Job description

Job responsibilities

About the role

The Advanced Nurse Practitioner will work as a senior member of the clinical team, providing care to patients presenting with a broad range of acute and ongoing health needs.

Working within their professional competence, the postholder will independently assess patients, formulate differential diagnoses and management plans, prescribe medication and arrange appropriate investigations, treatment, referral and follow-up.

The ANP will work closely with GPs and other members of the multidisciplinary team, using their professional judgement to manage patients independently and recognising when further clinical input or escalation is required.

The postholder will:

• Undertake face-to-face and telephone consultations with patients.
• Take comprehensive clinical histories and undertake appropriate physical examinations.
• Assess, diagnose and manage a range of acute illness, minor illness and ongoing health conditions within their scope of competence.
• Develop and implement appropriate treatment and management plans.
• Request and interpret investigations where appropriate to their role and competence.
• Prescribe medication independently, safely and in accordance with current guidance and local prescribing arrangements.
• Review medication and support safe and effective medicines management.
• Provide appropriate advice, health education and safety-netting to patients and carers.
• Refer patients to GPs, secondary care, community services and other healthcare professionals where appropriate.
• Recognise clinical deterioration, red flags and presentations requiring urgent intervention or escalation.
• Review and act upon relevant test results, clinical correspondence and other information relating to patients under their care.
• Undertake home visits where clinically appropriate.
• Maintain clear, accurate and contemporaneous clinical records.
• Work with the wider team to coordinate care and ensure appropriate follow-up.

The ANP will practise autonomously while remaining accountable for their own professional decisions and actions.

The postholder will:

• Work within the limits of their competence and professional scope of practice.
• Apply clinical reasoning and evidence-based practice when making decisions about patient care.
• Recognise uncertainty and seek advice or additional clinical input when appropriate.
• Maintain appropriate professional boundaries.
• Work in accordance with NMC professional standards, current clinical guidance and practice policies.
• Maintain confidentiality and comply with information governance and data protection requirements.

As an Independent Prescriber, the postholder will prescribe safely and appropriately within their competence.

This will include:

• Following current national and local prescribing guidance.
• Considering interactions, contraindications and individual patient factors when prescribing.
• Reviewing medication where appropriate and identifying potential medicines-related concerns.
• Working closely with GPs, dispensary and other members of the team to support safe medicines management.
• Recognising when prescribing decisions require further clinical or specialist advice.

The ANP will work closely with GPs, nursing colleagues and the wider practice team to support coordinated patient care.

The postholder will participate in relevant clinical discussions and multidisciplinary meetings and contribute their own clinical knowledge and experience to shared decision-making.

They will communicate effectively with colleagues within the practice and with external health and care professionals involved in a patient's care.

The postholder will contribute to the clinical governance and quality improvement work of the practice, including:

• Participating in clinical audit and quality improvement activity.
• Contributing to significant event reviews and shared learning.
• Supporting learning arising from complaints and patient safety concerns where relevant to their clinical work.
• Identifying and raising clinical risks or concerns promptly.
• Following practice safeguarding procedures and fulfilling the safeguarding responsibilities appropriate to the role.
• Following infection prevention and control procedures.
• Contributing to the development and review of clinical processes where appropriate.

The postholder will be responsible for maintaining current NMC registration and Independent Prescriber status and for meeting the professional requirements associated with both.

They will maintain and develop the knowledge and competencies required for advanced clinical practice through continuing professional development, mandatory training and reflective learning.

The practice will support appropriate professional development, and the postholder will be encouraged to develop clinical interests that complement both their own professional goals and the needs of our patient population.

As a senior clinician, the ANP will have the opportunity to contribute to the wider development of clinical services at Spilsby Surgery.

We welcome the experience and perspective our clinicians bring and want our ANP to be involved in discussions about how we improve patient care, develop services and make the best use of the skills within our clinical team.

This job description outlines the main responsibilities of the post and may develop over time in discussion with the postholder to reflect changes within the practice and wider primary care.

