PCN Advanced Nurse practitionerNHS

Job summary

Taunton Deane West Primary Care Network is seeking an experienced and motivated Advanced Nurse Practitioner to join our multidisciplinary team in an Additional Roles Reimbursement Scheme ARRS funded post The role is hosted by Lister House Surgery on behalf of the Primary Care Network and will support the delivery of high quality patient centred care

You will work as an autonomous clinician providing advanced assessment diagnosis treatment and management for patients presenting with acute illness long term conditions and complex health needs You will work closely with GPs practice nurses pharmacists first contact practitioners and other members of the multidisciplinary team to provide safe effective and timely care

The successful candidate will help improve access to primary care support prevention and wellbeing and contribute to the continued development of integrated services across the Primary Care Network You will play an important role in improving patient outcomes reducing health inequalities and delivering proactive coordinated care

Working pattern

Tuesday 8 30am to 6 00pm

Thursday 8 30am to 2 30pm

Friday 9 00am to 5 00pm and 6.30pm to 8.00pm (Late night can be remote)

Main duties of the job

We are looking for an experienced and motivated Advanced Nurse Practitioner to join our PCN team You will work at Lister House Surgery to provide high quality patient centred care for people with acute and long term conditions. The PCN Roadmap will need to have been completed.

You will work using advanced clinical assessment examination diagnosis and treatment skills You will support the delivery of safe effective and accessible primary care while working closely with clinicians and the wider multidisciplinary team

This is an excellent opportunity to contribute to innovative models of care and help improve health outcomes across the local population

Main duties

Provide autonomous assessment diagnosis treatment and management of patients presenting with undifferentiated and undiagnosed conditions

Manage acute presentations and LTCs within your scope of practice

Prescribe safely and appropriately where qualified as an independent prescriber

Request interpret and act on investigations

Develop management plans and make referrals where appropriate

Work collaboratively with the practice and the wider multidisciplinary team

Support service development quality improvement and clinical audit

Maintain accurate clinical records using electronic patient record systems

Act as a resource and support learning for colleagues where appropriate

Participate in safeguarding infection prevention clinical governance and continuing professional development

Job description

Job role:

The post holder is an experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills at an advanced level, for patients within the general Primary Care Network. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the general Primary Care Network team to meet the needs of patients, supporting the delivery of policy and procedures. In order to work at this level, NMC requirements for advanced Primary Care Network must be met

KEY RESPONSIBILITIES

Clinical Primary Care Network

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 highly 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 Primary Care Network and national and Primary Care Network protocols, and within scope of Primary Care Network

Communication

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

Communicate with and support patients who are receiving bad news

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 Primary Care Network environment and with external stakeholders

Act as an advocate for patients and colleagues

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

Delivering a quality service

Recognise and work within own competence and professional code of conduct as regulated by the governing body

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

Prioritise, organise and manage own workload in a manner that maintains and promotes quality

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

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

Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

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

Evaluate patients response to health care provision and the effectiveness of care

Support and participate in shared learning across the Primary Care Network and wider organisation

Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events

Assess the impact of policy implementation on care delivery

Monitor and develop the performance of the GPN team in accordance with local policies

Approve the performance of the team, providing feedback as appropriate

Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance

Ensure you have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required

Personal development

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

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

Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services

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

Contribute to the development of local guidelines, protocols and standards

Maintain effective communication with those responsible for the overall commissioning and procurement process

Maintain active involvement in the planning and processes of Primary Care Network-based commissioning or similar initiatives

Market the role of the advanced nurse practitioner in general Practice

Team working

Understand own role and scope and identify how this may develop over time

Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

Delegate clearly and appropriately, adopting the principles of safe Practice and assessment of competence

Create clear referral mechanisms to meet patient need

Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team

Work effectively with others to clearly define values, direction and policies impacting upon care delivery

Discuss, highlight and work with the team to create opportunities to improve patient care

Manage and lead on the delivery of specifically identified services or projects as agreed with the Primary Care Network and Practice management team

Agree plans and outcomes by which to measure success

Management of risk

Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients

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

Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs

Apply infection-control measures within the Primary Care Network according to local and national guidelines

Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all

Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general Practice.

Managing information

Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information

Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes

Manage information searches using the internet and local library databases

Understand responsibility of self and others to the Primary Care Network and Practice regarding the Freedom and Information Act

Manage, in conjunction with the QoF team, the QoF targets or the equivalent SPQS requirements.

Learning and development

Undertake mentorship for more junior staff, assessing competence against set standards

Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences)

Assess own learning needs and undertake learning as appropriate

Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Establish an evidence base for practice, through benchmarking, audit, Quality Improvement and research ensuring that outcomes are disseminated locally, regionally, and nationally as appropriate.

Equality and diversity

Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity

Enable others to promote equality and diversity in a non-discriminatory culture

Support people who need assistance in exercising their rights

Monitor and evaluate adherence to local chaperoning policies

Act as a role model in the observance of equality and diversity good practice

Accept the rights of individuals to choose their care providers, participate in care and refuses care. Assist patients from marginalised groups to access quality care

About us

Taunton Deane West Primary Care Network is an NHS collaboration between two GP practices Wellington Medical Centre and Lister House Partnership Our practice teams work closely together sharing expertise resources and ideas to develop new and innovative services that improve care for our local population

As an approved PCN Learning Organisation we are committed to creating a positive learning culture where both learners and educators are supported to develop their skills and thrive We value teamwork continuous improvement and the sharing of knowledge across our practices

Together we care for approximately 28000 registered patients across the two practices Our vision is to continue improving the quality and accessibility of care we provide by responding to the needs of our patient population and developing services that support better health outcomes

Being part of a Primary Care Network enables us to benefit from additional roles and expertise through the Additional Roles Reimbursement Scheme These roles strengthen our existing teams and help us provide the right care at the right time from the right professional

We are committed to delivering compassionate person centred care while working collaboratively with our patients our practices and our wider healthcare partners