Job summary
This is a bank role to cover the service during planned/unplanned absence working across various BGPA services.
The
post holder is an experienced nurse practitioner who, acting within their
professional boundaries, will provide care for the presenting patient from
initial history taking, clinical assessment, diagnosis, treatment and
evaluation of care. They will demonstrate safe, clinical decision-making and
expert care, including assessment and diagnostic skills, for patients within primary
care. The post holder will demonstrate critical thinking in the clinical
decision-making process. They will work collaboratively with BGPA and GP
Practices to meet the needs of patients, supporting the delivery of policy
and procedures, and providing nurse leadership as required. In order to work
at this level NMC requirements for advanced practice must be met.
Location - various clinic sites across the borough of Bromley including Bromley Homeless Shelter, Asylum Seeker clinic, Denosumab and domiciliary visits to care home patients registerde at Bromleag Care Practice.
Main duties of the job
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, and plan clinical
care accordingly.
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.
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).
About us
BGPA is a federation of all 43 Bromley practices working collaboratively to enhance the health and wellbeing of Bromley residents, covering over 350,000 patients, 100% of the Bromley population.
BGPAs goals are to work strategically with Bromley practices to help secure the best services for patients whilst working together to support member practices in the challenges of a changing NHS.
BGPA aims to improve the morale of general practice in Bromley by sharing expertise, services and supporting its workforce.
BGPA will make a positive impact on medical services in Bromley by working closely with One Bromley Partners including NHS SEL ICB, local NHS trusts, local providers and patient groups, to improve the delivery of healthcare to the local population.
Job description
Job responsibilities
Communication
Utilise and demonstrate sensitive communication styles, to ensure patients
are fully informed and consent to treatment.
Communicate with and support patients 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.
Delivering
a quality service
Recognise and work within own competence and professional code of conduct as
regulated by the NMC. 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 (eg 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.
Job description
Job responsibilities
Communication
Utilise and demonstrate sensitive communication styles, to ensure patients
are fully informed and consent to treatment.
Communicate with and support patients 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.
Delivering
a quality service
Recognise and work within own competence and professional code of conduct as
regulated by the NMC. 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 (eg 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.
Person Specification
Experience
Essential
- Working autonomously in an advanced nursing role
- Audits
- Research
- Nurse Prescribing
Desirable
- Health Needs assessment
- Experience of working within primary care or general practice
- Nurse Led Triage
- Experience of case management
Qualifications
Essential
- Relevant nursing/health degree
- Mentor/teaching qualification
- Clinical supervision training
- Independent prescribing qualification
Desirable
- Long term conditions qualifications
- Registered first level nurse MSc or equivalent
Skills & Abilities
Essential
- Clinical leadership Skills
- Communication skills, both written and verbal
- Negotiation and conflict management skills
- Teaching & mentorship in a clinical setting.
- Advanced Clinical Practice Skills
- Management of patients with long term conditions
- Management of patients with complex needs
- Clinical Examination skills
- Local & National Health policy
- Clinical Governance issues in primary care
- Confident & able to inspire and motivate others
- Flexible and cooperative
- Empathetic, kind and caring
- Development Undertake mentorship as required, assessing competence against set standards
- Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences)
- Assess own learning needs and undertake learning as appropriate
- Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning
- Driving licence
- Own car with business insurance
Person Specification
Experience
Essential
- Working autonomously in an advanced nursing role
- Audits
- Research
- Nurse Prescribing
Desirable
- Health Needs assessment
- Experience of working within primary care or general practice
- Nurse Led Triage
- Experience of case management
Qualifications
Essential
- Relevant nursing/health degree
- Mentor/teaching qualification
- Clinical supervision training
- Independent prescribing qualification
Desirable
- Long term conditions qualifications
- Registered first level nurse MSc or equivalent
Skills & Abilities
Essential
- Clinical leadership Skills
- Communication skills, both written and verbal
- Negotiation and conflict management skills
- Teaching & mentorship in a clinical setting.
- Advanced Clinical Practice Skills
- Management of patients with long term conditions
- Management of patients with complex needs
- Clinical Examination skills
- Local & National Health policy
- Clinical Governance issues in primary care
- Confident & able to inspire and motivate others
- Flexible and cooperative
- Empathetic, kind and caring
- Development Undertake mentorship as required, assessing competence against set standards
- Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences)
- Assess own learning needs and undertake learning as appropriate
- Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning
- Driving licence
- Own car with business insurance
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).
