Summary Job Description Nurse Practitioner

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1 Summary Job Description Nurse Practitioner Managing Partner Jo Gilford Senior Partner - Dr Gareth James Clinical Lead Dr Amy Butler Danetre Medical Practice 28/11/2017

2 Date: November 2017 We are recruiting a Nurse Practitioner due to retirement to join our successful, innovative and happy practice. The post holder will be primarily responsible for the delivery of nurse prescribing care to the practice population. Successful candidates will be NMC registered, a Nurse Prescriber and possess excellent clinical, communication and IT skills. The practice itself is located in close proximity to Daventry Town centre in a modern building adjoining Danetre Hospital (a community hospital which opened in September 2006) offering a wide range of services and delivering a high standard of care. Also attached to the Practice operating independently is Boots Chemist and a Children s Nursery. The site has free car parking. The ideal candidate will possess experience & knowledge of treating minor illness, general nursing services, chronic disease management, family planning, and childhood immunisation; however training will also be available to the right candidate. We are an accredited training practice and undertake level 2 research which means we can offer excellent support and colleague led teaching to enable you to develop your professional knowledge further, If you are interested in this exciting and fulfilling role along with working within a dynamic and organised practice please send a copy of your CV to ANP Team Leader. Informal enquiries are welcome. Closing date 17 th December Interviews will be held on Wednesday 20 th December, you will be advised by on the 18 th December if you are being invited to interview. The post holder will have direct contact with patients and carers therefore a disclosure check will be undertaken by the Criminal Records Bureau. This post is not exempt from the provisions of the Rehabilitation of Offenders Act Therefore the post holder is required to disclose any spent convictions.

3 Job Description JOB DETAILS TITLE: Advanced Nurse Practitioner HOURS OF WORK: Negotiable SALARY BANDING: 31,200-40,950 pro rata plus Enhanced MDU paid Plus an annual bonus is paid dependent upon performance (last year 2.5% of annual salary) DIRECT REPORT TO: GP Clinical Lead DATE: November 2017 ABOUT US The current list size of Danetre Medical Practice is approximately 12,850. Any increase over the last ten years has been due mainly to; natural change (more births than deaths); building development within Daventry itself and more recently migration from the rest of the UK and overseas. The boundaries of the Practice show we are large in terms of geographical size, with the majority of the land classified as rural. The practice itself is located in close proximity to Daventry Town centre in a modern building adjoining Danetre Hospital (a community hospital which opened in September 2006) offering a wide range of services and delivering a high standard of care. Also attached to the Practice operating independently is Boots Chemist. The practice currently has 4 GP Partners, 3 salaried GP s, and 3 x Advanced Nurse Practitioners. Resources assigned to the Clinical Team are: 2 x Diabetic Nurses: 2 x Practice Nurse: 3 x Health Care Assistant: 1 x Research Nurse: and 1 x Prescribing Technician time. Attached staff include; Health Visitors, Midwife and District Nurses. ADDITIONAL INFORMATION The post holder holds a position of importance, being the crucial link between the doctors, staff and patients. Full training will be given in all aspects of the job. Telephone calls are monitored and used for training purposes and to accurately record patient and GP information You will be required to wear a name badge, which will be provided for you. You will be expected to attend regular staff meetings. The meetings provide an opportunity to discuss matters arising from the job and can be used for in-house training. The post holder will be expected to deliver a high quality, diverse, patient centred service

4 Our Vision Statement To be a compassionate and committed provider of clinical excellence where our staff are motivated to achieve their potential to deliver diverse, local, patient centred services. Our Mission Statement To work in partnership with our patients to provide excellent cost effective healthcare. Our Seven Goals To be healthcare professionals who are committed and dedicated to providing patient care To be recognised as a Practice that performs over and above what is expected of them to ensure high quality patient care To have an organisation that promotes a culture of inspiration, maturity and accountability To mange resources and build organisational capacity to enable the delivery of diverse local services To engage with patients by listening to them and involving them in the decision making process To ensure the Practice looks at the holistic picture in their ambition to be a leading provider of medical care To grow profitability and maximize income so that a cost effective healthcare service is provided JOB SUMMARY 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 their care. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required. In order to work at this level, NMC requirements for advanced practice must be met. PURPOSE To deliver a high standard of patient care as a Nurse Practitioner (NP) in general practice, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base working who works collaboratively to meet the needs of patients, supporting the delivery of policy and procedures whilst managing their own workload to deliver the practice priorities and vision.

5 KEY RESPONSIBILITIES To manage a clinical caseload, dealing with presenting patient s needs in a primary care setting To develop the nursing services offered by the practice To provide clinical care to patients, this will include consultation sessions, telephone triage, clinical administration, medicals, reports, home visits, surgery meetings etc. To see and treat patients autonomously with undifferentiated/undiagnosed problems within competency & NMC Guidelines. Provide clinical care in line with agreed local and national protocols or guidance. Identify medical emergencies and take the appropriate action. Perform advanced skills within competency & NMC Guideline and safely use equipment to aid physical examinations including for example; Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs. Recording clear and contemporaneous consultation notes to agreed Practice standards and NMC guidelines using SystmOne for all patient information. Read code appropriately and collect data for audit purposes as agreed. Implement and support vaccination and immunisation programmes for both children and adults. To communicate effectively with patients and carers, recognizing the need to alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. As an independent prescriber, prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence based practice and national and practice protocols and within competency and NMC guidelines. To work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over the counter medication on medication regimes, side-effects and interactions. To encourage health promotion, education and self care for all patients and advice them of other available services. The post holder will work within their individual competency and NMC guidelines and in accordance with local CQC policies and procedures.

