ACP/Nurse Practitioner/Nurse Prescriber

On a daily bases you will be triaging and seeing patients face to face running your own clinics. You will deal with referrals, scripts, test results and help colleagues when necessary. Must be flexible, hardworking and willing to muck in when needed. Ideally the candidate will see all patients from young children to mature adults and have experience in dealing with all types of medical conditions. We look after a local care home and provide twice weekly ward rounds. Home visit will also be undertaken as needed.

The post holder must be an experienced nurse practitioner, 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, for patients

within the general practice setting. 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 Nursing and Midwifery Council (NMC) requirements

for advanced practice must be met and kept up to date. We would also consider a Prescribing Paramedic.

Clinical practice

evaluate treatment/interventions and care for patients presenting with an

undifferentiated diagnosis

needs from a physiological and psychological perspective, and plan clinical

care accordingly

evaluate interventions/treatments for patients with complex needs

manage treatment plans for patients at risk of developing a long-term condition

(as appropriate)

chronic conditions, integrating both drug- and non-drug-based treatment methods

into a management plan

therapeutic effectiveness, appropriate to patient needs and in accordance with

evidence-based practice and national and practice protocols, and within scope

of practice

compliance with and adherence to prescribed treatments

prescribed or over-the-counter medication on medication regimens, side-effects

and interactions

intervene appropriately to assist the patient in complex, urgent or emergency situations,

including initiation of effective emergency care

promotion strategies that promote healthy lifestyles, and apply principles of

self-care

women presenting for family planning, cervical cytology or sexual health

consultation

presenting with mental health needs in accordance with the NSF for Mental

and immunisation programmes for both adults and children

vaccinations for patients travelling abroad, where appropriate

for patients presenting with aural conditions

for opportunistic wound care

(about children and vulnerable adults) in an appropriate manner (to Level 3

competence and professional code of conduct as regulated by the NMC

complete records of patient consultation, consistent with legislation, policies

and procedures

workload in a manner that maintains and promotes quality

Frameworks, NICE guidelines and evidence-based care

through self and peer review, benchmarking and formal evaluation

maintenance of quality governance systems and processes across the organisation

and its activities

evaluating the quality of the work of self and the team, implementing

improvements where required

teams, collaborate on improving the quality of health care responding to local

and national policies and initiatives as appropriate

care provision and the effectiveness of care

learning across the practice and wider organisation

root-cause analysis) to manage, review and identify learning from patient

complaints, clinical incidents and near-miss events

implementation on care delivery

the practice nursing team in accordance with local policies

providing feedback as appropriate

support the identification of vulnerable and abused children and adults, and be

aware of statutory child/vulnerable patients health procedures and local

guidance

knowledge regarding domestic violence, vulnerable adults, substance abuse and

addictive behaviour. Provide guidance and support to ensure appropriate

referral if required.

Leadership personal and people

development

and performance including participating in clinical supervision and acting as a

positive role mode

maximise potential

learning environment, encouraging everyone to learn from each other and from

external good practice

self-assessment of their application of knowledge and skills, challenging any

complacency or actions that are not in the interest of the public and/or users

of services

innovations and developments that are relevant to the area of work

stakeholders and decision-makers in order to bring about new developments in

the provision of services

sufficient staff of appropriate ability, quality and skill-mix are available to

meet current and future service delivery, that selection and recruitment

processes are effective and that equality of treatment of the team incorporates

quality HR principles and processes

guidelines, protocols and standards

those responsible for the overall commissioning and procurement process

appropriate in the planning and processes of practice-based commissioning or

similar initiatives

practitioner in general practice

Team working

identify how this may develop over time

team member, supporting others and exploring the mechanisms to develop new ways

of working

adopting the principles of safe practice and assessment of competence

meet patient need

effective time-management strategies are embedded within the culture of the

team

define values, direction and policies impacting upon care delivery

team to create opportunities to improve patient care

specifically identified services or projects as agreed with the practice

management team

measure success

the practice according to local and national guidelines

environmental health risks, are culturally sensitive and increase access to

health care for all

policies into local implementation strategies that are aligned to the values and

culture of general practice

Managing information

as an aid to management in planning, implementation and monitoring of care,

presenting and communicating information

Read codes in order to ensure easy and accurate information retrieval for

monitoring and audit processes

internet and local library databases

others to the practice and primary care trust regarding the Freedom and Information

team are receiving and processing data and information in an agreed format

data and information to the team

restraints with the team and discuss with them ideas for effective and

efficient working within these constraints

Learning and development

staff, assessing competence against set standards

gained to other team members in order to share good practice and inform others

about current and future developments (e.g. courses and conferences)

learning as appropriate

carers, families and colleagues in an environment that facilitates learning

Equality and diversity

take action to overcome this and promote diversity and equality of opportunity

diversity in a non-discriminatory culture

exercising their rights

chaperoning policies

of equality and diversity good practice

choose their care providers, participate in care and refuse care

groups to access quality care

We have a very hardworking, friendly and very supportive team both clinically and administrative. We are a teaching and research practice and are based over 2 sites and have 15200 patients split between both. Our team consists of 2 GP Partners, 5 Salaried GPs, 2 NP/ACP, 5 Practice Nurses and 5 HCA's we have 2 Pharmacists and 3 Pharmacy technicians, also a large Reception/Admin team. We offer a good rate of pay, 6 weeks holiday and pro rate bank holidays and NHS pension. We work with the Lowestoft PCN and have several PCN staff members who work with us and are part of our team.

Knowledge and skills

Essential: - Good communication skills; - Provide good quality care; - Proactive

Desirable: - IT skills to use clinical system, we currently use SystmOne.

Qualifications

Essential: - GCSA grade A to C in English and Maths; - Minor illness; - Independent Prescribing; - Chronic disease management.

Desirable: - Minor injuries; - Contraception

Experience

Essential: - Working as part of a team; - Experience in dealing with vulnerable patients; - Dealing with Pathology results; - Telephone triage

Desirable: - Working in a GP practice; - Management or Leadership