Primary Care Advanced Nurse Practitioner / Advanced Care Practitioner
This job is now closed
Job summary
Are you a qualified Advanced Nurse Practitioner or Advanced Care Practitioner looking for a new and challenging role in Primary care? Do you want to make a difference to patients? This could be the place for you.
We are looking for a qualified and trained Advanced Care Practitioner/Advanced Nurse Practitioner to supplement our forward thinking and focused Clinical team of GPs and Nurses in Plymouth. You will join our team, created as part of our wider innovative plan to enhance patient care and make General Practice more effective and efficient. If you would like to help shape the future come and join us.
Main duties of the job
Your work will be of a collaborative nature with our General Practice team to meet the needs of patients. The role will include:
- Be an integral part of the online triage process. Offer face-to-face same day appointments for acute cases.
- See patients with minor illness.
- Home visits and holistic reviews.
- Help with long-term conditions and other clinical target areas.
- Regular supervision and support from the GPs.
- No weekends or evenings.
You will work closely with the GPs on a daily basis and have regular clinical supervision sessions as part of your continuing professional development. You will be expected to carry out the administrative duties involved with the role and contribute to practice targets both nationally and locally though QOF and enhanced services.
The ideal candidate should have:
- Be able to work independently and perform home visits
- Have excellent clinical and time management skills
- Be able to demonstrate critical thinking in the clinical decision-making process
- Have a UK driving licence
- Working hours: Wednesday 08.00am to 18.00pm & Friday 08.00am to 18.00pm (with half hour lunchbreak each day)
About us
The Elm Surgery team pride themselves on providing a high standard of healthcare that always puts patients at the centre of what we do. We provide a wide variety of primary care services to a population of 9500 patients predominantly living in Estover, Leigham & Mainstone which also includes one residential home and Marjon University.
We offer additional services such as minor surgery and womens contraceptive services providing an opportunity for development in interesting areas.
We are part of a 6 practice Primary Care Network sharing ideas, resources and innovation.
Details
Date posted
03 July 2023
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Part-time
Reference number
A1566-23-0002
Job locations
123 Leypark Walk
Plymouth
PL6 8UF
Job description
Job responsibilities
The Advanced Nurse Practitioner(ANP)/ Advanced Care Practitioner (ACP) is competent in practice using their expert clinical knowledge and skills. They have the freedom and authority to act and make autonomous decisions in the assessment, diagnosis and treatment of patients.
The ANP/ACP provides an opportunity for patients to avoid the need to be referred to a GP, thereby enabling them to receive timely care and negate unnecessary delay in receiving treatment.
ANPs/ACPs in primary care can develop close, long-term relationships with their patients and work in partnership with them to achieve optimum health. They are autonomous in making decisions based on assessment, diagnosis and interpretation of test results. They can independently prescribe appropriate medication, evaluate or refer to other specialists if necessary.
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. Develop, implement and embed health promotion and wellbeing programmes
b. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice
c. Implement and evaluate individual specialised treatment plans for chronic disease patients
d. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health
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.)
g. Provide specialist clinics such as ear syringing, contraception, etc.
h. Undertake the collection of pathological specimens
i. Provide travel medicine services
j. Request pathology services as necessary
k. Process and interpret pathology and other test results as required
l. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
m. Maintain accurate clinical records in conjunction with extant legislation
n. Ensure SNOMED CT codes are used effectively
o. Maintain chronic disease registers
p. Develop, implement and embed well woman clinics
q. Develop, implement and embed well man clinics
r. Develop, implement and embed travel clinics
s. Develop, implement and embed an effective call/recall system
t. Be responsible for the implementation of an effective immunisation programme.
u. Chaperone patients where necessary
v. Prioritise health issues and intervene appropriately
w. Support the team in dealing with clinical emergencies
x. Recognise, assess and refer patients presenting with mental health needs
y. Implement vaccination programmes for adults and children
z. Be an extended and supplementary prescriber, adhering to extant guidance
aa. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
bb. Contribute to practice targets (QOF, etc.), complying with local and regional guidance
cc. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
dd. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)
ee. Support the clinical team with all safeguarding matters in accordance with local and national policies
ff. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
gg. Deliver opportunistic health promotion where appropriate.
In addition to the primary responsibilities, the Advanced Nurse Practitioner may be requested to:
a. Act as the audit lead, effectively utilising the audit cycle
b. Act as the IPC lead for the practice, ensuring compliance, undertaking audit as necessary
c. Monitor and ensure the safe storage, rotation and disposal of medicaments
d. Undertake overall management of the nursing team, providing guidance when necessary, acting as a mentor to students and newly qualified staff
e. Maintain an effective nursing staff rota ensuring all clinics are staffed appropriately
f. Participate in local initiatives to enhance service delivery and patient care
g. Support and participate in shared learning within the organisation
h. Develop an area of specialist interest, taking the lead within the organisation
i. Continually review clinical practices, responding to national policies and initiatives where appropriate
j. Participate in the review of significant and near-miss events applying a structured approach i.e., root cause analysis (RCA)
k. Drive the development of nursing services within the organisation, liaising with external agencies and professional organisations as required
Develop practice administrative and clinical protocols in line with the needs of the patient and current legislation.
