Job summary
An exciting opportunity has arisen for a dynamic and experienced Advanced Community Nurse Practitioner to join the Enfield District Nursing service.
The Advanced Community Nurse Practitioner carries the continuing responsibility for the health care management of a particular geographical area as aligned with Primary Care Network (PCN) and with the responsibility for clinical leadership to optimize quality and standard care service delivery.
The post holder strives to continually improve care pathways for patients, their carers, and families when utilising district nursing services in conjunction with other statutory and voluntary services.
The Advance Community Nurse Practitioner is a specialist role who provides holistic care and promotes independent living.The post holder will be a senior nurse with a Specialist Practitioner District Nursing Qualification or equivalent and has significant Community Nursing experience to provide expert clinical advice to support the District Nursing Team.
Please see the Job Description and Person Specification for further details
Main duties of the job
- To provide highly developed clinical leadership for all patients on the District Nursing caseload through advanced level autonomous practice including taking managed risk.
- Highly provides specialist clinical leadership for patients on the caseload and works collaboratively with all professionals, carers, and relatives to gain a deep understanding of all aspects of the patient's physical, emotional, and social situation.
- This includes physical examination and detailed history taking, diagnosis, prescribing, planning and evaluation of care
- Highly provides specialist clinical leadership for the development and maintenance of personalised care plans for patients on the community nursing caseload, based on the full assessment of medical, nursing and care needs. This includes preventative measures and anticipation of future needs..
- Order investigations and tests and interpret and act on results, using clinical guidelines and policies to support clinical decision-making.
- Maintain competence in prescribing according to the level of prescribing qualification i.e., Nurse Prescriber or Independent Prescriber and participate in regular continuing professional development in relation to the role.
About us
North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London's busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond.
Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients' wellbeing.
We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families.
For more information, please access the following link: https://www.northmid.nhs.uk/
Job description
Job responsibilities
The post holder is required to be a Registered Nurse with substantial community experience in managing patients with complex needs and holding advanced clinical assessment skills.
The post requires the completion of the DNSP qualification. The post holder should be an independent prescriber or working towards this qualification.
To take a comprehensive history, perform a systematic physical examination and establish baseline data to inform the development of a comprehensive care plan.
Utilise highly specialist assessment, planning, treatment, and evaluation skills appropriate to the clinical area.
Analyse signs and symptoms, laboratory tests, investigations, and other measures of function in formulating a diagnosis.
Undertake advanced clinical assessment and management for patients requiring an urgent care response within four hours of referral within the community setting.
Use highly complex analytical and problem-solving skills in unpredictable situations.
Provide evidence-based treatment plans based on sound clinical decision making, including the unique presentation of illness and response to treatment of patients on the community nursing caseload.
Collaborate with the multi-disciplinary team to plan and implement treatment for acute illness/injury/chronic illness as required, using skills in nurse prescribing and medicines management.
Negotiate, collaborate, and support individuals and families to make sometimes difficult decisions about plans of care by empowering them to decide on the most appropriate course of action.
Ensure a robust process is in place to review care and treatment plans.
Take a leading role in auditing and monitoring all components of care delivery.
Review and develop clinical competency as required to support clinical practice, participating in the ongoing personal development of self and of others.
Please see the Job Description and Person Specification for further details
Job description
Job responsibilities
The post holder is required to be a Registered Nurse with substantial community experience in managing patients with complex needs and holding advanced clinical assessment skills.
The post requires the completion of the DNSP qualification. The post holder should be an independent prescriber or working towards this qualification.
To take a comprehensive history, perform a systematic physical examination and establish baseline data to inform the development of a comprehensive care plan.
Utilise highly specialist assessment, planning, treatment, and evaluation skills appropriate to the clinical area.
Analyse signs and symptoms, laboratory tests, investigations, and other measures of function in formulating a diagnosis.
Undertake advanced clinical assessment and management for patients requiring an urgent care response within four hours of referral within the community setting.
Use highly complex analytical and problem-solving skills in unpredictable situations.
Provide evidence-based treatment plans based on sound clinical decision making, including the unique presentation of illness and response to treatment of patients on the community nursing caseload.
Collaborate with the multi-disciplinary team to plan and implement treatment for acute illness/injury/chronic illness as required, using skills in nurse prescribing and medicines management.
Negotiate, collaborate, and support individuals and families to make sometimes difficult decisions about plans of care by empowering them to decide on the most appropriate course of action.
Ensure a robust process is in place to review care and treatment plans.
Take a leading role in auditing and monitoring all components of care delivery.
Review and develop clinical competency as required to support clinical practice, participating in the ongoing personal development of self and of others.
Please see the Job Description and Person Specification for further details
Person Specification
EDUCATION AND QUALIFICATIONS
Essential
- oSpecialist Practitioner District Nursing Qualification or equivalent
- oCommunity practitioner Nurse prescriber (V100/V300), Physical assessment module
Desirable
- oEducated to Master level
Experience and Knowledge
Essential
- oBroad range of clinical skills relevant to District Nursing oAbility to undertake full assessments of patients with complex needs
- oExperience of staff management and appraisal oEvidence of professional development
- oDemonstrate evidence of service improvement / implementing local change oClinical audit and why this is important
- oClear understanding of community services, NHS policy and future implications
- oClinical audit and why this is important
- oGood knowledge of health and safety and risk management
Skills and Abilities
Essential
- oAbility to work across a seven-day week oAbility to delegate care and prioritise visits
- oTeam working oCommunication skills oInterpersonal skills oWritten and verbal skills
Values
Essential
- Demonstrate ability to meet Trust Values
Other Requirements
Essential
- . Car driver for business use with Valid UK licence .
Person Specification
EDUCATION AND QUALIFICATIONS
Essential
- oSpecialist Practitioner District Nursing Qualification or equivalent
- oCommunity practitioner Nurse prescriber (V100/V300), Physical assessment module
Desirable
- oEducated to Master level
Experience and Knowledge
Essential
- oBroad range of clinical skills relevant to District Nursing oAbility to undertake full assessments of patients with complex needs
- oExperience of staff management and appraisal oEvidence of professional development
- oDemonstrate evidence of service improvement / implementing local change oClinical audit and why this is important
- oClear understanding of community services, NHS policy and future implications
- oClinical audit and why this is important
- oGood knowledge of health and safety and risk management
Skills and Abilities
Essential
- oAbility to work across a seven-day week oAbility to delegate care and prioritise visits
- oTeam working oCommunication skills oInterpersonal skills oWritten and verbal skills
Values
Essential
- Demonstrate ability to meet Trust Values
Other Requirements
Essential
- . Car driver for business use with Valid UK licence .
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
