Job summary
Park and Orchard Primary Care Network (PCN) have
an exciting opportunity to expand their Primary Care workforce by employing an Advanced
Nurse Practitioner to join their innovative and dynamic Primary Care Network,
to be based at Park Surgery.
You will be joining an enthusiastic
team of clinicians and administrators including GPs, Paramedic Practitioners,
Pharmacy Technicians, Clinical Pharmacists, Physician Associates, First Contact
Physiotherapists, Social Prescribers, Health and Wellbeing Coaches, Care
Coordinators, Practice Nurses, Healthcare Assistants and more.
Our surgery teams work closely, sharing expertise and
resources to develop new services including ambitions to soon establish a
Womens Health project and an Anticipatory Care/Frailty project. Our vision is
to continue to improve the quality of care that we provide in alignment with
the needs of our patient population and find innovative solutions in general
practice to deliver the best care we can for our patients.
Our PCN builds on the existing primary care services and
enables a greater provision of proactive, personalised and more integrated
health and social care. We are supported by practitioners in additional roles
who allow us to create bespoke multi-disciplinary teams based on the needs of
our local population. By working together with local community services, this
allows us to make support available to people where it is most needed.
Main duties of the job
The post holder is an experienced nurse who, acting within
their professional boundaries, will work as part of a multi-disciplinary team
which consists of GPs and Pharmacists. The triage team will work together to
triage all patient requests, which are received on the day, treating patients
with own clinical competency as appropriate. The post holder will see acute on
the day cases.
The post holder will act as an autonomous practitioner
working independently and in conjunction with other health care professionals
to triage, assess, diagnose and treat the conditions of patients attending
within primary care; initiating direct referrals as appropriate.
The post holder will provide expert professional advice to
patients, carers and colleagues and ensure the maintenance of clinical excellence.
Whilst
General Practice has some challenging times ahead, this role provides an
exciting and innovative opportunity for someone who wants to make a real
difference in the communities they serve. The successful candidate will be
provided with excellent support, the opportunity for development in the role,
and will be supervised by a General Practitioner.
This is a part time position of up to 30 hours per week.
About us
Alliance
for Better Care CIC is a GP Federation that unites 79 NHS GP practices across 25
Primary Care Networks in Sussex and Surrey. We support our Primary Care
colleagues as well as their patients, to transform how healthcare is managed
within the community.
As a membership organisation, our focus is to work in partnership with our
members and help them to improve the provision of General Practices in the
local area.
We work with and listen to our GP Practices, PCNs, Hospitals, Community
Organisations and the Third Sector. These vital partnerships ensure that,
together, we deliver a truly integrated approach that offers the support and
expertise needed to effectively serve our communities.
Benefits
- Generous annual leave allowance
- Access to NHS pension
- Bespoke training programme
- Cycle to Work Scheme
- Employee Assistance Programme
- Enhanced maternity pay
- NHS discounts
- Leadership Development Programme
- Salary sacrifice schemes technology and
electric vehicle
- Opportunities for secondments
Park and Orchard PCN
Park and Orchard Primary
Care Network (PCN) is an NHS Collaboration between 2 GP practices - Park
Surgery and Orchard Surgery covering the Horsham Locality. The practices have
a combined population of 30,000 patients. There is a wide socio-economic and
demographic served within this area which will provide an interesting and
varied case mix.
Job description
Job responsibilities
Clinical
Practice
- 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.
- 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.
- 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, local 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.
Communication
- Utilise and demonstrate sensitive communication styles, to ensure
patients are fully informed and consent to treatment, including communication
with, and support of, patients and their significant persons who are receiving
bad news.
- 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.
- Maintain effective communication within the practice environment
and with external stakeholders.
- 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 as regulated by the NMC (Nursing & Midwifery Council, 2015c).
- Produce accurate, contemporaneous and complete records of patient
consultation, consistent with legislation, policies and procedures.
- Prioritise, organise and manage own workload in a manner that
maintains and promotes quality.
- Deliver care according to NICE guidelines and evidence-based care.
- Assess effectiveness of 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, collaborate on improving
the quality of health care responding to local and national policies and initiatives
as appropriate.
