Advanced Clinical Practitioner/Advanced Nurse Practitioner
This job is now closed
Job summary
Silverdale Family Practice are an outstanding CQC rated practice, based in the heart of the South Hetton Community. We thrive on good practice, service excellence and delivering great care for our patients. We enjoy a professional working environment and have a highly committed multidisciplinary team, where continuous improvement is part of what we do each day.
We are recruiting 2 wte Advanced Clinical or Nurse Practitioners to join our team and are looking for forward-thinking, hard-working candidates who would thrive in a busy but inclusive environment, like ours. Many of our staff have worked at the practice for a long time because they are in a positive, supportive environment - where everyone's contribution is respected.
As a practice we are developing a partnership with the local Foundation Trust, County Durham and Darlington NHS FT. A unique aspect of this role will involve working with our hospital colleagues, particularly in Community Services, to improve our offer to patients.
Main duties of the job
The Advanced Clinical Practitioner will act autonomously within their professional boundaries. They will demonstrate safe critical thinking in the clinical decision-making process and provide expert care, from initial history taking, clinical assessment, diagnosis, initiating treatment and evaluating care. They will work collaboratively as part of the practice multidisciplinary team, delivering care within their scope of practice and agreed acceptable limits of practice, to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence. They will need to prioritise and triage the needs of patients accordingly, making any necessary referrals for investigations in the appropriate manner, supporting the delivery of policy and procedures.
About us
Silverdale Family Practice consistently achieve positive results from the annual GP survey and regular Friends and Family testing.
Details
Date posted
15 June 2023
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Full-time, Part-time, Job share, Flexible working, Compressed hours
Reference number
A2752-23-0002
Job locations
South Hetton Health Centre
Front Street
South Hetton
Durham
DH6 2TH
Job description
Job responsibilities
Clinical Practice
Assess patients who present with previously undifferentiated, undiagnosed problems, taking responsibility for their health assessment and physical examination.
Make differential diagnosis using decision making and problem solving skills.
Plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan.
Make professional autonomous decisions for which they are accountable.
Order necessary investigations and provide treatment and care, both individually, as part of a team and through direct referral to other primary and secondary agencies.
Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
Plan, implement and evaluate the chronic disease management programmes in line with current evidence based best practice and the GMS contract, reducing unnecessary hospital admissions and promote the preventative aspect of nursing practice.
Prescribe appropriately as an Independent Non-Medical Prescriber, using the practice formulary. Prescribing and reviewing medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols and formularies.
Fully participate in the clinical administration within the practice, signing prescriptions, reviewing medication, EPS, reviewing patient letters/discharges summaries and other clinical correspondence.
Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.
Review and process laboratory results.
Fully document all clinical and appropriate information within patients computer records from both face to face and telephone consultations and all other appropriate instances together with appropriate read coding.
Work with patients and their carers in order to support compliance with and adherence to prescribed treatments.
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.
Support and manage health needs of women presenting for family planning or sexual health consultation.
Ensures awareness of statutory and local clinical protection procedures, including systems of referral.
Participate in vaccination and immunisation programmes for both adults and children.
Work as part of a multi-disciplinary team to deliver safe and high quality care.
Care Management
Communicate confidential and sensitive information to patients, relatives and carers in relation to their condition.
Provide highly specialised care advice beyond the scope of normal practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).
Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.
To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.
Health Improvement
Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.
Innovation in practice to meet ongoing demands on the practices delivery of care.
Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.
Support practitioners in reporting the practice population to promote health improvement and disease prevention.
Make referrals to appropriate agencies (statutory and voluntary) where necessary
Providing assessment, screening services, health education advice:
These may include (but not restricted to);
oBlood pressure checks
oUrinalysis
oEar syringing
oDressings/Wound care
oContraception/ fitting contraceptive devices
oRoutine immunisations and vaccinations
oRemoval of sutures / clips
oFirst registration checks / health surveillance / general health advice
oAssisting with minor procedures in the treatment room
oChronic disease management
Administration and professional responsibilities
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Participate in the administrative and professional responsibilities of the practice team
Accurate and legible notes of all consultations and treatments are recorded in the patients notes
Ensure clinical systems kept up to date, recording and/or amending accurate details
Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator
Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
Attend and participate in practice meetings as required
Training and personal development
Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.
Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.
Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.
Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.
Develop and maintain a Personal Learning Plan.
Regularly participate in clinical supervision.
Personal and people development
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
Critically evaluate and review innovations and developments that are relevant to the area of work
Confidentiality:
In the course of seeking treatment, patients entrust practice staff with, or allow us to gather, sensitive information in relation to their health and other matters.
