Job Description

:

Advanced Nurse/Clinical Practitioner

Location:

Workington GP Practice

Hours:

Full or part time hours available

Salary:

55,658.24-62,678.85 based on WTE

Job summary

The post holder is an experienced Advanced Nurse/Clinical Practitioner who will work as a member of the Practice Clinical Team. The post holder will have completed or is working towards the MSc Advanced Clinical Practice Master's Degree or Degree level qualification and relevant experience and RCN Credentials. The post holder will be supported by a named practice mentor.

Patient centred care will be delivered by triaging and assessing patients with undifferentiated and undiagnosed problems, initiate treatment, investigations, advice and management of problems using professional autonomous decision making processes, liaising when appropriate with other healthcare professionals and service providers to ensure safe and effective patient care.

Provides appropriate patient care in accordance with practice protocols and policies. Actively engages patients and carers in management of their health, promoting health and wellbeing.

They will work collaboratively with the multi-disciplinary general practice and primary care teams to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required. To work to this level NMC requirement for advanced practice must be met.

The post holder will be responsible for recognising, negotiating and implementing change processes to enhance the delivery of care, both within the Practice and when completing home visits.

The post holder will contribute to development and delivery of a high quality innovative service to the patients of the practice within the community through the implementation of evidence based clinical practice, supported by continual professional development, and provide support and mentorship to all healthcare professionals.

Key Working Relationships

Clinical care is provided by a team comprising of Advanced Nurse Practitioners; Telephone triage / consultations, Nurses and General Practitioners (GP's), supported by administrative staff who work together to deliver Primary care within the Practice.

The Advanced Nurse Practitioners will work together as a team to provide peer support and deliver training sessions to enhance clinical knowledge, competence and skills, whilst working closely with the GP's and Nursing Team.

The Advanced Nurse Practitioner will be fully supported by a duty GP always but will aim towards working independently and where appropriate, in collaboration with other healthcare professionals.

The Advanced Nurse Practitioner regularly accesses other organisations such as A&E, Maternity services and wards within the local Hospitals. Mental Health services, District Nursing services, Child protection services, Pharmacy services, NHS Direct and other local helpline agencies.

Duties and Responsibilities

Communication

1. Communicates effectively as a member of the practice clinical team.

a) Refers when necessary to other external sources including; Accident and Emergency, Secondary care, District Nurses, Emergency Social workers, Emergency mental health team, and other Emergency Services.

2. With Primary care nurses giving, support, advice and leadership and mentoring of other Nurse Practitioners and medical staff.

3. With reception staff regarding patient information.

Clinical Skills

1. Advanced Nurse Practitioners will be supported by a GP but will work independently as a Nurse Practitioner within scope of professional practice.

a) Manages own clinical workload in general practice responding effectively to patient needs and ensuring patient choice and ease of access to services.

b) Functions at a high level to carry out clinical decision making such as diagnosing and managing patients without input from a medical practitioner remaining within scope of a professional practice.

c) Practices as an autonomous practitioner where possible with non-medical prescribing authority.

d) Participate in Audits where required

2. Functions at a high level in relation to communication skills through patient consultation and nursing assessment of physical, psychological and social needs.

a) Takes an accurate history, building a rapport towards a therapeutic relationship.

b) Assess plan and implements patient centred plan of care for patients within the practice and refer when necessary to other healthcare professionals for further specialised care.

3. Adapts to change within the working situation managing unscheduled emergency situations.

a) Basic life support, severe breathing problems, serious cardiovascular problems, collapsed patients and seriously ill patients.

4. Demonstrate clinical competence in the clinical care management of patients of all ages from infants to the elderly management of lifelong illness such as diabetes, asthma and chronic pulmonary disease during the time of acute illness.

5. Performs safe manual handling techniques.

6. Delivers a high standard of care without discrimination, to all ages, sexes and ethnic origins of the population through continuum of life.

7. Performs investigations required to reach a differential diagnosis using core clinical skill and competence. Initiate treatment including diagnostic investigations.

a) Recognition of abnormal vital signs observing paediatric and adult respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressure as appropriate.

b) Perform investigative procedures including, Performing ECGs, Urinalysis, Blood Glucose monitoring, Venepuncture, measuring and interpreting peak low.

