Job summary
Sutton PCNs are looking to employ an Advanced Nurse Practitioner to work with our GP Practices to identify patients who are at a higher risk of developing cardiovascular disease, and run our clinic to help monitor and improve their health. You will be working as part of the PCN multidisciplinary team, delivering care
within your scope of practice to the entitled patient population.
You should be an enthusiastic and highly motivated ANP with GP Practice experience. The successful candidate will be using advanced autonomous clinical skills and a broad and in-depth theoretical knowledge base in line with the latest RCN guidance on ANP competencies. You'll be joining a great team in a great place, where your commitment will be genuinely valued, your skills respected, and your ambition rewarded.
Main duties of the job
The Advanced Nurse Practitioner will work within their professional
boundaries;
providing care for the presenting patient from initial history taking,
clinical assessment, diagnosis, treatment and evaluation of their care.
in an autonomous role
to provide in-person & telephone-based triage, assessments and consultations.
to demonstrate safe, clinical decision-making and expert care for patients
within the general practice maintaining clinical excellence.
to work collaboratively with the multi-disciplinary general practice team
to meet the needs of patients, supporting the delivery of policy and
procedures. In order to work at this level, NMC requirements for advanced
practice must be met.
to develop new and innovative concepts, models, methods and practices to
deliver new and improved primary care services to meet the needs of PCN Patient
population
to promote education and training to other staff and students, acting as a
training resource
The post holder will work strictly in accordance with PCN protocols,
policies and guidelines after appropriate training and assessment of competences
have been completed and satisfied. Flexible working
will be required to meet the needs of the patients group and the service as it
continues to develop.
About us
Sutton has a population of approximately
200,000 residents registered to 22 practices across 4 Primary
Care Networks (PCNs); Carshalton, Cheam & South Sutton, Central Sutton and
Wallington PCN; each serving a population of approximately 50,000
patients. PCNs form a key building block
of the NHS long-term plan. Bringing general practices together to work at scale
has been a policy priority for some years for a range of reasons, including
improving the ability of practices to recruit and retain staff; to manage
financial and estates pressures; to provide a wider range of services to
patients and to more easily integrate with the wider health and care system.
(The Kings Fund, Primary Care Networks Explained, 1.7.19)
Our Sutton PCNs are forward-looking, friendly
and focused on providing a wide range of excellent healthcare services to
patients in Sutton and the surrounding area.
Our PCNs between them are led 7 PCN Clinical Directors. The PCNs work
together as they see the benefits of working together in a larger GP
partnership and are delighted to be realising some of those benefits now. Because
of our scale, not only are we more resilient and efficient but we are able to
invest in continuous quality improvement, enhanced care, new services and
training and developing our workforce. We value the diversity of our colleagues
and actively champion an inclusive culture and are committed to helping our
colleagues achieve a work/life balance.
Job description
Job responsibilities
Clinical Care Delivery
- 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
- Make professionally autonomous decisions for
which he/she is accountable
- Instigate necessary invasive and non-invasive diagnostic tests or
investigation and interpret findings/reports
- 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
- Participate 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
(e.g. Coronary Heart Disease/Older People/Diabetes/Mental Health) are being
delivered
- Work with multi-disciplinary
teams within the practice and across the wider CIC, to promote integrated and
seamless pathways of care
- Contribute to the PCN 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
- Be aware of and contribute to,
planning and delivery of practice-based commissioning
- This is not an exhaustive list
and may be amended dependent on staff competency and service need
ANPs cannot:
Provide care to pregnant women if this involves assessment of the
pregnancy, unless they are also a practising midwife meeting the NMC
requirements of registration
Professional role
- 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
- Pro-actively promote the role of the Advanced
Nurse Practitioner externally to key
stakeholders and agencies
- 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
- 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 PCN policies are fully
implemented
- Work collaboratively with colleagues within
and external to the PCN
- Participate in audits and inspections as
appropriate
Communication
The post-holder should recognise the
importance of effective communication within the team and will strive to:
- Communicate effectively with other team
members, including the Community team, Social Services and Voluntary
Organisations staffs as required.
