Job summary
The UK government regulates the ability of employers to recruit non UK residents by issuing licenses to provide Visa Sponsorship. Unfortunately NPC does not hold a license for Visa Sponsorship and so cannot progress any applications for candidates without the right to work in the UK.
Norfolk Primary Care CIC (NPC) is an established Primary Care provider of clinical services. We are a key provider of Primary Care services in the Norfolk & Waveney system working with the local GP practices.
NPC has been sub-contracted to provide a Primary Care / General Practice type service within the Emergency Departments (ED) of the local Acute Hospitals. This comprises of a team of clinicians who are GPs, Advanced Nurse Practitioners or Advanced Clinical Practitioners working across the various locations. The staff provide additional Primary Care support to the ED by streaming patients away from the Front door into a Service capable of supporting demand.
The aim of the General Practice at Front Door (GPFD) Service is to reduce the number of avoidable attendances seen within ED, to direct the patients to appropriate services and free up ED staff to see appropriate emergency patients.
Job Summary
Main duties of the job
You will be an experienced Primary Care clinician, who will be acting autonomously within their professional boundaries and competencies. You will identify appropriate patients to attend the service based on current inclusion and exclusion criteria, as well as your clinical acumen to provide appropriate care for the presenting patient, from initial history taking, clinical assessment, diagnosis, treatment, referral (where required), evaluation, and discharge from our service.
You will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for the patients within GPFD. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the ED and Acute Hospitals to ensure patient journeys are appropriate and timely.
In order to work at this level, those registered with the NMC / HCPC, requirements for Advanced Practice must be met.
About us
Norfolk Primary Care Ltd is a Community Interest Company. It is established to:
Support and strengthen primary care and to promote and assist practices to improve quality by working with and on behalf of primary care in Norfolk.
Help with challenges identified by practices workload, GP recruitment, sharing best practice.
Recognise the changing nature of primary care and assist to ensure that the right level of service is provided to address the needs of the local population.
Provide benefit to patients of primary care, the clinicians and administrators who work in it and practice organisations in Norfolk.
Work within health systems to provide patient care in innovative and solution-focusedways.
We offer successful candidates a supportive working environment, competitive salary, excellent working conditions and the benefits of the NHS pension scheme. Other benefits include access to NHS discounts and discounted First Bus travel.
If you are interested in working in an organisation committed to a culture of professionalism, growth, integrity, positivity and kindness then we would love to hear from you.
Job description
Job responsibilities
Job Title: Advanced Nurse Practitioner / Advanced
Clinical Practitioner
Accountable to:
Operational -
Service Lead / Assistant Director of Clinical Services /Clinical - Clinical Lead / Assistant Director
of Clinical Services
Place
of work: General
Practice at Front Door (GPFD) Service (all locations - JPUH, NNUH, QEHKL)
Principle Liaisons: Assistant
Director of Clinical Services
Salary Range: Dependant on experience
and qualifications please note that NPC is not an agenda for change employer
Key
Responsibilities:
-
Identify patients appropriate to the service
based on initial conversation and excellent communication skills.
-
Clinically examine and assess patient needs from
a physiological and psychological perspective and plan clinical care
accordingly.
-
Assess, diagnosis, plan, implement and evaluate
interventions/treatments for patients with simple or complex, on the day needs.
-
Proactively identify, diagnose and identify
treatment plans for patients at risk of developing a long-term condition (as
appropriate).
-
Refer patients for investigation for specialist
opinion, where appropriate.
-
Diagnose and manage both acute and chronic
conditions with an acute presentation, integrating both drug and non-drug based
treatment methods into a management plan.
-
Work with patients in order to support
compliance with and adherence to prescribed treatments.
-
Ensure provision of continuity of care including
safety netting and suggest follow up, as required.
-
Take advice, guidance and instruction from the
registered GP, when and if required.
-
Prescribe safe, effective and appropriate
medication as defined by current legislative framework and local formularies.
-
Provide information and advice on prescribed or
over-the-counter medication on medication regimes, 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. Escalate to the Acute
Hospital staff as required
-
Refer patients to other health care
professionals as appropriate for clinical needs and in accordance with local
framework/guidelines if indicated.
-
Meet the needs of patients presenting for
opportunistic long term condition management or assessment
-
Be able to undertake general telephone triage /
first contact assessment.
-
To manage own clinical workload within the GPFD
Service, responding effectively to patient need.
-
Adhere to the NMC / HCPC Code of Professional
Conduct at all times
Safeguarding
Children and Vulnerable adults
-
All staff are expected
to behave in such a way that supports the commitment of NPC to safeguard
and promote the welfare of children, young adults, and vulnerable adults.
