Clinical and Strategic Lead for Nursing and Advanced Clinical Practice

• Lead and develop our nursing and advanced clinical practice workforce.
• Support clinical supervision, competency assessment and professional development.
• Promote a unified nursing and advanced clinical practice team through shared learning and collaborative working.
• Drive quality improvement, innovation and service redesign.
• Ensure high standards of clinical governance and patient safety, including CQC and QOF
• Develop services that meet the needs of our growing and evolving patient population.
• Identify and implement best practice from across primary care and the wider NHS.
• Maintain your own advanced clinical practice skills through autonomous assessment, diagnosis and treatment of patients.

• Provide professional leadership across nursing services.
• Integrate urgent and planned care nursing and advanced clinical practitioner services to improve quality, continuity and patient outcomes.
• Develop a skilled, flexible and resilient nursing and advanced clinical practitioner services workforce.
• Ensure high standards of clinical governance, patient safety and professional practice.
• Promote innovation, quality improvement and service development.

• Provide visible and effective leadership across nursing and advanced clinical practitioner services within the practice.
• Develop and maintain a cohesive nursing workforce, promoting collaborative working, mutual support and shared learning.
• Lead appraisals, development reviews and workforce planning for nursing staff.
• Identify training and development needs and support staff to achieve their full professional potential.
• Ensure robust systems are in place for clinical supervision, competency assessment, clinical sign-off and professional revalidation.
• Develop and maintain competency frameworks to support safe and effective clinical practice.
• Promote career progression, succession planning and workforce resilience.
• Support recruitment, induction and retention of nursing, healthcare associates and advanced clinical practitioner staff .
• Foster a culture of accountability, continuous learning and professional excellence.

• Long-term condition management services including Diabetes, respiratory, cardiovascular and other chronic disease programmes.
• Cervical screening and women's health services.
• Childhood and adult immunisation programmes.
• Seasonal vaccination programmes.
• Health promotion and prevention initiatives.
• Enhanced services delivered by the nursing team.
• Clinical recall and follow-up systems.
• Urgent and acute care services delivered by the nursing, health care associates and advanced clinical practitioner workforce.
• Contribution to QOF delivery and quality indicators.

• Identify opportunities to improve continuity of care for patients with long-term conditions who present acutely.
• Ensure effective communication and handover processes across clinical services.
• Support proactive management of patients with complex and long-term conditions.
• Facilitate improved coordination of preventative, reactive and follow-up care.
• Ensure patients experience coordinated and seamless care across urgent and planned care pathways.
• Identify opportunities to improve patient pathways, continuity of care and service efficiency.
• Reduce duplication of work and maximise the effective use of clinical skills and capacity across the practice.
• Monitor service demand, workforce capacity and patient outcomes.
• Promote consistent standards of assessment, clinical decision-making and prescribing practice.

• Provide leadership for clinical governance activities across nursing services.
• Ensure compliance with national guidance, professional standards and local policies.
• Lead clinical teams in participation in audit, quality improvement and service evaluation activities.
• Support investigation and review of significant events, incidents, complaints and near misses.
• Utilise practice data, QOF performance, population health information and patient feedback to identify priorities for service improvement.
• Support initiatives aimed at improving health outcomes and reducing health inequalities.
• Provide oversight of Infection Prevention and Control through line management and support of the designated IPC Lead.
• Monitor and respond to vaccination uptake, screening performance and quality indicators.
• Support population health approaches to prevention, early intervention and chronic disease management.

• Deliver advanced clinical assessment, diagnosis and treatment within their area of competence.
• Prescribe safely and effectively in accordance with professional standards and local policies.
• Provide clinical leadership and support to colleagues managing complex patients.
• Support the development of advanced clinical skills across the nursing workforce.
• Promote high standards of evidence-based clinical care.
• Act as a clinical role model across nursing and advanced clinical practitioner services.

• Lead the development and implementation of nursing and advanced clinical practitioner service improvements.
• Identify, evaluate and implement best practice from primary care organisations, PCNs and the wider NHS.
• Work collaboratively with community providers, PCN partners and external healthcare organisations.
• Contribute to strategic planning and service development discussions.
• Support innovation and service redesign to improve patient outcomes and workforce effectiveness.
• Identify opportunities for technology, digital systems and process optimisation.
• Promote efficient use of clinical resources across the practice.
• Encourage staff to contribute ideas for service improvement and innovation.

• Experienced Practice Nurses, the majority of whom are independent prescribers.
• Three experienced Advanced Nurse Practitioners.
• Two experienced Paramedics.
• A skilled and supportive Healthcare Assistant team.
• A dedicated Infection Prevention and Control Lead.
• Strong multidisciplinary support from GPs, pharmacists, physiotherapists, mental health practitioners and wider PCN colleagues.
• Nursing students

Essential

• Registered Nurse with Nursing and Midwifery Council.
• Advanced Nurse Practitioner qualification.
• Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice.
• Or Credentialling / Digital Badge.
• Or Post graduate diploma or degree for Advanced Practice Qualification up to December 2020.
• Qualified Independent Nurse Prescriber on the NMC register.
• Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet.
• Meets the standards for registered ANP working at advanced level.
• Minor illness qualification.

Essential

• Experience of practice within the four pillars.
• Experience of leading nursing teams.
• Experience of service redesign or quality improvement.
• Experience of clinical supervision and competency assessment.
• Experience influencing and leading change across multidisciplinary teams.
• Experience of working across urgent and planned care pathways.
• Experience of delivering autonomous assessment and management of acute presentations.
• Experience of prescribing.
• Experience of working in a primary care environment.

Essential

• Strategic and innovative leader with the ability to identify opportunities for service improvement and translate ideas into practical solutions.
• Able to inspire, motivate and develop others whilst building effective multidisciplinary relationships.
• Resilient, adaptable and able to lead change within a complex healthcare environment.
• Motivated, forward thinker.
• Problem solver with the ability to process information accurately and effectively, interpreting data as required.
• High levels of integrity and loyalty.
• Sensitive and empathetic in distressing situations.
• Ability to work under pressure.
• Flexibility to work outside of core office hours.
• Evidence of continuing professional development (CPD) commensurate with the role of ANP.

Essential

• Wound care/removal of sutures and staples.
• ECGs.
• Venepuncture.
• New patient medicals.
• Chaperone procedure.
• Requesting and processing pathology tests.
• Ability to work in a collaborative manner within a multi-disciplinary team and demonstrate a positive, supportive working approach.
• Understanding of the importance of evidence-based practice.
• Understand the requirement for PGDs and associated policy.
• Broad knowledge of clinical governance.
• Ability to record accurate clinical notes.
• Ability to work within own scope of practice and understand when to refer to GPs.
• Knowledge of health promotion strategies.

Desirable

• Diabetes.
• Hypertension.
• Asthma.
• Spirometry.
• CHD.
• Immunisations (routine and childhood).
• Womens health (cervical cytology, contraception etc).
• Travel medicine.
• Knowledge of public health issues in the local area.