Haresfield Surgery
Advanced Nurse Practitioner
Haresfield Surgery, Worcester, Massachusetts, us, 01609
Due to a growing population, we are looking for a new Advanced Care Practitioner to join our team.
Applications from Advance Nurse Practitioners, Paramedics or prescribing nurses are welcome.
Would consider part-time or full-time.
Experience in primary or urgent care preferable.
Salary based on experience.
Main duties of the job
Responsible for attending to patients who wish to be seen by a health care professional. Diagnosing and treating patients presenting with minor illness, whilst seeing and advising people in respect of their continuing medical and nursing needs. Total triage is in place for all requests for treatment. There is a requirement to see extra or emergency patients where the situation demands. The practitioner will need to prioritise using telephone triage the needs of patients, accordingly, making any necessary referrals for investigations in the appropriate manner. Patients with problems needing referral to secondary care should be discussed with the registered GP.
About us
Haresfield Surgery is situated within the Worcester City locality boundary and provides general medical services to approximately 18,000 patients. The Practice has seven partners, seven Salaried GPs, Advanced Nurse Practitioners, Registrars, GP Clinical Pharmacist, dedicated Management and a strong Nursing Team, all of which are supported by skilled Receptionists and Administrators. It is ideally located with excellent road links to surrounding towns and villages.
Haresfield Surgery prides itself with its team ethos, making it a great place to work. In its modern, purpose-built building, Haresfield Surgery is able to offer its staff a working environment with comfortable rest rooms, free on-site parking and an in-house gym. Staff welfare is of utmost importance, as well as a focus on professional development and job satisfaction.
Job Summary
Responsible for attending to patients who wish to be seen by a health care professional. Diagnosing and treating patients presenting with minor illness, whilst seeing and advising people in respect of their continuing medical and nursing needs. Total triage is in place for all requests for treatment. There is a requirement to see extra or emergency patients where the situation demands. The practitioner will need to prioritise using telephone triage the needs of patients, accordingly, making any necessary referrals for investigations in the appropriate manner. Patients with problems needing referral to secondary care should be discussed with the registered GP.
Principal Duties and Responsibilities
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, and plan clinical care accordingly.
Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs and 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.
Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.
Work with patients 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.
Support and manage women’s health needs.
Assess, identify, and refer patients presenting with mental health needs.
Implement and participate in vaccination and immunisation programmes for both adults and children.
Promote and deliver evidence-based care for patients presenting with aural conditions.
Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
Communicate with and support patients 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 (e.g., PALS) 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 or other regulatory body.
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 NSF, 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.
Work with practice management to ensure the whole team have skills and 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
Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model.
Support staff development to maximise potential.
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
Encourage others to make realistic 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.
Critically evaluate and review innovations and developments that are relevant to the area of work.
Enlist support and influence stakeholders and decision-makers to bring about new developments in the provision of services.
Contribute to the development of local guidelines, protocols, and standards.
Maintain effective communication with those responsible for the overall commissioning and procurement process.
Maintain active involvement in the planning and processes of practice-based commissioning or similar initiatives.
Promote the role of the advanced nurse practitioner in general practice.
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.
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 practice management team.
Agree plans and outcomes by which to measure success.
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 drug usage according to legal requirements where appropriate.
Undertake mandatory and statutory training requirements.
Attend clinical and non-clinical meetings where appropriate.
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.
Main Purposes
The post holder will be aware of the various statutory requirements and will assist in implementation as directed by the Practice Manager and Partners. There will be a need to work closely with all staff covering all departments in order to maintain all levels of local and national standards and requirements.
Training requirements will be monitored by yearly appraisal. Personal development will be encouraged and supported by the Practice. It is the individuals’ responsibility to remain up to date with recent developments.
Place of Work:
The main place of work will be based at Haresfield Surgery, but there may be occasional times where travel is required to the practice’s branch Surgery in Kempsey.
Health & Safety:
Working within a healthcare environment, the post-holder must take responsibility for their own and others’ health, safety and security. This will include (but will not be limited to):
All staff within the department adhere to their individual responsibilities for infection control and health and safety, using a system of observation, audit and check, hazard identification, questioning, reporting and risk management.
Maintain an up to date knowledge of health and safety and infection control statutory and best practice guidelines and ensure implementation across the Practice.
