GP Practice in Wales

Advanced Nurse Practitioner Llanfyllin Group Practice

Information:

This job is now closed

Job summary

Llanfyllin Group Practice is a three-surgery dispensing GP practice offering medical services to over 11,000 patients within our 600 square mile geographical area.

We are a large team but feel very much like a family with a shared ethos of delivering a high-quality service to our patients working in a stunningly beautiful rural area.

Our nursing team are integral to the way we offer care, providing a friendly, caring, and professional service to our patients, and maintaining a strong commitment along with the rest of the practice team to the continuous development of our services.

The practice is keen to promote a multi-disciplinary team approach to our patients care, we share our premises and work closely with the District Nursing team and offer a multitude of services at our practice such as a First Contact Mental Health Practitioner, a First Contact Physiotherapist, Womens health clinics, skin clinics, minor surgery, a minor injuries service and many more.

We are a training practice for GP trainees, medical students, physicians associates, pre-registration pharmacists and we train and develop our admin/reception and dispensary teams in house.

To complement our multidisciplinary team we are now recruiting to the role of Advanced Nurse Practitioner at the practice.

It is important to us that we have the right person joining us who brings a positive, committed and strong ethos of care to the role. We welcome opportunities to train and develop the right individuals.

Main duties of the job

To act as an autonomous practitioner within your professional scope of practice providing care for patients via face to face consultations, telephone consultations, triage and home visits.

You will be able to demonstrate safe, competent clinical decision making and deliver expert care including history taking, assessment, diagnostic skills, treatment and evaluation.

The post holder will be an experienced, professional and caring person who can demonstrate highly developed clinical skills and be able to demonstrate critical thinking whilst working within their professional boundaries including independently prescribting appropriate medication and making any necessary referrals for investigations in the appropriate manner.

About us

Llanfyllin Group Practice is a three-surgery dispensing GP practice offering medical services to over 11,000 patients within our 600 square mile geographical area.

We are a large team but feel very much like a family with a shared ethos of delivering a high-quality service to our patients working in a stunningly beautiful rural area.

Our team are integral to the way we offer care, providing a friendly, caring, and professional service to our patients, and maintaining a strong commitment along with the rest of the practice team to the continuous development of our services.

The practice is keen to promote a multi-disciplinary team approach to our patients care, we share our premises and work closely with the District Nursing team and offer a multitude of services at our practice such as a First Contact Mental Health Practitioner, a First Contact Physiotherapist, Womens health clinics, skin clinics, minor surgery, a minor injuries service and many more.

We are a training practice for GP trainees, medical students, physicians associates, pre-registration pharmacists and we train and develop our admin/reception and dispensary teams in house.

It is important to us that we have the right person joining us who brings a positive, committed and strong ethos of care to the role. We welcome opportunities to train and develop the right individuals into leading areas of interest to them.

Visit practice website

Details

Date posted

10 July 2023

Pay scheme

Other

Salary

Depending on experience Salary Available on Application - 28 to 37.5 hours a week

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

M0044-23-0122

Job locations

Llanfyllin Group Practice

High Street

Llanfyllin

Powys

SY22 5DG


Job description

Job responsibilities

Mission statement

Llanfyllin Group Practice aims to be a leading local provider of clinical care and a wide range of health care services to the community and practice area; meeting national standards on best clinical practice

Generic responsibilities

All staff at Llanfyllin Group Practice have a duty to conform to the following:

Equality, Diversity and Inclusion

A good attitude and positive action towardsEquality Diversity & Inclusion(ED&I) creates an environment where all individuals can achieve their full potential. Creating such an environment is important for three reasons it improves operational effectiveness; it is morally the right thing to do and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion, or belief, sex, or sexual orientation.

Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued, and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion, or belief, sex, or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

This organisation is committed to supporting and promoting opportunities for staff to maintain their health, wellbeing, and safety.

The post holder is to manage and assess risk within their areas of responsibility, ensuring adequate measures are in place to protect staff and patients, and 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.

All personnel have a duty to take reasonable care of health and safety at work for themselves, their team, and others and to cooperate with employers to ensure compliance with health and safety requirements.

All personnel are to comply with the:

Health and Safety at Work Act 1974

Environmental Protection Act 1990

Environment Act 1995

Fire Precautions (workplace) Regulations 1999

Coronavirus Act 2020

Other statutory legislation which may be brought to the post holders attention

Confidentiality

The organisation is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality.

It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff must protect patient information and provide a confidential service.

Quality and Continuous Improvement (CI)

To preserve and improve the quality of this organisations output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work.

The responsibility for this rests with everyone working within the organisation, to look for opportunities to improve quality and share good practice, and to discuss, highlight and work with the team to create opportunities to improve patient care.

