Job summary
The long-established Rycote Partnership of Thame are excited to be taking on Chiltern and Brook surgeries in Watlington & Chalgrove. We are looking to expand clinical cover and are seeking to appoint advanced nurse practitioners in these surgeries to complement the three that are already based in Thame. You will join an expanded GP team alongside existing paramedic, pharmacists and social prescribers to strengthen the multi-disciplinary team. This is an excellent opportunity for an experienced nurse practitioner to utilise and develop their clinical skills in a supportive and friendly environment.
The Rycote Group is committed to delivering the best possible care and to ensuring that patients physical, psychological and social needs are met. Our care is defined by the values that all staff share and is summed up in the term "Excellent Care by Working Together".
Being part of a team that looks after nearly 8000 patients in Watlington and Chalgrove you will also benefit from being part of the wider group that looks after approximately 22,000 patients in south Oxfordshire. The Rycote Partnership has a long history of teaching and training (or GPs and nurses) and this role offers a great opportunity to be involved in this, as well as being supported and mentored in your own professional development.
Applications should be submitted with a CV and covering letter to karlsavage@nhs.net
Main duties of the job
The successful applicant will ideally be an experienced nurse practitioner with a prescribing qualification. The post
holder will enjoy a varied role which combines seeing acute conditions with
long term chronic disease management. Additional training in chronic disease management will be available for the right candidate.
The
successful applicant will:
-
Autonomously treat patients with undifferentiated
and undiagnosed conditions whilst having an awareness of when to appropriately
access the wider clinical team
-
Manage patients with long term chronic diseases through
proactive and reactive interventions
-
Hold an extended/supplementary nurse prescribing qualification and have experience of using it to treat a range of conditions
-
Be capable and comfortable with face to face,
telephone and e-consulting (as well as home visiting where appropriate)
-
Possess
the organisational and interpersonal
skills to manage expectation and practice safely in a fast-paced environment
Do you have
some but not all of these attributes? Most importantly, we are looking for an enthusiastic applicant who shares our values to
provide Excellent Care by Working Together
About us
The partnership of the new Rycote Group comprises 5 clinical partners and a managing partner. We have a supportive and non-hierarchical approach, with partners taking a full share of clinical work and an ethos of staff supporting each other. We are committed to patient-centred care and do our best to combine modern healthcare with traditional values. We offer a mix of telephone, face-to-face and online consultations bringing together the best of the old and new.
The Chiltern and Brook Surgeries (along with the Rycote Practice) are rated good by CQC and achieve some of the highest patient satisfaction scores in the region. The Rycote Group use EMIS Web and are very high QoF achievers.
There is a strong MDT, with GPs, nurses, healthcare assistants, paramedic, pharmacist and a social care support team, offering a holistic approach to looking after our patients and this appointment is designed to strengthen this team. The clinical team is assisted by excellent reception and administrative teams.
Nestled in at the foot of the Chiltern Hills, there is beautiful countryside on the doorstep, and excellent road links via the M40. Watlington is a historic market town, renowned for its thriving independent high street, and is a great place to live and work.
Job description
Job responsibilities
Job Summary:
- To deliver a high standard of patient care as an Advanced Nurse Practitioner in general practice, using advanced autonomous clinical skills, and a broad and in-depth evidence-based approach.
- To work as a clinical autonomous independent practitioner to assess, diagnose and treat patients with a range of acute, non acute and chronic medical conditions within the scope of training and accreditation.
- Provide a range of face to face, telephone and online consultations as appropriate to the patient and their condition.
- Work with GPs, nurses and the wider multi-disciplinary team to deliver the highest possible care to patients within the resources available.
Job Responsibilities:
Clinical Care
- Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.
- Clinically examine and assess the patient instigating necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports and plan clinical care accordingly.
- Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
- Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)
- To prescribe safe, evidence based, cost effective and appropriate medication in accordance with current legislative framework and within the post holders training and registration, to include advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.
- Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols and formularies
- Work with patients and their carers in order to support compliance with and adherence to prescribed treatments
- To initiate appropriate and timely consultation and / or referral when a presenting condition exceeds the Nurse Practitioners scope of clinical practice and / or expertise.
- To liaise with a doctor about patients with complex problems who need the expertise of a general practitioner.
- Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care Implement and participate in vaccination and immunisation programmes for both adults and children
- To clearly communicate the health status of the patient using appropriate terminology, technology and format. To work within the practice guidelines, policies and protocols. To maintain accurate and contemporaneous records, utilising computer systems where appropriate.
- Possess proven skills in management of a wide range of healthcare problems including minor illness and chronic disease management
- To work autonomously in support of the GP, nursing and wider MDT teams
- Support the Nurse Team Leader in organizing and coordinating the provision of nursing services for the practice to include the delegation of duties to other members of the practice nurse team as appropriate
- Receive patients with undifferentiated and undiagnosed healthcare problems
- Responsible for assessing and treating patients, prioritizing clinical need, determining differential diagnosis and initiating appropriate holistic, evidence based care
- To advise patients on general healthcare and refer to other members of the primary and secondary healthcare team as necessary
- Use skills as an independent nurse prescriber to treat patients in line with local and national prescribing policies and in accordance with current legislation.