- Evaluate patients response to health care provision and the
effectiveness of care.
- Support and participate in shared learning across the practice and
wider organisation.
- Use a structured framework e.g. root-cause analysis to manage,
review and identify learning from patient complaints, clinical incidents, and
near-miss events.
- Assess the impact of policy implementation on care delivery.
- Understand and apply legal issues that support the identification
of vulnerable and abused children and adults, and be aware of statutory
child/vulnerable patients health procedures and local guidance.
Leadership
Personal and People Development
- Take responsibility for own learning and performance including
participating in clinical supervision and acting as a positive role model.
- Support staff development in order to maximise potential.
- Critically evaluate and review innovations and developments that
are relevant to the area of work.
- Enlist support and influence stakeholders and decision-makers in
order to bring about new developments in the provision of services.
- Take a lead role in planning and implementing changes within the
area of care and responsibility.
- Contribute to the development of local guidelines, protocols and
standards.
- Market the role of the advanced nurse practitioner 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 win 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 management team.
- Agree plans and outcomes to measure success.
Management
of Risk
- 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.
- Ensure appropriate supervision of safe storage, rotation and
disposal of vaccines and drugs. Oversee the monitoring, stock control and
documentation of controlled drug usage according to legal requirements where
appropriate.
- Ensure the nursing team undertakes mandatory and statutory
training requirements.
- Apply infection-control measures within the practice according to
local and national guidelines.
- Advocate for policies that reduce environmental health risks, are
culturally sensitive and increase access to health care for all.
- Interpret national strategies and policies into local
implementation strategies that are aligned to the values and culture of general
practice.
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.
- Manage information searches using the internet and local library
databases.
- Understand responsibility of self and others to the practice and
primary care trust regarding the Freedom and Information Act.
- Monitor and confirm that the nursing team are receiving and
processing data and information in an agreed format.
- Collate, analyse and present clinical data and information to the
team.
- Communicate essential financial restraints with the team and
discuss with them ideas for effective and efficient working within these
constraints.
- Manage, if agreed, a nursing budget within financial principles.
Please see full job description for further information.
Job description
Job responsibilities
Clinical
Practice
- 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.
- 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.
- 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, local 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.
Communication
- Utilise and demonstrate sensitive communication styles, to ensure
patients are fully informed and consent to treatment, including communication
with, and support of, patients and their significant persons who are receiving
bad news.
- 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.
- Maintain effective communication within the practice environment
and with external stakeholders.
- 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 as regulated by the NMC (Nursing & Midwifery Council, 2015c).
- Produce accurate, contemporaneous and complete records of patient
consultation, consistent with legislation, policies and procedures.
- Prioritise, organise and manage own workload in a manner that
maintains and promotes quality.
- Deliver care according to NICE guidelines and evidence-based care.
- Assess effectiveness of 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, collaborate on improving
the quality of health care responding to local and national policies and initiatives
as appropriate.
- Evaluate patients response to health care provision and the
effectiveness of care.
- Support and participate in shared learning across the practice and
wider organisation.
- Use a structured framework e.g. root-cause analysis to manage,
review and identify learning from patient complaints, clinical incidents, and
near-miss events.
- Assess the impact of policy implementation on care delivery.
- Understand and apply legal issues that support the identification
of vulnerable and abused children and adults, and be aware of statutory
child/vulnerable patients health procedures and local guidance.
Leadership
Personal and People Development
- Take responsibility for own learning and performance including
participating in clinical supervision and acting as a positive role model.
- Support staff development in order to maximise potential.
- Critically evaluate and review innovations and developments that
are relevant to the area of work.
- Enlist support and influence stakeholders and decision-makers in
order to bring about new developments in the provision of services.
- Take a lead role in planning and implementing changes within the
area of care and responsibility.
- Contribute to the development of local guidelines, protocols and
standards.
- Market the role of the advanced nurse practitioner 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 win 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 management team.
- Agree plans and outcomes to measure success.
Management
of Risk
- 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.
- Ensure appropriate supervision of safe storage, rotation and
disposal of vaccines and drugs. Oversee the monitoring, stock control and
documentation of controlled drug usage according to legal requirements where
appropriate.
