Advanced Nurse Practitioner

Are you currently an ANP working in General Practice or are you looking for a change in career? Do you feel your qualifications are underutilised? Primary Care and Trinity Surgery needs you.

Trinity Surgery is a 2 partner training practice in theFenland town of Wisbech. The surgery provides excellent quality health care forits 14,200 patients and is a consistently high QoF achiever.

We are looking for a full-time/ part-time Advanced Nurse Practitioner to join our existing professional and friendly team of salaried GP, 6 Advanced Nurse Practitioners, 7 Practice Nurses and 2 HCAs.

We are seeking a highly motivated and experienced nurse who will embrace the challenge of this dynamic and interesting role. The position includes telephone triage, working with the duty team and holding own clinics.

Applicants will need to have the relevant Master/degree qualifications or equivalent, be an independent nurse prescriber and be on the NMC register. Previous experience of working in General Practice and knowledge of SystmOne are desirable, however we have a local roadmap in place for transition from secondary to primary care.

Main duties of the job The position includes working as a member of the duty team, completing telephone triage and holding own clinics.

The successful applicant must be able to:

Provide care that is based on best practice and upto date clinical evidence

Take a comprehensive history

Carry out in depth assessments

Use expert knowledge and clinical judgement toidentify the potential diagnosis

Refer patients for investigations where appropriateand make a final diagnosis

Decide on and carry out treatment, including theprescribing of medicines or refer patients to the appropriate specialist

Assess and evaluate with patients the effectivenessof the treatment and care provided and make changes as needed

Chronic disease management.

Thesuccessful applicant will have:

Excellent communication, interpersonal andorganisational skills

About us Trinity Surgery is a 2 partner training practice in the Fenland town of Wisbech. The surgery provides excellent quality health care for its 14,200 patients and is a consistently high QoF achiever.

Trinity Surgery has a skilled, professional and dedicated teamcomprising of salaried GP, 6 Nurse Practitioners, Emergency CarePractitioner, treatment room nurses plus supporting medical staff provided throughthe PCN including full-time Pharmacist, physiotherapists, social prescriber and mental health practitioners

Trinity Surgery is the lead practice for Research within the WisbechPCN

Job responsibilities JOB SUMMARY

The post holder is an experienced nurse, who acting within theirprofessional boundaries, will provide care for the presenting patient frominitial history taking, clinical assessment, diagnosis, treatment andevaluation of their care. They willdemonstrate safe, clinical decision-making and expert care for patients withinthe general practice and their own homes.They will work collaboratively with the multi-disciplinary generalpractice team to meet the needs of patients, supporting the delivery of policyand procedures, and providing nurse leadership as required. In order to work at this level, NMCrequirements for advanced practice must be met.

1. SCOPE ANDPURPOSE OF THE ROLE

• To deliver a high standard of patient care as Advanced NursePractitioner (ANP) in general practice, using advanced autonomous clinicalskills, and a broad and in-depth theoretical knowledge base
• To manage a clinical caseload, dealing with presenting patient'sneeds in a primary care setting
• To develop the nursing services offered by the practice
• To provide clinical leadership within the practice withinspecialist fields.

2. JOBDIMENSIONS

• To manage ownclinical workload in general practice responding effectively to patientneed and ensuring patient choice and ease of access to services.
• The development and use of referral pathways for NPs to the localacute NHS Trust services and to Diagnostic and Treatment Centres .
• To mentor andsupport other nurses in developing and maintaining clinical skills

3. KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

See personspecification

4. PRIMARY DUTIES & AREAS OFRESPONSIBILITY

A.CLINICAL ROLE:

The post-holder will :

