Twyford Surgery rt9S2Mn
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Diagnose and manage both acute andchronic conditions, using knowledge of both drug- and non-drug-based treatmentmethods into a management plan.
Job summaryWe are looking for an Advanced Nurse Practitioner to work inan exciting role as part of the evolving primary healthcare team at TwyfordSurgery. The successful applicant willbe responsible for the assessment, diagnosis, treatment and referral ofpatients within their level of competence.They will work alongside our GPs and clinicians in seeing patients inthe surgery, in their own homes and in residential homes. As with all roles at our surgery, there isscope for development and evolution. Weprovide care for 13000 patients in a semi-rural location, with 9 GPs, 2 ParamedicPractitioners and a Clinical Pharmacist as well as our practice nursing,reception and administrative teams. Weplace an emphasis on team work, communication, continual development andlearning from each others experiences through quality improvement.
Good CQC Rating
High QOF Achievement
Purpose built premises, on-site parking
Daily opportunity to catch up with colleagues
Near Reading with good schools and transport links
Main duties of the job
Assess, diagnose, plan, implement andevaluate treatment/interventions and care for patients presenting with anundifferentiated diagnosis
Clinically examine and assess patientneeds from a physiological and psychological perspective, and plan clinicalcare accordingly
Assess, diagnosis, plan, implement andevaluate interventions/treatments for patients with complex needs
Proactively identify, diagnose andmanage treatment plans for patients who have, and are at risk of developing, along-term condition
Diagnose and manage both acute andchronic conditions, using knowledge of both drug- and non-drug-based treatmentmethods into a management plan
If you are a prescriber, you wouldinitiate and review medication appropriate to patient needs and in accordancewith evidence-based practice, appropriate protocols and within scope ofpractice
Work with patients in order to supportcompliance with and adherence to prescribed treatments
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
Undertake visits to patients in theirown homes and to nursing homes if required during urgent/ acute episodes of care with thesupervision and support of GPs
Identify, implement and maintain CarePlans to support avoidance of unnecessary hospital admissions
About us
Good CQC Rating
High QOF Achievement
Purpose built premises, on-site parking
Daily opportunity to catch up with colleagues
Near Reading with good schools and transport links
Job description
Job responsibilities
The successfulapplicant will provide care for the presenting patient from initial historytaking, clinical assessment, diagnosis, treatment and evaluation of care. This may take place in the surgery, thepatients home or a residential home.They will be encouraged to develop a self-directed role within the team,which may vary in responsibilities from day to day. Telephone assessment, home visits andface-to-face assessments at the surgery will be the mainstay of their workload,however development of care plans and long-term condition management will playan important role too. They willcommunicate and work collaboratively with the general practice team to meet theneeds of patients and support the delivery of a safe and efficient service.
Responsibilities:
Assess,diagnose, plan, implement and evaluate treatment/interventions and care forpatients presenting with an undifferentiated diagnosis
Telephonetriage of patients requesting same day appointments and other urgent queries,prioritising the needs of patients and referring on to other members of thePrimary Healthcare Team as necessary.
Clinicallyexamine and assess patient needs from a physiological and psychologicalperspective, and plan clinical care accordingly
Assess,diagnosis, plan, implement and evaluate interventions/treatments for patientswith complex needs
Proactivelyidentify, diagnose and manage treatment plans for patients who have, and are atrisk of developing, a long-term condition
Diagnoseand manage both acute and chronic conditions, using knowledge of both drug- andnon-drug-based treatment methods into a management plan
If youare a prescriber, you would initiate and review medication appropriate topatient needs and in accordance with evidence-based practice, appropriateprotocols and within scope of practice
Workwith patients in order to support compliance with and adherence to prescribedtreatments
Prioritisehealth problems and intervene appropriately to assist the patient in complex,urgent or emergency situations, including initiation of effective emergencycare
Supportpatients to adopt health promotion strategies that promote healthy lifestyles,and apply principles of self-care
Undertakevisits to patients in their own homes and to nursing homes if required duringurgent/ acuteepisodes of care with the supervision and support of GPs
Identify,implement and maintain Care Plans to support avoidance of unnecessary hospitaladmissions
Communication:
Communicateeffectively with patients and carers, recognising the need for alternativemethods of communication to overcome different levels of understanding,cultural background and preferred ways of communicating
Anticipatebarriers to communication and take action to improve communication
Communicateeffectively with all members of staff in the primary healthcare team
Communicateeffectively with members of the secondary care team and other allied healthprofessionals when appropriate
Act asan advocate for patients and colleagues
Ensureawareness of sources of support and guidance and provide information in anacceptable format to all patients, recognising any difficulties and referringwhere appropriate
Deliveringa quality service
Recogniseand work within own competence and professional code of conduct
Produceaccurate, contemporaneous and complete records of patient consultation,consistent with legislation, guidelines, policies and procedures