We are looking for an ANP who will bring their own strengths to Spilsby, build strong working relationships across the team and become an established part of the practice. In return, there is scope to develop professionally, pursue clinical interests and have a genuine influence on the care and services we provide.

Person Specification

Qualifications

Essential

• Registered Nurse with current NMC registration
• Advanced Clinical Practice qualification or equivalent
• Independent Prescribing qualification

Desirable

• Urgent and Minor Illness (URMA) training or equivalent

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

Spilsby Surgery

Address

Spilsby Surgery

Simpson Street

SPILSBY

Lincolnshire

PE23 5LG

United Kingdom

Employer's website

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

Job description

Job responsibilities

About the role

As a GP at Spilsby Surgery, you will work as part of our clinical team providing high-quality, safe and patient-centred care to our practice population.

You will manage a varied general practice workload and work closely with our GPs, nursing team, advanced practitioners, dispensary and wider practice team. We are looking for someone who is comfortable working independently but also values being part of a team, sharing clinical knowledge and supporting colleagues.

Your day-to-day responsibilities will include:

• Undertaking face-to-face and telephone consultations.
• Assessing, diagnosing and managing both acute and long-term conditions.
• Prescribing and reviewing medication safely and appropriately.
• Reviewing and acting on test results, clinical correspondence and other information relating to your patients.
• Making referrals to secondary care and community services where appropriate.
• Undertaking home visits when clinically required.
• Providing preventative care, health promotion and advice.
• Maintaining clear and accurate clinical records.
• Providing clinical advice and support to colleagues where appropriate.
• Working with the wider multidisciplinary team to coordinate patient care.

Teamwork is an important part of how we work at Spilsby. You will take part in our daily clinical discussion time and weekly multidisciplinary meetings, giving clinicians regular opportunities to discuss patients, share knowledge and seek advice from colleagues.

We expect all members of the team to communicate openly, support one another and raise concerns when something does not feel right. We want our GPs to contribute to practice discussions and decisions and to bring their own ideas and experience to the team.

All of our clinicians have a role in maintaining and improving the quality and safety of the care we provide. As part of this, you will:

• Work in line with GMC standards, current clinical guidance and practice policies.
• Take part in clinical audit and quality improvement.
• Contribute to significant event reviews and learning where appropriate.
• Support the investigation and learning from complaints or patient safety concerns relating to clinical care.
• Follow practice safeguarding and infection prevention procedures.
• Work closely with our dispensary and wider team to support safe prescribing and medicines management.

You will be responsible for maintaining your GMC registration, licence to practise, Performers List status and the requirements for appraisal and revalidation.

We support continuing professional development and welcome GPs with existing clinical interests, as well as those who would like to develop an area of interest while working with us.

We want our GPs to be part of the wider practice, not simply responsible for their own clinical workload.

There will be opportunities to become involved in service development, quality improvement, audit and other areas that match your interests and experience. As the practice continues to develop, we want our clinical team to be involved in deciding how we improve our services and the care we provide.

This job description outlines the main responsibilities of the role and may develop over time in discussion with the postholder, reflecting the changing needs of the practice and primary care.

Most importantly, we are looking for a GP who wants to become a valued part of Spilsby Surgery. We have a strong team, an ambitious future and a genuine opportunity for the right person to make their mark, develop their interests and help shape the practice as we continue to move forward.

Person Specification

Qualifications

Essential

• Medical degree recognised by the General Medical Council (GMC).
• Full GMC registration with a licence to practise.
• Inclusion on the NHS England Medical Performers List.