Using personal security systems within the workplace according to Practice guidelines.
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across the Practice.
Making effective use of training to update knowledge and skills, and initiate and manage the training of others in these areas.
Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards, and initiation of remedial / corrective action where needed.
Actively identifying, reporting on and correcting health and safety hazards and infection hazards immediately when recognised.
Keeping own work areas and general / patient areas generally clean, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other staff.
Confidentiality:
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
Equality and Diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation.
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
Behaving in a manner that is welcoming to the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Personal/Professional Development:
The post-holder will participate in any training program implemented by the Practice as part of this employment, such training to include:
Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
Quality:
The post-holder will strive to maintain quality within the Practice, and will:
Alert other team members to issues of quality and risk.
Assess their own performance and take accountability for their own actions, either directly or under supervision.
Contribute to the effectiveness of the team by reflecting on their own and the team’s activities and making suggestions on ways to improve and enhance the team’s performance.
Work effectively with individuals in other agencies to meet patient needs.
Effectively manage own time, workload and resources.
Communication:
The post-holder should recognise the importance of effective communication within the team and will strive to:
Communicate effectively with other team members.
Communicate effectively with patients and carers.
Recognise people’s needs for alternative methods of communication and respond accordingly.
Notes
This is not intended to be an exhaustive list of responsibilities. This is a role which requires flexibility and adaptability and it is expected that you will participate in a wide range of activities which are appropriate to your position, level of expertise and employment grade.
Person Specification
Qualifications
Essential
Registered Nurse
Post graduate diploma or degree (Advanced/Autonomous Practice Qualification)
Qualified Nurse Prescriber
Desirable
Qualified Triage Nurse
Minor Illness Qualification
Experience
Essential
Experience of working in a primary or urgent care (e.g. A&E) environment
Experience of chronic disease management
EMIS Web
Experience of prescribing
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).
Employer details
Employer name
Haresfield Surgery
Address
Turnpike House Medical Centre
37 Newtown Road
Worcester
WR5 1HG
Employer's website
https://www.haresfieldsurgery.co.uk/ (Opens in a new tab)
Job Types: Full-time, Part-time, Permanent
Work Location: In person
Application deadline: 29/09/2024
#J-18808-Ljbffr
Applications from Advance Nurse Practitioners, Paramedics or prescribing nurses are welcome.
Would consider part-time or full-time.
Experience in primary or urgent care preferable.
Salary based on experience.
Main duties of the job
Responsible for attending to patients who wish to be seen by a health care professional. Diagnosing and treating patients presenting with minor illness, whilst seeing and advising people in respect of their continuing medical and nursing needs. Total triage is in place for all requests for treatment. There is a requirement to see extra or emergency patients where the situation demands. The practitioner will need to prioritise using telephone triage the needs of patients, accordingly, making any necessary referrals for investigations in the appropriate manner. Patients with problems needing referral to secondary care should be discussed with the registered GP.
About us
Haresfield Surgery is situated within the Worcester City locality boundary and provides general medical services to approximately 18,000 patients. The Practice has seven partners, seven Salaried GPs, Advanced Nurse Practitioners, Registrars, GP Clinical Pharmacist, dedicated Management and a strong Nursing Team, all of which are supported by skilled Receptionists and Administrators. It is ideally located with excellent road links to surrounding towns and villages.
Haresfield Surgery prides itself with its team ethos, making it a great place to work. In its modern, purpose-built building, Haresfield Surgery is able to offer its staff a working environment with comfortable rest rooms, free on-site parking and an in-house gym. Staff welfare is of utmost importance, as well as a focus on professional development and job satisfaction.
Job Summary
Responsible for attending to patients who wish to be seen by a health care professional. Diagnosing and treating patients presenting with minor illness, whilst seeing and advising people in respect of their continuing medical and nursing needs. Total triage is in place for all requests for treatment. There is a requirement to see extra or emergency patients where the situation demands. The practitioner will need to prioritise using telephone triage the needs of patients, accordingly, making any necessary referrals for investigations in the appropriate manner. Patients with problems needing referral to secondary care should be discussed with the registered GP.
Principal Duties and Responsibilities
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, and plan clinical care accordingly.
Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs and 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.
Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.
Work with patients 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.
Support and manage women’s health needs.
