Discovery Practice

Advanced Nurse Practitioner

This job is now closed

Job summary

We are excited to be able to open a position for an additional ANP within our current practice team. Discovery practice serves a population of 8500 patients. Our team consists of 3 GP partners and 2 full-time ANP complemented by 2 Practice Nurses and 2 Health care assistants and our reception and administration team.

We are also part of the Central Middlesbrough Primary Care Network. Under the Additional roles scheme we collaboratively or directly employ Social Prescribers, Care co-ordinators, Pharmacists, First Contact Physiotherapy and most recently a Mental Health Practitioner. Our team is growing in numbers and diversity. We also provide our own Extended Access service which employees have the option to cover additional sessions.

Main duties of the job

The main purpose of the role is to work as an autonomous practitioner carrying out assessments via telephone, video call and face to face of patients presenting with undifferentiated and undiagnosed acute illness or with long term conditions. Providing care for the presenting patients from initial history taking, clinical assessment, ordering diagnostic testing, making necessary referrals, diagnosis, treatment, and evaluation of care. You will be expected to answer queries relating to ongoing patient care. Providing safe clinical practice working within boundaries of competence and skills, adhering to, and working within the NMC code of Conduct. We work collaboratively with the general practice team to meet the needs of patients supporting the delivery of policy and procedures. Home visiting is essential part of the role to enable the practice to serve those patients in a home/community setting who are unable to attend the practice and support the wider Primary Care Team.

About us

We are committed to providing innovative and sustainable health and wellbeing solutions for the benefit of all our patients and workforce.

Date posted

15 August 2023

Pay scheme

Other

Salary

Depending on experience Band 8 - 8a

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A1967-23-0002

Job locations

Cleveland Health Centre

20 Cleveland Square

Middlesbrough

Cleveland

TS1 2NX

Job description

Job responsibilities

Main Responsibilities

· Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.

· Clinically examine and assess patient needs and plan clinical care accordingly.

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

· Prescribe and review medication for therapeutic effectiveness.

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

· Provide information and advice on prescribed, or over-the-counter medication on medication regimes, side effects and interaction.

· 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.

· Undertake sexual health service procedures as appropriate to competence.

· Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret finding /reports.

· Refer patients directly to other services/agencies as appropriate.

· Other areas of relevant clinical importance as required.

· Assist the practice in providing all service contract undertaken e.g. GMS/PMS Enhance or essential services plus DES/ LES local authority (list not exhaustive).

Team Working

· 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.

· Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team.

· Work effectively 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 clinical management team.

· Provide and deliver training to develop the practice team.

· Mentor and support other nurses in developing and maintaining clinical skills.

· Contribute to the planning and implementation of the teaching for new and existing staff, such as medical students, NP students, GP registrars, health Care assistants, etc. within the practice.

Communication and Relationships

· Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

· Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. Consider patients communication requirements.

· 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 and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

· Attend practice and external meetings as requested.

· Maintain effective communication with the practice team.

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 and high standards.

· Deliver care according to NSF, 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 and 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 and 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.

· Understand and apply legal issues that support the identification of vulnerable and abused children and adults, be aware of statutory child/vulnerable patients health procedures and local guidance.

· Understand and apply legislation such as the Mental Capacity act and consent and capability procedures.

· Delivery of innovation with services/systems, research opportunities/studies (list not exhaustive).

Most rewarding part of the job professionally

v To work autonomously seeing patients with undifferentiated problems, setting and maintaining patient care standards.

v To assess, diagnose, and treat patients presenting with a wide range of clinical conditions, both in complexity and severity.

v To operate as a “generalist” providing complete episodes of care for patients of any age and with a wide variety of presenting problems and health care needs.