6 GENERAL Work collaboratively as a key member of the practice management team Ensure the provision of high quality, customer focused services to support the practice and meet service demands. Ensure that service delivery is evidence based, of high quality and within budget Ensure health and safety requirements are met and that the Practice complies with the Health & safety at Work legislation, carrying out a systematic program of risk assessments Ensure infection control policies are adhered to Manage data collection to support data requirements/claims Recruit, manage and retain staff within budget constraints Allocate and monitor staff leave ensuring the practice has sufficient levels of resources to meet service demands Undertake effective six monthly staff appraisals and ensure there is a robust performance management framework in place. IT Ensure information governance standards are implemented and maintained COMMUNICATION 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 Utilise communication skills to support patients to adhere to prescribed treatment regimens Anticipate barriers to communication and take action to improve communication Estimate and maintain effective communication with individuals and groups within the practice environment and with external stakeholders Act as an advocate when representing the patients and colleagues viewpoints to others QUALITY Prioritise, organise and manage own workload in a manner that maintains and promotes quality Participate in the maintenance of quality governance systems and processes across the Practice and its activities Utilise the appraisal/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 teams, collaborate on improving the quality of health care, responding to local and national policies and initiatives as appropriate Support and participate in shared learning across the practice and wider organisation Participate in the performance monitoring review of the team, providing feedback as appropriate ADDITIONAL RESPONSIBILITY Recommend and implement changes to improve the efficiency of the practice and undertake such additional duties as may become necessary from time to time to ensure the smooth running of the practice Where applicable manage enhance performance within the Practice to ensure

7 maximum patient care Attend training courses identified as essential or beneficial to the role and take responsibility for identifying own learning needs Ensure all significant events are reported and discussed as appropriate and facilitate a full understanding of clinical governance requirements within the practice Maintain records of specific adverse incidents, complaints and near misses and work with local colleagues and the clinical governance team to ensure lessons are learnt and practices adapted to avoid future incidents KEY WORKING RELATIONSHIPS GP Clinical Lead Managing Partner Partner GP s Patients GP Management Lead Management Team Staff and clinicians Secondary care providers INFORMATION GOVERNANCE Information is vitally important for the safe clinical management of patient care and the efficient administration of services and resources, including our workforce. Information Governance is a framework to enable the Practice to handle personal and corporate information appropriately. It is the responsibility of our entire workforce, regardless of employment status, to ensure they abide by the requirements of Information Governance as set out in the Employee Handbook and the Information Governance Policy. CONFIDENTIALITY 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. REHABILITATION OF OFFENDERS ACT 1974 This post is not exempt from the provisions of the Rehabilitation of Offenders Act Therefore the post holder is required to disclose any spent convictions. THIS JOB DESCRIPTION IS SUBJECT TO CONSTANT CHANGING NEEDS WITHIN THE WORK SITUATION AND WILL BE REVIEWED ANNUALLY IN CONSULTATION WITH THE POST HOLDER

8 PERSON SPECIFICATION HEADING ESSENTIAL DESIRABLE ASSESSMENT Registered General Nurse MSc or equivalent Education (Currently registered with the Recognised Advanced Original certificates, and Nursing & Midwifery Council) NMC card & Nurse Practitioner CV Qualifications Recognised NP qualification at qualification minimum of degree level or Mentoring/teaching equivalent qualification Minor illness or clinical assessment GCP certificate qualification Nurse Prescriber Minimum of 5 years post Experience in Experience registration experience management long CV & Interview Evidence of appropriate continuing professional development activity to maintain term conditions e.g. asthma, COPD, diabetes, CHD up-to-date knowledge and ongoing competence in all aspects managing and Previous experience of of the NP role developing a nursing Skills, Abilities and knowledge required Experience working as an autonomous practitioner in management of minor illness, ailments and injuries Evidence of working autonomously and as part of a team Proven ability to evaluate the safety and effectiveness of their own clinical practice Ability to assess and manage patients risk effectively and safely Management of patients with complex needs Ability to remain calm and professional in an emergency situation Ability to work both autonomously and as part of a multidisciplinary team Effective time management and excellent communication skills IT Skills Well developed IT skills including use of clinical software and Microsoft packages Motivation and personal characteristics Working conditions Enthusiasm and common-sense Self motivated Self directed practitioner Ability to work flexibly to meet service needs Ability to work with high patient turnover and a pressurised environment on a daily basis. Able to work flexible hours team Interpreting and implementing local and National policy agendas for health Nurse led triage or first contact experience Primary care/community care nursing experience Knowledge of Local and National Health policy Understanding of evidence based practice Understanding of clinical governance in primary care setting Knowledge of primary care clinical IT systems Knowledge of S1 Commitment to provide effective and high quality service Values and respects the different cultures and beliefs of patients and colleagues Hold a valid driver s licence CV & Interview Application Form Interview

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