Prioritise,organise and manage own workload in a manner that maintains and promotesquality
Delivercare according evidence-based care
Assesscare delivery through self and peer review, benchmarking and formal evaluation
Initiateand participate in the maintenance of quality governance systems and processesacross the organisation and its activities
Utilisethe audit cycle as a means of evaluating the quality of the work of self andthe team, implementing improvements where required
Inpartnership with other clinical teams where appropriate, collaborate onimproving the quality of health care responding to local and national policiesand initiatives as appropriate
Supportand participate in shared learning across the practice and wider organisation
Use astructured framework to manage, review and identify learning from patientcomplaints, clinical incidents and near-miss events
Beaware of statutory child/vulnerable patients health procedures and localguidance
Beaware of adult safeguarding procedures and guidance
Promote the role of Allied Healthcare Professionalsin general practice
Teamworking
Understandown role and scope and identify how this may develop over time
Work asan effective and responsible team member, supporting others and exploring themechanisms to develop new ways of working
Delegateclearly and appropriately, adopting the principles of safe practice andassessment of competence
Createclear referral mechanisms to meet patient need
Prioritiseown workload and ensure effective time-management strategies are embeddedwithin the culture of the team
Workeffectively with others to clearly define values, direction and policiesimpacting upon care delivery
Discuss,highlight and work with the team to create opportunities to improve patientcare
Manageand lead on the delivery of specifically identified services or projects asagreed with the practice team
Agreeplans and outcomes by which to measure success
Managementof risk
Manageand assess risk within the areas of responsibility, ensuring adequate measuresare in place to protect patients
Monitorwork areas and practices to ensure they are safe and free from hazards andconform to health, safety and security legislation, policies, procedures andguidelines
Managinginformation
Usetechnology and appropriate software as an aid to management in planning,implementation and monitoring of care, presenting and communicating information
Reviewand process data using accurate Read codes in order to ensure easy and accurateinformation retrieval for monitoring and audit processes
Understandresponsibility of self and others to the practice and primary care trustregarding the Freedom of Information Act
Understandresponsibility of self and others to the practice and primary care trustregarding the Data Protection Act
Collate,analyse and present clinical data and information to the team where appropriate
Equalityand diversity
Identifypatterns of discrimination and take action to overcome this and promotediversity and equality of opportunity
Enableothers to promote equality and diversity in a non-discriminatory culture
Supportpeople who need assistance in exercising their rights
Adhereto local chaperoning policies
Act asa role model in the observance of equality and diversity good practice
Acceptthe rights of individuals to choose their care providers, participate in careand refuse care
Assistpatients from marginalised groups to access quality care
Job description
Job responsibilities
The successfulapplicant will provide care for the presenting patient from initial historytaking, clinical assessment, diagnosis, treatment and evaluation of care. This may take place in the surgery, thepatients home or a residential home.They will be encouraged to develop a self-directed role within the team,which may vary in responsibilities from day to day. Telephone assessment, home visits andface-to-face assessments at the surgery will be the mainstay of their workload,however development of care plans and long-term condition management will playan important role too. They willcommunicate and work collaboratively with the general practice team to meet theneeds of patients and support the delivery of a safe and efficient service.
Responsibilities:
Assess,diagnose, plan, implement and evaluate treatment/interventions and care forpatients presenting with an undifferentiated diagnosis
Telephonetriage of patients requesting same day appointments and other urgent queries,prioritising the needs of patients and referring on to other members of thePrimary Healthcare Team as necessary.
Clinicallyexamine and assess patient needs from a physiological and psychologicalperspective, and plan clinical care accordingly
Assess,diagnosis, plan, implement and evaluate interventions/treatments for patientswith complex needs
Proactivelyidentify, diagnose and manage treatment plans for patients who have, and are atrisk of developing, a long-term condition
Diagnoseand manage both acute and chronic conditions, using knowledge of both drug- andnon-drug-based treatment methods into a management plan
If youare a prescriber, you would initiate and review medication appropriate topatient needs and in accordance with evidence-based practice, appropriateprotocols and within scope of practice
Workwith patients in order to support compliance with and adherence to prescribedtreatments
Prioritisehealth problems and intervene appropriately to assist the patient in complex,urgent or emergency situations, including initiation of effective emergencycare
Supportpatients to adopt health promotion strategies that promote healthy lifestyles,and apply principles of self-care
Undertakevisits to patients in their own homes and to nursing homes if required duringurgent/ acuteepisodes of care with the supervision and support of GPs
Identify,implement and maintain Care Plans to support avoidance of unnecessary hospitaladmissions
Communication:
Communicateeffectively with patients and carers, recognising the need for alternativemethods of communication to overcome different levels of understanding,cultural background and preferred ways of communicating
Anticipatebarriers to communication and take action to improve communication