Assess, identify, and refer patients presenting with mental health needs.
Implement and participate in vaccination and immunisation programmes for both adults and children.
Promote and deliver evidence-based care for patients presenting with aural conditions.
Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
Communicate with and support patients 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 (e.g., PALS) 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 or other regulatory body.
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 NSF, 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.
Work with practice management to ensure the whole team have skills and 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
Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model.
Support staff development to maximise potential.
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
Encourage others to make realistic 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.
Critically evaluate and review innovations and developments that are relevant to the area of work.
Enlist support and influence stakeholders and decision-makers to bring about new developments in the provision of services.
Contribute to the development of local guidelines, protocols, and standards.
Maintain effective communication with those responsible for the overall commissioning and procurement process.
Maintain active involvement in the planning and processes of practice-based commissioning or similar initiatives.
Promote the role of the advanced nurse practitioner in general practice.
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.
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 practice management team.
Agree plans and outcomes by which to measure success.
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 drug usage according to legal requirements where appropriate.
Undertake mandatory and statutory training requirements.
Attend clinical and non-clinical meetings where appropriate.
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.
Main Purposes
The post holder will be aware of the various statutory requirements and will assist in implementation as directed by the Practice Manager and Partners. There will be a need to work closely with all staff covering all departments in order to maintain all levels of local and national standards and requirements.
Training requirements will be monitored by yearly appraisal. Personal development will be encouraged and supported by the Practice. It is the individuals’ responsibility to remain up to date with recent developments.
Place of Work:
The main place of work will be based at Haresfield Surgery, but there may be occasional times where travel is required to the practice’s branch Surgery in Kempsey.
Health & Safety:
Working within a healthcare environment, the post-holder must take responsibility for their own and others’ health, safety and security. This will include (but will not be limited to):
All staff within the department adhere to their individual responsibilities for infection control and health and safety, using a system of observation, audit and check, hazard identification, questioning, reporting and risk management.
Maintain an up to date knowledge of health and safety and infection control statutory and best practice guidelines and ensure implementation across the Practice.
Using personal security systems within the workplace according to Practice guidelines.
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across the Practice.
Making effective use of training to update knowledge and skills, and initiate and manage the training of others in these areas.
Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards, and initiation of remedial / corrective action where needed.
Actively identifying, reporting on and correcting health and safety hazards and infection hazards immediately when recognised.
Keeping own work areas and general / patient areas generally clean, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other staff.
Confidentiality:
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
Equality and Diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation.
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
Behaving in a manner that is welcoming to the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Personal/Professional Development:
The post-holder will participate in any training program implemented by the Practice as part of this employment, such training to include:
Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
Quality:
The post-holder will strive to maintain quality within the Practice, and will:
Alert other team members to issues of quality and risk.
Assess their own performance and take accountability for their own actions, either directly or under supervision.
Contribute to the effectiveness of the team by reflecting on their own and the team’s activities and making suggestions on ways to improve and enhance the team’s performance.
Work effectively with individuals in other agencies to meet patient needs.
Effectively manage own time, workload and resources.
Communication:
The post-holder should recognise the importance of effective communication within the team and will strive to:
Communicate effectively with other team members.
Communicate effectively with patients and carers.
Recognise people’s needs for alternative methods of communication and respond accordingly.
Notes
This is not intended to be an exhaustive list of responsibilities. This is a role which requires flexibility and adaptability and it is expected that you will participate in a wide range of activities which are appropriate to your position, level of expertise and employment grade.
Person Specification
Qualifications
Essential
Registered Nurse
Post graduate diploma or degree (Advanced/Autonomous Practice Qualification)
Qualified Nurse Prescriber
Desirable
Qualified Triage Nurse
Minor Illness Qualification
Experience
Essential
Experience of working in a primary or urgent care (e.g. A&E) environment
Experience of chronic disease management
EMIS Web
Experience of prescribing
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).
Employer details
Employer name
Haresfield Surgery
Address
Turnpike House Medical Centre
37 Newtown Road
Worcester
WR5 1HG
Employer's website
https://www.haresfieldsurgery.co.uk/ (Opens in a new tab)
Job Types: Full-time, Part-time, Permanent
Work Location: In person
Application deadline: 29/09/2024
#J-18808-Ljbffr