-
You will be
responsible for safeguarding the interests of children and adults who you come
into contact during your work. To fulfil these duties, you will be required to
have attended or attend training and development to recognise the signs and
symptoms of abuse or individuals at risk, to follow local and national policy
relating to safeguarding practice and to report and act on concerns you may
have appropriately.
Other duties
-
Any other duties may be considered, as agreed
with the Service or Clinical Lead to meet the needs of the organisation,
and may involve travel to other sites
within the organisation.
-
You must hold a full drivers licence with access
to a vehicle to use for purposes of travel to and from Acute hospital sites.
This will involve having the appropriate insurance to use your vehicle for
business use.
NPC Generic Job Description areas:
Communication
-
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
organisational environment and with external stakeholders
-
Act as an advocate for patients and colleagues
-
Ensure awareness of sources of support and
guidance (eg PALS) and provide information in an acceptable format to all
patients, recognising any difficulties and referring where appropriate
Delivering a quality service
- Prioritise,
organise and manage own workload in a manner that maintains and promotes
quality
- Participate in
quality assurance and safety processes across the organisation and its
activities
- Participate in
shared learning across NPC and the wider organisational environment
- 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
coaching/supervision and acting as a positive role mode
-
Support staff development in order to maximise potential
-
Actively promote the workplace as a learning
environment, encouraging everyone to learn from each other and from external
good practice
-
Encourage others to make realistic
self-assessment of their application of knowledge and skills, challenging any
complacency or actions that are not in the interest of the public and/or users
of services
-
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
-
Contribute to planning and implementing changes
within the area of care and responsibility
- Contribute to the development of local
guidelines, protocols and standards
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 with 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 by which 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.
-
Participate in mandatory and statutory training requirements
-
Apply infection-control measures within the
practice according to local and national guidelines
-
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
-
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
Learning and development
-
Undertake mentorship for team members
-
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
Equality and diversity
-
Identify patterns of discrimination and take
action to overcome this and promote diversity and equality of opportunity
-
Enable others to promote equality and diversity
in a non-discriminatory culture
-
Support people who need assistance in exercising
their rights
-
Monitor and evaluate adherence to local
chaperoning policies
-
Act as a role model in the observance of
equality and diversity good practice
-
Accept the rights of individuals to choose their
care providers, participate in care and refuse care
-
Assist patients from marginalised groups to access quality care
Job description
Job responsibilities
Job Title: Advanced Nurse Practitioner / Advanced
Clinical Practitioner
Accountable to:
Operational -
Service Lead / Assistant Director of Clinical Services /Clinical - Clinical Lead / Assistant Director
of Clinical Services
Place
of work: General
Practice at Front Door (GPFD) Service (all locations - JPUH, NNUH, QEHKL)
Principle Liaisons: Assistant
Director of Clinical Services
Salary Range: Dependant on experience
and qualifications please note that NPC is not an agenda for change employer
Key
Responsibilities:
-
Identify patients appropriate to the service
based on initial conversation and excellent communication skills.
-
Clinically examine and assess patient needs from
a physiological and psychological perspective and plan clinical care
accordingly.
-
Assess, diagnosis, plan, implement and evaluate
interventions/treatments for patients with simple or complex, on the day needs.
-
Proactively identify, diagnose and identify
treatment plans for patients at risk of developing a long-term condition (as
appropriate).
-
Refer patients for investigation for specialist
opinion, where appropriate.
-
Diagnose and manage both acute and chronic
conditions with an acute presentation, integrating both drug and non-drug based
treatment methods into a management plan.
-
Work with patients in order to support
compliance with and adherence to prescribed treatments.
-
Ensure provision of continuity of care including
safety netting and suggest follow up, as required.
-
Take advice, guidance and instruction from the
registered GP, when and if required.
-
Prescribe safe, effective and appropriate
medication as defined by current legislative framework and local formularies.
-
Provide information and advice on prescribed or
over-the-counter medication on medication regimes, 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. Escalate to the Acute
Hospital staff as required
-
Refer patients to other health care
professionals as appropriate for clinical needs and in accordance with local
framework/guidelines if indicated.
-
Meet the needs of patients presenting for
opportunistic long term condition management or assessment
-
Be able to undertake general telephone triage /
first contact assessment.
-
To manage own clinical workload within the GPFD
Service, responding effectively to patient need.
-
Adhere to the NMC / HCPC Code of Professional
Conduct at all times
Safeguarding
Children and Vulnerable adults
-
All staff are expected
to behave in such a way that supports the commitment of NPC to safeguard
and promote the welfare of children, young adults, and vulnerable adults.
-
You will be
responsible for safeguarding the interests of children and adults who you come
into contact during your work. To fulfil these duties, you will be required to
have attended or attend training and development to recognise the signs and
symptoms of abuse or individuals at risk, to follow local and national policy
relating to safeguarding practice and to report and act on concerns you may
have appropriately.
