Advanced Nurse/Clinical Practitioner

Job description

Job responsibilities

Job responsibilities

Clinical Practice

• Work as part of a multi-disciplinary team to deliver safe and high quality care.
• Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of advanced skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan autonomously.
• Delivery of care in line with local and NICE guidelines, providing evidence-based care
• Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are communicated with and involved.
• Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.
• Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.
• Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.
• Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.
• Applicants must demonstrate a thorough understanding of, and commitment to applying, safeguarding guidelines to protect the welfare of both children and adults in their care.

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.
• Supports practitioners in reporting the practice population to promote health improvement and disease prevention.
• Makes referrals to appropriate agencies (statutory and voluntary) where necessary

Administration and professional responsibilities

• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
• Maintain their professional registration, working within their code of conduct
• Participate in the administrative and professional responsibilities of the practice team
• Ensure clinical systems kept up to date, recording and/or amending accurate records
• Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator
• 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.

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.
• Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education.
• Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.
• Act as a mentor for junior staff, assessing competence against set standards.
• 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.

Leadership personal and people development

• Act as a clinical leader in the delivery of practice services ensuring that the needs of the patient are a priority
• Support staff development in order to maximise potential
• 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
• Promote the role of the advanced clinical practitioner in general practice.

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)

Health & Safety:

The post-holder will comply with practice policies, procedures and clinical guidelines for self and others. This includes (but not limited to):

• Identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised
• Identifying issues and hazards / risks in relation to other work areas within the business
• Awareness of national standards of infection control and cleanliness, as well as ownership of infection control and clinically based patient care protocols and implementing them across the practice.
• Identifying the risks involved in work activities, raising them with appropriate management and managing those risks across clinical and patient processes.
• Safe management of sharps procedures, including training, 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

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
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
• 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 and other professionals involved in patient care
• Attend and contribute to practice meetings
• Communicate effectively with patients and carers
• Recognize peoples needs for alternative methods of communication and respond accordingly
• Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Contribution to the implementation of services:

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 quality improvement where appropriate.

Person Specification

Qualifications

Essential

• Registered with a relevant regulatory body (e.g., NMC, HCPC, GMC)
• Masters Level Qualification in Advanced Clinical Practice
• Independent Prescribing Qualification (V300)

Desirable

• Teaching or mentoring qualification or experience

Experience

Essential

• Minimum of 5 years post registration experience with the ability to take a comprehensive history and assess/examine patients.
• Experience of working as an ANP/ACP autonomously diagnosing and treating patients with undifferentiated medical and psychiatric conditions over the age of two years.
• Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all
• aspects of the ANP/ACP role.
• Experience in management long term conditions e.g. asthma, COPD, diabetes, CHD.
• Evidence of working autonomously and as part of a team.
• Proven ability to evaluate the safety and effectiveness of their own clinical practice.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

Stenhouse Medical Centre

Address

66 Furlong Street

Arnold

Nottingham

NG5 7BP

Employer's website

https://www.stenhousemedicalcentre.co.uk/ (Opens in a new tab)