who will provide care for the presenting patient from their initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision making and expert care. The will work collaboratively with the general practice team and meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required. The post holder may also have an interest in paediatrics.

Key Responsibilities

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, diagnose plan, implement and evaluate interventions/treatments for patients with complex needs.

Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug based method treatment into management plan.

Work with patients in order to support compliance with and adherence to prescribed treatments.

Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principle of self-care

Communication

Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred way 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 (eg PALS) and provide information in an acceptable format to all patients, recognising and 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 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 (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events

Access the impact of policy implementation on care delivery

Understand an apply legal issues that support the identification of vulnerable and abused child 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 mode

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

Take a load role in planning and implementing changes within the area of care and responsibility

Contribute to the development of local guidelines, protocols and standards

Market 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 and embedded within the culture of the team

Work effective 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 of 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 communication information

Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring 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 and 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 (e.g. courses and conferences)

Assess own learning needs and undertake learning as appropriate

Provide and educational role to patients, carers, families and colleagues in an environment that facilities 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 an non-discriminatory culture

Support people who need assistance in exercising their rights

Monitor and evaluate adherence to local chaperoning policies Act as a role model in the observance of equality and diversity good practice

Access 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

At least 2 years recent primary and

community nursing experience

Health-needs assessment

Nurse-led management of minor

Illness, minor ailments and injuries

Nurse-led triage

Compiling protocols and clinical

guidelines

Leadership in quality initiative such

as clinical benchmarking

Audit

Research

Nurse Prescribing

Qualifications

Registered first level nurse MSc or

equivalent

Relevant nursing/health degree

Mentor/teaching qualification

Clinical supervision training and

experience

Extended/independent nurse

Other

Self-directed practitioner

Highly motivated

Flexibility

DBS clearance

Enthusiasm

Team Player

Ability to work across boundaries

Qualifications

Essential

• Central Surgery
• Job Description
• Job Title: Nurse Practitioner
• Responsible to: Partners and Managing Partner
• Hours : 37.5
• Salary To be discussed
• Job Summary
• The post holder is an experienced nurse with a prescribing qualification who, acting within their professional boundaries who will provide care for the presenting patient from their initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision making and expert care. The will work collaboratively with the general practice team and meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required. The post holder may also have an interest in paediatrics.
• Key Responsibilities
• 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, diagnose plan, implement and evaluate interventions/treatments for patients with complex needs.
• Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug based method treatment into management plan.
• Work with patients in order to support compliance with and adherence to prescribed treatments.
• Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principle of self-care
• Communication
• Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred way 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 (eg PALS) and provide information in an acceptable format to all patients, recognising and 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 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 (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events
• Access the impact of policy implementation on care delivery
• Understand an apply legal issues that support the identification of vulnerable and abused child 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 mode
• 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
• Take a load role in planning and implementing changes within the area of care and responsibility
• Contribute to the development of local guidelines, protocols and standards
• Market 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 and embedded within the culture of the team
• Work effective 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 of 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 communication information
• Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring 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 and 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 (e.g. courses and conferences)
• Assess own learning needs and undertake learning as appropriate
• Provide and educational role to patients, carers, families and colleagues in an environment that facilities 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 an non-discriminatory culture
• Support people who need assistance in exercising their rights
• Monitor and evaluate adherence to local chaperoning policies Act as a role model in the observance of equality and diversity good practice
• Access 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
• At least 2 years recent primary and
• community nursing experience
• Health-needs assessment
• Nurse-led management of minor
• Illness, minor ailments and injuries
• Nurse-led triage
• Compiling protocols and clinical
• guidelines
• Leadership in quality initiative such
• as clinical benchmarking
• Audit
• Research
• Nurse Prescribing
• Qualifications
• Registered first level nurse MSc or
• equivalent
• Relevant nursing/health degree
• Mentor/teaching qualification
• Clinical supervision training and
• experience
• Extended/independent nurse
• Other
• Self-directed practitioner
• Highly motivated
• Flexibility
• DBS clearance
• Enthusiasm
• Team Player
• Ability to work across boundaries

Desirable

• 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 NICE guidelines and evidence-based care
• Recognise and work within own competence and professional code of conduct as 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 (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events
• Access the impact of policy implementation on care delivery
• Understand an apply legal issues that support the identification of vulnerable and abused child and adults and be aware of statutory child/vulnerable patients health procedures and local guidance
• Leadership-personal and people development

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).