GP Nurse Practitioner

Job description

Job responsibilities

JOB SUMMARY

The post holder is an 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 their care. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required. In order to work at this level, NMC requirements for advanced practice must be met.

1. SCOPE AND PURPOSE OF THE ROLE

To deliver a high standard of patient care as Nurse Practitioner (NP) in general practice, using advanced autonomous clinical skills with a broad and in-depth theoretical knowledge base in line with the latest RCN guidance on Nurse Practitioner competencies.

To manage a clinical caseload, dealing with presenting patients needs in a primary care setting.

To lead/manage the nursing team (where applicable) and ensure the highest standards of care are provided for the patient.

To develop the nursing services offered by the practice.

To provide clinical leadership within the practice.

2. JOB DIMENSIONS

• To manage own clinical workload in general practice responding effectively to patient need and ensuring patient choice and ease of access to services.
• To mentor and support other nurses in developing and maintaining clinical skills.

3. PRIMARY DUTIES & AREAS OF RESPONSIBILITY

A. CLINICAL ROLE:

The post-holder will :

• Provide the choice of direct access to a NP, both in the Practice and over the telephone, for the general practice population
• Make professionally autonomous decisions for which he/she is accountable
• Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan
• Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports
• Where the post holder is an independent prescriber : to prescribe safe, effective and appropriate medication as defined by current legislative framework
• Provide safe, evidence-based, cost-effective, individualised patient care
• Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care
• Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills
• Refer patients directly to other services/agencies as appropriate
• Take the Practice lead in developing and delivering specialist primary care services, such as long term disease management (diabetes, asthma, chronic obstructive pulmonary disease, coronary heart disease and hypertension)
• Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks (eg Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered
• Work with mutli-disciplinary team within the Practice, and across the wider Integrated Care Board (ICB), to promote integrated and seamless pathways of care
• Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery

Participate in identification of community health needs and develop patient/family-centred strategies to address them in liaison with appropriate community health professionals and agencies.

Help develop and set up new patient services and participate in initiatives to improve existing patient services

• Be aware of and contribute to planning and delivery of practice-based commissioning

4.TEACHING AND MENTORING ROLE:

The post-holder will :

Promote a learning environment for patients, nurses and other health professionals.

Contribute to the planning and implementation of the teaching for existing staff, such as medical students, nursing students, NP students, GP registrars, Health Care Assistants, within the Practice.

5. PROFESSIONAL ROLE :

The post-holder will :

• Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
• Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review
• Maintain their professional registration
• Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained
• Work within the latest NMC Code of Professional Conduct
• Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards
• Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation
• Work collaboratively with colleagues within and external to the practice.
• Demonstrate leadership
• Pro-actively promote the role of the NP within the Practice, and externally to key stakeholders and agencies

6. MANAGERIAL ROLE

The post-holder will :

Act as team leader and mentor for the nursing team and through this, support their personal development.

Participate in staff appraisal activities within the Practice

Participate in clinical supervision for the nursing team, and act as nurse advisor to other members of the Primary Healthcare team.

Encourage and develop teamwork within the practice.

Participate in multi-disciplinary protocol and Patient Group Directions development

Identify appropriate opportunities to delegate both clinical and administrative tasks to more junior staff.

Help the practice operate in a cost-effective manner.

Identify and manage nursing care risks on a continuing basis.

Participate in practice meetings and practice management meetings, reporting progress as required.

Participate in audits and inspections as appropriate.

Work closely with the doctors and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets.

Ensure that all Practice Policys are fully implemented

Maintain necessary Occupational health records for clinical staff.

7.HEALTH AND SAFETY/RISK MANAGEMENT

The post-holder must comply at all times with the Practices Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System.

The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).

• EQUALITY AND DIVERSITY
• The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.

8. RESPECT FOR PATIENT CONFIDENTIALITY

The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

9. SPECIAL WORKING CONDITIONS

The post-holder is required to travel independently between practice sites (where applicable), and to attend meetings etc hosted by other agencies.

The post-holder will have contact with body fluids ie, wound exudates; urine etc while in clinical practice.

10. REHABILITATION OF OFFENDERS ACT 1994

Because of the nature of the work, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1994 (Exceptions) Order 1995. Applicants for posts are not entitled to withhold information about convictions which for other purposes are spent under the provisions of the Act and in the event of employment any failure to disclose such convictions could result in disciplinary action or dismissal by the Practice. Any information given will be completely confidential and will be considered only in relation to an applicant of a position to which the order applies

Person Specification

Qualifications

Essential

• NMC registered,
• Prescribing Qualification,

Experience

Desirable

• Previous experience of working within a GP Practice is desirable but not essential.

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

St Luke’s Surgery

Address

29 The Pinfold

Walsall

WS3 3JP

Employer's website

https://www.nhs.uk/Services/gp/Overview/DefaultView.aspx?id=43582 (Opens in a new tab)