Desirable

• Additional qualifications or training relevant to general practice
• Evidence of further development in an area of clinical interest

Experience

Essential

• Experience of providing safe, patient-centred clinical care
• Experience of assessing and managing a broad range of acute and long-term conditions
• Experience of working effectively as part of a multidisciplinary team
• Experience of safe prescribing and medicines management
• Experience of managing the day-to-day clinical workload associated with general practice

Desirable

• Experience of clinical audit or quality improvement
• Experience of contributing to service development
• Experience of working within UK general practice

Skills and qualities

Essential

• Excellent communication and interpersonal skills
• Ability to prioritise and manage workload effectively
• Approachable, adaptable and supportive of colleagues
• Able to communicate openly and contribute positively to team discussions
• Willingness to share knowledge, ideas and experience with colleagues
• Commitment to continuous learning and professional development
• Willingness to contribute to the ongoing development of the practice

Desirable

• Experience of supporting, mentoring or developing colleagues

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

Spilsby Surgery

Address

Spilsby Surgery

Simpson Street

SPILSBY

Lincolnshire

PE23 5LG

United Kingdom

Employer's website

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

Job description

Job responsibilities

About the role

As a Primary Care Paramedic at Spilsby Surgery, you will work as part of our multidisciplinary clinical team, providing assessment and care to patients with a range of acute and ongoing health needs.

You will use your clinical knowledge and experience to assess patients, make appropriate clinical decisions and provide treatment, advice, referral or escalation within your scope of competence.

You will work autonomously while having access to the support and expertise of our GPs and wider clinical team when required.

Clinical responsibilities

Your day-to-day responsibilities will include:

• Assessing patients presenting with acute illness, minor illness and other health concerns appropriate to the Paramedic role.
• Taking appropriate clinical histories and carrying out physical examinations.
• Formulating appropriate management plans based on clinical assessment.
• Providing treatment, advice and safety-netting to patients and carers.
• Recognising deterioration, red flags and situations requiring urgent intervention or escalation.
• Referring patients to GPs, secondary care, community services or other healthcare professionals where appropriate.
• Undertaking home visits for housebound patients and others who require assessment at home.
• Supporting the ongoing care of patients where this falls within your competence and scope of practice.
• Reviewing and acting upon relevant clinical information, results and correspondence as appropriate to the role.
• Maintaining clear, accurate and contemporaneous clinical records.
• Working with colleagues to ensure patients are directed to the most appropriate clinician or service for their needs.

Working as part of the team

You will take part in our daily clinical discussion time and regular multidisciplinary meetings, providing opportunities to discuss patients, seek advice, share knowledge and contribute to decisions about patient care.

We expect all members of our team to communicate openly, support one another and recognise when another clinician's expertise or input is needed.

Prescribing and medicines

Where the postholder is an appropriately qualified Independent Prescriber, prescribing will be undertaken within their competence and in accordance with current guidance, local prescribing arrangements and practice procedures.

Where prescribing is required outside the postholder's qualifications or scope, this should be discussed with an appropriate prescribing clinician.

The postholder will work closely with our GPs, dispensary and wider clinical team to support safe and effective medicines management.

Quality and patient safety

All members of our clinical team contribute to maintaining and improving the quality and safety of the care we provide.

You will:

• Work in accordance with HCPC professional standards, current clinical guidance and practice policies.
• Work within your professional scope of practice and recognise when advice or escalation is required.
• Take part in clinical audit and quality improvement activity.
• Contribute to significant event reviews and shared learning where appropriate.
• Support learning arising from complaints or patient safety concerns relating to your area of work.
• Follow practice safeguarding and infection prevention procedures.
• Contribute to safe and effective ways of working across the clinical team.

General

This job description outlines the main responsibilities of the role and may develop over time in discussion with the postholder, reflecting the changing needs of the practice and primary care.

We are looking for someone who wants to build on their Paramedic experience and make primary care an important part of their career. At Spilsby, you will have the opportunity to use your existing skills, develop new ones and become a valued member of a team where your contribution can make a real difference to our patients and the practice.