- Ensure clinical practice is safe and effective and remains within the boundaries of competence and to acknowledge limitations
- To deliver chronic disease management as per clinical protocols for CHD, COPD, Asthma, Diabetes, Stroke, CKD and Hypertension as skills and professional qualifications allow
- To be involved in the call and recall of patients with long term conditions or as part of screening programmes
- To be involved in influencing procedures and protocols for the management of chronic disease in accordance with latest best practice
- Undertake diagnostic, health screening, health surveillance and therapeutic interventions within a broader health promotion/public health strategy
- To provide contraceptive advice and services including pill checks, coil checks, depo-provera injections, intra uterine therapy and contraceptive implant services
- To undertake/ audit cervical smear tests
- To provide health promotion advice including smoking cessation and weight reduction
- Home visits for chronic disease monitoring and acute illnesses
- Other duties within the nursing team as required.
Job description
Job responsibilities
Job Summary:
- To deliver a high standard of patient care as an Advanced Nurse Practitioner in general practice, using advanced autonomous clinical skills, and a broad and in-depth evidence-based approach.
- To work as a clinical autonomous independent practitioner to assess, diagnose and treat patients with a range of acute, non acute and chronic medical conditions within the scope of training and accreditation.
- Provide a range of face to face, telephone and online consultations as appropriate to the patient and their condition.
- Work with GPs, nurses and the wider multi-disciplinary team to deliver the highest possible care to patients within the resources available.
Job Responsibilities:
Clinical Care
- Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.
- Clinically examine and assess the patient instigating necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports and plan clinical care accordingly.
- Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
- Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)
- To prescribe safe, evidence based, cost effective and appropriate medication in accordance with current legislative framework and within the post holders training and registration, to include advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.
- Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols and formularies
- Work with patients and their carers in order to support compliance with and adherence to prescribed treatments
- To initiate appropriate and timely consultation and / or referral when a presenting condition exceeds the Nurse Practitioners scope of clinical practice and / or expertise.
- To liaise with a doctor about patients with complex problems who need the expertise of a general practitioner.
- Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care Implement and participate in vaccination and immunisation programmes for both adults and children
- To clearly communicate the health status of the patient using appropriate terminology, technology and format. To work within the practice guidelines, policies and protocols. To maintain accurate and contemporaneous records, utilising computer systems where appropriate.
- Possess proven skills in management of a wide range of healthcare problems including minor illness and chronic disease management
- To work autonomously in support of the GP, nursing and wider MDT teams
- Support the Nurse Team Leader in organizing and coordinating the provision of nursing services for the practice to include the delegation of duties to other members of the practice nurse team as appropriate
- Receive patients with undifferentiated and undiagnosed healthcare problems
- Responsible for assessing and treating patients, prioritizing clinical need, determining differential diagnosis and initiating appropriate holistic, evidence based care
- To advise patients on general healthcare and refer to other members of the primary and secondary healthcare team as necessary
- Use skills as an independent nurse prescriber to treat patients in line with local and national prescribing policies and in accordance with current legislation.
- Ensure clinical practice is safe and effective and remains within the boundaries of competence and to acknowledge limitations
- To deliver chronic disease management as per clinical protocols for CHD, COPD, Asthma, Diabetes, Stroke, CKD and Hypertension as skills and professional qualifications allow
- To be involved in the call and recall of patients with long term conditions or as part of screening programmes
- To be involved in influencing procedures and protocols for the management of chronic disease in accordance with latest best practice
- Undertake diagnostic, health screening, health surveillance and therapeutic interventions within a broader health promotion/public health strategy
- To provide contraceptive advice and services including pill checks, coil checks, depo-provera injections, intra uterine therapy and contraceptive implant services
- To undertake/ audit cervical smear tests
- To provide health promotion advice including smoking cessation and weight reduction
- Home visits for chronic disease monitoring and acute illnesses
- Other duties within the nursing team as required.
Person Specification
Experience
Essential
- Experience of working as a nurse practitioner, ideally in primary care
- The ability to work with a high degree of autonomy and have sound clinical reasoning and decision making.
- Experience of prescribing to treat a range of acute and long-term conditions
- Excellent communication skills.
Desirable
- Experience of working in a GP Practice
- Experience of working as part of a multi-disciplinary team
- Experience with EMIS
Qualifications
Essential
- Current registration with the NMC (including up to date revalidation)
- Independent prescribing qualification
- Minor illness management qualifications (or equivalent)
Desirable
- Chronic disease management qualifications (or equivalent)
- Masters in Advanced Clinical Practice OR Studying towards completing the Advanced Nurse Practitioner qualification.
Person Specification
Experience
Essential
- Experience of working as a nurse practitioner, ideally in primary care
- The ability to work with a high degree of autonomy and have sound clinical reasoning and decision making.
- Experience of prescribing to treat a range of acute and long-term conditions
- Excellent communication skills.
Desirable
- Experience of working in a GP Practice
- Experience of working as part of a multi-disciplinary team
- Experience with EMIS
Qualifications
Essential
- Current registration with the NMC (including up to date revalidation)
- Independent prescribing qualification
- Minor illness management qualifications (or equivalent)
Desirable
- Chronic disease management qualifications (or equivalent)
- Masters in Advanced Clinical Practice OR Studying towards completing the Advanced Nurse Practitioner qualification.
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).