North Middlesex University Hospital NHS Trust

Advanced Community Nurse Practitioner

This job is now closed

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.

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 Trust is a medium sized District General Hospital based in Edmonton in Enfield, North London. We serve a diverse multicultural population largely from the London boroughs of Enfield and Haringey.Over the last decade we have rebuilt almost all the hospital and now have facilities that we are proud to work in. We employ over 3,500 staff, more than half of whom live locally. We encourage apprenticeships from the local community and work closely with our local Health Watch.We are primarily an emergency led hospital with more than 90% of our bed days being used for patients admitted via our emergency and ambulatory units. As well as offering everything you would expect from a major acute hospital, we have a number of tertiary services treating patients with HIV and Sickle Cell Disease and a large cancer and radiotherapy service. We also run our local community Sexual Health Clinics.The Community division comprises of the 0-19 Service, Health Visitor, School Nursing services, that deliver the Healthy Child Programme as well as a BCG clinic for targeted babies and the Canterbury ward, that supports the acute wards. Also, they have the District Nursing Service division that delivers adult care in Enfield Community.

Date posted

07 December 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,178 to £55,492 a year per annum inclusive of HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

393-NMUH-698-C

Job locations

St Micheal Primary care center

Gater Drive

Enfield

EN2 0JB

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.