All staff at Elm Surgery have a duty to conform to the following:
Equality, Diversity and Inclusion
A good attitude and positive action towards Equality Diversity & Inclusion (ED&I) creates an environment where all individuals can 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 they treat our patients and their colleagues with dignity and respect.
Safety, Health, Environment and Fire (SHEF)
This organisation is committed to supporting and promoting opportunities for staff to maintain their health, wellbeing, and safety.
The post holder is to manage and assess risk within their areas of responsibility, ensuring adequate measures are in place to protect staff and patients, and 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.
All personnel have a duty to take reasonable care of health and safety at work for themselves, their 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
Coronavirus Act 2020
Other statutory legislation which may be brought to the post holders attention
Confidentiality
The organisation 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.
It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff must protect patient information and provide a confidential service.
Quality and Continuous Improvement (CI)
To preserve and improve the quality of this organisations 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 organisation, to look for opportunities to improve quality and share good practice, and to discuss, highlight and work with the team to create opportunities to improve patient care.
Elm Surgery continually strives to improve work processes which deliver healthcare 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.
Staff should interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.
All staff are to contribute to investigations and root cause analyses whilst participating in serious incident investigations and multidisciplinary case reviews.
Induction
At Elm Surgery, you will be required to complete the induction programme and the practice management team will support you throughout the process.
Learning and development
The effective use of training and development is fundamental to 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 in and complete mandatory training as directed by the Practice Manager. It is an expectation for this post holder to assess their own learning needs and undertake learning as appropriate.
Job description
Job responsibilities
The Advanced Nurse Practitioner(ANP)/ Advanced Care Practitioner (ACP) is competent in practice using their expert clinical knowledge and skills. They have the freedom and authority to act and make autonomous decisions in the assessment, diagnosis and treatment of patients.
The ANP/ACP provides an opportunity for patients to avoid the need to be referred to a GP, thereby enabling them to receive timely care and negate unnecessary delay in receiving treatment.
ANPs/ACPs in primary care can develop close, long-term relationships with their patients and work in partnership with them to achieve optimum health. They are autonomous in making decisions based on assessment, diagnosis and interpretation of test results. They can independently prescribe appropriate medication, evaluate or refer to other specialists if necessary.
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. Develop, implement and embed health promotion and wellbeing programmes
b. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice
c. Implement and evaluate individual specialised treatment plans for chronic disease patients
d. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health
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.)
g. Provide specialist clinics such as ear syringing, contraception, etc.
h. Undertake the collection of pathological specimens
i. Provide travel medicine services
j. Request pathology services as necessary
k. Process and interpret pathology and other test results as required
l. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
m. Maintain accurate clinical records in conjunction with extant legislation
n. Ensure SNOMED CT codes are used effectively
o. Maintain chronic disease registers
p. Develop, implement and embed well woman clinics
q. Develop, implement and embed well man clinics
r. Develop, implement and embed travel clinics
s. Develop, implement and embed an effective call/recall system
t. Be responsible for the implementation of an effective immunisation programme.
u. Chaperone patients where necessary
v. Prioritise health issues and intervene appropriately
w. Support the team in dealing with clinical emergencies
x. Recognise, assess and refer patients presenting with mental health needs
y. Implement vaccination programmes for adults and children
z. Be an extended and supplementary prescriber, adhering to extant guidance
aa. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
bb. Contribute to practice targets (QOF, etc.), complying with local and regional guidance
cc. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
dd. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)
ee. Support the clinical team with all safeguarding matters in accordance with local and national policies
ff. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
gg. Deliver opportunistic health promotion where appropriate.
In addition to the primary responsibilities, the Advanced Nurse Practitioner may be requested to:
a. Act as the audit lead, effectively utilising the audit cycle
b. Act as the IPC lead for the practice, ensuring compliance, undertaking audit as necessary
c. Monitor and ensure the safe storage, rotation and disposal of medicaments
d. Undertake overall management of the nursing team, providing guidance when necessary, acting as a mentor to students and newly qualified staff
e. Maintain an effective nursing staff rota ensuring all clinics are staffed appropriately
f. Participate in local initiatives to enhance service delivery and patient care
g. Support and participate in shared learning within the organisation
h. Develop an area of specialist interest, taking the lead within the organisation
i. Continually review clinical practices, responding to national policies and initiatives where appropriate
j. Participate in the review of significant and near-miss events applying a structured approach i.e., root cause analysis (RCA)
k. Drive the development of nursing services within the organisation, liaising with external agencies and professional organisations as required
Develop practice administrative and clinical protocols in line with the needs of the patient and current legislation.
All staff at Elm Surgery have a duty to conform to the following:
Equality, Diversity and Inclusion
A good attitude and positive action towards Equality Diversity & Inclusion (ED&I) creates an environment where all individuals can 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 they treat our patients and their colleagues with dignity and respect.