- Ensure the nursing team undertakes mandatory and statutory
training requirements.
- Apply infection-control measures within the practice according to
local and national guidelines.
- Advocate for policies that reduce environmental health risks, are
culturally sensitive and increase access to health care for all.
- Interpret national strategies and policies into local
implementation strategies that are aligned to the values and culture of general
practice.
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.
- Manage information searches using the internet and local library
databases.
- Understand responsibility of self and others to the practice and
primary care trust regarding the Freedom and Information Act.
- Monitor and confirm that the nursing team are receiving and
processing data and information in an agreed format.
- Collate, analyse and present clinical data and information to the
team.
- Communicate essential financial restraints with the team and
discuss with them ideas for effective and efficient working within these
constraints.
- Manage, if agreed, a nursing budget within financial principles.
Please see full job description for further information.
Person Specification
Other
Essential
- Commitment to reducing health inequalities and proactively working to reach people from all communities
- Able to recognise personal limitations and refer to more appropriate colleague(s) when needed
- Able to provide leadership and maintain effective working relationships and to promote collaborative practice with all colleagues
- Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
- Ability to work flexibly and enthusiastically within a team or on own initiative
- Access to own transport
Qualifications
Essential
- Registered first level nurse MSc or equivalent
- Relevant nursing/health degree
- Mentor/teaching qualification
- Clinical supervision training and experience
- Independent Prescribing qualification
Desirable
- Community nursing specialist qualification
- Ability to treat children
Experience
Essential
- Significant post registration experience
- Recent primary and community nursing experience
- Nurse-led management of minor illness, minor ailments and injuries
- Nurse-led triage
- Compiling protocols and clinical guidelines
- Clinical Leadership
- Audit
- Research
Desirable
- Project management
- Working with community development initiatives
- Health-needs assessment
Skills
Essential
- Clinical leadership skills
- Physical assessment skills
- Communication skills, both written and verbal
- Communication of difficult messages to patients and families
- Negotiation and conflict management skills
- Change management
- Teaching and mentorship clinical setting
- Resource management
Knowledge
Essential
- Advanced clinical practice skills
- Management of patients with long-term conditions
- Management of patients with complex needs
- Clinical examination skills
- Accountability of own role and other roles in a nurse-led service
- Local and national health policy
- Wider health economy
- Clinical governance issues in primary care
- Patient group directions and associated policy
Desirable
- Knowledge of public health issues
- Able to identify determinants on health in the area
Person Specification
Other
Essential
- Commitment to reducing health inequalities and proactively working to reach people from all communities
- Able to recognise personal limitations and refer to more appropriate colleague(s) when needed
- Able to provide leadership and maintain effective working relationships and to promote collaborative practice with all colleagues
- Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
- Ability to work flexibly and enthusiastically within a team or on own initiative
- Access to own transport
Qualifications
Essential
- Registered first level nurse MSc or equivalent
- Relevant nursing/health degree
- Mentor/teaching qualification
- Clinical supervision training and experience
- Independent Prescribing qualification
Desirable
- Community nursing specialist qualification
- Ability to treat children
Experience
Essential
- Significant post registration experience
- Recent primary and community nursing experience
- Nurse-led management of minor illness, minor ailments and injuries
- Nurse-led triage
- Compiling protocols and clinical guidelines
- Clinical Leadership
- Audit
- Research
Desirable
- Project management
- Working with community development initiatives
- Health-needs assessment
Skills
Essential
- Clinical leadership skills
- Physical assessment skills
- Communication skills, both written and verbal
- Communication of difficult messages to patients and families
- Negotiation and conflict management skills
- Change management
- Teaching and mentorship clinical setting
- Resource management
Knowledge
Essential
- Advanced clinical practice skills
- Management of patients with long-term conditions
- Management of patients with complex needs
- Clinical examination skills
- Accountability of own role and other roles in a nurse-led service
- Local and national health policy
- Wider health economy
- Clinical governance issues in primary care
- Patient group directions and associated policy
Desirable
- Knowledge of public health issues
- Able to identify determinants on health in the area
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).
