Anp/Nurse Practitioner

Job summary This excellent GP surgery based over 2 sites in Lowestoft is looking to add to our clinical team.
We are seeking an ANP or Nurse Practitioner who can work autonomously or part of a team.
Main duties of the job On a daily bases you will be triaging and seeing patients face to face running your own clinics.
You will deal with referrals, scripts, test results and help colleagues when necessary.
Must be flexible, hardworking and willing to muck in when needed.
Ideally the candidate will see all patients from young children to mature adults and have experience in dealing with all types of medical conditions.
We also look after a local care home and provide twice weekly ward rounds.
About us We have a very hardworking, friendly and very supportive team both clinically and administrative.
We are a teaching and research practice.
We are based over 2 sites and have 15300 patients between both sites.
Our team consists of 3 GP Partners, 2 Salaried GPs, 3 NP/ACP, 5 Practice Nurses and 5 HCA's we have 2 Pharmacists and 3 Pharmacy technicians, also a large Reception/Admin team.
We will offer a good rate of pay, 6 weeks holiday and pro rate bank holidays and NHS pension.
We work with the Lowestoft PCN and have several PCN staff members who work with us and are part of our team.
Job description Job responsibilities Job Description - Nurse PractitionerThe post holder is an experienced nurse who, actingwithin their professional boundaries, will provide care for the presentingpatient from initial history taking, clinical assessment, diagnosis, treatmentand evaluation of care.
They will demonstrate safe, clinical decision-makingand expert care, including assessment and diagnostic skills, for patientswithin the general practice.
The post holder will demonstrate critical thinkingin the clinical decision-making process.
They will work collaboratively withthe general practice team to meet the needs of patients, supporting thedelivery of policy and procedures, and providing nurse leadership as required.In order to work at this level Nursing and Midwifery Council (NMC) requirementsfor advanced practice must be met and kept up to date.Clinical practiceAssess, diagnose, plan, implement andevaluate treatment/interventions and care for patients presenting with anundifferentiated diagnosisClinically examine and assess patientneeds from a physiological and psychological perspective, and plan clinicalcare accordinglyAssess, diagnose, plan, implement andevaluate interventions/treatments for patients with complex needsProactively identify, diagnose andmanage treatment plans for patients at risk of developing a long-term condition(as appropriate)Diagnose and manage both acute andchronic conditions, integrating both drug- and non-drug-based treatment methodsinto a management planPrescribe and review medication fortherapeutic effectiveness, appropriate to patient needs and in accordance withevidence-based practice and national and practice protocols, and within scopeof practiceWork with patients in order to supportcompliance with and adherence to prescribed treatmentsProvide information and advice onprescribed or over-the-counter medication on medication regimens, side-effectsand interactionsPrioritise health problems andintervene appropriately to assist the patient in complex, urgent or emergency situations,including initiation of effective emergency careSupport patients to adopt healthpromotion strategies that promote healthy lifestyles, and apply principles ofself-careSupport and manage health needs ofwomen presenting for family planning, cervical cytology or sexual healthconsultationAssess, identify and refer patientspresenting with mental health needs in accordance with the NSF for MentalHealthImplement and participate in vaccinationand immunisation programmes for both adults and childrenAdvise, support and administervaccinations for patients travelling abroad, where appropriatePromote and deliver evidence-based carefor patients presenting with aural conditionsMeet the needs of patients presentingfor opportunistic wound careUndertake minor surgery as appropriateto competenceUnderstand how to identify and act upon safeguarding concerns(about children and vulnerable adults) in an appropriate manner (to Level 3East of England Guidance on Safeguarding Children)Delivering a quality serviceRecognise and work within owncompetence and professional code of conduct as regulated by the NMCProduce accurate, contemporaneous andcomplete records of patient consultation, consistent with legislation, policiesand proceduresPrioritise, organise and manage ownworkload in a manner that maintains and promotes qualityDeliver care according to National ServiceFrameworks, NICE guidelines and evidence-based careAssess effectiveness of care deliverythrough self and peer review, benchmarking and formal evaluationInitiate and participate in themaintenance of quality governance systems and processes across the organisationand its activitiesUtilise the audit cycle as a means ofevaluating the quality of the work of self and the team, implementingimprovements where requiredIn partnership with other clinicalteams, collaborate on improving the quality of health care responding to localand national policies and initiatives as appropriateEvaluate patients response to healthcare provision and the effectiveness of careSupport and participate in sharedlearning across the practice and wider organisationUse a structured framework (root-cause analysis) to manage, review and identify learning from patientcomplaints, clinical incidents and near-miss eventsAssess the impact of policyimplementation on care deliveryMonitor and develop the performance ofthe practice nursing team in accordance with local policiesApprove the performance of the nursing team,providing feedback as appropriateUnderstand and apply legal issues thatsupport the identification of vulnerable and abused children and adults, and beaware of statutory child/vulnerable patients health procedures and localguidanceEnsure the whole team have skills andknowledge regarding domestic violence, vulnerable adults, substance abuse andaddictive behaviour.
