Job summary
We are looking for a highly motivated Advanced Clinical Practitioner to join Greengates Medical Group.

Greengates Medical Group operates across five sites. The successful candidate may be required to work across different sites, depending on the needs of the service. A base site will be agreed with the successful candidate as part of the appointment process.

The Post is for 1.5 FTE so applications for full and part time are welcome.

The post holder is an experienced clinician, who acting within their professional boundaries, will provide care for the presenting patient from the initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary 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, requirements for advanced practice or equivalent must be met.

This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post-holder commensurate with the position. This description will be open to regular review and may be amended to take into account development within the Practice.

For further information regarding the post, please email joanna.cooper2@nhs.net

Main duties of the job
The post-holder will

• Assist the Partners in the care of the patients of the Practice to include treatment, preventative care, screening and patient education
• To prescribe safe, effective and appropriate medication as defined by current legislative framework.
• Provide safe, evidence-based, cost-effective, individualised patient care
• Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self care.
• Refer patients directly to other services/agencies as appropriate
• Home visits to housebound patients in discussion with the clinical team

About us
Greengates Medical Group is a single practice PCN with 5 sites under our umbrella, 3 in Beverley and 2 in Cottingham covering over 30k patients.

We have 10 partners, 8 salaried GP's, ACP's, Practice Pharmacists and qualified Medicines Management Team along with a fully skilled care home team including DOT Lead and a cohort of Paramedics.

The above are all supported by a strong management team, Practice Nurses, MSK FCP's and a reliable administrative support team.

Job responsibilities
The post-holder will

• Assist the Partners in the care of the patients of the Practice to include treatment, preventative care, screening and patient education
• Apply practice policies, standards and guidance as per staff handbook
• Where the post holder is an independent prescriber : to prescribe safe, effective and appropriate medication as defined by current legislative framework.
• Provide safe, evidence-based, cost-effective, individualised patient care
• Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self care.
• Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills.
• Refer patients directly to other services/agencies as appropriate
• Home visits to housebound patients in discussion with the clinical team
• Take the Practice lead in developing and delivering specialist primary care services, such as long term disease management (diabetes, asthma, chronic obstructive pulmonary disease, coronary heart disease and hypertension)
• Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks (eg Coronary Heart Disease/Older People/Diabetes/Mental Health) are being delivered
• Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery
• Help develop and set up new patient services and participate in initiatives to improve existing patient services
• Be aware of and contribute to planning and delivery of practice-based commissioning
• Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained
• Work within the latest NMC Code of Professional Conduct
• Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards
• Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation
• Work collaboratively with colleagues within and external to the practice
• Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review

HEALTH AND SAFETY/RISK MANAGEMENT
The post-holder must comply at all times with the Practice Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System

The post-holder willl comply with the Data Protection Act (1984) and the Access to Health Records Act (1990)

EQUALITY AND DIVERSITY
The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc

RESPECT FOR 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

Person Specification
Experience
Essential

• Minimum of 5 years post registration experience
• Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the NP role
• Experience in management long term conditions e.g asthma, COPD, diabetes, CHD
• Evidence of working autonomously and as part of a team
• Proven ability to evaluate the safety and effectiveness of their own clinical practice

Desirable

• Interpreting and implementing local and National policy agendas for health
• Experience of working in a primary care setting

Knowledge
Essential

• Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS/PMS contract, Clinical Governance, Quality & Outcomes Framework
• Understanding of systems to gain an understanding of the health needs of the Practice population as they relate to primary care
• Understanding of evidence based practice
• Knowledge of national standards that inform practice eg national Service Frameworks, NICE guidelines etc
• Understanding of their accountability arising from the NMC Code of Professional Conduct and Medico-legal aspects of the Nurse Practitioner role
• Understanding of equal opportunity and diversity issues

Skills
Essential

• Ability to assess and manage patient risk effectively and safely
• Well developed word processing/data collection/IT skills
• Excellent interpersonal, verbal and written communication skills
• Reflective practitioner
• Time management and ability to prioritise workload
• Able to analyse data and information, drawing out implications for the individual patient/impact on care plan
• Able to establish and maintain effective communications pathway within the organisation, the local PCT and with key external stakeholders

Qualifications
Essential

• Registered General Nurse - currently registered with the Nursing and Midwifery Council
• Recognised NP qualification at minimum of degree level or equivalent

Desirable

• Independent Nurse Prescriber
• Teaching/Mentoring experience and or qualification

Disclosure and Barring Service Check
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 NHS Careers website (opens in a new window).

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.
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).