Job summary
We are looking for a dynamic nurse practitioner to join our friendly training practice, The Endeavour, based in the centre of Middlesbrough.
Main duties of the job
Investigate and interpret diagnostic investigations as appropriate, including checking patient results for other clinicians.
Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients attending with an undifferentiated diagnosis.
Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly.
Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs.
Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan.
Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs.
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.
About us
The Ironopolis Medical Group was formed through the administrative merger of Martonside Medical Centre (7900 patients) and The Endeavour Practice (9300 patients) in June 2017.
This position is for The Endeavour Practice. The group has 7 GP partners and a management partner. Both sites are training practices.
We also specialise in Occupational Health and our management partner is the non-clinical chair of Central Middlesbrough PCN. Our clinical system is SystmOne.
Date posted
03 November 2023
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Full-time, Part-time
Reference number
A5717-23-0000
Job locations
Endeavour Practice
20 Cleveland Square
Middlesbrough
TS1 2NX
Job description
Job responsibilities
Job title: Nurse Practitioner
Responsible to: GP Partners
Salary: H
Primary location: Endeavour Practice
Job Purpose
The post holder will be accountable for the provision of evidence based nursing care to the patients of Ironopolis which will contribute to the professional reputation of the practice.
Key Duties and Responsibilities:
Nursing Responsibilities
Investigate and interpret diagnostic investigations as appropriate, including checking patient results for other clinicians.
Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients attending with an undifferentiated diagnosis.
Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs.
Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan.
Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.
Work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.
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.
Liaise with other members of the primary health care team and other agencies in order to ensure appropriate care is provided for the practice population.
Recognise and work within own competence and professional code of conduct as regulated by the NMC.
Maintaining Patient Records / Patient Correspondence
In accordance with the NMC Record Keeping Standards provide full and accurate documentation of the nursing assessment of need and delivery of care.
In accordance with the NMC formulate individual care plans and evaluate outcomes at appropriate levels according to need.
To evaluate the outcome of that care, making changes to the care plan for individual patients where appropriate.
To demonstrate the rationale behind the various methods chosen to meet care needs of patients, to evaluate those methods and change them as necessary.
Practice Development / Quality Standards
Deliver evidence-based care and car according to NICE guidance.
Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
Utilise the audit cycle as a means of evaluating the quality of your own work and that of your immediate team, implementing improvements where required.
Create clear referral mechanisms to meet patient need.
Discuss, highlight and work with the team to create opportunities to improve patient care.
Use a structured framework to manage, review and identify learning from patient complaints, clinical incidents and near-miss events.
To be involved in clinical policy development within the practice, providing nursing input to any decision making processes affecting the care of patients.
To contribute to teaching of learners in the practice e.g. medical students about care delivery from the perspective of an experienced nurse.
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and 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.
Apply infection-control measures within the practice according to local and national guidelines.
General Responsibilities
Comply with the terms of the contract of employment, commit to the success of Ironopolis and demonstrate the Values and Behaviours articulated by Ironopolis.
Be aware of, comply with and keep up to date with all Policies and Procedures as outlined by Ironopolis.
Take responsibility for engaging in the induction process for yourself and potentially others (e.g. demonstrating elements of your role to new staff).
Prepare for and engage in your annual appraisal considering your own learning / development needs. Contribute to the appraisal of others in the team with the provision of observations and feedback.
Maintain effective communication channels with your immediate colleagues within Ironopolis; escalating issues as soon as they are practicably known.
To report any Health & Safety issues within the workplace which may affect either you, your work colleagues or the patients and clients of Ironopolis.
To report any Information Governance issues within the workplace e.g. a loss of information.
To share responsibility for new protocols / procedures as and when required to address the needs of the GMS2 Contract.
Other requirements
You may be required to undertake duties not specified in the job description, but which are commensurate with the role / within your capabilities as required by the needs of Ironopolis.
You may be required to work in an alternative work location other than that specified above, this will be as required by the needs of Ironopolis.
You may be required to work flexible hours as required by the needs of the service.
