PRIMARY CARE NETWORKS IN CITY AND HACKNEY
Cranwich Road Surgery | Stamford Hill Group Practice | Spring Hill Practice
Job Title: Primary Care Network (PCN) Advanced Clinical Practitioner (Nursing)
Salary: £56,500 – 60,000 depending on experience
Contract: 12 months
Hours: Full time (37.5 hours) Including 4 Hours CPD Time For Professional Development And Study Budget Of £1000
Reporting to: GP Clinical Lead within the GP Practice on a day-to-day basis& PCN Clinical Director
Accountable to: Clinical Director, Springfield Park PCN
Job Summary
Groups of GP (General Practitioners) Practices in City and Hackney have come together to form 8 Primary Care Networks (PCNS) each covering a total population of between 30,000-56,000. The purpose of these PCNs is to enable GP practices to work together in a collaborative way to develop and deliver network-based services that respond to the needs of the local population.
The Springfield Park PCN in City and Hackney is seeking to recruit a PCN Advanced Clinical Nurse Practitioners.
The ability to work confidently and effectively in a varied and sometimes challenging environment is essential. Specific support and training will be provided where required. We expect our teams to be well-run and display evidence-based practice at all times, in a multi-disciplinary and engaged organisation.
The successful candidates will play a key role in being the voice for the nursing team within the PCN, which may include attending board meetings and influencing decisions made at management level.
The post holder is an experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required. In order to work at this level NMC requirement for advanced practice must be met.
The PCN Advanced Clinical Nurse Practitioner will:
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
Learning and Development
· Undertake mentorship for more junior staff, assessing competence against set standards
· Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments
· Assess own learning needs and undertake learning as appropriate
· Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning
Equality and Diversity
· Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity
· Enable others to promote equality and diversity in a non-discriminatory culture
· Support people who need assistance in exercising their rights
· Monitor and evaluate adherence to local chaperoning policies
· Act as a role model in the observance of equality and diversity good practice
· Accept the rights of individuals to choose their care providers, participate in care and refuse care
· Assist patients from marginalised groups to access quality care
Team Liaison and Education
· Provide a point of clinical contact for non-clinical teams, enabling all parts of the practice’s human resources are equipped to provide a safe and effective service to patients, particularly with regards to information governance, clinical information streams, and IT hardware and software infrastructure.
· Liaise with contracted IT services to ensure an adequate software and security infrastructure.
· Liaise with the PM team to maintain perfect information streams within the staff teams.
· Identify gaps in skills and knowledge, so that clinical safety is maintained at all times within the practice IT environment, for all practice teams. Liaise with the Practice Management to ensure that contracted training is clinically appropriate to the practice and individual needs of staff.
· Engage with teaching activities for all members of staff, where in-house training is preferable to contracted arrangements.
· Provide mentorship and supervision to the GPN team, including trainees and students.
Patient Confidentiality
The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.
In view of the nature of the role, this job description is intended to provide an outline of the duties and responsibilities; it will be subject to review and amendment as necessary in consultation with the post holder.
Person Specification
The person specification describes the characteristics (skills, knowledge, experience and qualifications) that are needed to carry out the duties in the job description.
Experience
Minimum 5 years post registration experience
Project management working with community development initiatives Health-needs assessment (Desirable)
At least 2 years recent primary and community nursing experience
Nurse-led management of minor illness, minor ailments and injuries
Nurse-led triage
Compiling protocols and clinical guidelines
Leadership in quality initiatives such as clinical benchmarking
Leading a team
Audit
Research
Qualifications
Registered first level nurse MSc or equivalent
Community nursing specialist qualification (Desirable)
Relevant nursing/health degree
Mentor/teaching qualification
Clinical supervision training and experience
Educated at Masters level in Advanced Practice
Mentor/teaching qualification
Clinical supervision training and experience
Educated at Masters level in Advanced Practice
Skills &Knowledge
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
Information technology (clinical and other) Nurse prescribing
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 Knowledge of public health issues
Able to identify determinants on health in the area
Knowledge of public health issues in the area
Other
Commitment to equality and diversity
Current DBS check
Self-directed practitioner
Highly motivated
Flexibility
Enthusiasm
Team player
Ability to work across boundaries
Job Type: Full-time
Pay: £56,500.00-£60,000.00 per year
Benefits:

• Company pension

Experience:

• post registration: 5 years (required)

Licence/Certification:

• nursing/health degree (required)

Work authorisation:

• United Kingdom (required)

Work Location: In person
Application deadline: 19/09/2024
Reference ID: U0090-24-0019