- Communicate effectively with patients
and carers
- Recognise peoples needs for alternative
methods of communication and respond accordingly
Personal/Professional Development:
The post-holder will
participate in any training programme implemented by the PCN as part of this
employment, such training to include:
- Participation in an annual appraisal,
including taking responsibility for maintaining a record of own personal and/or
professional development
- Taking responsibility for own development,
learning and performance and demonstrating skills and activities to others who
are undertaking similar work.
- Attending relevant professional courses and
study days.
- Ensure they are carrying out regular clinical
audits of their own and nursing team clinics and consultations
Safeguarding Children
and Adults
The Sutton PCN is
committed to safeguarding and promoting the welfare of children, young people (anyone under the age of 18) and adults. It expects all staff to share this commitment and act in
such a way that safeguards and promotes the health and wellbeing of children,
young people and adults.
- Staff must ensure that they are familiar
with the signs and symptoms of abuse and know what to do if any such concerns
are raised.
- Staff are expected to know about and how
to follow safeguarding children and safeguarding adult policies.
- All employees working in at Sutton PCNs have a
contractual right and a duty to raise genuine concerns they have with their
employer about malpractice, patient safety, financial impropriety or any
other serious risks they consider to be in the public interest. Sutton PCNs
have local policies in place that emphasise that it is safe and acceptable
for staff to raise concerns.
General
- This job description
reflects the current situation. It is subject to review and updating in the
light of changing service needs. Details may be changed in consultation with
the role holder and/or reviewed at their annual appraisal.
- Job descriptions are
not designed to be all-inclusive although they will, as far as practicable, be
a reasonably accurate and understandable specification of duties. The nature of
the organisation demands a flexible approach in order to provide efficient and
modern services to our patients. This job description may be amended by the PCN
and the post holder may be required to carry out additional or other duties as
may be reasonably required.
- This job description
may be subject to periodic review and amendment in consultation with the
postholder.
Job description
Job responsibilities
Clinical Care Delivery
- 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
- Make professionally autonomous decisions for
which he/she is accountable
- Instigate necessary invasive and non-invasive diagnostic tests or
investigation and interpret findings/reports
- 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
- Participate 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
(e.g. Coronary Heart Disease/Older People/Diabetes/Mental Health) are being
delivered
- Work with multi-disciplinary
teams within the practice and across the wider CIC, to promote integrated and
seamless pathways of care
- Contribute to the PCN 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
- Be aware of and contribute to,
planning and delivery of practice-based commissioning
- This is not an exhaustive list
and may be amended dependent on staff competency and service need
ANPs cannot:
Provide care to pregnant women if this involves assessment of the
pregnancy, unless they are also a practising midwife meeting the NMC
requirements of registration
Professional role
- 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
- Pro-actively promote the role of the Advanced
Nurse Practitioner externally to key
stakeholders and agencies
- 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
- 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 PCN policies are fully
implemented
- Work collaboratively with colleagues within
and external to the PCN
- Participate in audits and inspections as
appropriate
Communication
The post-holder should recognise the
importance of effective communication within the team and will strive to:
- Communicate effectively with other team
members, including the Community team, Social Services and Voluntary
Organisations staffs as required.
- Communicate effectively with patients
and carers
- Recognise peoples needs for alternative
methods of communication and respond accordingly
Personal/Professional Development:
The post-holder will
participate in any training programme implemented by the PCN as part of this
employment, such training to include:
- Participation in an annual appraisal,
including taking responsibility for maintaining a record of own personal and/or
professional development
- Taking responsibility for own development,
learning and performance and demonstrating skills and activities to others who
are undertaking similar work.
- Attending relevant professional courses and
study days.
- Ensure they are carrying out regular clinical
audits of their own and nursing team clinics and consultations
Safeguarding Children
and Adults
The Sutton PCN is
committed to safeguarding and promoting the welfare of children, young people (anyone under the age of 18) and adults. It expects all staff to share this commitment and act in
such a way that safeguards and promotes the health and wellbeing of children,
young people and adults.
- Staff must ensure that they are familiar
with the signs and symptoms of abuse and know what to do if any such concerns
are raised.
- Staff are expected to know about and how
to follow safeguarding children and safeguarding adult policies.
