LS25/26 PCN Advanced Nurse Practitioner

South and East Leeds GP Group

Information:

This job is now closed

Job summary

Our staff sit within 5 teams: Pharmacy, Clinical, Health & Wellbeing, Operational and Frailty, with the aim of supporting our practices and improving the health outcomes for our patients.

The Role

The post holder will be an autonomous practitioner who will be expected to take an active role in managing acute care pathways by delivery of advanced assessment, by responding through assessment, management and treatment of patients, usually over 65 years of age living with Frailty both in the community and in care/nursing homes across the PCN.

The Frailty ANP will have a key role in supporting the work of PCN in transforming the care of frail patients, delivering integrated out of hospital care. They will support practices to meet the requirements of the enhanced frailty scheme, QOF and the NHS long term plan.

The Advanced Nurse Practitioner role within the PCN will provide comprehensive healthcare sensitive to the needs of the population, including advanced clinical assessments, history taking, diagnosis, plan and deliver treatment, prescribe, and evaluate care. Working as part of a multidisciplinary team and across the primary care, neighbourhood teams and social care in the LS25/26 PCN.

Main duties of the job

The post holder will be responsible for working with the frailty team to co-ordinate the delivery of proactive and reactive care needs of living with frailty . This includes direct referrals from GP practices, discharge reviews, social care, Neighbourhood teams, PCN staff, other professionals and from data from the clinical system.

The post holder will provide highly specialised health assessments and input as an independent and autonomous practitioner developing and leading relationships with members of the multi-professional team allowing for consultation and collaboration.

The focus will be to provide ongoing medical support and prevent unnecessary acute hospital admissions and enable patients to remain safely and supported within their own homes/nursing and residential homes.

The post holder will aid in developing, delivering, and evaluating high quality patient centred interventions in conjunction with the associated clinical teams to ensure this is incorporated within both the overarching PCN Frailty Service and LS25/26 PCN objectives.

About us

LS25/26 PCN is a PCN with a patient population of circa 75,000 across 7 practices.

Garforth Medical Centre

Gibson Lane Practice

Kippax Hall Surgery

Lofthouse Surgery

Moorfield House Surgery

Nova Scotia Medical Centre

Oulton Medical Centre

We are a dynamic, forward thinking PCN team who are passionate about developing and delivering excellent quality local services to meet the needs of our patients. Please have a look at our website to find out more about our team, projects, services and partners. (www.ls2526pcn.co.uk)

We have a team of over 40 staff including pharmacists, pharmacy technicians, trainee pharmacist, paramedics, social prescribers (general and working with young people), Health Care Assistant/social prescribers, health and wellbeing coaches, care coordinators, occupational therapists, physiotherapists, physician associates, admiral (dementia) nurse, nurse associate, Advanced Nurse Practitioner, and a Community Matron. Please see our staffing structure but note that it may be updated as we continue to develop and grow our team.

Date posted

03 May 2024

Pay scheme

Other

Salary

£48,000 to £54,000 a year Depending on experience

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

U0053-24-0011

Job locations

Hosted employer's address

1st Floor Park Edge Practice

Leeds

West Yorkshire

LS14 1HX


Job description

Job responsibilities

The opportunity

LS25/26 PCN is a PCN with a patient population of circa 75,000 across 7 practices.

Garforth Medical Centre

Gibson Lane Practice

Kippax Hall Surgery

Lofthouse Surgery

Moorfield House Surgery

Nova Scotia Medical Centre

Oulton Medical Centre

We are a dynamic, forward thinking PCN team who are passionate about developing and delivering excellent quality local services to meet the needs of our patients. Please have a look at our website to find out more about our team, projects, services and partners. (www.ls2526pcn.co.uk)

We have a team of over 40 staff including pharmacists, pharmacy technicians, trainee pharmacist, paramedics, social prescribers (general and working with young people), Health Care Assistant/social prescribers, health and wellbeing coaches, care coordinators, occupational therapists, physiotherapists, physician associates, admiral (dementia) nurse, nurse associate, Advanced Nurse Practitioner, and a Community Matron. Please see our staffing structure but note that it may be updated as we continue to develop and grow our team.

Our staff sit within 5 teams: Pharmacy, Clinical, Health & Wellbeing, Operational and Frailty, with the aim of supporting our practices and improving the health outcomes for our patients.