You may be required to provide additional cover in times of sickness / holidays of colleagues.
There may be a requirement to change the job description in light of developing requirements of Ironopolis.
Core Responsibilities
1. Communication and Information Governance:
Ensure effective communication with various individuals and groups using the most suitable communication methods with customer service at the heart this may require anticipating / identifying barriers to communication. Groups will primarily be patients and your immediate colleagues but this may extend to contractors or external health partners across the STP, CCG, Secondary Care, Community Staff. We gather personal and sensitive information from our patients and all such information is to be regarded as strictly confidential and may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
2. Personal and People Development:
Take responsibility for maintaining your own knowledge and skills and that of others within your immediate team; the minimum requirement being compliance in statutory and mandatory training. Acknowledge the identification of any learning / development needs brought to your attention by your line manager. Take responsibility for enhancing your own and others knowledge and skills by way of CPD which aligns to local / national policies / NICE guidance.
3. Health, Safety and Security:
Proactively create to a working environment and culture that protects the health, safety and security of yourself, other staff, the public and clients of Ironopolis. Take responsibility for the reporting of any accidents or incidents within the workplace and where requested undertake a root cause analysis to determine and subsequently share constructive feedback and lessons learned.
4. Quality:
Know your success criteria and always strive to exceed them, overcoming barriers with a positive and solutions focused approach. Monitoring your own and others standards of work / behaviours and asking for / providing constructive feedback on performance to enable continuous improvement. Contribute to the creation of an environment that enables continuous improvement.
5. Equality and Diversity:
There is an expectation that all employees and management of Ironopolis Medical Group will act as ambassadors of equality and diversity and must therefore ensure their own actions support equality, diversity and rights and they will co-operate with measures introduced to promote equality of opportunity, to eliminate unlawful discrimination, to promote good relations and respect the dignity and diversity of patients and colleagues. This extends to out of work activities and personal activities including those on social media that may bring the individual and the business into disrepute.
6. Demonstrate and uphold our Values - Making a Difference everyday:
There is an expectation that all employees of Ironopolis Medical Group will:
Understand that looking after our people is crucial, because we depend on our people to deliver our services. Therefore, when we talk about people first. We include our own within that.
Act with integrity. Our prime consideration, guided by Good Medical Practice is to represent the interests of the profession and patients. This means that we will do what we say we will, and act how we say we will always leading by example
Be expert. We fervently believe in the professional development of our people, to enable them to contribute to the health and wellbeing of the wider community by developing their expertise in their particular fields of clinical and non-clinical interests.
Enable learning. As a teaching and training practice, we believe in developing all staff, students, and registrars and partners. Using the diversity of skills, knowledge and experience that this gives the practice, we seek to encourage a culture of challenging the status quo in order to deliver our vision.
Encourage innovation. We can only maximise our effectiveness by embracing technology, new ideas and a culture of continuous improvement.
Job description
Job responsibilities
Job title: Nurse Practitioner
Responsible to: GP Partners
Salary: H
Primary location: Endeavour Practice
Job Purpose
The post holder will be accountable for the provision of evidence based nursing care to the patients of Ironopolis which will contribute to the professional reputation of the practice.
Key Duties and Responsibilities:
Nursing Responsibilities
Investigate and interpret diagnostic investigations as appropriate, including checking patient results for other clinicians.
Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients attending with an undifferentiated diagnosis.
Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs.
Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan.
Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.
Work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.
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.
Liaise with other members of the primary health care team and other agencies in order to ensure appropriate care is provided for the practice population.
Recognise and work within own competence and professional code of conduct as regulated by the NMC.
Maintaining Patient Records / Patient Correspondence
In accordance with the NMC Record Keeping Standards provide full and accurate documentation of the nursing assessment of need and delivery of care.
In accordance with the NMC formulate individual care plans and evaluate outcomes at appropriate levels according to need.
To evaluate the outcome of that care, making changes to the care plan for individual patients where appropriate.
