PCN Nurse Practitioner/Advanced Nurse Practitioner

Job description

Job responsibilities

The post holder will be an experienced Enhanced Nurse/Nurse Specialist, Nurse Practitioner or ANP ensuring all patients receive the best possible care and service. The post holders role will be pivotal in supporting the Co-Clinical Directors, the management team and member practices in coordinating and delivering key activities for the PCN DES. The role will include supporting digital initiatives and coordinating the patient journey through primary care with focused work around the delivery of the Directed Enhanced Service (DES) specifications to include Long-Term Condition (LTCs) patient management.

CORE RESPONSIBILITIES OF THE ROLE

Key responsibilities for the post holder in delivering the additional PCN health services to patients will include but are not limited to the following

Management of Patient Health and Illness

To work with clinicians, members of the Clinical Pharmacy team, the wider PCN and member practices to identify and clinically manage a caseload of patients with long term conditions.

To work closely with and in partnership with practices and other partner organisations to help improve patient outcomes, ensure better access to healthcare and help manage general practice workload. The role has the potential to significantly improve the quality of care and safety for patients.

To take a holistic approach to patient care, including lifestyle advice for long term conditions. Explore opportunities for patient peer group sessions focused on long term conditions and lifestyle management.

To evaluate clinical information from examination and history taking. Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports, liaising and sharing information with the Clinical Pharmacy team and PCN practice staff as appropriate.

To support the Co-Clinical Directors and member practices in the delivery of the Network Contract DES specifications.

To prioritise health problems and intervene appropriately, including initiation and of effective emergency care, seeking the advice from a senior clinician where necessary.

To provide coordination and navigation with the aid of digital tools for patients and their carers across health and care services.

To provide safe, evidence-based, cost effective, individualised patient care.

To support the coordination and delivery of MDTs within the PCN.

To maintain accurate and contemporaneous records, utilising computer systems where appropriate and consider the Caldecott Principles and GDPR Regulations in relation to all data handling.

Provide clinical leadership, support and advice to the Clinical Pharmacy team members.

Work alongside the PCN Operational Manager with regards to the HR management of the Clinical Pharmacy team.

Where the post holder is a non-medical prescriber

To prescribe safe, effective and appropriate medication as defined by current legislative framework.

To carry out medication reviews, including Structured Medication Reviews, part of the patients annual or long-term condition reviews, and when needed.

To work with clinicians and the wider PCN to ensure safe and effective prescribing for patients under the care of the Clinical Pharmacy team.

Professional Role

To promote personal development and clinical excellence.

Working with an MDT approach and with others in developing new roles, responding to changing healthcare needs.

To facilitate and participate in multi-disciplinary education and clinical supervision

To work within the NP/ANP Code of Professional Conduct.

Participate in organisational decision making, interpret variations in outcomes and use data from information systems to improve practice.

To maintain own professional development in line with professional Regulations.

To 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 clinical practice through the quality assurance strategies as the use of audit and peer review.

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.

Keep up to date with relevant health-related policy and work with an MDT approach to consider the impact and strategies for implementation.

To play an active role in the development of PCN development plans and new services.

Demonstrate team leadership, resilience and determination, managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others.

Team Role

To liaise with all members of the PCN Team and other agencies local authority, social services, secondary care and voluntary sector in order to assure appropriate care is provided for the patient population.

To participate as a key member of the MDT team through the development of collaborative and innovative practice.

To value all team members.

Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary

To delegate appropriate tasks to the other team members whilst still maintaining responsibility for this area.

To support the delivery of health and safety guidance as agreed within the PCN.

To support the writing, maintenance and delivery of CQC guidance within the PCN.

Organisational

Be confident in the use of computer systems, creating searches, completing records, audits, reports and responding to appropriate questions and requests.

To attend meetings as requested.

Support effective communication channels between the whole team.

To work according to Clinical Governance and support the Clinical Governance Agenda.

To understand the role of Risk Management within the PCN contributing to risk assessment and Significant Event Audit and the importance of Infection Control.

To actively participate in the delivery of QOF targets and others as deemed by the arrangements in general practice finance.

Mission, Values and Strategic Direction

Ensure that patient centred care and safety is central to the culture, philosophy and organisation of the PCN.

To encourage and support patient with long term conditions to develop their ability to self-manage.

To develop a culture of ongoing review, taking into account new methods of working.

Communication/Collaboration

The post-holder should recognise the importance of effective communication and collaboration both within and outside the organisation and will strive to:

Communicate effectively with other team members

Communicate effectively with outside agencies and other stakeholders

Recognise peoples needs for alternative methods of communication and respond accordingly

Recognise the significance of collaborative working and ensure they communicate in a way, which enables the sharing of information in an appropriate manner.

Person Specification

Experience

Essential

• Post registration experience to evidence autonomous clinical practice relevant to General Practice
• Experience of working within a multi-disciplinary team in an acute or Primary Care Setting
• Highly developed specialist knowledge underpinned by theory and experience
• Experience of working under pressure and managing varying workloads and changing demands
• Sound knowledge of local primary care services including key players
• Demonstrate experience of CPD and desire to actively engage in ongoing learning of self and others
• Demonstrable experience of advanced clinical knowledge in all age groups
• Either an Independent Prescriber or willing to train as one

Desirable

• Leading/Managing staff

Qualifications

Essential

• Registered Nurse Practitioner
• Post registration qualification to evidence autonomous clinical practice relevant to Long Term Condition management
• Non-medical Prescribing qualification preferred but a willingness to gain the qualification within 12 months of being in the role would be considered

Desirable

• Further professional qualifications e.g. Advanced/Enhances Nurse Practitioner
• Masters Level Aware covering and assessing all 4 pillars of advanced clinical practice (clinical practice, leadership and management, education and research)

Skills & Abilities

Essential

• Ability to support and manage a case-load of patients including assessment, planning, monitoring and evaluation, including providing health promotion and education to patients and carers
• Ability to demonstrate effective written and verbal communication skills and excellent inter-personal and counselling skills
• Working autonomously and within professional boundaries when ordering tests, requesting investigations and developing interventions. Minimal supervision and support required
• Able to seek support from peers when faced with patients with presenting conditions outside of their clinical knowledge
• Ability to liaise effectively with members from other Health Care Providers within Primary and Secondary Care and external agencies as required
• Ability to work on own initiative and prioritise own work and work within a team

Desirable

• To use advanced health assessment, examination, diagnosis and treatment within an agreed scope of practice
• Direct responsibility for the management of patients within own caseload and supervision/development of junior members of the multidisciplinary team
• The ability to exercise a high level of personal/professional autonomy and make critical judgments to meet the expectations and demands of the role and service
• Able to participate with clinical audit
• Leading/Managing staff

Personal Qualities

Essential

• Committed and Enthusiastic to service and personal development
• Team Player
• Flexibility of working hours
• Willing to embrace change that will enhance the quality of the service and contribute to developing patient quality audits and pathways

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

Barnstaple Alliance Primary Care Network

Address

Brannams Medical Centre

Litchdon Street

Barnstaple

Devon

EX32 8GP

Employer's website

http://www.barnstaplealliance.co.uk/ (Opens in a new tab)