Job summary
Buttercross Health Centre are looking for an
enthusiastic and committed Advanced Nurse Practitioner to join their team.
The post
available will be 37.5 hours per week, with working hours and patterns to be
discussed at interview. The rate of pay is dependent on experience.
The post also
has the benefit of a NHS or NEST pension.
Main duties of the job
The Advanced Nurse Practitioner
will work within their professional boundaries; will provide care for the
presenting patient from initial history taking, clinical assessment, diagnosis,
treatment and evaluation of their care. They will demonstrate safe, clinical
decision-making and expert care for patients within the general practice. They
will work collaboratively with the multi-disciplinary general practice team to
meet the needs of patients, supporting the delivery of policy and procedures.
In order to work at this level, NMC requirements for advanced practice must be
met.
About us
Symphony Healthcare Services was established in 2016 as part of the award-winning Symphony Programme Vanguard, developing new models of care. We now support 20 practices in Somerset and East Devon, providing care for 120,000 patients.
Symphony has developed a model where each practice is encouraged to operate autonomously but as a subsidiary of Yeovil Hospital and with the backing and economies of scale from a central support team.
Providing NHS services is at the heart of what we do. Our vision is to ensure that primary care is sustainable for patients and practices in Somerset and we aim to be a national exemplar for primary care provision. We work closely with our practice teams to support, develop and transform patient care and working practices with innovation and technology at the heart of what we do.
By working at scale in primary care in Somerset we can offer you the opportunity to develop specialist skills in the areas of clinical management, training or leadership with the support of a larger organisation to develop your career.
Job description
Job responsibilities
Clinical Practice
- Assess, examine, diagnose, plan, implement and evaluate treatment/ interventions and care for patients
presenting with an undifferentiated diagnosis
- Proactively identify, diagnose and manage treatment plans for
patients at risk of developing a long-term condition (as appropriate)
- 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
- Support and manage health needs of women presenting for family
planning, cervical cytology or sexual health consultation
- Assess, identify and refer
patients presenting with mental health needs in accordance with the NSF for
Mental Health
- Participate in opportunistic vaccination and immunisation of both
adults and children
- Promote and deliver evidence-based care for patients presenting
with aural conditions
- Meet the needs of patients presenting for opportunistic wound care
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 practice environment and with external
stakeholders
- Attend and contribute to practice and primary
care team meetings
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 NSF, NICE guidelines and evidence-based
care
- Utilise the audit cycle as a means of evaluating the quality of
the work of self and the team, implementing improvements where required
- Support and participate in shared learning across the practice and
wider organisation
- 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
Personal
development
- Take responsibility for own learning and performance including
acting as a positive role model
- Actively promote the workplace as a learning environment,
encouraging everyone to learn from each other and from external good practice
- Contribute to the development of local guidelines, protocols and
standards
- Market the role of the advanced nurse practitioner in general
practice
Team
working
- Work as an effective and responsible team member, supporting
others and exploring the mechanisms to develop new ways of working
- Prioritise own workload and ensure effective time-management
strategies are embedded within the culture of the team
- 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
- Apply infection-control measures within the practice according to
local and national guidelines
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
- Understand responsibility of self and others to the practice and
primary care trust regarding Patient Confidentiality and Information Governance
General
- You
are required to take reasonable care for the health and safety of yourself and
others who may be affected by your acts or omissions at work.
- The
Practice is an equal opportunities employer.
The post holder is expected to carry out his/her responsibilities in
accordance with the equal opportunities policy.
- The
Practice operates a no smoking policy and smoking is not permitted in any part
of the health centre building or grounds.
