Job summary
To work on behalf of a federation of General Practices across Blackburn with Darwen in a variety of services to facilitate at scale working and drive quality improvement.

To act as an experienced, autonomous ANP able to work independently and in conjunction with other members of the clinical team.

Experienced caring nurse and demonstrate highly developed clinical skills and be able to demonstrate critical thinking whilst working within their professional boundaries. Working within a multidisciplinary team consisting of GPs, PAs, Clinical Pharmacists and the wider practice team to deliver excellent primary care services in and across practices and as part of integrated neighbourhood teams in BwD. They will also have a key role in supporting the PCN to deliver the Network Contract DES specifications for care homes and enhanced access requirements.

The post holder will work collaboratively to meet the needs of patients, support the delivery of policy and procedures, and provide nurse leadership as required.

In order to work at this level, NMC requirements for advanced practice must be met.

Main duties of the job

• Assess, diagnose, plan, implement & evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis and/or complex needs
• Examine & assess patient needs from physiological/psychological perspective, & plan care
• Identify, diagnose & manage treatment plans for patients at risk of developing a long-term condition
• Diagnose & manage acute/chronic conditions, integrating drug/non-drug-based treatment methods into management plan
• As an independent prescriber, prescribe medication as defined by legislative framework & within scope of practice
• Prioritise health problems & intervene to assist patient in complex, urgent or emergency situations, inc. initiation of emergency care
• Support patients to adopt health promotion strategies that promote lifestyles & apply principles of self-care
• Support & manage health needs of women presenting for family planning, cervical cytology or sexual health consultation
• Assess, identify & refer patients presenting with mental health needs
• Implement & participate in vaccination & immunisation programmes for adults/children
• Provide nursing advice to nurses working
• Work with management teams develop services for patients
• Participate in MDT virtual care home ward rounds, identifying patients to be assessed in conjunction with care home staff.
• Work as part of MDT to optimise care & refer/ liaise with services Inc. dietetics team, Specialist care home nurse, district nursing teams & palliative care team.

About us
Local Primary Care works with member practices to provide excellent services to patients. Supporting practices to develop their workforce and leadership

Our practices have adopted new methods of working via the extended clinical workforce which include Salaried GP's, Clinical Pharmacists, Pharmacy Technicians, Physician Associates, Care Home Pharmacists and Technicians, Assistant Practitioners, Care Co-ordinators, Social Care Link Workers and Nursing Teams.

The successful candidates will be well supported in their Primary Care roles by accountable GPs and others in the PCN MDT team.

Job responsibilities
Clinical practice

• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis and/or with complex needs
• 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, prescribe safe, effective and appropriate medication as defined by current legislative framework and within scope of practice
• 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
• Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation
• Assess, identify and refer patients presenting with mental health needs
• Implement and participate in vaccination and immunisation programmes for both adults and children
• Provide expert nursing advice to other nurses working
• Work with the clinical and management team to develop new services for patients
• Participate in MDT virtual care home ward rounds, proactively identifying patients to be assessed in conjunction with care home staff.
• Work as part of the MDT to optimise patient care and refer to or liaise with other key services such as the dietetics team, Specialist care home nurse, district nursing teams and the palliative care team.
• Attend any training courses which are identified as being key to current practice.

Communication

• Utilise and demonstrate sensitive communication styles to ensure patients are fully informed and to gain appropriate consent to treatment.
• 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 form to all patients, recognising any difficulties and referring where appropriate.
• Communicate suggested management plans to the patients registered GP practice.
• Work closely with the wider MDT.

Delivering a quality service

• Recognise and work within own competence and professional code of conduct as regulated by the NMC.
• 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.
• In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
• Create clear referral mechanisms to meet patient need.
• Enable others to promote equality and diversity in a non-discriminatory culture

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
• 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 with 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 management team
• Agree plans and outcomes by which to measure success

Leadership

• Demonstrate understanding of the nurses role in governance and is able to implement this appropriately within the workplace
• Demonstrate understanding of, and contribute to, the workplace vision
• Demonstrate an ability to improve quality within limitations of service
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning
• Review yearly progress and develop clear plans to achieve results within priorities set by others.
• Demonstrate ability to motivate self to achieve goals
• Follow professional and organisational policies/procedures relating to performance management
• Demonstrate ability to extend boundaries of service delivery
• Promote diversity and equality in people management techniques and lead by example

Education, Training and Development

• Understand and demonstrate the characteristics of a role
• Demonstrate understanding of the mentorship process
• Demonstrate ability to conduct teaching and assessment effectively according to a learning plan
• Demonstrate self-development through continuous professional development activity; working alongside senior managers to identifying areas to develop
• Demonstrate an understanding of current educational policies relevant to working areas of practice and keep up to date with relevant clinical practice
• The post-holder will participate in any training programme implemented by the federation as part of this employment

Research and Evaluation

• Demonstrate ability to critically evaluate and review literature
• Demonstrate ability to identify where there is a gap in the evidence base to support practice
• Demonstrate ability to generate evidence suitable for presentations locally and at place
• Demonstrate ability to apply research evidence base into working place
• Demonstrate understanding of principles of research governance.

Special Working Conditions

• The post-holder is required to travel independently between sites (where applicable), and to attend meetings etc. hosted by other agencies.
• The post-holder may have contact with body fluids i.e. wound exudates; urine etc. while in clinical practice.

Person Specification
Qualifications
Essential

• Registered First level Nurse Msc or equivalent
• Relevant Nursing/Health degree
• Clinical Supervision Training
• Independent Prescribing Qualification

Desirable

• Mentor/Teaching qualification

Experience
Essential

• Working autonomously in an advanced nursing role
• 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

• Working with community development initiatives
• Health needs assessment
• Experience of working within primary care or General Practice
• Experience of case led management

Skills
Essential

• 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 in a clinical setting
• Resource management

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.