To demonstrate the rationale behind the various methods chosen to meet care needs of patients, to evaluate those methods and change them as necessary.
Practice Development / Quality Standards
Deliver evidence-based care and car according to NICE guidance.
Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
Utilise the audit cycle as a means of evaluating the quality of your own work and that of your immediate team, implementing improvements where required.
Create clear referral mechanisms to meet patient need.
Discuss, highlight and work with the team to create opportunities to improve patient care.
Use a structured framework to manage, review and identify learning from patient complaints, clinical incidents and near-miss events.
To be involved in clinical policy development within the practice, providing nursing input to any decision making processes affecting the care of patients.
To contribute to teaching of learners in the practice e.g. medical students about care delivery from the perspective of an experienced nurse.
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and 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.
Apply infection-control measures within the practice according to local and national guidelines.
General Responsibilities
Comply with the terms of the contract of employment, commit to the success of Ironopolis and demonstrate the Values and Behaviours articulated by Ironopolis.
Be aware of, comply with and keep up to date with all Policies and Procedures as outlined by Ironopolis.
Take responsibility for engaging in the induction process for yourself and potentially others (e.g. demonstrating elements of your role to new staff).
Prepare for and engage in your annual appraisal considering your own learning / development needs. Contribute to the appraisal of others in the team with the provision of observations and feedback.
Maintain effective communication channels with your immediate colleagues within Ironopolis; escalating issues as soon as they are practicably known.
To report any Health & Safety issues within the workplace which may affect either you, your work colleagues or the patients and clients of Ironopolis.
To report any Information Governance issues within the workplace e.g. a loss of information.
To share responsibility for new protocols / procedures as and when required to address the needs of the GMS2 Contract.
Other requirements
You may be required to undertake duties not specified in the job description, but which are commensurate with the role / within your capabilities as required by the needs of Ironopolis.
You may be required to work in an alternative work location other than that specified above, this will be as required by the needs of Ironopolis.
You may be required to work flexible hours as required by the needs of the service.
You may be required to provide additional cover in times of sickness / holidays of colleagues.
There may be a requirement to change the job description in light of developing requirements of Ironopolis.
Core Responsibilities
1. Communication and Information Governance:
Ensure effective communication with various individuals and groups using the most suitable communication methods with customer service at the heart this may require anticipating / identifying barriers to communication. Groups will primarily be patients and your immediate colleagues but this may extend to contractors or external health partners across the STP, CCG, Secondary Care, Community Staff. We gather personal and sensitive information from our patients and all such information is to be regarded as strictly confidential and may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
2. Personal and People Development:
Take responsibility for maintaining your own knowledge and skills and that of others within your immediate team; the minimum requirement being compliance in statutory and mandatory training. Acknowledge the identification of any learning / development needs brought to your attention by your line manager. Take responsibility for enhancing your own and others knowledge and skills by way of CPD which aligns to local / national policies / NICE guidance.
3. Health, Safety and Security:
Proactively create to a working environment and culture that protects the health, safety and security of yourself, other staff, the public and clients of Ironopolis. Take responsibility for the reporting of any accidents or incidents within the workplace and where requested undertake a root cause analysis to determine and subsequently share constructive feedback and lessons learned.
4. Quality:
Know your success criteria and always strive to exceed them, overcoming barriers with a positive and solutions focused approach. Monitoring your own and others standards of work / behaviours and asking for / providing constructive feedback on performance to enable continuous improvement. Contribute to the creation of an environment that enables continuous improvement.
5. Equality and Diversity:
There is an expectation that all employees and management of Ironopolis Medical Group will act as ambassadors of equality and diversity and must therefore ensure their own actions support equality, diversity and rights and they will co-operate with measures introduced to promote equality of opportunity, to eliminate unlawful discrimination, to promote good relations and respect the dignity and diversity of patients and colleagues. This extends to out of work activities and personal activities including those on social media that may bring the individual and the business into disrepute.