Communicateeffectively with all members of staff in the primary healthcare team
Communicateeffectively with members of the secondary care team and other allied healthprofessionals when appropriate
Act asan advocate for patients and colleagues
Ensureawareness of sources of support and guidance and provide information in anacceptable format to all patients, recognising any difficulties and referringwhere appropriate
Deliveringa quality service
Recogniseand work within own competence and professional code of conduct
Produceaccurate, contemporaneous and complete records of patient consultation,consistent with legislation, guidelines, policies and procedures
Prioritise,organise and manage own workload in a manner that maintains and promotesquality
Delivercare according evidence-based care
Assesscare delivery through self and peer review, benchmarking and formal evaluation
Initiateand participate in the maintenance of quality governance systems and processesacross the organisation and its activities
Utilisethe audit cycle as a means of evaluating the quality of the work of self andthe team, implementing improvements where required
Inpartnership with other clinical teams where appropriate, collaborate onimproving the quality of health care responding to local and national policiesand initiatives as appropriate
Supportand participate in shared learning across the practice and wider organisation
Use astructured framework to manage, review and identify learning from patientcomplaints, clinical incidents and near-miss events
Beaware of statutory child/vulnerable patients health procedures and localguidance
Beaware of adult safeguarding procedures and guidance
Promote the role of Allied Healthcare Professionalsin general practice
Teamworking
Understandown role and scope and identify how this may develop over time
Work asan effective and responsible team member, supporting others and exploring themechanisms to develop new ways of working
Delegateclearly and appropriately, adopting the principles of safe practice andassessment of competence
Createclear referral mechanisms to meet patient need
Prioritiseown workload and ensure effective time-management strategies are embeddedwithin the culture of the team
Workeffectively with others to clearly define values, direction and policiesimpacting upon care delivery
Discuss,highlight and work with the team to create opportunities to improve patientcare
Manageand lead on the delivery of specifically identified services or projects asagreed with the practice team
Agreeplans and outcomes by which to measure success
Managementof risk
Manageand assess risk within the areas of responsibility, ensuring adequate measuresare in place to protect patients
Monitorwork areas and practices to ensure they are safe and free from hazards andconform to health, safety and security legislation, policies, procedures andguidelines
Managinginformation
Usetechnology and appropriate software as an aid to management in planning,implementation and monitoring of care, presenting and communicating information
Reviewand process data using accurate Read codes in order to ensure easy and accurateinformation retrieval for monitoring and audit processes
Understandresponsibility of self and others to the practice and primary care trustregarding the Freedom of Information Act
Understandresponsibility of self and others to the practice and primary care trustregarding the Data Protection Act
Collate,analyse and present clinical data and information to the team where appropriate
Equalityand diversity
Identifypatterns of discrimination and take action to overcome this and promotediversity and equality of opportunity
Enableothers to promote equality and diversity in a non-discriminatory culture
Supportpeople who need assistance in exercising their rights
Adhereto local chaperoning policies
Act asa role model in the observance of equality and diversity good practice
Acceptthe rights of individuals to choose their care providers, participate in careand refuse care
Assistpatients from marginalised groups to access quality care
Person Specification
Qualifications
Essential
- Relevant nursing/health degree
- Prescribing
- Minor illness
Essential
- Self-directed practitioner
- Highly motivated
- Flexibility and willingness to develop role
- Enthusiasm
- Team player
Essential
- Management of minor illness, minor ailments and injuries
- Independent practice
- Telephone triage
- Initiation and maintenance of care plans
- Home visits
- Experience in managing elderly patients
Qualifications
Essential
- Relevant nursing/health degree
- Prescribing
- Minor illness
Essential
- Self-directed practitioner
- Highly motivated
- Flexibility and willingness to develop role
- Enthusiasm
- Team player
Essential
- Management of minor illness, minor ailments and injuries
- Independent practice
- Telephone triage
- Initiation and maintenance of care plans
- Home visits
- Experience in managing elderly patients
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
Additional information
UK Registration
Applicants must have current UK professional registration. For further information please see
Employer details
Employer name
Twyford Surgery
Address
6 Loddon Hall Road
Twyford
Berkshire
RG10 9JA
Employer's website
Job summary
We are looking for an Advanced Nurse Practitioner to work inan exciting role as part of the evolving primary healthcare team at TwyfordSurgery. The successful applicant willbe responsible for the assessment, diagnosis, treatment and referral ofpatients within their level of competence.They will work alongside our GPs and clinicians in seeing patients inthe surgery, in their own homes and in residential homes. As with all roles at our surgery, there isscope for development and evolution. Weprovide care for 13000 patients in a semi-rural location, with 9 GPs, 2 ParamedicPractitioners and a Clinical Pharmacist as well as our practice nursing,reception and administrative teams. Weplace an emphasis on team work, communication, continual development andlearning from each others experiences through quality improvement.