Comply with Legislation with regards to data protection act and ensure confidentiality is maintained at all times.
The post-holder must regard all information relating to patients and their carers, practice staff and other healthcare workers (as well as information relating to the practice as a business organisation) as strictly confidential
Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality, data protection legislation and the protection of personal and sensitive data, as well as other related healthcare legislation (e.g. the NHS Confidentiality Code of Practice)
Awareness of national standards of infection control and cleanliness
Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed, escalating issues as appropriate.
Safe management of sharps procedures, including use, storage and disposal
Keeping own work areas and general / patient areas generally clean, sterile, assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other managers
Demonstrate due regard for safeguarding and promoting the welfare of children.
Routine management of own areas, and maintenance of work space standards;
oWaste management, including collection, handling, segregation, container management, storage and collection
oSpillage control procedures, management and training
oDecontamination control procedures, management and training, and equipment maintenance
Equality and Diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity.
Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Support people who need assistance in exercising their rights.
Quality:
The post-holder will strive to maintain quality within the practice, and will:
Alert other team members to issues of quality and risk
Assess own performance and take accountability for own actions, either directly or under supervision
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Work effectively with individuals in other agencies to meet patients needs
Effectively manage own time, workload and resources
Communication:
The post-holder should recognize the importance of effective communication within the team and will strive to:
Communicate effectively with other team members
Communicate effectively with patients and carers
Recognize peoples needs for alternative methods of communication and respond accordingly
The post-holder will:
Apply practice policies, standards and guidance
Discuss with other members of the team how the policies, standards and guidelines will affect own work
Participate in audit where appropriate.
Job description
Job responsibilities
Clinical Practice
Assess patients who present with previously undifferentiated, undiagnosed problems, taking responsibility for their health assessment and physical examination.
Make differential diagnosis using decision making and problem solving skills.
Plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan.
Make professional autonomous decisions for which they are accountable.
Order necessary investigations and provide treatment and care, both individually, as part of a team and through direct referral to other primary and secondary agencies.
Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
Plan, implement and evaluate the chronic disease management programmes in line with current evidence based best practice and the GMS contract, reducing unnecessary hospital admissions and promote the preventative aspect of nursing practice.
Prescribe appropriately as an Independent Non-Medical Prescriber, using the practice formulary. Prescribing and reviewing medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols and formularies.
Fully participate in the clinical administration within the practice, signing prescriptions, reviewing medication, EPS, reviewing patient letters/discharges summaries and other clinical correspondence.
Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.
Review and process laboratory results.
Fully document all clinical and appropriate information within patients computer records from both face to face and telephone consultations and all other appropriate instances together with appropriate read coding.
Work with patients and their carers in order to support compliance with and adherence to prescribed treatments.
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.
Support and manage health needs of women presenting for family planning or sexual health consultation.
Ensures awareness of statutory and local clinical protection procedures, including systems of referral.
Participate in vaccination and immunisation programmes for both adults and children.
Work as part of a multi-disciplinary team to deliver safe and high quality care.
Care Management
Communicate confidential and sensitive information to patients, relatives and carers in relation to their condition.
Provide highly specialised care advice beyond the scope of normal practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).
Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.
To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.
Health Improvement
Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.
Innovation in practice to meet ongoing demands on the practices delivery of care.
Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.
Support practitioners in reporting the practice population to promote health improvement and disease prevention.
Make referrals to appropriate agencies (statutory and voluntary) where necessary
Providing assessment, screening services, health education advice:
These may include (but not restricted to);
oBlood pressure checks
oUrinalysis
oEar syringing
oDressings/Wound care
oContraception/ fitting contraceptive devices
oRoutine immunisations and vaccinations
oRemoval of sutures / clips
oFirst registration checks / health surveillance / general health advice
oAssisting with minor procedures in the treatment room
oChronic disease management
Administration and professional responsibilities
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Participate in the administrative and professional responsibilities of the practice team
Accurate and legible notes of all consultations and treatments are recorded in the patients notes
Ensure clinical systems kept up to date, recording and/or amending accurate details
Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator
Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
Attend and participate in practice meetings as required
Training and personal development
Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.
Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.
Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.
Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.
Develop and maintain a Personal Learning Plan.
Regularly participate in clinical supervision.
Personal and people development
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
Critically evaluate and review innovations and developments that are relevant to the area of work
Confidentiality:
In the course of seeking treatment, patients entrust practice staff with, or allow us to gather, sensitive information in relation to their health and other matters.