Safety, Health, Environment and Fire (SHEF)
This organisation is committed to supporting and promoting opportunities for staff to maintain their health, wellbeing, and safety.
The post holder is to manage and assess risk within their areas of responsibility, ensuring adequate measures are in place to protect staff and patients, and 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.
All personnel have a duty to take reasonable care of health and safety at work for themselves, their 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
Coronavirus Act 2020
Other statutory legislation which may be brought to the post holders attention
Confidentiality
The organisation 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.
It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff must protect patient information and provide a confidential service.
Quality and Continuous Improvement (CI)
To preserve and improve the quality of this organisations 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 organisation, to look for opportunities to improve quality and share good practice, and to discuss, highlight and work with the team to create opportunities to improve patient care.
Elm Surgery continually strives to improve work processes which deliver healthcare 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.
Staff should interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.
All staff are to contribute to investigations and root cause analyses whilst participating in serious incident investigations and multidisciplinary case reviews.
Induction
At Elm Surgery, you will be required to complete the induction programme and the practice management team will support you throughout the process.
Learning and development
The effective use of training and development is fundamental to 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 in and complete mandatory training as directed by the Practice Manager. It is an expectation for this post holder to assess their own learning needs and undertake learning as appropriate.
Person Specification
Qualifications
Essential
- Registered Nurse with Nursing and Midwifery Council
- Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice.
- Post graduate diploma or degree for Advanced Practice Qualification up to December 2020
- Qualified Independent Nurse Prescriber on the NMC register
- Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
- Meets the standards for registered ANP working at advanced level
- Minor illness qualification
- Disclosure Barring Service (DBS) check
- Occupational health clearance
- Meet the requirements and produce evidence for nurse revalidation
- Evidence of continuing professional development (CPD) commensurate with the role of an ANP
Desirable
- Qualified Triage Nurse
- Teaching qualification
- ALS and PALS
Experience
Essential
- Experience of practice within the four pillars
- Job plan that demonstrates advanced nursing practice and has equity with peers working at this level
- Experience of prescribing and undertaking medication reviews
- Experience of working in a primary care environment
Desirable
- Experience of working as a practice nurse or community nurse
Clinical Knowledge and skills
Essential
- Wound care/removal of sutures and staples
- Clinical knowledge and skills including:
- ECGs
- Venepuncture
- New patient medicals
- Chaperone procedure
- Requesting and processing pathology tests
- Advising patients accordingly
- Diabetes
- Hypertension
- Asthma
- Spirometry
- CHD
- Immunisations (routine and childhood)
- Womens health (cervical cytology, contraception, etc.)
- Travel medicine
- Understand 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 understand when to refer to GPs
- Knowledge of health promotion strategies
- Understand the requirement for PGDs and associated policy
- 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 as well as ability to work under pressure/in stressful situations
Desirable
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
Person Specification
Qualifications
Essential
- Registered Nurse with Nursing and Midwifery Council
- Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice.
- Post graduate diploma or degree for Advanced Practice Qualification up to December 2020
- Qualified Independent Nurse Prescriber on the NMC register
- Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
- Meets the standards for registered ANP working at advanced level
- Minor illness qualification
- Disclosure Barring Service (DBS) check
- Occupational health clearance
- Meet the requirements and produce evidence for nurse revalidation
- Evidence of continuing professional development (CPD) commensurate with the role of an ANP
Desirable
- Qualified Triage Nurse
- Teaching qualification
- ALS and PALS
Experience
Essential
- Experience of practice within the four pillars
- Job plan that demonstrates advanced nursing practice and has equity with peers working at this level
- Experience of prescribing and undertaking medication reviews
- Experience of working in a primary care environment
Desirable
- Experience of working as a practice nurse or community nurse
Clinical Knowledge and skills
Essential
- Wound care/removal of sutures and staples
- Clinical knowledge and skills including:
- ECGs
- Venepuncture
- New patient medicals
- Chaperone procedure
- Requesting and processing pathology tests
- Advising patients accordingly
- Diabetes
- Hypertension
- Asthma
- Spirometry
- CHD
- Immunisations (routine and childhood)
- Womens health (cervical cytology, contraception, etc.)
- Travel medicine
- Understand 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 understand when to refer to GPs
- Knowledge of health promotion strategies
- Understand the requirement for PGDs and associated policy
- 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 as well as ability to work under pressure/in stressful situations
Desirable
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
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).
Employer details
Employer name
Elm Surgery
Address
123 Leypark Walk
Plymouth
PL6 8UF
Employer's website
Employer details
Employer name
Elm Surgery
Address
123 Leypark Walk
Plymouth
PL6 8UF
Employer's website
Employer contact details
For questions about the job, contact:
Details
Date posted
03 July 2023
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Part-time
Reference number
A1566-23-0002
Job locations
123 Leypark Walk
Plymouth
PL6 8UF