8. Advanced Nurse practitioners will be expected to perform appropriate clinical examinations and should demonstrate competence in examination techniques including:

a) Examination of the Ear Nose and Throat system

b) Basic Neurological examination of Headaches and Head Injury

c) Basic Musculo-skeletal examination in the assessment of Injury

d) Basic eye examination in the assessment of injury, foreign body and infection.

e) Respiratory Examination

f) Abdominal Examination

g) Cardiovascular Examination

h) Vaginal Examination and sexual health screening

9. Proficient in treating and managing common minor illness

10. Deliver safe, effective evidence based care and advice to ease patients' problems

11. Independently discharge patients from your care or refer to the appropriate health Professional or healthcare provider for further care intervention

12. Promote improving the health of the individual through providing advice and education to aid adjustment of lifestyle, including Contraception advice.

Organisational Skills

1. Able to adapt to change in the workplace being involved in new developments in the delivery of care.

2. Ensure faulty equipment is reported and repaired and adequate for use

3. Ensure store supplies are adequately ordered and maintained

4. Participate and support the implementation of clinical governance, clinical audit and clinical risk assessment, setting and monitoring standards of care

5. Promote improving the health of the community through reporting and preventing occurrences of infectious disease, providing advice and education

6. Comply with Practice policies and procedures

7. Has a flexible approach to working externally including home visits and with other nominated practices and Integrated Care Communities to access and provide services to patients. The post holder will also be required to attend meetings held by other agencies and internally within the practice.

Professional

1) Complies with their professional body's code of conduct and maintain professional registration

Works within scope of professional practice and pro-actively promote the role of NP within the practice, and externally to key stakeholders and agencies.

Work collaboratively with colleagues within and external to the practice

2) Ensure practice and implementation of care is evidence based by adhering to local and national guidance - promote evidence - based practice using the latest research-based guidelines and the development of practice-based research

3) Maintain confidentiality of information regarding patients

4) Ensure accurate, concise documentation and consultation data in patient records in accordance with the latest professional guidance and other pertinent standards

5) Maintains professional development in all aspects of mandatory training requirements and include; risk awareness health and safety, manual handling, fire safety at work, Child and Adult protection, conflict resolution and basic life support by completing on line training and also attending annual mandatory training.

6) Identify and/or participate in strategies of risk assessment to avoid or prevent clinical incidents and near misses incorporated in the clinical governance framework including:

Risk management policies, Child and Adult protection policies and Drug policies

Monitor the effectiveness of own clinical practice through quality assurance strategies including audit and peer review

Training and Education

1) Currently enhancing professional development and to maintain a personal development plan.

2) Continually keeps up to date with current evidence based practice

3) Is involved in lifelong learning

4) Participates in in-house training provided and completion of all mandatory training at clinical and practice levels.

5) Keep up to date with pertinent health- related policy and work with the practice team to consider the impact and strategies for implementation.

6) Training requirements will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice. It is individual's responsibility to remain up to date with recent developments.

7) Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development ensuring PREP requirements are met.

8) If it is necessary to expand the role to include additional responsibilities, full training will be given.

Teaching and Mentoring Role

1)Promote a learning environment for patients, nurses and other health professionals.

2) Contribute support to the teaching for existing staff, including; medical students, F2s, Nurse Practitioners, GP Registrars, within the Practice.

Work Setting and Review

The Advanced Nurse Practitioner is responsible for working within own competence, skill and experience as confirmed within the professional body's code of conduct.

The organisational policies of NCPC.

Confidentiality

While 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 and 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 and the practice Infection Control Policy. 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 and 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 holder's role

Risk Management

All staff have a responsibility to report all clinical and non-clinical accidents, incidents or near-misses promptly and when requested to co-operate with any investigations undertaken.

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 people's 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 and respects their circumstances, feelings priorities and rights.

Safeguarding

All employees have a duty for safeguarding and promoting the welfare of children and adults at risk. Staff must be familiar with the NCPC Safeguarding Policy and the process for raising concerns about the welfare of anyone with whom they have contact. Staff must also ensure they receive the appropriate level of safeguarding children and adult training depending on their role in the organisation.

