Advanced Nurse Practitioner - Langley Corner Surgery

Reports to: Clinical Lead GP

Responsible to: Practice Managers

Proposed salary: Band 8.1– 8.7 on the ABC pay scale, which is equivalent to £49,419.20 - £55,654.05 per annum dependent on experience (pro rata)

Hours of work: Full-time (37.5 hours) and part-time applications will be considered.

Base: Langley Corner Surgery

About Crawley Care Collaborative PCN

Crawley Care Collaborative Primary Care Network is an NHS Collaboration between four GP Practices - Bridge Medical Centre, Langley Corner Surgery, Leacroft Medical Practice and Southgate Medical Group - working together to provide enhanced access services.

Our surgery teams work closely, sharing expertise and resources to develop new services. Our vision is to continue to improve the quality of care that we provide in alignment with the needs of our patient population.

Our Primary Care Network builds on the existing primary care services and enables a greater provision of proactive, personalised and more integrated health and social care. We are supported by practitioners in additional roles who allow us to create bespoke multi-disciplinary teams based on the needs of our local population.  By working together with local community services, this allows us to make support available to people where it is most needed.

More about our Primary Care Network and our services: www.crawleycarecollaborativepcn.org/

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.
• Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs. Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition.
• 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, local 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.

Communication

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment, including communication with, and support of, patients and their significant persons 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 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 (Nursing & Midwifery Council, 2015c).
• 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 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
• 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

Leadership – Personal and People Development

• Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model
• Support staff development in order to maximise potential
• Building a PCN-wide nursing forum for all the nursing team in our PCN – this includes pulling together training needs
• Represent GPNs in a local Primary Care Network (PCN) so that their contribution to meeting local population needs is clear.
• 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
• Contribute actively to the PCN Board, attending all meetings that are relevant while being that voice for nurses in the PCN
• Contribute to developing effective links and ways of working across the Primary Care Network.
• Take part in relevant leadership roles that might arise, that will support PCNs and practices to meet their contractual requirements
• 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
• 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 win 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 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. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriate
• Ensure the nursing team undertakes mandatory and statutory training requirements
• 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
• Monitor and confirm that the nursing team are receiving and processing data and information in an agreed format
• Collate, analyse and present clinical data and information to the team
• Communicate essential financial restraints with the team and discuss with them ideas for effective and efficient working within these constraints
• Manage, if agreed, a nursing budget within financial principles

Person specification: Advance Nurse Practitioner

Qualifications

Essential:

• Registered first level nurse MSc or equivalent
• Relevant nursing/health degree
• Mentor/teaching qualification
• Clinical supervision training and experience
• Independent Prescribing qualification

Desirable:

• Community nursing specialist
  qualification

Experience

Essential:

• Significant post registration experience
• Recent primary and community nursing experience
• Nurse-led management of minor illness, minor ailments and injuries
• Nurse-led triage
• Compiling protocols and clinical guidelines
• Clinical Leadership
• Audit
• Research
• Nurse prescribing

Desirable:

• Project management
• Working with community development initiatives
• Health-needs assessment

Knowledge and Skills

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
• Wider health economy
• Clinical governance issues in primary care
• Patient group directions and associated policy
• Clinical leadership skills
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Change management
• Teaching and mentorship clinical setting
• Resource management

Desirable:

• Knowledge of public health issues
• Able to identify determinants on health in the area

Other

Essential:

• Commitment to reducing health inequalities and proactively working to reach people from all communities 
• Able to recognise personal limitations and refer to more appropriate colleague(s) when needed 
• Able to provide leadership and maintain effective working relationships and to promote collaborative practice with all colleagues 
• Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines   
• Ability to work flexibly and enthusiastically within a team or on own initiative  
• Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes