Norwich Health Centre is seeking an enthusiastic, motivated and experienced ANP Prescriber to provide excellent clinical care to our patient cohort registered at Norwich Health Centre, Rouen Road, Norwich.
Main duties of the job
The successful candidate is required to practice independently, assess, diagnose, plan, implement and evaluate treatment and care for patients presenting with an undifferentiated diagnosis.
They should demonstrate safe clinical decision making, management plan, prescribing and work collaboratively with general practice team to meet the needs of the patients. They should have good experience assessment and management skills and will be supported by GPs and other clinicians onsite. There will be dedicated time for supervision and admin during working hours to support your role.
GP experience or secondary care experience in an emergency or acute setting in preferred.
Advanced Nurse Practitioner Qualification and independent prescribing is required.
Overview of your organisation
Norwich Health Centre is in the heart of Norwich with circa 11,000 patients.
We are a friendly, supportive and efficient team dedicated to providing best possible care for our patients.
We have a wide clinical team of GPs, Nurses, HCAs and allied health care professionals providing a range of clinical services to our local community including specialist mental health nurse, clinical pharmacists and physiotherapist.
Key areas of responsibility:
T
o work as an autonomous clinical practitioner, utilising care and case management assessment, clinical examination and diagnostic skills to provide high-quality holistic care and treatment.
To prescribe effectively from the extended nurses formulary.
Main Clinical Responsibilities:
To provide clinical care to registered patients attending Norwich Health Centre.
To undertake a full holistic assessment, liaising and referring to other agencies and professionals as necessary.
To use clinical examination and diagnostic skills, initiate investigation, prescribing care and treatment as appropriate.
To facilitate and/or provide health promotion and education.
To work collaboratively with other health professionals and agencies.
To develop and maintain advanced nursing skills.
To prescribe effectively from the non-medical nurse prescribers formulary in line with local and national prescribing formularies.
Education and Development:
To support peer review and reflective practice.
To formally and informally disseminate knowledge and skills to other staff.
To proactively develop practice across boundaries.
To undertake and participate in clinical supervision.
To identify personal and professional development needs and implement action plans to meet those needs.
To participate in agreed in-service training programme. Contribute to identifying own training needs and those of nurses working at the Centre.
To attend mandatory training annually.
Research/Audit:
Support evaluation, research, and clinical audit at the Centre as appropriate.
Identify, apply and disseminate research findings, related to advanced nursing practice.
Support the understanding and utilisation of evidence based practice.
To give a quality service using the audit process to evaluate the service being provided, implementing action plans and change of practice as necessary.
To be involved in the process of clinical governance.
Management:
To support the Clinical Lead and Practice Manager, undertaking specific areas of work as requested.
To ensure quality targets are met or exceeded.
To ensure continuity of service.
To actively market and promote the Practice.
To assist in ensuring that all staff are familiar with medical emergency procedures.
To assist in the training of clinical staff employed at the Centre.
Assist in the recording of complaints, incident and accidents involving patients, visitors and staff.
Professional:
To ensure all practice is in accordance with the NMC Code of Professional Conduct, Scope of Professional Practice, Standards in the Administration of Medicines and Standards of Record Keeping.
To maintain and develop advanced clinical skills.
To identify areas of unsafe practice and areas of concern, initiating prompt and appropriate action.
To respect confidentiality of all matters learnt as a result of their employment in the NHS including matters relating to other members of staff and members of the public/patients.
To have a working knowledge of Norwich Health Centre's policies and procedures.
To attend meetings as required.
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 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 in line with Health Centre Policy.
Note:
The responsibilities of this role will normally include all duties described in this job description and any additional or different duties, which the employer may require from time to time.
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