Staff are expected to access supervision and support from their line managers and/or the locality based safeguarding team when managing complex cases where applicable to their role.

Information Governance

The post holder must keep up to date with the requirements of information governance; undertake mandatory training and follow NCPC policies and procedures to ensure that NCPC information is dealt with legally, securely, efficiently and effectively.

It is important that the post holder processes personal identifiable information only in accordance with the NCPC Data Protection Act notification to the Information Commissioner. The post holder must check with the Data Protection Officer before creating new systems to process person identifiable information to ensure that this is carried out within the scope of the Data Protection Act 2018 notification.

The post holder must manage the records they create or hold during the course of their employment with NCPC in an appropriate way, making the records available for sharing in a controlled manner subject to statutory requirements and agreed security and confidentiality policies, procedures and guidelines e.g. Data Protection Act 2018, Freedom of Information Act 2000, General Data Protection Regulations, Caldicott Guidelines NHS Confidentiality Code of Conduct 2003, and professional codes of conduct on confidentiality.

The post holder must maintain the confidentiality of information about service user staff and organisational business in accordance with the new Data Protection Act 2018 and Caldicott principles.

It is likely that the post holder will be in contact at some time with a form of information system, and therefore is responsible for implementing and maintaining data quality. The post holder, when making entries into records, must ensure that these are legible and attributable and that the record keeping is contemporaneous. It is essential that information recorded within records either on paper, in an electronic format or both paper and electronic is accurate, complete and relevant.

Person Specification

Core Values- Essential

Strong commitment to the vision and values of NCPC

Genuine interest in and commitment to the needs of the local community

Ability to work as part of a team and establish good working relationships at all levels.

Qualifications- Essential

Current NMC

1st level registration

Working towards completion and qualified in the MSc Advanced Practice Clinical Master's Degree

Independent Non-Medical Prescriber V300 or Degree Level of qualification and relevant experience and RCN Credentials.

Evidence of recent Continual Professional Development

Qualifications and Training- Desirable

Original Certificates, NMC card

Experience- Essential

Evidence of good practice

Leadership skills

Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the ANP role

Evidence of working autonomously and as part of a team

Proven ability to evaluate the safety and effectiveness of their own clinical practice

Experience- Desirable

Experience in Primary / Secondary Care

Experience in management of long term conditions e.g. asthma, COPD, diabetes, CHD

Skills, Knowledge and Aptitudes- Essential

Excellent interpersonal, verbal and written communication skills

Reflective practitioner

Ability to assess and manage patient risk effectively and safely

Time Management and ability to prioritise workload

Able to establish effective communication pathways with internal and external stakeholders

Demonstrate clinical Knowledge in acute and chronic disease management

Demonstrate clinical competence in minor illness management

Demonstrate clinical competence in minor injury management

Able to demonstrate excellent communication and consultation skills

Able to work independently and effectively within a team

Excellent computer skills

Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS/PMS contract, Clinical Governance, Quality & Outcomes Framework

Understanding of systems to gain an understanding of the health needs of the Practice population as they relate to primary care

Understanding of evidence based practice

Knowledge of national standards that inform practice (eg National Service Frameworks, NICE guidelines etc.)

Understanding of their accountability arising from the NMC Code of Professional Conduct (2004) and medico-legal aspects of the Nurse Practitioner role

Understanding of equal opportunity and diversity issues

Skills, Knowledge and Aptitudes- Desirable

Ability to adapt to change within working situations

Innovative practice to deliver patient centred care

Professional Interests- Essential

Awareness of current professional nursing issues

Evidence of continued professional development

Other Requirements- Essential

Current driving licence and access to own vehicle

Flexibility of working hours / ability to work at desired times which includes;

working late on an evening to cover extended access,

working weekends on a rotational basis

Personal Attributes- Essential

Ability to work and act on own initiative

Able to cope with sensitive nature of work, with a patient and calm approach

Willingness to work flexibly

Approachable

Polite and tactful

Highly organised

Ability to multi-task

Good interpersonal skills

Good telephone manner

Desire to achieve and maintain high standards

Job Types: Full-time, Part-time, Permanent

Pay: 55,658.24-62,678.85 per year

Benefits:

Company pension
Work Location: In person

Application deadline: 21/07/2025