Good CQC Rating
High QOF Achievement
Purpose built premises, on-site parking
Daily opportunity to catch up with colleagues
Near Reading with good schools and transport links
Main duties of the job
Assess, diagnose, plan, implement andevaluate treatment/interventions and care for patients presenting with anundifferentiated diagnosis
Clinically examine and assess patientneeds from a physiological and psychological perspective, and plan clinicalcare accordingly
Assess, diagnosis, plan, implement andevaluate interventions/treatments for patients with complex needs
Proactively identify, diagnose andmanage treatment plans for patients who have, and are at risk of developing, along-term condition
Diagnose and manage both acute andchronic conditions, using knowledge of both drug- and non-drug-based treatmentmethods into a management plan
If you are a prescriber, you wouldinitiate and review medication appropriate to patient needs and in accordancewith evidence-based practice, appropriate protocols and within scope ofpractice
Work with patients in order to supportcompliance with and adherence to prescribed treatments
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
Undertake visits to patients in theirown homes and to nursing homes if required during urgent/ acute episodes of care with thesupervision and support of GPs
Identify, implement and maintain CarePlans to support avoidance of unnecessary hospital admissions
About us
Good CQC Rating
High QOF Achievement
Purpose built premises, on-site parking
Daily opportunity to catch up with colleagues
Near Reading with good schools and transport links
Job description
Job responsibilities
The successfulapplicant will provide care for the presenting patient from initial historytaking, clinical assessment, diagnosis, treatment and evaluation of care. This may take place in the surgery, thepatients home or a residential home.They will be encouraged to develop a self-directed role within the team,which may vary in responsibilities from day to day. Telephone assessment, home visits andface-to-face assessments at the surgery will be the mainstay of their workload,however development of care plans and long-term condition management will playan important role too. They willcommunicate and work collaboratively with the general practice team to meet theneeds of patients and support the delivery of a safe and efficient service.
Responsibilities:
Assess,diagnose, plan, implement and evaluate treatment/interventions and care forpatients presenting with an undifferentiated diagnosis
Telephonetriage of patients requesting same day appointments and other urgent queries,prioritising the needs of patients and referring on to other members of thePrimary Healthcare Team as necessary.
Clinicallyexamine and assess patient needs from a physiological and psychologicalperspective, and plan clinical care accordingly
Assess,diagnosis, plan, implement and evaluate interventions/treatments for patientswith complex needs
Proactivelyidentify, diagnose and manage treatment plans for patients who have, and are atrisk of developing, a long-term condition
Diagnoseand manage both acute and chronic conditions, using knowledge of both drug- andnon-drug-based treatment methods into a management plan
If youare a prescriber, you would initiate and review medication appropriate topatient needs and in accordance with evidence-based practice, appropriateprotocols and within scope of practice
Workwith patients in order to support compliance with and adherence to prescribedtreatments
Prioritisehealth problems and intervene appropriately to assist the patient in complex,urgent or emergency situations, including initiation of effective emergencycare
Supportpatients to adopt health promotion strategies that promote healthy lifestyles,and apply principles of self-care
Undertakevisits to patients in their own homes and to nursing homes if required duringurgent/ acuteepisodes of care with the supervision and support of GPs
Identify,implement and maintain Care Plans to support avoidance of unnecessary hospitaladmissions
Communication:
Communicateeffectively with patients and carers, recognising the need for alternativemethods of communication to overcome different levels of understanding,cultural background and preferred ways of communicating
Anticipatebarriers to communication and take action to improve communication
Communicateeffectively with all members of staff in the primary healthcare team
Communicateeffectively with members of the secondary care team and other allied healthprofessionals when appropriate
Act asan advocate for patients and colleagues
Ensureawareness of sources of support and guidance and provide information in anacceptable format to all patients, recognising any difficulties and referringwhere appropriate
Deliveringa quality service
Recogniseand work within own competence and professional code of conduct
Produceaccurate, contemporaneous and complete records of patient consultation,consistent with legislation, guidelines, policies and procedures
Prioritise,organise and manage own workload in a manner that maintains and promotesquality
Delivercare according evidence-based care
Assesscare delivery through self and peer review, benchmarking and formal evaluation
Initiateand participate in the maintenance of quality governance systems and processesacross the organisation and its activities
Utilisethe audit cycle as a means of evaluating the quality of the work of self andthe team, implementing improvements where required
Inpartnership with other clinical teams where appropriate, collaborate onimproving the quality of health care responding to local and national policiesand initiatives as appropriate
Supportand participate in shared learning across the practice and wider organisation
Use astructured framework to manage, review and identify learning from patientcomplaints, clinical incidents and near-miss events
Beaware of statutory child/vulnerable patients health procedures and localguidance
Beaware of adult safeguarding procedures and guidance
Promote the role of Allied Healthcare Professionalsin general practice
Teamworking
Understandown role and scope and identify how this may develop over time
Work asan effective and responsible team member, supporting others and exploring themechanisms to develop new ways of working
Delegateclearly and appropriately, adopting the principles of safe practice andassessment of competence
Createclear referral mechanisms to meet patient need
Prioritiseown workload and ensure effective time-management strategies are embeddedwithin the culture of the team
Workeffectively with others to clearly define values, direction and policiesimpacting upon care delivery
Discuss,highlight and work with the team to create opportunities to improve patientcare
Manageand lead on the delivery of specifically identified services or projects asagreed with the practice team
Agreeplans and outcomes by which to measure success
Managementof risk
Manageand assess risk within the areas of responsibility, ensuring adequate measuresare in place to protect patients
Monitorwork areas and practices to ensure they are safe and free from hazards andconform to health, safety and security legislation, policies, procedures andguidelines
Managinginformation
Usetechnology and appropriate software as an aid to management in planning,implementation and monitoring of care, presenting and communicating information
Reviewand process data using accurate Read codes in order to ensure easy and accurateinformation retrieval for monitoring and audit processes
Understandresponsibility of self and others to the practice and primary care trustregarding the Freedom of Information Act
Understandresponsibility of self and others to the practice and primary care trustregarding the Data Protection Act
Collate,analyse and present clinical data and information to the team where appropriate
Equalityand diversity
Identifypatterns of discrimination and take action to overcome this and promotediversity and equality of opportunity
Enableothers to promote equality and diversity in a non-discriminatory culture
Supportpeople who need assistance in exercising their rights
Adhereto local chaperoning policies
Act asa role model in the observance of equality and diversity good practice
Acceptthe rights of individuals to choose their care providers, participate in careand refuse care
Assistpatients from marginalised groups to access quality care
Job description
Job responsibilities
The successfulapplicant will provide care for the presenting patient from initial historytaking, clinical assessment, diagnosis, treatment and evaluation of care. This may take place in the surgery, thepatients home or a residential home.They will be encouraged to develop a self-directed role within the team,which may vary in responsibilities from day to day. Telephone assessment, home visits andface-to-face assessments at the surgery will be the mainstay of their workload,however development of care plans and long-term condition management will playan important role too. They willcommunicate and work collaboratively with the general practice team to meet theneeds of patients and support the delivery of a safe and efficient service.
