Advanced Nurse Practitioner - Community Care & Home Visits

As part of our recruitment process, we ask candidates to complete a clinical competency self-assessment. This helps us understand your current scope of practice and ensures we provide the right level of support, supervision and development if appointed.

Main duties of the job

You willbe an experienced registered Advanced Nurse Practitioner who, acting withintheir professional boundaries, will provide care for patients registered at thepractice from initial history taking, clinical assessment, diagnosis,treatment, evaluation of care, prescribing of medication and development ofmanagement plan. The role will involvecare planning and working in the community with the practices patients who maybe housebound, vulnerable adults or residents in care/residential homes.

Youwill demonstrate safe, clinical decision-making and expert care, includingassessment and diagnostic skills, for patients within the general practice. Thepost holder will demonstrate critical thinking in the clinical decision-makingprocess You will work collaboratively with the general practice team to meet theneeds of patients, support the delivery of policy, procedures, future practicestrategy and provide clinical leadership as required.

About us

We are a large GP practice with a multi skilled clinical team that works over four sites.

We provide services to around 48,000 registered patients, thats a quarter of the population of Bury, and our patients can access services across all four of our sites

We are a forward thinking general practice. We have a strong business plan and a clear focus on providing quality primary care at scale, along with innovative approaches to delivering care through new ways of working and digital transformation

We are a training and teaching practice committed to investing in clinicians of the future. We are also involved in cutting edge clinical research projects to discover and deliver better care that will really make a difference to patients in Bury and further afield

Our clinical team is diverse including GPs, a Practice Paramedic, Pharmacists, Advanced Clinical Practitioners, Advanced Nurse Practitioners, Practice Nurses, Nurse Associates, a Physician Associate and highly skilled Health Care Support Workers, working closely with a range of additional roles including an Acute Visiting Service, Mental Health Practitioners and First Contact Physiotherapists

To allow more time to care, our clinical team is underpinned by a very experienced team of receptionists and administrators, as well as a range of inhouse corporate functions covering themes such as human resources, information technology, finance, administration and management support and communications

Job responsibilities

Assess and treat patientspresenting with acute illness or for review of chronic disease conditions.

Undertake homevisits for acute illness or chronic disease management. Reviewing care plans and liaising withpatients, carers, relatives and other healthcare professionals to support aholistic package of care.

Diagnose, plan,implement and evaluate treatment/interventions and care for patients presentingwith an undifferentiated diagnosis

Clinicallyexamine and assess patient needs from a physiological and psychologicalperspective, and plan clinical care accordingly

Assess, diagnosis,plan, implement and evaluate interventions/treatments for patients with complexneeds

Proactivelyidentify, diagnose and manage treatment plans for patients at risk ofdeveloping a long-term condition (as appropriate)

Diagnose andmanage both acute and chronic conditions, integrating both drug- andnon-drug-based treatment methods into a management plan

Prescribe andreview medication for therapeutic effectiveness, appropriate to patient needsand in accordance with evidence-based practice and national, local and practiceprotocols and formularies

Work withpatients and their carers in order to support compliance with and adherence toprescribed treatments.

Provide a telephone triage service,assessing patients health needs and management plans. Implement and evaluate clinical interventionsto meet those needs. Record summary ofdiscussion, intervention and actions on to the clinical system.

Provide information and advice onprescribed or over-the-counter medication on medication regimens, side-effectsand interactions

Prioritise health problems andintervene appropriately to assist the patient in complex, urgent or emergencysituations, including initiation of effective emergency care

Support patients to adopt healthpromotion strategies that promote healthy lifestyles, and apply principles ofself-care

Support and manage health needs ofwomen presenting for family planning or sexual health consultation

Assess, identify and refer patientspresenting with mental health needs in accordance with the NSF for MentalHealth

Implement and participate invaccination and immunisation programmes for both adults and children

Person Specification Experience

• Minimum 5 years post registration experience
• At least 3 years recent primary care / community nursing experience
• Nurse-led management of minor illness, minor ailments and injuries
• Nurse-led triage including telephone triage
• Home visit assessment of patients
• Compiling protocols and clinical guidelines
• Leadership in quality initiatives such as clinical benchmarking
• Audit
• Independent Nurse Prescribing or willingness to undertake and complete nurse prescribing training
• Project Management
• Working with community development initiatives
• Health needs assessment
• Sexual Health including fitting / removal of IUCD and LAC
• Minor Surgery
• Extended & Supplementary Prescriber

Knowledge

• Advanced Clinical Practice Skills ANP Qualification or equivalent evidence to demonstrate skills
• In-depth knowledge and management of patients with long term conditions/chronic diseases
• Management of patients with complex needs
• Accountability of own role and other roles in a nurse-led service
• Local and national policy / Wider health economy
• EMIS clinical system
• Clinical governance issues in primary care
• Patient group directions and associated policy
• Knowledge of Clinical Commissioning Group and GP Federation
• Knowledge of public health issues in the area
• Ability to identify priorities on health in the area

Other

• Full UK driving licence business use
• Reliability & commitment to team working
• Highly motivated
• Flexible and responsive to change
• Team player
• Willingness to undertake further training
• Demonstrates the ability to value the opinion of others
• Ability to work within a pressurised environment maintaining a safe, high standard of quality care

Skills

• Clinical leadership skills
• Communication skills written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Clinical examination & telephone triage skills
• Change management
• Teaching and mentorship in clinical setting

Qualifications

• Registered first level nurse MSc or equivalent with current registration
• Clinical supervision training and experience
• Extended / independent nurse prescribing qualification
• Advanced Nurse Practitioner qualification or specialist practice equivalent qualification and knowledge
• Accredited LBC Cytology Trainer
• Teaching certificate
• ECDL

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.