Advanced Nurse Practitioner

We wish to recruit a part time Advanced Nurse Practitioner to join Amersham Vale Practice in Deptford, Lewisham.

We are a15,800patient training practice based in the Waldron Health Centre, a modern,spacious facility in the heart of Deptford, North Lewisham. Deptford is adynamic, diverse, culturally rich and rapidly changing neighbourhood withpockets of deprivation alongside new developments. We are situated directlyopposite New Cross station and within walking distance of Deptford DLR, and Deptford station.

Our practice values kindness,approachability, friendliness and compassion, alongside high standards ofclinical care. Our working environment is supportive and collaborative, with twiceweekly tea breaks for all staff. We are a training practice and have a diverseclinical team including Advanced Nurse Practitioners and a ClinicalPharmacist. We also teach medical students, physician associates and GPregistrars. We very much work as a team and encourage and value everyone'scontributions

We run a dedicated clinic for thehomeless, for asylum seekers and a service for drugs and alcoholaddiction. We also have largenumbers of students in our population and we have a close link with GoldsmithsUniversity. We are committed to healthcare for all and to ensure everyonebenefits we make special efforts to reach out to those patients who societydisadvantages.

We are a Gold standard practicefor the LGBTQ+ community

Main duties of the job You will be part of the ANP team which includes 2 other ANPs and one paramedic.

We are diversifying the way we work where you will support the duty sessions with triaging of patients for some of your sessions per week and you will have your own designated clinics to call patients or see them face to face to address more complex health needs and also conduct regular home visits.

You should be able to see all patients including children, adults and patients with mental health challenges

About us We have regular staff activities which are full of education, fun, food, dance and parties including:

• Practice Away Days
• Christmas Parties
• Bowling
• And other great team building activities.

Not only the above; we also offer an excellent Employee Assistance Scheme which includes:

Free Eye Tests

Cycle to work scheme

If you are interested in joining our team, please complete the online application form on NHS jobs. We looking forward to meeting you!

Job responsibilities Job responsibilities:

Clinical Nursing Practice

The post holder will provide clinical care within a team consisting of general practitioners, advanced healthcare professionals (ANPs, clinical pharmacist), practice nurses and Healthcare assistants. Patient contact will be mainly via triage, on-call duties, face to face clinics and home visits

The post holder should be able to see all patients that present including children, adults and those experiencing mental health challenges

Carry out clinical nursing practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

Delivery of care in line with NSF, NICE guidelines and evidence-based care

Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.

• Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.
• Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.
• Diagnose and manage acute and chronic conditions, including drug and non-drug-based treatment methods into a management plan.
• Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.
• Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.
• Refers patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.

Care Management

• Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.
• Provide highly specialised care advice beyond the scope of normal Nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).
• Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.
• To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.

Health Improvement

• Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.
• Innovation in practice to meet ongoing demands on the practices delivery of care.
• Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.
• Supports practitioners in reporting the practice population to promote health improvement and disease prevention.
• Makes referrals to appropriate agencies (statutory and voluntary) where necessary
• Providing assessment, screening services, health education advice:

These may include but not restricted to;

• Urinalysis
• Ear syringing
• Dressings
• Routine immunisations and vaccinations
• Removal of sutures, clips
• Assisting with minor procedures in the treatment room
• Organise and plan the provision of nursing services for the practice to include the delegation of duties to other members of the practice nurse team as appropriate

Administration and professional responsibilities

• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
• Participate in the administrative and professional responsibilities of the practice team
• Accurate and legible notes of all consultations and treatments are recorded in the patients notes
• Ensure clinical systems kept up to date, recording and/or amending accurate details
• Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator
• Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
• Attend and participate in practice meetings as required
• Restocking and maintenance of clinical areas and consulting rooms

Training and personal development

• Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.
• Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.
• Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.
• Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education.
• Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.
• Contribute to the development and maintain an in house nurse-training programme reporting to the practice manager.
• Act as a mentor for junior staff, assessing competence against set standards.
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.
• Develop and maintain a Personal Learning Plan.
• Regularly participate in clinical supervision.

Leadership personal and people development

• Act as a clinical leader in the delivery of practice nursing services ensuring that the needs of the patient are a priority
• 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
• Critically evaluate and review innovations and developments that are relevant to the area of work
• Work with practice management to ensure sufficient staffing to provide a safe service, and that staff have the appropriate ability, quality and skill-mix to meet current and future service delivery
• Take part in recruitment processes where appropriate.
• Maintain effective communication and active involvement in the planning and processes of practice-based commissioning or similar initiatives
• Promote the role of the advanced nurse practitioner in general practice.

Manage, supervise, co-ordinate and guide the nursing team

• To manage the nursing service in participation with the Nurse lead, ensuring relevant information is disseminated to and from the nursing staff
• In participation with the Nurse lead, carry out yearly appraisals of all the nursing staff and produce a training programme
• Ensure adequate nursing cover is provided while within the practice guidelines, keeping the nurse lead informed of any problems
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