• Provide thechoice of direct access to a ANP, both in the Practice and over thetelephone, for the general practice population
• Makeprofessionally autonomous decisions for which he/she is accountable
• Provide afirst point of contact within the Practice for patients presenting withundifferentiated, undiagnosed problems, making use of skills in historytaking, physical examination, problem-solving and clinicaldecision-making, to establish a diagnosis and management plan
• Instigatenecessary invasive and non-invasive diagnostic tests or investigations andinterpret findings/reports
• Where thepost holder is an independent prescriber : to prescribe safe, effectiveand appropriate medication as defined by current legislative framework
• Provide safe,evidence-based, cost-effective, individualised patient care
• Offer aholistic service to patients and their families, developing whereappropriate an on-going plan of care/support, with an emphasis onprevention and self-care
• Undertakehome visits as requested
• Promote healthand well-being through the use of health promotion, health education,screening and therapeutic communication skills
• Referpatients directly to other services/agencies as appropriate
• Assist the Practicein developing and delivering specialist primary care services, such as long term disease management (diabetes,asthma, chronic obstructive pulmonary disease, coronary heart disease and hypertension)
• Work withnursing, medical and health care assistant colleagues to ensure that NICEGuidelines (eg Coronary Heart Disease/Older People/ Diabetes /MentalHealth) are being delivered
• Work with mutli-disciplinaryteam within the Practice, and across the wider CCG, to promote integratedand seamless pathways of care
• Contribute tothe practice achieving its quality targets to sustain the high standards ofpatient care and service delivery

Participate in identification of communityhealth needs and develop patient/family-centred strategies to address them

Help develop and set up new patient services andparticipate in initiatives to improve existing patient services

• Be aware ofand contribute to planning and delivery of practice-based commissioning

B. TEACHING ANDMENTORING ROLE:

The post-holder will :

• Promote a learning environment for patients, nursesand other health professionals.
• Contribute tothe planning and implementation of the teaching for existing staff, suchas medical students, GP registrars, Health Care Assistants, within thePractice.

C.PROFESSIONAL ROLE :

The post-holderwill :

• Promoteevidence-based practice through the use of the latest research-basedguidelines and the development of practice-based research.
• Monitor theeffectiveness of their own clinical practice through the quality assurancestrategies such as the use of audit and peer review
• Maintaintheir professional registration
• Participatein continuing professional development opportunities to ensure thatup-to-date evidence-based knowledge and competence in all aspects of therole is maintained
• Work withinthe latest NMC Code ofProfessional Conduct
• Recordaccurate consultation data in patients records in accordance with thelatest NMC guidance and otherpertinent standards
• Keep up todate with pertinent health-related policy and work with the practice teamto consider the impact and strategies for implementation
• Workcollaboratively with colleagues within and external to the practice.
• Demonstrateleadership

D.MANAGERIAL ROLE :

The post-holder will :

Act as mentor for if required for nurses and through this, support colleaguespersonal development.

Participate in clinical supervision with thenursing team

Encourage and develop teamwork within thepractice.

Participate in multi-disciplinary protocol andPatient Group Directions development

Identify appropriate opportunities to delegateboth clinical and administrative tasks to more junior staff.

Help the practice operate in a cost-effectivemanner.

Identify and manage nursing care risks on acontinuing basis.

Participate in practice meetings as appropriate.

Participate in audits and inspections asappropriate.

Work closely with the doctors and administrativemanagers in the setting up and/or improving of practice systems formonitoring/measuring performance against Clinical Governance and Quality Indicatortargets.

Ensure that all Practice Policy's are fullyimplemented

E.AREAS OF PRACTICE EXCLUDED FROM THE POST-HOLDERS REMIT:

The post-holder will not undertake thefollowing :

• All aspectsof antenatal/obstetric care

5. HEALTHAND SAFETY/RISK MANAGEMENT

The post-holder must comply at all times with thePractice's Health and Safety policies, in particular by following agreed safeworking procedures and reporting incidents using the organisations IncidentReporting System.

The post-holder will comply with the DataProtection Act (1984) and the Access to Health Records Act (1990).

6. EQUALITY AND DIVERSITY

The post-holder must co-operate with allpolicies and procedures designed to ensure equality of employment. Co-workers . click apply for full job details