Responsibilities:
Assess,diagnose, plan, implement and evaluate treatment/interventions and care forpatients presenting with an undifferentiated diagnosis
Telephonetriage of patients requesting same day appointments and other urgent queries,prioritising the needs of patients and referring on to other members of thePrimary Healthcare Team as necessary.
Clinicallyexamine and assess patient needs from a physiological and psychologicalperspective, and plan clinical care accordingly
Assess,diagnosis, plan, implement and evaluate interventions/treatments for patientswith complex needs
Proactivelyidentify, diagnose and manage treatment plans for patients who have, and are atrisk of developing, a long-term condition
Diagnoseand manage both acute and chronic conditions, using knowledge of both drug- andnon-drug-based treatment methods into a management plan
If youare a prescriber, you would initiate and review medication appropriate topatient needs and in accordance with evidence-based practice, appropriateprotocols and within scope of practice
Workwith patients in order to support compliance with and adherence to prescribedtreatments
Prioritisehealth problems and intervene appropriately to assist the patient in complex,urgent or emergency situations, including initiation of effective emergencycare
Supportpatients to adopt health promotion strategies that promote healthy lifestyles,and apply principles of self-care
Undertakevisits to patients in their own homes and to nursing homes if required duringurgent/ acuteepisodes of care with the supervision and support of GPs
Identify,implement and maintain Care Plans to support avoidance of unnecessary hospitaladmissions
Communication:
Communicateeffectively with patients and carers, recognising the need for alternativemethods of communication to overcome different levels of understanding,cultural background and preferred ways of communicating
Anticipatebarriers to communication and take action to improve communication
Communicateeffectively with all members of staff in the primary healthcare team
Communicateeffectively with members of the secondary care team and other allied healthprofessionals when appropriate
Act asan advocate for patients and colleagues
Ensureawareness of sources of support and guidance and provide information in anacceptable format to all patients, recognising any difficulties and referringwhere appropriate
Deliveringa quality service
Recogniseand work within own competence and professional code of conduct
Produceaccurate, contemporaneous and complete records of patient consultation,consistent with legislation, guidelines, policies and procedures
Prioritise,organise and manage own workload in a manner that maintains and promotesquality
Delivercare according evidence-based care
Assesscare delivery through self and peer review, benchmarking and formal evaluation
Initiateand participate in the maintenance of quality governance systems and processesacross the organisation and its activities
Utilisethe audit cycle as a means of evaluating the quality of the work of self andthe team, implementing improvements where required
Inpartnership with other clinical teams where appropriate, collaborate onimproving the quality of health care responding to local and national policiesand initiatives as appropriate
Supportand participate in shared learning across the practice and wider organisation
Use astructured framework to manage, review and identify learning from patientcomplaints, clinical incidents and near-miss events
Beaware of statutory child/vulnerable patients health procedures and localguidance
Beaware of adult safeguarding procedures and guidance
Promote the role of Allied Healthcare Professionalsin general practice
Teamworking
Understandown role and scope and identify how this may develop over time
Work asan effective and responsible team member, supporting others and exploring themechanisms to develop new ways of working
Delegateclearly and appropriately, adopting the principles of safe practice andassessment of competence
Createclear referral mechanisms to meet patient need
Prioritiseown workload and ensure effective time-management strategies are embeddedwithin the culture of the team
Workeffectively with others to clearly define values, direction and policiesimpacting upon care delivery
Discuss,highlight and work with the team to create opportunities to improve patientcare
Manageand lead on the delivery of specifically identified services or projects asagreed with the practice team
Agreeplans and outcomes by which to measure success
Managementof risk
Manageand assess risk within the areas of responsibility, ensuring adequate measuresare in place to protect patients
Monitorwork areas and practices to ensure they are safe and free from hazards andconform to health, safety and security legislation, policies, procedures andguidelines
Managinginformation
Usetechnology and appropriate software as an aid to management in planning,implementation and monitoring of care, presenting and communicating information