Provide guidance and support to ensure appropriatereferral if requiredLeadership personal and peopledevelopmentTake responsibility for own learningand performance including participating in clinical supervision and acting as apositive role modeSupport staff development in order tomaximise potentialActively promote the workplace as alearning environment, encouraging everyone to learn from each other and fromexternal good practiceEncourage others to make realisticself-assessment of their application of knowledge and skills, challenging anycomplacency or actions that are not in the interest of the public and/or usersof servicesCritically evaluate and reviewinnovations and developments that are relevant to the area of workEnlist support and influencestakeholders and decision-makers in order to bring about new developments inthe provision of servicesWork with practice management to ensuresufficient staff of appropriate ability, quality and skill-mix are available tomeet current and future service delivery, that selection and recruitmentprocesses are effective and that equality of treatment of the team incorporatesquality HR principles and processesContribute to the development of localguidelines, protocols and standardsMaintain effective communication withthose responsible for the overall commissioning and procurement processRemain informed and involved whereappropriate in the planning and processes of practice-based commissioning orsimilar initiativesMarket the role of the advanced nursepractitioner in general practiceTeam workingUnderstand own role and scope andidentify how this may develop over timeWork as an effective and responsibleteam member, supporting others and exploring the mechanisms to develop new waysof workingDelegate clearly and appropriately,adopting the principles of safe practice and assessment of competenceCreate clear referral mechanisms tomeet patient needPrioritise own workload and ensureeffective time-management strategies are embedded within the culture of theteamWork effectively with others to clearlydefine values, direction and policies impacting upon care deliveryDiscuss, highlight and work with theteam to create opportunities to improve patient careManage and lead on the delivery ofspecifically identified services or projects as agreed with the practicemanagement teamAgree plans and outcomes by which tomeasure successApply infection-control measures withinthe practice according to local and national guidelinesAdvocate for policies that reduceenvironmental health risks, are culturally sensitive and increase access tohealth care for allInterpret national strategies andpolicies into local implementation strategies that are aligned to the values andculture of general practiceManaging informationUse technology and appropriate softwareas an aid to management in planning, implementation and monitoring of care,presenting and communicating informationReview and process data using accurateRead codes in order to ensure easy and accurate information retrieval formonitoring and audit processesManage information searches using theinternet and local library databasesUnderstand responsibility of self andothers to the practice and primary care trust regarding the Freedom and InformationActMonitor and confirm that the nursingteam are receiving and processing data and information in an agreed formatCollate, analyse and present clinicaldata and information to the teamCommunicate essential financialrestraints with the team and discuss with them ideas for effective andefficient working within these constraintsLearning and developmentUndertake mentorship for more juniorstaff, assessing competence against set standardsDisseminate learning and informationgained to other team members in order to share good practice and inform othersabout current and future developments ( courses and conferences)Assess own learning needs and undertakelearning as appropriateProvide an educational role to patients,carers, families and colleagues in an environment that facilitates learningEquality and diversityIdentify patterns of discrimination andtake action to overcome this and promote diversity and equality of opportunityEnable others to promote equality anddiversity in a non-discriminatory cultureSupport people who need assistance inexercising their rightsMonitor and evaluate adherence to localchaperoning policiesAct as a role model in the observanceof equality and diversity good practiceAccept the rights of individuals tochoose their care providers, participate in care and refuse careAssist patients from marginalisedgroups to access quality care Person Specification Knowledge and skills Essential Good communication skills Provide good quality care Proactive Desirable IT skills to use clinical system, we currently use SystmOne.
Qualifications Essential GCSA grade A to C in English and Maths Minor illness Independent Prescribing Chronic disease management.
Desirable Minor injuries Contraception Experience Essential Working as part of a team Experience in dealing with vulnerable patients Dealing with Pathology results Telephone triage Desirable Working in a GP practice Management or Leadership