Person Specification

Skills and qualities

Essential

• Excellent communication and interpersonal skills
• Ability to assess risk, prioritise appropriately and make safe clinical decisions
• Ability to manage workload effectively and work confidently within own scope of practice
• Able to recognise own limitations and seek clinical advice or support when appropriate
• Approachable, adaptable and able to work effectively with colleagues across the practice
• Able to communicate openly and contribute positively to clinical and team discussions
• Commitment to providing compassionate, patient-centred care

Desirable

• Ability to support or share learning with other members of the clinical team
• An area of clinical interest or expertise that would complement the existing team

Experience

Essential

• Experience working as a registered Paramedic
• Experience working within primary care or general practice
• Experience assessing and managing patients with a broad range of acute and ongoing health needs
• Experience working autonomously and making safe clinical decisions within scope of practice
• Experience recognising when clinical escalation or additional medical input is required
• Experience working effectively as part of a multidisciplinary team

Desirable

• Experience undertaking home visits within a primary care or community setting
• Experience contributing to clinical audit or quality improvement
• Experience contributing to service development or new ways of working within primary care

Qualifications

Essential

• Registered Paramedic with current HCPC registration
• Recognised Paramedic qualification
• Independent Prescribing qualification

Desirable

• Additional qualifications or training relevant to primary care
• Advanced clinical assessment or minor illness/minor injury training
• Evidence of ongoing continuing professional development relevant to the role

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

Spilsby Surgery

Address

Spilsby Surgery

Simpson Street

SPILSBY

Lincolnshire

PE23 5LG

United Kingdom

Employer's website

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

Job description

Job responsibilities

• Help collate referrals, make initial contact, and triage participants to the correct service, complete triage calls for all services within Wellbeing Hub.
• Work closely with GPs and primary care professionals to identify and manage a caseload.
• Demonstrate flexibility/adaptability in a dynamic, evolving service.
• Develop trusting relationships with participants; take a holistic, person-centred approach.
• Support development of Personalised Care and Support Plans, liaising with practice teams, patients/carers, and the Neighbourhood Team.
• Proactively outreach to participants on a regular, agreed basis.
• Use knowledge of local services for signposting/referrals.
• Support PCN targets for numbers seen by a Social Prescribing Link Worker and Health and Wellbeing Coaches
• Scope and map local services (welfare, employment, healthy lifestyle, social, support); maintain databases of services/activities.
• Engage other services to raise awareness of The Wellbeing Hub.
• Manage effective use of resources/services for consistent quality and quantity of care.
• Adopt multi-disciplinary, multi-agency approach.
• Know when to refer to other health professionals/agencies.
• Accurately maintain participant records.
• Manage waiting lists (if applicable).
• Understand barriers to accessing community support and use insight to shape support.
• Promote the service within the PCN (to users and clinicians); build positive working relationships.
• Reflect on and evaluate the service for continual improvement.
• Communicate effectively with colleagues, patients, and carers.
• Coordinate/navigate care for people and carers across health and care services, working closely with link workers, health and wellbeing coaches, and other primary care roles.
• High level of written/verbal communication skills.
• Highly motivated, proactive, strong organisational/time management skills, "can do" attitude.
• Support with smooth running, organisation, and facilitation of The Pain Cafe.
• Hold regular triage meetings with the Mental Health social prescribing team
• Ability to travel across the local area when required.

Please note: As this is a new and evolving role, this is not an exhaustive list of duties and responsibilities, and the post holder may be required to undertake other duties that fall within the grade of the job, in discussion with their line manager.

The content of this job description will be reviewed regularly in the light of changing service requirements and any such changes will be discussed with the post holder.

Key Working Relationships

• Local Neighbourhood Team
• GP Practices within the PCN
• Practice Leaders (Partners and Practice Managers)
• PCN Clinical and non-clinical teams
• PCN Clinical Directors and Business Manager
• Clinical Commissioning Group (CCG) and NHSE
• Community Health Teams (physical and mental health)
• Local Authority

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 PCN 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 PCN may only be divulged to authorised persons in accordance with the employing practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

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 PCN and the member practices procedures and policies, and current legislation

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

Behaving in a manner which is welcoming to and of the individual, is nonjudgemental and respects their circumstances, feelings, priorities and rights

The post-holder will participate in any training programme implemented by the PCN 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 their own personal and/or professional development

Participation in the PCN mandatory training programme

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

Willing to develop advance skills to Masters Level

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

Alert other team members to issues of quality and risk

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

Contribute to the effectiveness of the team by reflecting on own and team activities and making 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

The post-holder should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with patients and carers

Recognise peoples needs for alternative methods of communication and respond accordingly

Communicate effectively with other team members

Person Specification

Experience

Essential

• At least 2 years' experience of working in health, social care or other support roles in direct contact with people, families or carers (in a paid or voluntary capacity).
• Experience of working within multi-professional team environments.
• Experience of working with elderly or vulnerable people, complying with best practice and relevant legislation.
• Ability to collect and record information and data, for record-keeping, monitoring and evaluation.