Reviewand process data using accurate Read codes in order to ensure easy and accurateinformation retrieval for monitoring and audit processes
Understandresponsibility of self and others to the practice and primary care trustregarding the Freedom of Information Act
Understandresponsibility of self and others to the practice and primary care trustregarding the Data Protection Act
Collate,analyse and present clinical data and information to the team where appropriate
Equalityand diversity
Identifypatterns of discrimination and take action to overcome this and promotediversity and equality of opportunity
Enableothers to promote equality and diversity in a non-discriminatory culture
Supportpeople who need assistance in exercising their rights
Adhereto local chaperoning policies
Act asa role model in the observance of equality and diversity good practice
Acceptthe rights of individuals to choose their care providers, participate in careand refuse care
Assistpatients from marginalised groups to access quality care
Person Specification
Qualifications
Essential
Essential
Essential
Qualifications
Essential
Essential
Essential
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
Additional information
UK Registration
Applicants must have current UK professional registration. For further information please see
Employer details
Employer name
Twyford Surgery
Address
6 Loddon Hall Road
Twyford
Berkshire
RG10 9JA
Employer's website
We are looking for an Advanced Nurse Practitioner to work inan exciting role as part of the evolving primary healthcare team at TwyfordSurgery. The successful applicant willbe responsible for the assessment, diagnosis, treatment and referral ofpatients within their level of competence.They will work alongside our GPs and clinicians in seeing patients inthe surgery, in their own homes and in residential homes. As with all roles at our surgery, there isscope for development and evolution. Weprovide care for 13000 patients in a semi-rural location, with 9 GPs, 2 ParamedicPractitioners and a Clinical Pharmacist as well as our practice nursing,reception and administrative teams. Weplace an emphasis on team work, communication, continual development andlearning from each others experiences through quality improvement.
Good CQC Rating
High QOF Achievement
Purpose built premises, on-site parking
Daily opportunity to catch up with colleagues
Near Reading with good schools and transport links
Main duties of the job
Assess, diagnose, plan, implement andevaluate treatment/interventions and care for patients presenting with anundifferentiated diagnosis
Clinically examine and assess patientneeds from a physiological and psychological perspective, and plan clinicalcare accordingly
Assess, diagnosis, plan, implement andevaluate interventions/treatments for patients with complex needs
Proactively identify, diagnose andmanage treatment plans for patients who have, and are at risk of developing, along-term condition
Diagnose and manage both acute andchronic conditions, using knowledge of both drug- and non-drug-based treatmentmethods into a management plan
If you are a prescriber, you wouldinitiate and review medication appropriate to patient needs and in accordancewith evidence-based practice, appropriate protocols and within scope ofpractice
Work with patients in order to supportcompliance with and adherence to prescribed treatments
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
Undertake visits to patients in theirown homes and to nursing homes if required during urgent/ acute episodes of care with thesupervision and support of GPs
Identify, implement and maintain CarePlans to support avoidance of unnecessary hospital admissions
About us
Good CQC Rating
High QOF Achievement
Purpose built premises, on-site parking
Daily opportunity to catch up with colleagues
Near Reading with good schools and transport links
Job description
Job responsibilities
The successfulapplicant will provide care for the presenting patient from initial historytaking, clinical assessment, diagnosis, treatment and evaluation of care. This may take place in the surgery, thepatients home or a residential home.They will be encouraged to develop a self-directed role within the team,which may vary in responsibilities from day to day. Telephone assessment, home visits andface-to-face assessments at the surgery will be the mainstay of their workload,however development of care plans and long-term condition management will playan important role too. They willcommunicate and work collaboratively with the general practice team to meet theneeds of patients and support the delivery of a safe and efficient service.
Responsibilities:
Assess,diagnose, plan, implement and evaluate treatment/interventions and care forpatients presenting with an undifferentiated diagnosis
Telephonetriage of patients requesting same day appointments and other urgent queries,prioritising the needs of patients and referring on to other members of thePrimary Healthcare Team as necessary.
