Job responsibilities

• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
• 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 complex needs 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 Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health Promote and deliver evidence-based care for patients presenting with aural conditions
• Meet the needs of patients presenting for opportunistic wound care

Please see the Job Description attached for more information

Other

Essential

• Self-directed practitioner
• Highly motivated
• Flexibility
• Enthusiasm
• Team player
• Ability to work across boundaries

Qualifications

Essential

• Registered first level MSc or equivalent.
• Relevant nursing/health degree
• Mentor, teaching qualification.
• Clinical supervision training and experience
• Extended independent non-medical prescribing
• Advanced clinical knowledge 4 pillars of advanced practice
• Management of patients with complex needs
• Accountability of own role and other roles
• Local and national health policy
• Wider health economy
• Clinical governance issues in primary care
• Patient group directions and associated policy

Experience

Essential

• Significant post registration experience
• Recent primary and community nursing experience
• Compiling protocols and clinical guidelines
• Clinical Leadership
• Audit
• Research
• Nurse prescribing

Desirable

• Recent primary and community nursing of 5 years

Skills

Essential

• Clinical leadership skills
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Change management
• Teaching and mentorship 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).

Job responsibilities

Job summary:

The post-holder will be an experienced nurse/paramedic, who acting 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 patient within the general practice.

The post-holder will provide this service to our care home residents, patients in their own homes and at the surgery.

The post-holder will work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures.

The post-holder will build effective working relationships with other health care professionals.

The post-holder will work within the team of GPs, nurses and health care assistants to deliverexcellent primary health care services within the Practice.

Duties and responsibilities:

Management of patient Health and Illness

To deliver a high standard of patient care as an Advanced Care Practitioner in general practice, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base.

Provide a first point of contact within the Practice for patients presenting withundifferentiated, undiagnosed problems, making use of skills in history taking, physicalexamination, problem-solving and clinical decision-making, to establish a diagnosis andmanagement plan.

Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports.

Where the post-holder is an independent prescriber: to prescribe safe, effective andappropriate medication as defined by current legislative framework.

To prioritise health problems and intervene appropriately, including initiation of effective emergency care.

Promote health and well-being through the use of health promotion, health education,screening and therapeutic communication skills.

To clearly communicate the health status of the patient using appropriate terminology,technology and format.

Provide safe, evidence-based, cost effective, individualised patient care.

To work within the Practice guidelines, policies and protocols.

To maintain accurate and contemporaneous records, utilising computer systems whereappropriate and consider the Caldicott Principles and GDPR Regulations in relation to all data handling.

To be proactive in the identification of Carers

PROFESSIONAL ROLE

To promote personal development and clinical excellence.

To facilitate and participate in multi-disciplinary education and clinical supervision.

To work within the relevant Professional Conduct and Scope of Professional Practice.

Participate in organisational decision making, interpret variations in outcomes and use data from information systems to improve practice.

To maintain own professional development in line with their professional regulations.

To promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.

Monitor the effectiveness of their clinical practice through the quality assurance strategies and the use of audit and peer review.

Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained.

Keep up to date with pertinent health-related policy and work with the Practice team toconsider the impact and strategies for implementation.

Pro-actively promote the role of ACP within the Practice, and externally to key stakeholders and agencies.

To play an active role in the development of practice development plans and new services.

TEAM ROLE

As a clinician to be available to support other healthcare team members and to accept referrals from other team members.

To liaise with all members of the Primary Health Care Team and other agencies localauthority, social services, secondary care, voluntary sector, and Primary Care workers in order to assure appropriate care is provided for the practice population.

To participate as a key member of the multi-professional team through the development of collaborative and innovative practice.

To value all team members.

To delegate appropriate tasks to the other team members whilst still maintainingresponsibility for this area.

To support the delivery of health and safety guidance as agreed within the Practice.

To support the writing of maintenance and delivery of CQC guidance within the Practice.

ORGANISATIONAL

To complete records, audits, reports and respond to appropriate questions and requests.

To attend meetings as requested.

Support effective communication channels between the whole team.

To keep the Lead ACP informed about pressures and difficulties or problem areas when aware.

To contribute to Practice strategy and developments when requested.

To work according to Clinical Governance and support the Clinical Governance Agenda.

Understand that common patient complaints may also be catalyst for change within Practice procedures.

To understand the role of Risk Management within the Practice contributing to riskassessment and Significant Event Audit and the importance of Infection Control.

The individual may be required to undertake the assessment and management of patients within the home environment.

To actively participate in the delivery of QOF targets and others as deemed by thearrangements in general practice finance.

MISSION, VALUES AND STRATEGIC DIRECTION

To promote at all times, the Practices, mission, values and understand the strategic direction of business plans.

Ensure that patient centeredcare and safety is central to the culture, philosophy andorganisation of the Practice.

To encourage and support patient with long term conditions to develop their ability to self-manage.

To develop a culture of ongoing review, taking into account new methods of working.

CODES OF CONDUCT AND ACCOUNTABILITY

To work at all times within the highest levels of standards commensurate with the post.

Confidentiality:

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & safety:

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures. This will include:

Using personal security systems within the workplace according to practice guidelines

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.

Making effective use of training to update knowledge and skills.

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way, free from hazards. Actively reporting health and safety hazards and infection hazards immediately when recognised.

Keeping own work areas and general/patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role

Undertaking periodic infection control training (minimum annually)

Reporting potential risks identified

Demonstrate due regard for safeguarding and promoting the welfare of children & adults at risk.

Equality and diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation.

Respecting the privacy, dignity, needs and beliefs of patients, carers, and colleagues.

Behaving in a manner that is welcoming to and of the individual, is non-judgmental andrespects their circumstances, feelings priorities and rights.

Personal/professional development:

The post-holder will participate in any training programme implemented by the practice as part of this employment, with such training to include:

Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality:

The post-holder will strive to maintain quality within the practice, and will:

Alert other team members to issues of quality and risk.

Assess own performance and take accountability for own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on own and team activities andmaking suggestions on ways to improve and enhance the teams performance.

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload, and resources

Qualifications

Essential

• Independent Nurse Prescriber
• Mentor/teaching qualification
• Recognised NP qualification at minimum degree level or equivalent
• Clinical supervision training and experience

Desirable

• MSc Advanced Practice
• MSc Level 7 modules pertaining to Advanced Practice

Knowledge & Skills

Essential

• Management of patients with acute and long-term conditions.
• Management of patients with complex needs.
• Clinical examination skills (all systems)
• Accountability of own role
• Local and national health policy
• Wider health economy
• Patient group directions and associated policy
• Clinical leadership skills
• Communication skills, both written and verbal.
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Change management
• Teaching and mentorship clinical setting
• Resource management

Desirable

• Knowledge of public health issues
• Able to identity determinants on health in the area.
• Knowledge of public health issues in the area.
• Clinical governance issues in primary care

Other

Essential

• Full UK driving Licence
• Self-directed practitioner
• Highly motivated
• Flexibility
• Enthusiasm
• Team player
• Ability to work across boundaries

Experience

Essential

• Recent primary and community nursing experience
• Minimum 5 years post registration experience
• Leadership in quality initiatives such as clinical benchmarking
• Extended and supplementary nurse prescribing.

Desirable

• Recent primary and community nursing experience
• Nurse-led triage including telephone triage
• Working with community development initiatives
• Health-needs assessment of patients

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).