Advanced Nurse Practitioner / Urgent Care Practitioner

Job description

Job responsibilities

Assess / triage patients, including a range of same-day access / chronic patients. Provide advice, treatment, care planning and review I line with patient health needs. This will include prescribing a range of medications within your scope / policy and under PDGs , PSDs, NICE, local clinical guidelines or pathways. Make referrals to other members of the primary care team or secondary care services where appropriate.

Manage a range of patients with previously undifferentiated diagnosis identifying any red flags or underlying serious pathology and take appropriate action.

Use complex decision-making / clinical skills and experience to inform the potential diagnosis, investigation, and complete management of episodes of care within a broad scope of practice.

Actively take a personalised care approach and population-centred care approach to enable shared decision-making with the presenting person.

Complete all mandatory training in line with both local and national policy.

Complete the relevant clinical / local training in order to provide multi-professional clinical practice and CPD supervision to other roles within the primary care team, such as first contact practitioners, medicines management staff, junior nursing staff, care co-ordinators and well-being practitioners.

Undertake assessment on site, in the patients home (or other care setting) or via any digital platform or telephone system utilised by the Practice / PCN.

Make home visits to those who are too unwell to come into the clinic in person including those patients living in sheltered / supported / residential accommodation where appropriate.

Support the PCN / Practice care homes in partnership with the wider practice team to ensure safe effective care of patients in residential care.

Make professionally autonomous decisions for which you are accountable in line with local / national policy.

Provide assistance to GPs / other clinical staff when seeing and treating patients as appropriate.

Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports.

Prescribe safe, effective and appropriate medication as defined by the current legislative framework in accordance with the Practice prescribing formulary whenever this is clinically appropriate. Avoid the use of grey drugs.

Provide safe, evidence-based, cost-effective, individualised patient care.

Offer a holistic service to patients and their families, developing where appropriate an ongoing 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.

Work with the team within the Practice, and across the wider NHS, to promote integrated and seamless pathways of care.

Contribute to the practice achieving its quality and performance targets to sustain the high standards of patient care and service delivery.

Participate in the identification of community health needs and develop patient/family-centred strategies to address them.

Help develop and set up new patient services and participate in initiatives to improve existing patient services.

Offer support, supervision and training to junior members of the team.

Person Specification

Specific Aptitude and Abilities & Interpersonal Skills/Communication/organisational

Essential

• Self-motivated
• Able to work to deadlines whilst maintaining data protection and confidentiality.
• Able to demonstrate commitment and understanding of confidentiality in relation to the post.
• Can demonstrate commitment to equality, diversity, dignity and respect
• Ability to work under pressure and with flexibility.
• Willing to work flexibly across shift patterns and locations in the PCN.
• To effectively communicate with different groups and individuals in various situations.
• To be able to form good working relationships with people from a wide range of social, cultural and ethnic backgrounds.
• To be able to plan and organise your own workload and manage your time.
• To be able to contribute to the team and its overall effectiveness.
• To share skills, expertise and ideas with the team.
• To act as a Senior responsible colleague to the nursing team.

Qualifications

Essential

• Masters qualification (or working towards) for Advanced Clinical Practice or similar accreditation
• Independent Prescribing qualification
• NMC / professional body registration

Experience

Essential

• Evidence of Continued Professional Development
• Experience of working in Primary Care
• Ability to prioritise and organise own case load
• Excellent communication and interpersonal skills
• Ability to evaluate and implement appropriate clinical service developments
• Ability to use in house Patient Databases
• Experience of working within a team
• Willingness to undertake further training as required
• Become proficient in the use of EMIS, Docman, AccRx, Labtrace or other appropriate digital clinical tools

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

Bramhall and Cheadle Hulme Primary Care Network

Address

Bramhall & Shaw Heath Medical Group

235 Bramhall Lane South

Bramhall

Stockport

Cheshire

SK7 3EP

Employer's website

https://www.cheadlehulmeandbridgehouse.nhs.uk (Opens in a new tab)