Job summary
Oak Tree Surgery and Pensilva Health Centre are seeking a motivated and enthusiastic Advanced Nurse Practitioner or Prescribing Paramedic to join our friendly and dynamic team.
Our aim is to provide high quality healthcare for all. We are a large innovative practice operating from two sites situated in South East Cornwall with a great mix of rural and market town patients. We are within easy distance of the picturesque south coast and the stunning north coast with rugged moorland in between, fantastic for an outdoor lifestyle whilst still within a reasonable visiting distance of cities like Truro and Plymouth.
Some of the benefits of working in our clinical team include:
- 6 weeks annual leave per year plus bank holidays
- 1 week CPD leave
- Regular half day practice closures for staff training, team building and wellbeing activities
- Electric vehicle salary sacrifice scheme
- Free on-site parking
- Company sick pay
- Regular social events including annual company funded Christmas party
- Numerous charity fundraising events throughout the year
- Lunch break staff walking group
- Monthly team meetings for shared learning
Our large clinical team is supported by a dynamic, well-structured management and administrative team to allow smooth and efficient running of the practice. This also enables us to seize opportunities to innovate and further improve our patient care and the wellbeing of our staff.
Main duties of the job
The post holder is an experienced Nurse/Paramedic who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.
They will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the 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/HCPC requirements for advanced practice must be met.
Working Pattern: 8am-6pm 4 days per week (Monday, Tuesday, Thursday, and Friday).
About us
- Fun, friendly, and highly motivated team of
individuals who all work together in a welcoming and supportive
environment
- We strive to be leaders in the health and
wellbeing of our staff and patients
- Stable and long established large practice
operating from two modern purpose built buildings (both dispensing sites)
- 17,000 patient list size
- Clinical team consists of 15 GPs and trainees,
Large ANP team, Mental Health Practitioners, Physicians Associates, Clinical Pharmacists, and First Contact Physiotherapists
- Large Nursing and Admin Teams who absorb most of
the chronic disease, tasks, non-complex clinical care and admin work, all
geared towards reducing GP and ANP workload
- Excellent IT support systems
- In house Dispensary and Pharmacy staffed by a Superintendant
Pharmacist
- Teaching and GP Training Practice
- Remote triage practice using the latest
technology to deliver virtual consultations
- In house dedicated clinical research unit
receiving the top level of funding available
- EMIS Web clinical system
Job description
Job responsibilities
Job Title: Advanced Nurse Practitioner / Prescribing Paramedic
Location: Oak Tree Surgery, Clemo
Road, Liskeard PL14 3XA and Pensilva Health Centre, School Road, Pensilva ,
PL14 5RP.
Managerially Accountable to: Practice
Manager and Partners
Professionally Accountable to: Practice Manager
Contract: Permanent
Working Pattern: 36 hours per week over 4 days, 8am-6pm (Monday, Tuesday, Thursday, and Friday).
Salary/Rate of Pay: Competitive, negotiable depending on experience
Key clinical responsibilities:
- 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
- Proactively identify, diagnose and manage
treatment plans for patients at risk of developing a long-term condition
(as appropriate)
- 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, appropriate to patient needs and in accordance
with evidence-based practice and national and practice protocols, and
within scope of practice
- Work with patients in order to support
compliance with and adherence to prescribed treatments. Provide
information and advice on prescribed or over-the-co bunter medication on
medication regimens, side-effects and interactions
- 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
Communication:
- Utilise and demonstrate sensitive
communication styles, to ensure patients are fully informed and consent to
treatment
- Communicate with and support patients who are
receiving bad news
- 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
- 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 any 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 (eg. root-cause
analysis) to manage, review and identify learning from patient complaints,
clinical incidents and near-miss events
- Assess the impact of policy implementation on
care delivery
- Understand and apply legal issues that support
the identification of vulnerable and abused children 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 model
- 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 lead 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 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 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
to health care for all
- Interpret national strategies and
policies into local implementation strategies that are aligned to the
values and culture of general practice
- Use technology and appropriate software as an
aid to management in planning, implementation and monitoring of care,
presenting and communicating information
- Review and process data using accurate Read
codes in order to ensure easy and accurate information retrieval for
monitoring and 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 (eg. courses and conferences)
- Assess own learning needs and undertake
learning as appropriate
- Provide an educational role to patients,
carers, families and colleagues in an environment that facilitates
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 a 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
- Accept 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
Job description
Job responsibilities
Job Title: Advanced Nurse Practitioner / Prescribing Paramedic
Location: Oak Tree Surgery, Clemo
Road, Liskeard PL14 3XA and Pensilva Health Centre, School Road, Pensilva ,
PL14 5RP.
Managerially Accountable to: Practice
Manager and Partners
Professionally Accountable to: Practice Manager
Contract: Permanent
Working Pattern: 36 hours per week over 4 days, 8am-6pm (Monday, Tuesday, Thursday, and Friday).
Salary/Rate of Pay: Competitive, negotiable depending on experience
Key clinical responsibilities:
- 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
- Proactively identify, diagnose and manage
treatment plans for patients at risk of developing a long-term condition
(as appropriate)
- 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, appropriate to patient needs and in accordance
with evidence-based practice and national and practice protocols, and
within scope of practice
- Work with patients in order to support
compliance with and adherence to prescribed treatments. Provide
information and advice on prescribed or over-the-co bunter medication on
medication regimens, side-effects and interactions
- 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
Communication:
- Utilise and demonstrate sensitive
communication styles, to ensure patients are fully informed and consent to
treatment
- Communicate with and support patients who are
receiving bad news
- 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
- 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 any 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 (eg. root-cause
analysis) to manage, review and identify learning from patient complaints,
clinical incidents and near-miss events
- Assess the impact of policy implementation on
care delivery
- Understand and apply legal issues that support
the identification of vulnerable and abused children 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 model
- 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 lead 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 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 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
to health care for all
- Interpret national strategies and
policies into local implementation strategies that are aligned to the
values and culture of general practice
- Use technology and appropriate software as an
aid to management in planning, implementation and monitoring of care,
presenting and communicating information
- Review and process data using accurate Read
codes in order to ensure easy and accurate information retrieval for
monitoring and 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 (eg. courses and conferences)
- Assess own learning needs and undertake
learning as appropriate
- Provide an educational role to patients,
carers, families and colleagues in an environment that facilitates
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 a 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
- Accept 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
Person Specification
Experience
Desirable
- A detailed understanding of a General Practice environment
- An understanding of QOF framework
- Experience of using EMIS Clinical System
Qualifications
Essential
- Degree Qualified (Advanced Clinical Practice or Paramedic)
- Independent Non-Medical Prescriber
- Full NMC/HCPC Registration
Desirable
- Relevant Masters level degree
Person Specification
Experience
Desirable
- A detailed understanding of a General Practice environment
- An understanding of QOF framework
- Experience of using EMIS Clinical System
Qualifications
Essential
- Degree Qualified (Advanced Clinical Practice or Paramedic)
- Independent Non-Medical Prescriber
- Full NMC/HCPC Registration
Desirable
- Relevant Masters level degree
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).
