Twyford Surgery

Advanced Nurse Practitioner

Information:

This job is now closed

Job summary

We are looking for an Advanced Nurse Practitioner to work in an exciting role as part of the evolving primary healthcare team at Twyford Surgery. The successful applicant will be responsible for the assessment, diagnosis, treatment and referral of patients within their level of competence. They will work alongside our GPs and clinicians in seeing patients in the surgery, in their own homes and in residential homes. As with all roles at our surgery, there is scope for development and evolution. We provide care for 13000 patients in a semi-rural location, with 9 GPs, 2 Paramedic Practitioners and a Clinical Pharmacist as well as our practice nursing, reception and administrative teams. We place an emphasis on team work, communication, continual development and learning from each others experiences through quality improvement.

Good CQC Rating

High QOF Achievement

Purpose built premises, on-site parking

Daily opportunity to catch up with colleagues

Near Reading with good schools and transport links

Main duties of the job

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, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs

Proactively identify, diagnose and manage treatment plans for patients who have, and are at risk of developing, a long-term condition

Diagnose and manage both acute and chronic conditions, using knowledge of both drug- and non-drug-based treatment methods into a management plan

If you are a prescriber, you would initiate and review medication appropriate to patient needs and in accordance with evidence-based practice, appropriate protocols and within scope of practice

Work with patients 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

Undertake visits to patients in their own homes and to nursing homes if required during urgent/ acute episodes of care with the supervision and support of GPs

Identify, implement and maintain Care Plans to support avoidance of unnecessary hospital admissions

About us

Good CQC Rating

High QOF Achievement

Purpose built premises, on-site parking

Daily opportunity to catch up with colleagues

Near Reading with good schools and transport links

Details

Date posted

24 May 2024

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A4128-24-0003

Job locations

6 Loddon Hall Road

Twyford

Berkshire

RG10 9JA


Job description

Job responsibilities

The successful applicant will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. This may take place in the surgery, the patients home or a residential home. They will be encouraged to develop a self-directed role within the team, which may vary in responsibilities from day to day. Telephone assessment, home visits and face-to-face assessments at the surgery will be the mainstay of their workload, however development of care plans and long-term condition management will play an important role too. They will communicate and work collaboratively with the general practice team to meet the needs of patients and support the delivery of a safe and efficient service.

Responsibilities:

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis

Telephone triage of patients requesting same day appointments and other urgent queries, prioritising the needs of patients and referring on to other members of the Primary Healthcare Team as necessary.

Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly

Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs

Proactively identify, diagnose and manage treatment plans for patients who have, and are at risk of developing, a long-term condition

Diagnose and manage both acute and chronic conditions, using knowledge of both drug- and non-drug-based treatment methods into a management plan

If you are a prescriber, you would initiate and review medication appropriate to patient needs and in accordance with evidence-based practice, appropriate protocols and within scope of practice

Work with patients 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

Undertake visits to patients in their own homes and to nursing homes if required during urgent/ acute episodes of care with the supervision and support of GPs

Identify, implement and maintain Care Plans to support avoidance of unnecessary hospital admissions

Communication:

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

Communicate effectively with all members of staff in the primary healthcare team

Communicate effectively with members of the secondary care team and other allied health professionals when appropriate

Act as an advocate for patients and colleagues

Ensure awareness of sources of support and guidance 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

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, guidelines, policies and procedures

Prioritise, organise and manage own workload in a manner that maintains and promotes quality

Deliver care according evidence-based care

Assess 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 where appropriate, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

Support and participate in shared learning across the practice and wider organisation

Use a structured framework to manage, review and identify learning from patient complaints, clinical incidents and near-miss events

Be aware of statutory child/vulnerable patients health procedures and local guidance

Be aware of adult safeguarding procedures and guidance

Promote the role of Allied Healthcare Professionals 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 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 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

Managing information

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

Understand responsibility of self and others to the practice and primary care trust regarding the Freedom of Information Act

Understand responsibility of self and others to the practice and primary care trust regarding the Data Protection Act

Collate, analyse and present clinical data and information to the team where appropriate

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

Adhere 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

Job description

Job responsibilities

The successful applicant will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. This may take place in the surgery, the patients home or a residential home. They will be encouraged to develop a self-directed role within the team, which may vary in responsibilities from day to day. Telephone assessment, home visits and face-to-face assessments at the surgery will be the mainstay of their workload, however development of care plans and long-term condition management will play an important role too. They will communicate and work collaboratively with the general practice team to meet the needs of patients and support the delivery of a safe and efficient service.