The Role

The post holder will be an autonomous practitioner who will be expected to take an active role in managing acute care pathways by delivery of advanced assessment, by responding through assessment, management and treatment of patients, usually over 65 years of age living with Frailty both in the community and in care/nursing homes across the PCN.

The Frailty ANP will have a key role in supporting the work of PCN in transforming the care of frail patients, delivering integrated out of hospital care. They will support practices to meet the requirements of the enhanced frailty scheme, QOF and the NHS long term plan.

The Advanced Nurse Practitioner role within the PCN will provide comprehensive healthcare sensitive to the needs of the population, including advanced clinical assessments, history taking, diagnosis, plan and deliver treatment, prescribe, and evaluate care. Working as part of a multidisciplinary team and across the primary care, neighbourhood teams and social care in the LS25/26 PCN.

The post holder will be responsible for working with the frailty team to co-ordinate the delivery of proactive and reactive care needs of living with frailty . This includes direct referrals from GP practices, discharge reviews, social care, Neighbourhood teams, PCN staff, other professionals and from data from the clinical system.

The post holder will provide highly specialised health assessments and input as an independent and autonomous practitioner developing and leading relationships with members of the multi-professional team allowing for consultation and collaboration.

The focus will be to provide ongoing medical support and prevent unnecessary acute hospital admissions and enable patients to remain safely and supported within their own homes/nursing and residential homes.

The post holder will aid in developing, delivering, and evaluating high quality patient centred interventions in conjunction with the associated clinical teams to ensure this is incorporated within both the overarching PCN Frailty Service and LS25/26 PCN objectives.

As an advanced practitioner defined a first level nurse/allied health professional, the post holder will work within the PCN and be responsible for:

Working alongside the PCN manager in developing and leading the PCN frailty team, taking a lead on developments related to frailty.

Leading and supervising clinical staff within the service.

Providing highly specialised care within the community and care settings, to those patients with unscheduled care needs using advanced clinical knowledge that is evidence based, assessing, diagnosing, treating patients, and advising people in respect of their health care needs.

Provide expert advice and clinical leadership to ensure the needs of the patient are met by leading, challenging, and changing practice within the community.

Provide community wide team working in the development of the role of the frailty advanced Practitioners.

To pro-actively support and maintain patients within the community.

To help to develop clinical pathways and protocols, leading on clinical audit and research.

To recognise and act as an advocate for patients, carers, services and organisations.

May require travel between practices and to carry out home visits.

Key duties and responsibilities

1. Clinical Practice

Assess and holistically clinically examine patients with both minor and complex needs through history taking, physical examination and appropriate use of investigations to confirm diagnosis.

Recognise the early symptoms of disease exacerbation and acute illness based on an understanding of disease, the disease process, and current evidence and practice standards.

Plan, implement and evaluate an effective management plan for the patient, ensuring safe discharge/referral and/or transfer to an appropriate health care service.

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.

Triage telephone call referrals from external clinicians, patients and others into a range of services appropriately as required utilising video consultation resources

2. Communication

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

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 organisation and with external stakeholders.

Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

3. Non-Medical- Prescribing

If you are employed in a prescribing capacity, you must only do this if qualified and competent to do so. This applies to those practitioners with V300 qualification, who have active registration with the NMC or the practitioners professional regulatory body.

With relevant training, authorisationand experience, practitioners may be trained to use a set of specific patient group directions (PGD's). These are applicable only to nominated, authorised and competent practitioners who have undertaken training in this sphere of practice.

You must maintain your knowledge and skills with regards to prescribing and administration of drugs, keeping up to date with any changes, alerts, recalls and other reasonable professional knowledge.

4. Delivering a Quality Service

Recognise and work within own competence and professional code of conduct as regulated by the NMC/HPC etc. Understand own role and scope and identify how this may develop over time.

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.

Ensure professional revalidation requirements are met.

Deliver care according to NSF, NICE guidelines and evidence-based care.

Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.

Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.

In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.

Support and participate in shared learning across the organisation and wider organisation.

Understand and apply guidance that supports the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patient health procedures and local guidance.

5. Leadership Personal and People Development

Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode.

Provide supervison and mentoring and 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.

Take a lead role in planning and implementing changes within the area of care and responsibility.