Desirable

• Experience or training in person-centred care planning

Qualifications

Essential

• Good standard of general education.
• Grade C GCSE English and Maths or equivalent qualifications.
• Excellent computer skills including email, word and excel
• Full UK driving licence and use of car insured for work purposes

Special Skills/Aptitudes

Essential

• Strong organisational skills including planning, prioritising, time management, report writing and record keeping
• Ability to recognise gaps in services and to identify and act on safety concerns
• Ability to recognise and work within limits of competence and seek advice when needed
• Evidence of good verbal and written communication skills
• Ability to build and maintain long-term-working relationships with colleagues
• A professional and compassionate attitude to patient care, providing support while maintaining professional boundaries
• Ability to work effectively under pressure, delivering against agreed objectives
• Ability to remain diplomatic when dealing with sensitive matters or having challenging discussions with patients or carers
• Ability to work safely unaided in home settings
• Willingness to take a pro-active and flexible approach to the role as it develops over time

Desirable

• Experience of using the SystmOne computer system
• Up-to-date knowledge of the services and organisations available to support patients and carers

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.

Employer details

Employer name

First Coastal PCN

Address

Marisco Medical Practice

Stanley Avenue

MABLETHORPE

Lincolnshire

LN12 1DP

United Kingdom

Employer's website

https://www.mariscomedicalpractice.com/ (Opens in a new tab)

Job description

Job responsibilities

About the role

Your duties will include:

• Welcoming patients and visitors and providing a friendly and professional reception service.
• Answering telephone calls and dealing with patient enquiries promptly and courteously.
• Helping patients access the most appropriate clinician, service or source of advice.
• Processing appointment requests and supporting patients to use our online services and triage systems.
• Booking, changing and cancelling appointments accurately.
• Registering new patients and maintaining accurate patient information.
• Updating patient records and entering information accurately onto the practice clinical system.
• Responding to patient enquiries face-to-face, by telephone and electronically.
• Supporting GPs, nurses and other members of the clinical team with administrative tasks.
• Maintaining patient confidentiality and complying with GDPR, Caldicott and practice policies.
• Dealing sensitively and professionally with patients who may be distressed, anxious or frustrated.
• Helping to maintain a clean, tidy and welcoming reception and waiting-room environment.
• Participating in practice meetings, training and quality-improvement activities.
• Undertaking other reasonable duties appropriate to the role.

Person Specification

Qualifications

Desirable

• About you
• We are looking for someone who:
• Is friendly, approachable and confident when dealing with patients.
• Has excellent communication and interpersonal skills.
• Is compassionate and genuinely wants to help people.
• Can remain calm and professional when working under pressure.
• Is organised and able to prioritise a busy and changing workload.
• Has good attention to detail and understands the importance of accurate record keeping.
• Is reliable, flexible and willing to learn.
• Can work effectively as part of a team but is also confident working independently.
• Understands the importance of confidentiality when dealing with sensitive patient information.
• Has good computer skills and is comfortable learning new systems.

Experience

Desirable

• Previous experience in a GP surgery or healthcare setting would be advantageous, as would experience of using our clinical computer system called SystmOne, although full training will be provided for the right candidate. This is a great opportunity for a career within the NHS primary care system with prospects of future employment advancement.

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.

Employer details

Employer name

Spilsby Surgery

Address

Spilsby Surgery

Simpson Street

SPILSBY

Lincolnshire

PE23 5LG

United Kingdom

Employer's website

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