Job description
Job responsibilities
Clinical Practice
- Assess, examine, diagnose, plan, implement and evaluate treatment/ interventions and care for patients
presenting with an undifferentiated diagnosis
- Proactively identify, diagnose and manage treatment plans for
patients at risk of developing a long-term condition (as appropriate)
- 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
- Support and manage health needs of women presenting for family
planning, cervical cytology or sexual health consultation
- Assess, identify and refer
patients presenting with mental health needs in accordance with the NSF for
Mental Health
- Participate in opportunistic vaccination and immunisation of both
adults and children
- Promote and deliver evidence-based care for patients presenting
with aural conditions
- Meet the needs of patients presenting for opportunistic wound care
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 practice environment and with external
stakeholders
- Attend and contribute to practice and primary
care team meetings
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 NSF, NICE guidelines and evidence-based
care
- Utilise the audit cycle as a means of evaluating the quality of
the work of self and the team, implementing improvements where required
- Support and participate in shared learning across the practice and
wider organisation
- 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
Personal
development
- Take responsibility for own learning and performance including
acting as a positive role model
- Actively promote the workplace as a learning environment,
encouraging everyone to learn from each other and from external good practice
- Contribute to the development of local guidelines, protocols and
standards
- Market the role of the advanced nurse practitioner in general
practice
Team
working
- Work as an effective and responsible team member, supporting
others and exploring the mechanisms to develop new ways of working
- Prioritise own workload and ensure effective time-management
strategies are embedded within the culture of the team
- 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
- Apply infection-control measures within the practice according to
local and national guidelines
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
- Understand responsibility of self and others to the practice and
primary care trust regarding Patient Confidentiality and Information Governance
General
- You
are required to take reasonable care for the health and safety of yourself and
others who may be affected by your acts or omissions at work.
- The
Practice is an equal opportunities employer.
The post holder is expected to carry out his/her responsibilities in
accordance with the equal opportunities policy.
- The
Practice operates a no smoking policy and smoking is not permitted in any part
of the health centre building or grounds.
Person Specification
Qualifications
Essential
- Registered first level nurse
- MSC or equivalent
- Relevant nursing/health degree
- Clinical supervision training and experience
- Independent/supplementary nurse prescribing qualification
Desirable
- Mentoring/teaching qualification
- Community nursing specialist qualification
Knowledge and Skills
Essential
- Management of patients with long term conditions
- Management of patients with complex needs
- Accountability of own role and other roles in a nurse led service
- Local and national health policy
- Clinical governance issues in primary care
- Patient group directions and associated policy
- Communication skills, both written and verbal
- Communication of difficult messages to patients and families
- Negotiation and conflict management skills
- Change management
- Resource management
Desirable
- Clinical examination skills
- Advanced clinical practice skills
- Knowledge of public health issues
- Able to identify determinants on health in the area
- Knowledge of public health issues in the area
Experience
Essential
- Minimum 5 years post-registration experience
- Minimum 2 years recent primary/community nursing experience
- Nurse led management of minor ailments and injuries
- Nurse led triage
- Compiling protocols and clinical guidelines
- Audit
- Research
Desirable
Person Specification
Qualifications
Essential
- Registered first level nurse
- MSC or equivalent
- Relevant nursing/health degree
- Clinical supervision training and experience
- Independent/supplementary nurse prescribing qualification
Desirable
- Mentoring/teaching qualification
- Community nursing specialist qualification
Knowledge and Skills
Essential
- Management of patients with long term conditions
- Management of patients with complex needs
- Accountability of own role and other roles in a nurse led service
- Local and national health policy
- Clinical governance issues in primary care
- Patient group directions and associated policy
- Communication skills, both written and verbal
- Communication of difficult messages to patients and families
- Negotiation and conflict management skills
- Change management
- Resource management
Desirable
- Clinical examination skills
- Advanced clinical practice skills
- Knowledge of public health issues
- Able to identify determinants on health in the area
- Knowledge of public health issues in the area
Experience
Essential
- Minimum 5 years post-registration experience
- Minimum 2 years recent primary/community nursing experience
- Nurse led management of minor ailments and injuries
- Nurse led triage
- Compiling protocols and clinical guidelines
- Audit
- Research
Desirable
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).
