Nurse PractitionerinChristchurchinChristchurchPUBLISHED FRI 7 FEB 2025

Your new Nurse Practitioner role:

We are offering an exciting opportunity for a Nurse Practitioner for 3 days per week, ideally Tuesdays, Thursdays and Fridays, 8.30am-5.30pm with a half an hour unpaid lunch break. You will be supported by our friendly team of clinicians; 6 GP partners, 6 salaried GPs and a large nursing team. Our clinical team work closely to support each other, and regular team meetings are supported by the practice where our clinicians can communicate and suggest new and improved ways of working.

Job Purpose:

The Nurse Practitioner (NP) will act autonomously within their professional scope of practice to provide care for patients through face-to-face appointments, telephone triage and home visits.

Operating within their own sphere of competence and agreed acceptable limits of practice the NP will provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence.

The NP will collaborate with a multidisciplinary team working with secondary care, admissions avoidance, and within minor illness.

About us

Main Responsibilities

Clinical Nursing Practice

Work as part of a multi-disciplinary team to deliver safe and high-quality care.

Perform clinical nursing practice using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

Ensure clinical practice is safe and effective and remain within boundaries of competence, and acknowledge limitations.

Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.

Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.

Diagnose and manage acute and chronic conditions, including drug and non-drug-based treatment methods into a management plan (within scope of competency and prescribing qualifications).

Request diagnostic investigations within agreed protocols e.g. x-ray, blood tests, scans, etc.

Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.

Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.

Care Management

Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.

Provide highly specialised care advice beyond the scope of normal Nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).

Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.

To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.

Working with anticipated care planning.

Health Improvement

Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.

Innovation in practice to meet ongoing demands on the practices delivery of care.

Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.

Supports practitioners in reporting the practice population to promote health improvement and disease prevention.

Makes referrals to appropriate agencies (statutory and voluntary) where necessary

Administration and professional responsibilities

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

Participate in the administrative and professional responsibilities of the practice team

Accurate and legible notes of all consultations and treatments are recorded in the patients notes

Ensure clinical systems kept up to date, recording and/or amending accurate details

Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator

Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice

Attend and participate in practice meetings as required

Restocking and maintenance of clinical areas and consulting rooms

Training and personal development

Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.

Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.

Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education.

Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.

Act as a mentor for junior staff, assessing competence against set standards.

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.

Develop and maintain a Personal Learning Plan.

Regularly participate in clinical supervision.

Leadership personal and people development

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

Critically evaluate and review innovations and developments that are relevant to the area of work

Confidentiality:

In the course of seeking treatment, patients entrust practice staff with, or allow us to gather, sensitive information in relation to their health and other matters.

Comply with Legislation with regards to data protection act and ensure confidentiality is maintained at all times.

The post-holder must regard all information relating to patients and their carers, practice staff and other healthcare workers (as well as information relating to the practice as a business organisation) 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, data protection legislation and the protection of personal and sensitive data, as well as other related healthcare legislation (e.g. the NHS Confidentiality Code of Practice)

Health & Safety:

The post-holder will comply with practice policies, procedures and clinical guidelines for self and others. This includes (but not limited to):

Identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised

Identifying issues and hazards / risks in relation to other work areas within the business

Awareness of national standards of infection control and cleanliness, as well as ownership of infection control and clinically based patient care protocols and implementing them across the practice.

Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses / training needs are identified, escalating issues as appropriate.

Identifying the risks involved in work activities, raising them with appropriate management and managing those risks across clinical and patient processes.

Safe management of sharps procedures, including training, use, storage and disposal

Keeping own work areas and general / patient areas generally clean, sterile, assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other managers

To support the clinical team with all safeguarding matters, in accordance with local and national policies.

Routine management of own team / team areas, and maintenance of work space standards;

Waste management, including collection, handling, segregation, container management, storage and collection

Spillage control procedures, management and training

Decontamination control procedures, management and training, and equipment maintenance

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity.

Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Support people who need assistance in exercising their rights.

Quality:

The post-holder will strive to maintain quality within the practice, and will:

Alert other team members to issues of quality and risk

Assess own performance and take accountability for own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload and resources

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

Recognize peoples needs for alternative methods of communication and respond accordingly

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.