Llanfyllin Group Practice continually strives to improve work processes which deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuous improvement where everyone counts, and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Staff should interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.

All staff are to contribute to investigations and root cause analyses whilst participating in serious incident investigations and multidisciplinary case reviews.

Induction

At Llanfyllin Group Practice, you will be required to complete the induction programme and the practice management team will support you throughout the process.

Learning and development

The effective use of training and development is fundamental to ensuring that all staff are equipped with the appropriate skills, knowledge, attitude, and competences to perform their role. All staff will be required to partake in and complete mandatory training as directed by their line manager. It is an expectation for this post holder to assess their own learning needs and undertake learning as appropriate

The post holder will undertake mentorship for team members, and disseminate learning and information gained to other team members, to share good practice and inform others about current and future developments (e.g., courses and conferences).

The post holder will provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.

Managing information

All staff should use technology and appropriate software as an aid to management in the planning, implementation and monitoring of care, and presenting and communicating information.

Data should be reviewed and processed using accurate SNOMED/read codes to ensure easy and accurate information retrieval for monitoring and audit processes.

Primary responsibilities

The following are the core responsibilities of the Advanced Nurse Practitioner. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

a. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice

b. Implement and evaluate individual specialised treatment plans for chronic disease patients

c. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health

d. Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF

e. Provide wound care

f. Undertake the collection of pathological specimens

g. Request pathology services as necessary

h. Process and interpret pathology and other test results as required

i. Maintain accurate clinical records in conjunction with extant legislation

j. Ensure SNOMED CT codes are used effectively

k. Maintain chronic disease registers

l. Chaperone patients where necessary

m. Prioritise health issues and intervene appropriately

n. Support the team in dealing with clinical emergencies

o. Recognise, assess and refer patients presenting with mental health needs

p. Be an extended and supplementary prescriber, adhering to extant guidance

q. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required

r. Contribute to practice targets (QIF, etc.), complying with local and regional guidance

s. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)

t. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)

u. Support the clinical team with all safeguarding matters in accordance with local and national policies

v. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

w. Deliver opportunistic health promotion where appropriate

x. To participate in and support an effective care management programme for the frail and housebound patients registered at the practice

Secondary responsibilities

In addition to the primary responsibilities, the Advanced Nurse Practitioner may be requested to:

a. Monitor and ensure the safe storage, rotation and disposal of medicaments

b. To act as a mentor to students and newly qualified staff

c. Participate in local initiatives to enhance service delivery and patient care

d. Support and participate in shared learning within the organisation

e. Develop an area of specialist interest, taking the lead within the organisation

f.Continually review clinical practices, responding to national policies and initiatives where appropriate

g.Participate in the review of significant and near-miss events applying a structured approach i.e., root cause analysis (RCA)

Job description

Job responsibilities

Mission statement

Llanfyllin Group Practice aims to be a leading local provider of clinical care and a wide range of health care services to the community and practice area; meeting national standards on best clinical practice

Generic responsibilities

All staff at Llanfyllin Group Practice have a duty to conform to the following:

Equality, Diversity and Inclusion

A good attitude and positive action towardsEquality Diversity & Inclusion(ED&I) creates an environment where all individuals can achieve their full potential. Creating such an environment is important for three reasons it improves operational effectiveness; it is morally the right thing to do and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion, or belief, sex, or sexual orientation.

Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued, and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion, or belief, sex, or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

This organisation is committed to supporting and promoting opportunities for staff to maintain their health, wellbeing, and safety.

The post holder is to manage and assess risk within their areas of responsibility, ensuring adequate measures are in place to protect staff and patients, and 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.

All personnel have a duty to take reasonable care of health and safety at work for themselves, their team, and others and to cooperate with employers to ensure compliance with health and safety requirements.

All personnel are to comply with the:

Health and Safety at Work Act 1974

Environmental Protection Act 1990

Environment Act 1995

Fire Precautions (workplace) Regulations 1999

Coronavirus Act 2020

Other statutory legislation which may be brought to the post holders attention

Confidentiality

The organisation is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality.

It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff must protect patient information and provide a confidential service.

Quality and Continuous Improvement (CI)

To preserve and improve the quality of this organisations output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work.

The responsibility for this rests with everyone working within the organisation, to look for opportunities to improve quality and share good practice, and to discuss, highlight and work with the team to create opportunities to improve patient care.

Llanfyllin Group Practice continually strives to improve work processes which deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuous improvement where everyone counts, and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Staff should interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.

All staff are to contribute to investigations and root cause analyses whilst participating in serious incident investigations and multidisciplinary case reviews.

Induction

At Llanfyllin Group Practice, you will be required to complete the induction programme and the practice management team will support you throughout the process.