Clinicallyexamine and assess patient needs from a physiological and psychologicalperspective, and plan clinical care accordingly
Assess,diagnosis, plan, implement and evaluate interventions/treatments for patientswith complex needs
Proactivelyidentify, diagnose and manage treatment plans for patients who have, and are atrisk of developing, a long-term condition
Diagnoseand manage both acute and chronic conditions, using knowledge of both drug- andnon-drug-based treatment methods into a management plan
If youare a prescriber, you would initiate and review medication appropriate topatient needs and in accordance with evidence-based practice, appropriateprotocols and within scope of practice
Workwith patients in order to support compliance with and adherence to prescribedtreatments
Prioritisehealth problems and intervene appropriately to assist the patient in complex,urgent or emergency situations, including initiation of effective emergencycare
Supportpatients to adopt health promotion strategies that promote healthy lifestyles,and apply principles of self-care
Undertakevisits to patients in their own homes and to nursing homes if required duringurgent/ acuteepisodes of care with the supervision and support of GPs
Identify,implement and maintain Care Plans to support avoidance of unnecessary hospitaladmissions
Communication:
Communicateeffectively with patients and carers, recognising the need for alternativemethods of communication to overcome different levels of understanding,cultural background and preferred ways of communicating
Anticipatebarriers to communication and take action to improve communication
Communicateeffectively with all members of staff in the primary healthcare team
Communicateeffectively with members of the secondary care team and other allied healthprofessionals when appropriate
Act asan advocate for patients and colleagues
Ensureawareness of sources of support and guidance and provide information in anacceptable format to all patients, recognising any difficulties and referringwhere appropriate
Deliveringa quality service
Recogniseand work within own competence and professional code of conduct
Produceaccurate, contemporaneous and complete records of patient consultation,consistent with legislation, guidelines, policies and procedures
Prioritise,organise and manage own workload in a manner that maintains and promotesquality
Delivercare according evidence-based care
Assesscare delivery through self and peer review, benchmarking and formal evaluation
Initiateand participate in the maintenance of quality governance systems and processesacross the organisation and its activities
Utilisethe audit cycle as a means of evaluating the quality of the work of self andthe team, implementing improvements where required
Inpartnership with other clinical teams where appropriate, collaborate onimproving the quality of health care responding to local and national policiesand initiatives as appropriate
Supportand participate in shared learning across the practice and wider organisation
Use astructured framework to manage, review and identify learning from patientcomplaints, clinical incidents and near-miss events
Beaware of statutory child/vulnerable patients health procedures and localguidance
Beaware of adult safeguarding procedures and guidance
Promote the role of Allied Healthcare Professionalsin general practice
Teamworking
Understandown role and scope and identify how this may develop over time
Work asan effective and responsible team member, supporting others and exploring themechanisms to develop new ways of working
Delegateclearly and appropriately, adopting the principles of safe practice andassessment of competence
Createclear referral mechanisms to meet patient need
Prioritiseown workload and ensure effective time-management strategies are embeddedwithin the culture of the team
Workeffectively with others to clearly define values, direction and policiesimpacting upon care delivery
Discuss,highlight and work with the team to create opportunities to improve patientcare
Manageand lead on the delivery of specifically identified services or projects asagreed with the practice team
Agreeplans and outcomes by which to measure success
Managementof risk
Manageand assess risk within the areas of responsibility, ensuring adequate measuresare in place to protect patients
Monitorwork areas and practices to ensure they are safe and free from hazards andconform to health, safety and security legislation, policies, procedures andguidelines
Managinginformation
Usetechnology and appropriate software as an aid to management in planning,implementation and monitoring of care, presenting and communicating information
Reviewand process data using accurate Read codes in order to ensure easy and accurateinformation retrieval for monitoring and audit processes
Understandresponsibility of self and others to the practice and primary care trustregarding the Freedom of Information Act
Understandresponsibility of self and others to the practice and primary care trustregarding the Data Protection Act
Collate,analyse and present clinical data and information to the team where appropriate
Equalityand diversity
Identifypatterns of discrimination and take action to overcome this and promotediversity and equality of opportunity
Enableothers to promote equality and diversity in a non-discriminatory culture
Supportpeople who need assistance in exercising their rights
Adhereto local chaperoning policies
Act asa role model in the observance of equality and diversity good practice
Acceptthe rights of individuals to choose their care providers, participate in careand refuse care
Assistpatients from marginalised groups to access quality care
Job description
Job responsibilities
The successfulapplicant will provide care for the presenting patient from initial historytaking, clinical assessment, diagnosis, treatment and evaluation of care. This may take place in the surgery, thepatients home or a residential home.They will be encouraged to develop a self-directed role within the team,which may vary in responsibilities from day to day. Telephone assessment, home visits andface-to-face assessments at the surgery will be the mainstay of their workload,however development of care plans and long-term condition management will playan important role too. They willcommunicate and work collaboratively with the general practice team to meet theneeds of patients and support the delivery of a safe and efficient service.
Responsibilities:
Assess,diagnose, plan, implement and evaluate treatment/interventions and care forpatients presenting with an undifferentiated diagnosis
Telephonetriage of patients requesting same day appointments and other urgent queries,prioritising the needs of patients and referring on to other members of thePrimary Healthcare Team as necessary.