- All employees working in at Sutton PCNs have a
contractual right and a duty to raise genuine concerns they have with their
employer about malpractice, patient safety, financial impropriety or any
other serious risks they consider to be in the public interest. Sutton PCNs
have local policies in place that emphasise that it is safe and acceptable
for staff to raise concerns.
General
- This job description
reflects the current situation. It is subject to review and updating in the
light of changing service needs. Details may be changed in consultation with
the role holder and/or reviewed at their annual appraisal.
- Job descriptions are
not designed to be all-inclusive although they will, as far as practicable, be
a reasonably accurate and understandable specification of duties. The nature of
the organisation demands a flexible approach in order to provide efficient and
modern services to our patients. This job description may be amended by the PCN
and the post holder may be required to carry out additional or other duties as
may be reasonably required.
- This job description
may be subject to periodic review and amendment in consultation with the
postholder.
Person Specification
Qualifications
Essential
- NMC Registration
- Advanced Nurse Practitioner MSc or working towards
- Independent Non- Medical Prescriber Qualification (V300)
Experience
Essential
- Previous primary care experience
- Experience of nurse led minor illness and triage
Desirable
- Supervisory and management experience
- Experience of managing chronic disease
- Work within a multicultural environment
- Experience of clinical audit, evaluation research and implementation of evidence-based practice
- Worked within teaching
- /training environment.
Competency Skills
Essential
- Communication and consultation skills
- Practising holistically
- Data gathering and interpretation
- Making a diagnosis or decision
- Managing medical complexity
- Clinical management lead
- Project management and leadership
- Working in a team
- Community orientation
- Continuous professional development
- Maintaining an ethical approach
- Fitness to practise
- Clinical examination and procedural skills
- Learning and development
- PCN Core values
Skills & Abilities
Essential
- A sound understanding of the national and local health agenda
- Willingness to undertake training at a higher level if necessary
- Willingness to participate in clinical supervision and performance review
- Awareness of the legal and ethical issues of the role
- Excellent interpersonal and communication skills
- Ability to work effectively in a multidisciplinary team as a key player
- Skills in clinical examination and diagnostic techniques
- Information technology skills
Desirable
- IT experience / computer skills
- Willingness to undertake training at a higher level if necessary
- Work within a multicultural environment
- Awareness of clinical governance issues in primary care
Personal
Essential
- Ability to work effectively with other members of the team and other partners and agencies
- Commitment to on-going personal and professional development
Desirable
- Ability to be self-directed and self-motivated
Person Specification
Qualifications
Essential
- NMC Registration
- Advanced Nurse Practitioner MSc or working towards
- Independent Non- Medical Prescriber Qualification (V300)
Experience
Essential
- Previous primary care experience
- Experience of nurse led minor illness and triage
Desirable
- Supervisory and management experience
- Experience of managing chronic disease
- Work within a multicultural environment
- Experience of clinical audit, evaluation research and implementation of evidence-based practice
- Worked within teaching
- /training environment.
Competency Skills
Essential
- Communication and consultation skills
- Practising holistically
- Data gathering and interpretation
- Making a diagnosis or decision
- Managing medical complexity
- Clinical management lead
- Project management and leadership
- Working in a team
- Community orientation
- Continuous professional development
- Maintaining an ethical approach
- Fitness to practise
- Clinical examination and procedural skills
- Learning and development
- PCN Core values
Skills & Abilities
Essential
- A sound understanding of the national and local health agenda
- Willingness to undertake training at a higher level if necessary
- Willingness to participate in clinical supervision and performance review
- Awareness of the legal and ethical issues of the role
- Excellent interpersonal and communication skills
- Ability to work effectively in a multidisciplinary team as a key player
- Skills in clinical examination and diagnostic techniques
- Information technology skills
Desirable
- IT experience / computer skills
- Willingness to undertake training at a higher level if necessary
- Work within a multicultural environment
- Awareness of clinical governance issues in primary care
Personal
Essential
- Ability to work effectively with other members of the team and other partners and agencies
- Commitment to on-going personal and professional development
Desirable
- Ability to be self-directed and self-motivated
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).
