Job Description

The UK government regulates the ability of employers to recruit non UK residents by issuing licenses to provide Visa Sponsorship. Unfortunately NPC does not hold a license for Visa Sponsorship and so cannot progress any applications for candidates without the right to work in the UK.

Job Title:

Advanced Nurse Practitioner / Advanced Clinical Practitioner

Accountable to:

Operational - Service Lead / Assistant Director of Clinical Services

Clinical - Clinical Lead / Assistant Director of Clinical Services

Place of work:

General Practice at Front Door (GPFD) Service (all locations - JPUH, NNUH, QEHKL)

Principle Liaisons:

Assistant Director of Clinical Services

Salary Range:

Dependant on experience and qualifications - please note that NPC is not an agenda for change employer

Norfolk Primary Care CIC (NPC) is an established Primary Care provider of clinical services. We are a key provider of Primary Care services in the Norfolk & Waveney system working with the local GP practices.

NPC has been sub-contracted to provide a Primary Care / General Practice type service within the Emergency Departments (ED) of the local Acute Hospitals. This comprises of a team of clinicians who are GP's, Advanced Nurse Practitioners or Advanced Clinical Practitioners working across the various locations. The staff provide additional Primary Care support to the ED by streaming patients away from the Front door into a Service capable of supporting demand.

The aim of the GPFD is to reduce the number of avoidable attendances seen within ED, to direct the patients to appropriate services and free up ED staff to see appropriate emergency patients.

Job Summary

You will be an experienced Primary Care clinician, who will be acting autonomously within their professional boundaries and competencies. You will identify appropriate patients to attend the service based on current inclusion and exclusion criteria, as well as your clinical acumen to provide appropriate care for the presenting patient, from initial history taking, clinical assessment, diagnosis, treatment, referral (where required), evaluation, and discharge from our service.

You will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for the patients within GPFD. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the ED and Acute Hospitals to ensure patient journeys are appropriate and timely.

In order to work at this level, those registered with the NMC / HCPC, requirements for Advanced Practice must be met.

Key Responsibilities:

Identify patients appropriate to the service based on initial conversation and excellent communication skills. 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 simple or complex, on the day needs. Proactively identify, diagnose and identify treatment plans for patients at risk of developing a long-term condition (as appropriate). Refer patients for investigation for specialist opinion, where appropriate. Diagnose and manage both acute and chronic conditions with an acute presentation, integrating both drug and non-drug based treatment methods into a management plan. Work with patients in order to support compliance with and adherence to prescribed treatments. Ensure provision of continuity of care including safety netting and suggest follow up, as required. Take advice, guidance and instruction from the registered GP, when and if required. Prescribe safe, effective and appropriate medication as defined by current legislative framework and local formularies. Provide information and advice on prescribed or over-the-counter medication on medication regimes, 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. Escalate to the Acute Hospital staff as required. Refer patients to other health care professionals as appropriate for clinical needs and in accordance with local framework/guidelines if indicated. Meet the needs of patients presenting for opportunistic long term condition management or assessment. Be able to undertake general telephone triage / first contact assessment. To manage own clinical workload within the GPFD Service, responding effectively to patient need. Adhere to the NMC / HCPC Code of Professional Conduct at all times.

Safeguarding Children and Vulnerable adults

All staff are expected to behave in such a way that supports the commitment of NPC to safeguard and promote the welfare of children, young adults, and vulnerable adults. You will be responsible for safeguarding the interests of children and adults who you come into contact during your work. To fulfil these duties, you will be required to have attended or attend training and development to recognise the signs and symptoms of abuse or individuals at risk, to follow local and national policy relating to safeguarding practice and to report and act on concerns you may have appropriately.

Other duties

Any other duties may be considered, as agreed with the Service or Clinical Lead to meet the needs of the organisation, and may involve travel to other sites within the organisation. You must hold a full drivers licence with access to a vehicle to use for purposes of travel to and from Acute hospital sites. This will involve having the appropriate insurance to use your vehicle for business use.

NPC Generic areas:

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 organisational environment and with external stakeholders Act as an advocate for patients and colleagues Ensure awareness of sources of support and guidance (eg PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate

Delivering a quality service

Prioritise, organise and manage own workload in a manner that maintains and promotes quality Participate in quality assurance and safety processes across the organisation and its activities Participate in shared learning across NPC and the wider organisational environment 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 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

Leadership - personal and people development

Take responsibility for own learning and performance including participating in coaching/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 Contribute to planning and implementing changes within the area of care and responsibility Contribute to the development of local guidelines, protocols and standards

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 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. Participate in mandatory and statutory training requirements Apply infection-control measures within the practice according to local and national guidelines 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 Monitor and confirm that the nursing team are receiving and processing data and information in an agreed format Collate, analyse and present clinical data and information to the team

Learning and development

Undertake mentorship for team members Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (eg 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

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 refuse care Assist patients from marginalised groups to access quality care

Person Specification

Qualifications and Training

Essential

Registered first level nurse / BSc (Hons) or MSc Advanced Practice (or equivalent), or HCPC registration, whichever is appropriate Post registration qualification Advanced Nursing Practice, autonomous practice or equivalent Independent Non-Medical Prescriber or near completion Basic Life Support
Desirable

Masters level qualification Mentor / Teaching qualification Clinical supervision training and experience

Experience and Knowledge

Essential

Experience of working as senior clinician Experience of having worked in Primary Care
Desirable

Experience in leading / managing a clinical team Experience of working in an unscheduled care service Accountability of own role and other roles in a Primary Care provided service Experience of leading/managing quality improvement

Skills and Abilities

Essential

Advanced clinical practice skills Management and treatment of patients with acute exacerbation of long-term conditions Clinical examination skills Clinical leadership skills Clinical Systems e.g. SystmOne Communication skills, both written and verbal Negotiation and conflict management skills Change management Highly motivated Flexibility Enthusiasm Team Player Flexible approach to working hours, willingness to work anti-social hours, shifts, cover at other locations as required
Desirable

Management of patients with complex needs Teaching and mentorship in a clinical setting Resource Management
Job Types: Full-time, Part-time, Permanent

Benefits:

Company pension
Licence/Certification:

NMC (required) HCPC (required)
Work Location: In person

Application deadline: 09/10/2025
Reference ID: 1051