Clinicallyexamine and assess patient needs from a physiological and psychologicalperspective, and plan clinical care accordingly
Assess,diagnosis, plan, implement and evaluate interventions/treatments for patientswith complex needs
Proactivelyidentify, diagnose and manage treatment plans for patients who have, and are atrisk of developing, a long-term condition
Diagnoseand manage both acute and chronic conditions, using knowledge of both drug- andnon-drug-based treatment methods into a management plan
If youare a prescriber, you would initiate and review medication appropriate topatient needs and in accordance with evidence-based practice, appropriateprotocols and within scope of practice
Workwith patients in order to support compliance with and adherence to prescribedtreatments
Prioritisehealth problems and intervene appropriately to assist the patient in complex,urgent or emergency situations, including initiation of effective emergencycare
Supportpatients to adopt health promotion strategies that promote healthy lifestyles,and apply principles of self-care
Undertakevisits to patients in their own homes and to nursing homes if required duringurgent/ acuteepisodes of care with the supervision and support of GPs
Identify,implement and maintain Care Plans to support avoidance of unnecessary hospitaladmissions
Communication:
Communicateeffectively with patients and carers, recognising the need for alternativemethods of communication to overcome different levels of understanding,cultural background and preferred ways of communicating
Anticipatebarriers to communication and take action to improve communication
Communicateeffectively with all members of staff in the primary healthcare team
Communicateeffectively with members of the secondary care team and other allied healthprofessionals when appropriate
Act asan advocate for patients and colleagues
Ensureawareness of sources of support and guidance and provide information in anacceptable format to all patients, recognising any difficulties and referringwhere appropriate
Deliveringa quality service
Recogniseand work within own competence and professional code of conduct
Produceaccurate, contemporaneous and complete records of patient consultation,consistent with legislation, guidelines, policies and procedures
Prioritise,organise and manage own workload in a manner that maintains and promotesquality
Delivercare according evidence-based care
Assesscare delivery through self and peer review, benchmarking and formal evaluation
Initiateand participate in the maintenance of quality governance systems and processesacross the organisation and its activities
Utilisethe audit cycle as a means of evaluating the quality of the work of self andthe team, implementing improvements where required
Inpartnership with other clinical teams where appropriate, collaborate onimproving the quality of health care responding to local and national policiesand initiatives as appropriate
Supportand participate in shared learning across the practice and wider organisation
Use astructured framework to manage, review and identify learning from patientcomplaints, clinical incidents and near-miss events
Beaware of statutory child/vulnerable patients health procedures and localguidance
Beaware of adult safeguarding procedures and guidance
Promote the role of Allied Healthcare Professionalsin general practice
Teamworking
Understandown role and scope and identify how this may develop over time
Work asan effective and responsible team member, supporting others and exploring themechanisms to develop new ways of working
Delegateclearly and appropriately, adopting the principles of safe practice andassessment of competence
Createclear referral mechanisms to meet patient need
Prioritiseown workload and ensure effective time-management strategies are embeddedwithin the culture of the team
Workeffectively with others to clearly define values, direction and policiesimpacting upon care delivery
Discuss,highlight and work with the team to create opportunities to improve patientcare
Manageand lead on the delivery of specifically identified services or projects asagreed with the practice team
Agreeplans and outcomes by which to measure success
Managementof risk
Manageand assess risk within the areas of responsibility, ensuring adequate measuresare in place to protect patients
Monitorwork areas and practices to ensure they are safe and free from hazards andconform to health, safety and security legislation, policies, procedures andguidelines
Managinginformation
Usetechnology and appropriate software as an aid to management in planning,implementation and monitoring of care, presenting and communicating information
Reviewand process data using accurate Read codes in order to ensure easy and accurateinformation retrieval for monitoring and audit processes
Understandresponsibility of self and others to the practice and primary care trustregarding the Freedom of Information Act
Understandresponsibility of self and others to the practice and primary care trustregarding the Data Protection Act
Collate,analyse and present clinical data and information to the team where appropriate
Equalityand diversity
Identifypatterns of discrimination and take action to overcome this and promotediversity and equality of opportunity
Enableothers to promote equality and diversity in a non-discriminatory culture
Supportpeople who need assistance in exercising their rights
Adhereto local chaperoning policies
Act asa role model in the observance of equality and diversity good practice
Acceptthe rights of individuals to choose their care providers, participate in careand refuse care
Assistpatients from marginalised groups to access quality care
Person Specification
Qualifications
Essential
- Relevant nursing/health degree
- Prescribing
- Minor illness
Essential
- Self-directed practitioner
- Highly motivated
- Flexibility and willingness to develop role
- Enthusiasm
- Team player
Essential
- Management of minor illness, minor ailments and injuries
- Independent practice
- Telephone triage
- Initiation and maintenance of care plans
- Home visits
- Experience in managing elderly patients
Qualifications
Essential
- Relevant nursing/health degree
- Prescribing
- Minor illness
Essential
- Self-directed practitioner
- Highly motivated
- Flexibility and willingness to develop role
- Enthusiasm
- Team player
Essential
- Management of minor illness, minor ailments and injuries
- Independent practice
- Telephone triage
- Initiation and maintenance of care plans
- Home visits
- Experience in managing elderly patients
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
Additional information
UK Registration
Applicants must have current UK professional registration. For further information please see
Employer details
Employer name
Twyford Surgery
Address
6 Loddon Hall Road
Twyford
Berkshire
RG10 9JA
Employer's website
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51.480098724365234 -0.8627690076828003 Twyford, Berkshire, United Kingdom 
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