Please see attached job description

Job description

Job responsibilities

The opportunity

LS25/26 PCN is a PCN with a patient population of circa 75,000 across 7 practices.

Garforth Medical Centre

Gibson Lane Practice

Kippax Hall Surgery

Lofthouse Surgery

Moorfield House Surgery

Nova Scotia Medical Centre

Oulton Medical Centre

We are a dynamic, forward thinking PCN team who are passionate about developing and delivering excellent quality local services to meet the needs of our patients. Please have a look at our website to find out more about our team, projects, services and partners. (www.ls2526pcn.co.uk)

We have a team of over 40 staff including pharmacists, pharmacy technicians, trainee pharmacist, paramedics, social prescribers (general and working with young people), Health Care Assistant/social prescribers, health and wellbeing coaches, care coordinators, occupational therapists, physiotherapists, physician associates, admiral (dementia) nurse, nurse associate, Advanced Nurse Practitioner, and a Community Matron. Please see our staffing structure but note that it may be updated as we continue to develop and grow our team.

Our staff sit within 5 teams: Pharmacy, Clinical, Health & Wellbeing, Operational and Frailty, with the aim of supporting our practices and improving the health outcomes for our patients.

The Role

The post holder will be an autonomous practitioner who will be expected to take an active role in managing acute care pathways by delivery of advanced assessment, by responding through assessment, management and treatment of patients, usually over 65 years of age living with Frailty both in the community and in care/nursing homes across the PCN.

The Frailty ANP will have a key role in supporting the work of PCN in transforming the care of frail patients, delivering integrated out of hospital care. They will support practices to meet the requirements of the enhanced frailty scheme, QOF and the NHS long term plan.

The Advanced Nurse Practitioner role within the PCN will provide comprehensive healthcare sensitive to the needs of the population, including advanced clinical assessments, history taking, diagnosis, plan and deliver treatment, prescribe, and evaluate care. Working as part of a multidisciplinary team and across the primary care, neighbourhood teams and social care in the LS25/26 PCN.

The post holder will be responsible for working with the frailty team to co-ordinate the delivery of proactive and reactive care needs of living with frailty . This includes direct referrals from GP practices, discharge reviews, social care, Neighbourhood teams, PCN staff, other professionals and from data from the clinical system.

The post holder will provide highly specialised health assessments and input as an independent and autonomous practitioner developing and leading relationships with members of the multi-professional team allowing for consultation and collaboration.

The focus will be to provide ongoing medical support and prevent unnecessary acute hospital admissions and enable patients to remain safely and supported within their own homes/nursing and residential homes.

The post holder will aid in developing, delivering, and evaluating high quality patient centred interventions in conjunction with the associated clinical teams to ensure this is incorporated within both the overarching PCN Frailty Service and LS25/26 PCN objectives.

As an advanced practitioner defined a first level nurse/allied health professional, the post holder will work within the PCN and be responsible for:

Working alongside the PCN manager in developing and leading the PCN frailty team, taking a lead on developments related to frailty.

Leading and supervising clinical staff within the service.

Providing highly specialised care within the community and care settings, to those patients with unscheduled care needs using advanced clinical knowledge that is evidence based, assessing, diagnosing, treating patients, and advising people in respect of their health care needs.

Provide expert advice and clinical leadership to ensure the needs of the patient are met by leading, challenging, and changing practice within the community.

Provide community wide team working in the development of the role of the frailty advanced Practitioners.

To pro-actively support and maintain patients within the community.

To help to develop clinical pathways and protocols, leading on clinical audit and research.

To recognise and act as an advocate for patients, carers, services and organisations.

May require travel between practices and to carry out home visits.

Key duties and responsibilities

1. Clinical Practice

Assess and holistically clinically examine patients with both minor and complex needs through history taking, physical examination and appropriate use of investigations to confirm diagnosis.

Recognise the early symptoms of disease exacerbation and acute illness based on an understanding of disease, the disease process, and current evidence and practice standards.

Plan, implement and evaluate an effective management plan for the patient, ensuring safe discharge/referral and/or transfer to an appropriate health care service.

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.

Triage telephone call referrals from external clinicians, patients and others into a range of services appropriately as required utilising video consultation resources

2. Communication

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

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 organisation and with external stakeholders.

Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

3. Non-Medical- Prescribing

If you are employed in a prescribing capacity, you must only do this if qualified and competent to do so. This applies to those practitioners with V300 qualification, who have active registration with the NMC or the practitioners professional regulatory body.

