Advanced Nurse/ Clinical Practitioner inStratford-upon-avon inStratford-upon-avon PUBLISHED FRI 18 OCT 2024

Bridge House Medical Centre is looking for an Advanced Nurse/Clinical Practitioner to join our multi-disciplinary team to replace our highly regarded current ANP who is leaving to take up a more senior role. You would be 1 of 2 highly valued ACPs employed at the practice to provide care to our frail elderly population, some of whom may be housebound or residents of care homes, as well as building your confidence and experience in seeing a wide variety of patients in the practice with minor illness.

At Bridge House Medical Centre you will be exceptionally well supported by the GP Partners, salaried doctors, and wider practice team to assess, diagnose and treat patients autonomously.

Your background experience may be varied but we are able to provide tailored training in aspects of clinical care, such as long-term health conditions, end of life care and palliative medicine to support your existing skills. Completion of Respect forms, advanced care planning and liaising with the district nursing team will help ensure seamless care for our patients.

During minor illness clinics, you will be able to discuss how your list can be differentiated if desired, so you can best utilise your existing diagnostic skills and further develop your clinical knowledge with the support from the duty doctor and the wider practice team.

Whilst out visiting, you will be able to liaise with GPs to discuss patient management whilst also having an established network of support among the wider community ACP team in South Warwickshire, the Frailty Consultants at Warwick Hospital and local palliative care services at Myton Hospice, good relationships have already been established and induction and handover will be robust.

Excellent notes and record keeping is essential on our clinical systems, EMIS and Docman.

About us

Main Responsibilities of Role

The post holder will be an autonomous advanced practitioner who is able to work independently and in conjunction with other members of the clinical team. The post holder will be an experienced caring Clinical Practitioner who can demonstrate highly developed clinical skills and be able to demonstrate critical thinking whilst working within their professional boundaries. They will work within a multi-disciplinary team to deliver excellent primary care services within the practice.

The post holder will be able to demonstrate safe, competent clinical decision-making and deliver expert care, including assessment, diagnostic skills, treatment and evaluation. They will communicate at all levels across boundaries and work closely with wider clinical team members. The post holder will also work collaboratively with the multidisciplinary team to meet the needs of patients, supporting the delivery of policy and procedures, and providing clinical leadership as required.

Operational Responsibilities

To deliver a high standard of patient care as an Advanced Clinical Practitioner in general practice using advanced autonomous clinical skills and hold a broad and in-depth theoretical knowledge base.

Provide first point of contact within the practice for patients presenting with undifferentiated ( this can be differentiated depending upon experience) undiagnosed problems that access the acute on the day service, routine appointments, or telephone triage.

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis and patients with complex needs.

Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings and reports.

Directly admits patients to secondary care hospitals in acute medical need.

Refer patients to other medical specialities for assessment when indicated including fast track referrals.

To take responsibility for making autonomous decisions in relation to patient care.

Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.

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.

As an independent prescriber, the post holder will prescribe safe, effective and appropriate medication as defined by current legislative framework.

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.

To encourage and support patients with long term conditions to develop their ability to self-manage.

Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health.

Make referrals as required for specialist clinical input and advice, ensuring regular audit is undertaken.

To work within the practice guidelines, policies and protocols.

Contribute to practice incentive schemes, disease management registers and practice targets set locally and nationally for patient care.

Makes referral to statutory and voluntary agencies as appropriate

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures on the practice clinical system

Strategic

Work with the clinical and management team to develop new services for patients.

Contributes to service improvement in relation to the public health agenda.

Identify any areas of quality improvement and contribute to service improvement.

Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.

Participate in audit 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.

Support and participate in shared learning across primary care and the 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.

Leadership

Assess effectiveness of own performance through self and peer review, benchmarking and formal evaluation.

Take an active role in clinical governance, particularly in clinical audit, guidelines and protocols.

To understand and work towards achieving the Quality and Outcomes Framework and work with the Practice nurse and management team to deliver this.

Attend and contribute to practice meetings, locality meetings and external collaborative meetings.

Maintain own professional development and registration in line with professional body.

Knowledge, Training and Experience

Registered with a UK professional body, such as the NMC or HCPC etc.

Degree level registration qualification or equivalent post-registration award.

MSC in Advanced Practice or equivalent qualification, or working towards/willingness to undertake

Life Support qualifications

Non-Medical Prescribing

Advanced clinical practice skills

Management of patients with long term and/ or complex conditions or needs

Recognise and work within own competence and professional code of conduct as regulated by professional bodies

Substantial experience working in Primary Care

Significant post registration experience

Note

This job description is not intended to form part of the contract of employment or to be a complete list of duties and responsibilities, but it is a guide, for information, to the job. It will be periodically reviewed in the light of developing work requirements in the role. The post holder will participate in the review.