Advanced Nurse Practitioner

The closing date is 16 August 2024.

Job summary

Are you a tenacious, organised and skilled Advanced Nurse Practitioner? Are you committed to delivering high-quality healthcare to patients? Do you want to make a real difference in people's lives? Come and join our team.

This Advanced Nurse Practitioner role will involve working alongside our multi-disciplinary team which consists of a GP Partner, Advanced Nurse Practitioner Partner and Pharmacist Partner. They are all supported by Advanced Nurse Practitioners who lead on acute same day care, alongside the Home Visiting Team and First Contact Physio, Pharmacists, Practice Nurses and HCAs. We also have Social Prescribers who work as PCN staff dealing with the Mental Health of our patients.

The successful Advanced Nurse Practitioner will work as an autonomous practitioner, diagnosing, managing, prescribing and discharging patients with illness or injury across all age groups including young children. This may be by face-to-face consultation, telephone or video consultation.

Our mission statement is to be committed to providing high quality, patient centred care using a multi-disciplinary team approach, with patient and staff wellbeing at the heart of our Sarum Health Group family.

Do you think you could fit in with our well-oiled unit here at Sarum Health Group?

Main duties of the job

The Advanced Nurse Practitioner (ANP) has been assessed as competent in practice using their expert clinical knowledge and skills. They have the freedom and authority to act and make autonomous decisions in the assessment, diagnosis and treatment of patients.
The ANP provides an opportunity for patients to avoid the need to be referred to a GP, thereby enabling them to receive timely care and negate unnecessary delay in receiving treatment.
ANPs in primary care can develop close, long-term relationships with their patients and work in partnership with them to achieve optimum health. They are autonomous in making decisions based on assessment, diagnosis and interpretation of test results. They can independently prescribe appropriate medication, evaluate or refer to other specialists if necessary.
A full job description can be seen.

About us

More about us:

12,296 patient practice in rural Wiltshire
Main surgery at Salisbury with branch surgery at Larkhill
CQC rating Good
High QOF achievers due to our efficient admin support team
Home Visiting team meaning limited GP cover.
Part of the Salisbury Plain PCN with expanding team which includes for our practice Paramedic (Home Visiting Team), Clinical Pharmacist, Social Prescribers, First Contact Physiotherapist and a GPA.
Workflow optimisation for data team, reduced admin for ANPs
On-site dispensary located in at our branch site in Larkhill
SystmOne Web clinical system, also using Cinapsis, AccuRX, SystmConnect, T-Quest and TeamNet.
Full complement administration team who oversee letter processing, insurance reports, solicitor reports and all other non-NHS works, safeguarding reports and referrals.
Enhanced hours as part of our PCN network of practices
1 intermediate care bed which we provide a weekly on-site clinic with limited number of patients.
Nurse-led chronic disease clinics.
Comprehensive clinical pathways that are ever evolving.
Continued personal development support.
Starting salary: dependant on experience.
Further information about the Practice is available from our Practice Manager on.

Job description

Core principles:

To be courteous and polite to all people associated with the practice on the telephone, face to face or in written form.
To ensure confidentiality of information (written/oral or electronic) is always preserved whether at or away from work in accordance with the contract of employment.
To follow practice procedures to ensure that Caldicott Guardian and Security requirements are always met.
To follow procedures to ensure compliance with the Data Protection Act 1998
To follow all practice policies, protocols and procedures concerned including Safeguarding, with the maintenance of ethical practice.
To support and participate in initiatives to ensure a safe and healthy environment for all practice users. This includes following procedures to ensure the control of potential hazards to health and safety.
To respect, support, contribute to and take personal responsibility for implementing commitment to Diversity and Equality of Opportunity
To contribute to a culture of continuous improvement
To deal with complaints promptly and according to practice policy
To perform duties to standards required by the practice in accordance with quality assurance.
To demonstrate commitment to Continuing Professional Development
To demonstrate computer literacy

Primary Responsibilities:

The following are the core responsibilities of the Advanced Nurse Practitioner. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
Develop, implement and embed health promotion and wellbeing programmes
Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice
Implement and evaluate individual specialised treatment plans for chronic disease patients
Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health
Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
Request pathology services as necessary
Process and interpret pathology and other test results as required
Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
Maintain accurate clinical records in conjunction with extant legislation
Ensure SNOMED CT codes are used effectively
Maintain chronic disease registers
Chaperone patients where necessary
Prioritise health issues and intervene appropriately
Support the team in dealing with clinical emergencies
Recognise, assess and refer patients presenting with mental health needs
Be an extended and supplementary prescriber, adhering to extant guidance
Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
Contribute to practice targets (QOF, etc.), complying with local and regional guidance
Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)
Support the clinical team with all safeguarding matters in accordance with local and national policies
Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
Deliver opportunistic health promotion where appropriate

Secondary responsibilities:

In addition to the primary responsibilities, the Advanced Nurse Practitioner may be requested to:
Act as the audit lead, effectively utilising the audit cycle
Participate in local initiatives to enhance service delivery and patient care
Support and participate in shared learning within the organisation
Opportunities to develop an area of specialist interest, taking the lead within the organisation
Continually review clinical practices, responding to national policies and initiatives where appropriate
Participate in the review of significant and near-miss events applying a structured approach i.e., root cause analysis (RCA)
Develop practice administrative and clinical protocols in line with the needs of the patient and current legislation

Confidentiality:

While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their careers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health and safety:

The post-holder must comply at all times with the Practices Health and Safety Policies, in particular by following agreed safe working procedures and reporting incidents by following the Practices incident reporting procedure.

Equality and diversity:

A good attitude and positive action towards ED&I creates an environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness; it is morally the right thing to do, and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.

Quality and Continuous Improvement:

To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice.

This practice continually strives to improve work processes which deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuous improvement where everyone counts, and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Learning and development:

The effective use of training and development is fundamental to ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to partake and complete mandatory training as directed by the training coordinator, as well as participating in the practice training programme.

Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and ultimately enable them to improve processes and service delivery.

Communication:

The post-holder should recognize the importance of effective communication within the team and will strive to:
Communicate effectively with other team members.
Communicate effectively with patients and carers.
Recognise peoples needs for alternative methods of communication and respond accordingly.

Person Specification

Qualifications:

Essential

Registered with Professional body
Relevant Nursing/health degree
Experience working in General Practice/Primary Care setting

Experience:

Essential:

Experience of working to achieve standards within the Quality and Outcome Framework (QoF)
Working autonomously in an Advanced Practitioner role

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

To apply, please upload your CV.

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