With relevant training, authorisationand experience, practitioners may be trained to use a set of specific patient group directions (PGD's). These are applicable only to nominated, authorised and competent practitioners who have undertaken training in this sphere of practice.

You must maintain your knowledge and skills with regards to prescribing and administration of drugs, keeping up to date with any changes, alerts, recalls and other reasonable professional knowledge.

4. Delivering a Quality Service

Recognise and work within own competence and professional code of conduct as regulated by the NMC/HPC etc. Understand own role and scope and identify how this may develop over time.

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.

Ensure professional revalidation requirements are met.

Deliver care according to NSF, NICE guidelines and evidence-based care.

Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.

Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.

In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.

Support and participate in shared learning across the organisation and wider organisation.

Understand and apply guidance that supports the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patient health procedures and local guidance.

5. Leadership Personal and People Development

Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode.

Provide supervison and mentoring and 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.

Take a lead role in planning and implementing changes within the area of care and responsibility.

Please see attached job description

Person Specification

Experience

Essential

  • Experience of working as senior clinician
  • Experience in leading managing a team of health professionals
  • Accountability of own role and other roles in a practitioner-led service

Desirable

  • Experience of working in an unscheduled care service
  • Experience of having worked in Primary Care
  • Experience of leading managing quality improvement
  • Experience of developing or delivering a new service or project

Qualifications

Essential

  • Registered first level nurse with MSc Advanced Practice or equivalent
  • Non Medical Prescriber

Desirable

  • Mentor Teaching qualification
  • Clinical supervision training and experience

EXPERIENCE

Essential

  • Commit to a DBS Check
  • Access to a car and hold a driving license

Skills and knowledge

Essential

  • Advanced clinical practice skills
  • Management and treatment of patients with acute exacerbation of long term conditions
  • Management of patients with complex needs
  • Clinical examination skills
  • Clinical leadership skills
  • Communication skills both written and verbal
  • Negotiation and conflict management skills
  • Change management
  • Highly motivated
  • Flexibility
  • Enthusiasm
  • Team Player

Desirable

  • Teaching and mentorship in a clinical setting
  • Resource Management
Person Specification

Experience

Essential

  • Experience of working as senior clinician
  • Experience in leading managing a team of health professionals
  • Accountability of own role and other roles in a practitioner-led service

Desirable

  • Experience of working in an unscheduled care service
  • Experience of having worked in Primary Care
  • Experience of leading managing quality improvement
  • Experience of developing or delivering a new service or project

Qualifications

Essential

  • Registered first level nurse with MSc Advanced Practice or equivalent
  • Non Medical Prescriber

Desirable

  • Mentor Teaching qualification
  • Clinical supervision training and experience

EXPERIENCE

Essential

  • Commit to a DBS Check
  • Access to a car and hold a driving license

Skills and knowledge

Essential

  • Advanced clinical practice skills
  • Management and treatment of patients with acute exacerbation of long term conditions
  • Management of patients with complex needs
  • Clinical examination skills
  • Clinical leadership skills
  • Communication skills both written and verbal
  • Negotiation and conflict management skills
  • Change management
  • Highly motivated
  • Flexibility
  • Enthusiasm
  • Team Player

Desirable

  • Teaching and mentorship in a clinical setting
  • Resource Management

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).

Employer details

Employer name

South and East Leeds GP Group

Address

Hosted employer's address

1st Floor Park Edge Practice

Leeds

West Yorkshire

LS14 1HX


Employer's website

https://www.seleedsgpgroup.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

South and East Leeds GP Group

Address

Hosted employer's address

1st Floor Park Edge Practice

Leeds

West Yorkshire

LS14 1HX


Employer's website

https://www.seleedsgpgroup.nhs.uk/ (Opens in a new tab)

For questions about the job, contact:

Rebecca Aveyard

selgpgroup.hr@nhs.net

01134687080

Date posted

03 May 2024

Pay scheme

Other

Salary

£48,000 to £54,000 a year Depending on experience

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

U0053-24-0011

Job locations

Hosted employer's address

1st Floor Park Edge Practice

Leeds

West Yorkshire

LS14 1HX


Supporting documents

Privacy notice

South and East Leeds GP Group's privacy notice (opens in a new tab)