Advanced Nurse Practitioner – Burnham & Berrow Medical Centre
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Advanced Nurse Practitioner Burnham and Berrow Medical Centre
We are looking for an advanced nurse practitioner to join our friendly and supportive Somerset practice and expand our multi-disciplinary team. The post is for up to 37.5 hours per week (part time hours will be considered). Salary will be dependent on experience with additional remuneration for those that are prescribing, fully competent Nurse Practitioners with primary care experience and mentoring skills.
You will be an enthusiastic, caring and motivated professional with excellent clinical, organisational and communication skills, who has the ability to work autonomously but also be a key member of the growing multidisciplinary team at the practice
Main duties of the job
As an experienced ANP, you will play a key role in the success of the Practice and will be responsible for triaging, assessing, diagnosing, treating and discharging patients autonomously as well as supporting improving service provision.
You will be able to demonstrate the ability to make differential diagnosis using decision making and problem solving skills whilst making professional autonomous decisions for which you are accountable. The successful candidate will possess the ability to work both independently and to work collaboratively as part of a fantastic multi-disciplinary team with other health care professionals and disciplines. NMC requirements for advanced practice must be met.
For more information about this role or to arrange an informal visit, please contact Julie Salter (Interim Practice Manager) on 07944 589862
About us
Burnham-on-Sea - Our Practice & Town
Burnham and Berrow Medical Centre is a large, well established practice with an on-site pharmacy, which provides a wide range of services to around 15,000 patients. We are a friendly practice in a seaside town location and our transport links are great - The M5, Bristol Airport and train routes to London mean that Burnham-on-Sea is very conveniently located.
Burnham-on-Sea is ideally located within easy access to the Blackdown and the Mendip Hills both designated as Areas Of Natural Beauty, with a network of footpaths and byways for walking, mountain biking and horse riding. It is perfect for discovering the beauty of the beaches and coastal paths, and both sites are within 5-10 minutes walk of the beach.
Positioned on the edge of the Somerset levels, the town is home to one of the longest stretches of sandy beach in Europe and its iconic lighthouse. The town has retained much of its traditional charms and hosts a number of eateries, restaurants and shops.
Benefits we offer:
flexible roles and working options
competitive rates of pay
NHS pension membership
support for those with specialist skills and experience
mentorship from experienced clinicians
close links to the wider Somerset integrated health system, Somerset LMC, SGPET and the Somerset Training Hub
career development - through annual appraisal
Job role:
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 care. They will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills at an advanced level, for patients within the general practice. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures. In order to work at this level, NMC requirements for advanced practice must be met.
KEY RESPONSIBILITIES
Clinical practice
Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with highly complex needs
Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)
Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan
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 scope of practice
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 regimens, side-effects and interactions
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care
Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation
Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health
Implement and participate in vaccination and immunisation programmes for both adults and children
Advise, support and administer vaccinations for patients travelling abroad, where appropriate
Promote and deliver evidence-based care for patients presenting with aural conditions
Meet the needs of patients presenting for opportunistic wound care
Undertake minor surgery as appropriate to competence
Communication
Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
Communicate with and support patients who are receiving bad news
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
Anticipate barriers to communication and take action to improve communication
Maintain effective communication within the practice environment and with external stakeholders
Act as an advocate for patients and colleagues
Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate
Delivering a quality service
Recognise and work within own competence and professional code of conduct as regulated by the NMC
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Prioritise, organise and manage own workload in a manner that maintains and promotes quality
Deliver care according to NSF, NICE guidelines and evidence-based care
Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities
Utilise the 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 clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate
Evaluate patients response to health care provision and the effectiveness of care
Support and participate in shared learning across the practice and wider organisation
Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events
Assess the impact of policy implementation on care delivery
Monitor and develop the performance of the GPN team in accordance with local policies
Approve the performance of the team, providing feedback as appropriate
Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance
Ensure you have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required
Personal development
Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode
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
Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services
Critically evaluate and review innovations and developments that are relevant to the area of work
Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services
Take a lead role in planning and implementing changes within the area of care and responsibility
Contribute to the development of local guidelines, protocols and standards
Maintain effective communication with those responsible for the overall commissioning and procurement process
Maintain active involvement in the planning and processes of practice-based commissioning or similar initiatives
Market the role of the advanced nurse practitioner in general practice
Team working
Understand own role and scope and identify how this may develop over time
Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence
Create clear referral mechanisms to meet patient need
Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team
Work effectively with others to clearly define values, direction and policies impacting upon care delivery
Discuss, highlight and work with the team to create opportunities to improve patient care
Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team
Agree plans and outcomes by which to measure success
Management of risk
Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines
Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs
Apply infection-control measures within the practice according to local and national guidelines
Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all
Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice
Managing information
Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information
Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes
Manage information searches using the internet and local library databases
Understand responsibility of self and others to the practice and primary care trust regarding the Freedom and Information Act
Manage, in conjunction with the QoF team, the QoF targets or the equivalent SPQS requirements.
Job Description see attached JD and person spec for a full breakdown of the role and responsibilities
Person Specification
Skills
Essential
Communication skills, both written and verbal
Communication of difficult messages to patients and families
Negotiation and conflict management skills
Change management
Resource management
Experience
Essential
Minimum 5 years post-registration experience
At least 2 years recent primary / community nursing experience
Nurse prescribing
Nurse-led management of minor illness, minor ailments and injuries
Nurse-led triage
Compiling protocols and clinical guidelines
Audit
Research
QI
Desirable
Health-needs assessment
Knowledge
Essential
Advanced clinical practice skills
Management of patients with long-term conditions
Management of patients with complex needs
Clinical examination skills
Accountability of own role and other roles in a nurse-led service
Local and national health policy
Clinical governance issues in primary care
Patient group directives and associated policy
Desirable
Knowledge of public health issues
Able to identify determinants on health in the area
Knowledge of public health issues in the area
Qualifications
Essential
Registered first level nurse
MSc or equivalent
Independent/supplementary nurse prescribing qualification
Advanced nursing specialist qualification
Relevant nursing/health degree
Clinical supervision training and experience
Desirable
Mentor/teaching qualification