Other duties
-
Any other duties may be considered, as agreed
with the Service or Clinical Lead to meet the needs of the organisation,
and may involve travel to other sites
within the organisation.
-
You must hold a full drivers licence with access
to a vehicle to use for purposes of travel to and from Acute hospital sites.
This will involve having the appropriate insurance to use your vehicle for
business use.
NPC Generic Job Description areas:
Communication
-
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
organisational environment and with external stakeholders
-
Act as an advocate for patients and colleagues
-
Ensure awareness of sources of support and
guidance (eg PALS) and provide information in an acceptable format to all
patients, recognising any difficulties and referring where appropriate
Delivering a quality service
- Prioritise,
organise and manage own workload in a manner that maintains and promotes
quality
- Participate in
quality assurance and safety processes across the organisation and its
activities
- Participate in
shared learning across NPC and the wider organisational environment
- 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
coaching/supervision and acting as a positive role mode
-
Support staff development in order to maximise potential
-
Actively promote the workplace as a learning
environment, encouraging everyone to learn from each other and from external
good practice
-
Encourage others to make realistic
self-assessment of their application of knowledge and skills, challenging any
complacency or actions that are not in the interest of the public and/or users
of services
-
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
-
Contribute to planning and implementing changes
within the area of care and responsibility
- Contribute to the development of local
guidelines, protocols and standards
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 with 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 by which 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.
-
Participate in mandatory and statutory training requirements
-
Apply infection-control measures within the
practice according to local and national guidelines
-
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
-
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
Learning and development
-
Undertake mentorship for team members
-
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
Equality and diversity
-
Identify patterns of discrimination and take
action to overcome this and promote diversity and equality of opportunity
-
Enable others to promote equality and diversity
in a non-discriminatory culture
-
Support people who need assistance in exercising
their rights
-
Monitor and evaluate adherence to local
chaperoning policies
-
Act as a role model in the observance of
equality and diversity good practice
-
Accept the rights of individuals to choose their
care providers, participate in care and refuse care
-
Assist patients from marginalised groups to access quality care
Person Specification
Skills and Attributes
Essential
- Advanced clinical practice skills.
- Management and treatment of patients with acute exacerbation of long-term conditions.
- Clinical examination skills.
- Clinical leadership skills.
- Clinical Systems e.g. SystmOne.
- Communication skills, both written and verbal.
- Negotiation and conflict management skills.
- Change management.
- Highly motivated.
- Flexibility.
- Enthusiasm.
- Team Player.
- Flexible approach to working hours, willingness to work anti-social hours, shifts, cover at other locations as required
Desirable
- Management of patients with complex needs.
- Teaching and mentorship in a clinical setting.
- Resource Management.
Qualifications
Essential
- Registered first level nurse / BSc (Hons) or MSc Advanced Practice (or equivalent), or HCPC registration, whichever is appropriate.
- Post registration qualification Advanced Nursing Practice, autonomous practice or equivalent.
- Independent Non-Medical Prescriber or near completion.
- Basic Life Support.
Desirable
- Masters level qualification.
- Mentor / Teaching qualification.
- Clinical supervision training and experience.
Experience
Essential
- Experience of working as senior clinician.
- Experience of having worked in Primary Care.
Desirable
- Experience in leading / managing a clinical team.
- Experience of working in an unscheduled care service.
- Accountability of own role and other roles in a Primary Care provided service.
- Experience of leading/managing quality improvement.
Person Specification
Skills and Attributes
Essential
- Advanced clinical practice skills.
- Management and treatment of patients with acute exacerbation of long-term conditions.
- Clinical examination skills.
- Clinical leadership skills.
- Clinical Systems e.g. SystmOne.
- Communication skills, both written and verbal.
- Negotiation and conflict management skills.
- Change management.
- Highly motivated.
- Flexibility.
- Enthusiasm.
- Team Player.
- Flexible approach to working hours, willingness to work anti-social hours, shifts, cover at other locations as required
Desirable
- Management of patients with complex needs.
- Teaching and mentorship in a clinical setting.
- Resource Management.
Qualifications
Essential
- Registered first level nurse / BSc (Hons) or MSc Advanced Practice (or equivalent), or HCPC registration, whichever is appropriate.
- Post registration qualification Advanced Nursing Practice, autonomous practice or equivalent.
- Independent Non-Medical Prescriber or near completion.
- Basic Life Support.
Desirable
- Masters level qualification.
- Mentor / Teaching qualification.
- Clinical supervision training and experience.
Experience
Essential
- Experience of working as senior clinician.
- Experience of having worked in Primary Care.
Desirable
- Experience in leading / managing a clinical team.
- Experience of working in an unscheduled care service.
- Accountability of own role and other roles in a Primary Care provided service.
- Experience of leading/managing quality improvement.
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).