Responsibilities:

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis

Telephone triage of patients requesting same day appointments and other urgent queries, prioritising the needs of patients and referring on to other members of the Primary Healthcare Team as necessary.

Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly

Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs

Proactively identify, diagnose and manage treatment plans for patients who have, and are at risk of developing, a long-term condition

Diagnose and manage both acute and chronic conditions, using knowledge of both drug- and non-drug-based treatment methods into a management plan

If you are a prescriber, you would initiate and review medication appropriate to patient needs and in accordance with evidence-based practice, appropriate protocols and within scope of practice

Work with patients 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

Undertake visits to patients in their own homes and to nursing homes if required during urgent/ acute episodes of care with the supervision and support of GPs

Identify, implement and maintain Care Plans to support avoidance of unnecessary hospital admissions

Communication:

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

Communicate effectively with all members of staff in the primary healthcare team

Communicate effectively with members of the secondary care team and other allied health professionals when appropriate

Act as an advocate for patients and colleagues

Ensure awareness of sources of support and guidance 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

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, guidelines, policies and procedures

Prioritise, organise and manage own workload in a manner that maintains and promotes quality

Deliver care according evidence-based care

Assess 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 where appropriate, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

Support and participate in shared learning across the practice and wider organisation

Use a structured framework to manage, review and identify learning from patient complaints, clinical incidents and near-miss events

Be aware of statutory child/vulnerable patients health procedures and local guidance

Be aware of adult safeguarding procedures and guidance

Promote the role of Allied Healthcare Professionals 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 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 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

Managing information

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

Understand responsibility of self and others to the practice and primary care trust regarding the Freedom of Information Act

Understand responsibility of self and others to the practice and primary care trust regarding the Data Protection Act

Collate, analyse and present clinical data and information to the team where appropriate

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

Adhere 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

Person Specification

Qualifications

Essential

  • Relevant nursing/health degree

Desirable

  • Prescribing
  • Minor illness

Other Criteria

Essential

  • Self-directed practitioner
  • Highly motivated
  • Flexibility and willingness to develop role
  • Enthusiasm
  • Team player

Experience

Essential

  • Management of minor illness, minor ailments and injuries
  • Independent practice

Desirable

  • Telephone triage
  • Initiation and maintenance of care plans
  • Home visits
  • Experience in managing elderly patients
Person Specification

Qualifications

Essential

  • Relevant nursing/health degree

Desirable

  • Prescribing
  • Minor illness

Other Criteria

Essential

  • Self-directed practitioner
  • Highly motivated
  • Flexibility and willingness to develop role
  • Enthusiasm
  • Team player

Experience

Essential

  • Management of minor illness, minor ailments and injuries
  • Independent practice

Desirable

  • Telephone triage
  • Initiation and maintenance of care plans
  • Home visits
  • Experience in managing elderly patients

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

Twyford Surgery

Address

6 Loddon Hall Road

Twyford

Berkshire

RG10 9JA


Employer's website

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

Employer details

Employer name

Twyford Surgery

Address

6 Loddon Hall Road

Twyford

Berkshire

RG10 9JA


Employer's website

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

Employer contact details

For questions about the job, contact:

Practice Manager

Julie Harrison

julie.harrison67@nhs.net

01189346680

Details

Date posted

24 May 2024

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A4128-24-0003

Job locations

6 Loddon Hall Road

Twyford

Berkshire

RG10 9JA


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