6. Demonstrate and uphold our Values - Making a Difference everyday:
There is an expectation that all employees of Ironopolis Medical Group will:
Understand that looking after our people is crucial, because we depend on our people to deliver our services. Therefore, when we talk about people first. We include our own within that.
Act with integrity. Our prime consideration, guided by Good Medical Practice is to represent the interests of the profession and patients. This means that we will do what we say we will, and act how we say we will always leading by example
Be expert. We fervently believe in the professional development of our people, to enable them to contribute to the health and wellbeing of the wider community by developing their expertise in their particular fields of clinical and non-clinical interests.
Enable learning. As a teaching and training practice, we believe in developing all staff, students, and registrars and partners. Using the diversity of skills, knowledge and experience that this gives the practice, we seek to encourage a culture of challenging the status quo in order to deliver our vision.
Encourage innovation. We can only maximise our effectiveness by embracing technology, new ideas and a culture of continuous improvement.
Person Specification
Qualifications
Essential
- RGN with current NMC registration
- Independent Prescriber Non-Medical Prescribing V300
- Nurse Practitioner Qualification
- First Degree or equivalent advanced clinical skills qualification
- Masters degree in Advanced Clinical Practice
Experience
Essential
- Autonomous practitioner with recent primary or community nursing experience or in first presentation setting
- Nurse-led management of minor illness, minor ailments and injuries within professional boundaries
- Nurse-led management of long term conditions within professional boundaries
- Advanced clinical practice & examination skills
- Ability to form management plan for patients with acute & chronic conditions & complex needs within professional boundaries
- Childhood health surveillance and immunisation clinic experience
- Compiling protocols and clinical guidelines
- Extended and supplementary nurse prescribing
- Ability to evaluate safety & effectiveness of own practice
- Knowledge of primary & community health care
- Working with community development initiatives
- Health-needs assessment of patients
Desirable
- Policy development, implementation and service development
- Lead on service improvement initiatives
- Lead role for QOF
- Educator, leader, innovator, contribution to research
- Nurse-led triage
- Prevention & screening skills such as cytology
- Sexual health including fitting/removal of IUCD and Nexplanon
- Minor surgery
- Leadership in quality initiatives such as clinical benchmarking
- Audit Experience
Person Specification
Qualifications
Essential
- RGN with current NMC registration
- Independent Prescriber Non-Medical Prescribing V300
- Nurse Practitioner Qualification
- First Degree or equivalent advanced clinical skills qualification
- Masters degree in Advanced Clinical Practice
Experience
Essential
- Autonomous practitioner with recent primary or community nursing experience or in first presentation setting
- Nurse-led management of minor illness, minor ailments and injuries within professional boundaries
- Nurse-led management of long term conditions within professional boundaries
- Advanced clinical practice & examination skills
- Ability to form management plan for patients with acute & chronic conditions & complex needs within professional boundaries
- Childhood health surveillance and immunisation clinic experience
- Compiling protocols and clinical guidelines
- Extended and supplementary nurse prescribing
- Ability to evaluate safety & effectiveness of own practice
- Knowledge of primary & community health care
- Working with community development initiatives
- Health-needs assessment of patients
Desirable
- Policy development, implementation and service development
- Lead on service improvement initiatives
- Lead role for QOF
- Educator, leader, innovator, contribution to research
- Nurse-led triage
- Prevention & screening skills such as cytology
- Sexual health including fitting/removal of IUCD and Nexplanon
- Minor surgery
- Leadership in quality initiatives such as clinical benchmarking
- Audit Experience
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
Ironopolis Medical Group
Address
Endeavour Practice
20 Cleveland Square
Middlesbrough
TS1 2NX
Employer's website
Employer details
Employer name
Ironopolis Medical Group
Address
Endeavour Practice
20 Cleveland Square
Middlesbrough
TS1 2NX
Employer's website
For questions about the job, contact:
Date posted
03 November 2023
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Full-time, Part-time
Reference number
A5717-23-0000
Job locations
Endeavour Practice
20 Cleveland Square
Middlesbrough
TS1 2NX
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