Comply with Legislation with regards to data protection act and ensure confidentiality is maintained at all times.
The post-holder must regard all information relating to patients and their carers, practice staff and other healthcare workers (as well as information relating to the practice as a business organisation) as strictly confidential
Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality, data protection legislation and the protection of personal and sensitive data, as well as other related healthcare legislation (e.g. the NHS Confidentiality Code of Practice)
Awareness of national standards of infection control and cleanliness
Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed, escalating issues as appropriate.
Safe management of sharps procedures, including use, storage and disposal
Keeping own work areas and general / patient areas generally clean, sterile, assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other managers
Demonstrate due regard for safeguarding and promoting the welfare of children.
Routine management of own areas, and maintenance of work space standards;
oWaste management, including collection, handling, segregation, container management, storage and collection
oSpillage control procedures, management and training
oDecontamination control procedures, management and training, and equipment maintenance
Equality and Diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity.
Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Support people who need assistance in exercising their rights.
Quality:
The post-holder will strive to maintain quality within the practice, and will:
Alert other team members to issues of quality and risk
Assess own performance and take accountability for own actions, either directly or under supervision
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Work effectively with individuals in other agencies to meet patients needs
Effectively manage own time, workload and resources
Communication:
The post-holder should recognize the importance of effective communication within the team and will strive to:
Communicate effectively with other team members
Communicate effectively with patients and carers
Recognize peoples needs for alternative methods of communication and respond accordingly
The post-holder will:
Apply practice policies, standards and guidance
Discuss with other members of the team how the policies, standards and guidelines will affect own work
Participate in audit where appropriate.
Person Specification
Experience
Essential
- Minimum of 2 years' post registration experience of working at an advanced level in primary / community / acute health care setting
- Able to analyse and interpret prescribing data
- Able to manage acute illnesses, long term conditions and minor ailments
- Refer patients independently as appropriate
- Interprets a range of diagnostic tests and routine clinical procedures
- Understanding and experience of inter-agency working across health groups and networks
- Has provided effective health education and health promotion to patients presenting with a range of health needs
- Has a planned and organised approach with an ability to prioritise their own workload to meet strict deadlines
- Excellent understanding of data protection and confidentiality issues
- Able to think analytically; anticipating obstacles and thinking ahead; using analytical techniques to come up with solutions
- Excellent verbal and written communication skills with team members, patients, carers, and other healthcare professionals whilst recognising peoples needs for alternative methods of communication
- Has attention to detail, able to work accurately, identifying errors quickly and easily
- Experience of Clinical Governance and risk assessment
- Committed to own continuing personal development and an ability to support others to develop and progress
Qualifications
Essential
- Registered Practitioner with current registration
- MSc or BSc Clinical Practitioner degree
- V300 Non-medical prescriber
Person Specification
Experience
Essential
- Minimum of 2 years' post registration experience of working at an advanced level in primary / community / acute health care setting
- Able to analyse and interpret prescribing data
- Able to manage acute illnesses, long term conditions and minor ailments
- Refer patients independently as appropriate
- Interprets a range of diagnostic tests and routine clinical procedures
- Understanding and experience of inter-agency working across health groups and networks
- Has provided effective health education and health promotion to patients presenting with a range of health needs
- Has a planned and organised approach with an ability to prioritise their own workload to meet strict deadlines
- Excellent understanding of data protection and confidentiality issues
- Able to think analytically; anticipating obstacles and thinking ahead; using analytical techniques to come up with solutions
- Excellent verbal and written communication skills with team members, patients, carers, and other healthcare professionals whilst recognising peoples needs for alternative methods of communication
- Has attention to detail, able to work accurately, identifying errors quickly and easily
- Experience of Clinical Governance and risk assessment
- Committed to own continuing personal development and an ability to support others to develop and progress
Qualifications
Essential
- Registered Practitioner with current registration
- MSc or BSc Clinical Practitioner degree
- V300 Non-medical prescriber
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
Silverdale Family Practice
Address
South Hetton Health Centre
Front Street
South Hetton
Durham
DH6 2TH
Employer's website
Employer details
Employer name
Silverdale Family Practice
Address
South Hetton Health Centre
Front Street
South Hetton
Durham
DH6 2TH
Employer's website
Employer contact details
For questions about the job, contact:
Details
Date posted
15 June 2023
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Full-time, Part-time, Job share, Flexible working, Compressed hours
Reference number
A2752-23-0002
Job locations
South Hetton Health Centre
Front Street
South Hetton
Durham
DH6 2TH
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