Learning and development

The effective use of training and development is fundamental to ensuring that all staff are equipped with the appropriate skills, knowledge, attitude, and competences to perform their role. All staff will be required to partake in and complete mandatory training as directed by their line manager. It is an expectation for this post holder to assess their own learning needs and undertake learning as appropriate

The post holder will undertake mentorship for team members, and disseminate learning and information gained to other team members, to share good practice and inform others about current and future developments (e.g., courses and conferences).

The post holder will provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.

Managing information

All staff should use technology and appropriate software as an aid to management in the planning, implementation and monitoring of care, and presenting and communicating information.

Data should be reviewed and processed using accurate SNOMED/read codes to ensure easy and accurate information retrieval for monitoring and audit processes.

Primary responsibilities

The following are the core responsibilities of the Advanced Nurse Practitioner. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

a. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice

b. Implement and evaluate individual specialised treatment plans for chronic disease patients

c. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health

d. Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF

e. Provide wound care

f. Undertake the collection of pathological specimens

g. Request pathology services as necessary

h. Process and interpret pathology and other test results as required

i. Maintain accurate clinical records in conjunction with extant legislation

j. Ensure SNOMED CT codes are used effectively

k. Maintain chronic disease registers

l. Chaperone patients where necessary

m. Prioritise health issues and intervene appropriately

n. Support the team in dealing with clinical emergencies

o. Recognise, assess and refer patients presenting with mental health needs

p. Be an extended and supplementary prescriber, adhering to extant guidance

q. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required

r. Contribute to practice targets (QIF, etc.), complying with local and regional guidance

s. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)

t. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)

u. Support the clinical team with all safeguarding matters in accordance with local and national policies

v. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

w. Deliver opportunistic health promotion where appropriate

x. To participate in and support an effective care management programme for the frail and housebound patients registered at the practice

Secondary responsibilities

In addition to the primary responsibilities, the Advanced Nurse Practitioner may be requested to:

a. Monitor and ensure the safe storage, rotation and disposal of medicaments

b. To act as a mentor to students and newly qualified staff

c. Participate in local initiatives to enhance service delivery and patient care

d. Support and participate in shared learning within the organisation

e. Develop an area of specialist interest, taking the lead within the organisation

f.Continually review clinical practices, responding to national policies and initiatives where appropriate

g.Participate in the review of significant and near-miss events applying a structured approach i.e., root cause analysis (RCA)

Person Specification

Experience

Essential

  • Experience of practice within the four pillars
  • Job plan that demonstrates advanced nursing practice and has equity with peers working at this level
  • Experience of prescribing and undertaking medication reviews
  • Experience of working in a primary care environment

Desirable

  • Experience of working as a practice nurse or community nurse

Qualifications

Essential

  • Essential
  • Registered Nurse with Nursing and Midwifery Council
  • Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice.
  • Post graduate diploma or degree for Advanced Practice Qualification up to December 2020
  • Qualified Independent Nurse Prescriber on the NMC register
  • Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
  • Meets the standards for registered ANP working at advanced level

Desirable

  • Qualified triage nurse
  • Minor illness qualification
  • Teaching qualification
  • ALS and PALS
Person Specification

Experience

Essential

  • Experience of practice within the four pillars
  • Job plan that demonstrates advanced nursing practice and has equity with peers working at this level
  • Experience of prescribing and undertaking medication reviews
  • Experience of working in a primary care environment

Desirable

  • Experience of working as a practice nurse or community nurse

Qualifications

Essential

  • Essential
  • Registered Nurse with Nursing and Midwifery Council
  • Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice.
  • Post graduate diploma or degree for Advanced Practice Qualification up to December 2020
  • Qualified Independent Nurse Prescriber on the NMC register
  • Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
  • Meets the standards for registered ANP working at advanced level

Desirable

  • Qualified triage nurse
  • Minor illness qualification
  • Teaching qualification
  • ALS and PALS

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.

Certificate of Sponsorship

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.

Certificate of Sponsorship

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).

Employer details

Employer name

GP Practice in Wales

Address

Llanfyllin Group Practice

High Street

Llanfyllin

Powys

SY22 5DG


Employer's website

https://gpwales.co.uk (Opens in a new tab)

Employer details

Employer name

GP Practice in Wales

Address

Llanfyllin Group Practice

High Street

Llanfyllin

Powys

SY22 5DG


Employer's website

https://gpwales.co.uk (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Practice Manager

Juliet Sagar

juliet.sagar@wales.nhs.uk

+441691649296

Details

Date posted

10 July 2023

Pay scheme

Other

Salary

Depending on experience Salary Available on Application - 28 to 37.5 hours a week

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

M0044-23-0122

Job locations

Llanfyllin Group Practice

High Street

Llanfyllin

Powys

SY22 5DG


Supporting documents

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