• Job Description

  Req#: B0141-23-0145?language=en&page=1930&sort=publicationDateDesc

  Job summary

  We are looking to employ an Advanced Nurse Practitioner to join our multidisciplinary team of General Practitioners, Practice Nurses, a Physician Associate, Clinical Pharmacists and Care Coordinators.

  As a practice we are on a journey to improve our clinical skills mix as well as redesigning our same day access appointments. The successful candidate will support other practitioners in managing urgent requests for the treatment of minor illnesses. You will be embedded in an experienced and supportive team. We will also support your professional development.

  The successful candidate will be employed by Grayshott Surgery.

  Main duties of the job

  • To act as an autonomous practitioner working independently and in conjunction with other health care professionals to assess, diagnose and treat the conditions of patients attending within primary care initiating direct referrals as appropriate.
  • Provide expert professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence.
  • To develop new and innovative concepts, models, methods and practices to deliver new and improved primary care services to meet the needs of the practice and PCT population.
  • To provide education and training to other staff and students.
  • To undertake research as part of the role.

  Independent prescribing is desirable however we will be willing to support candidates in gaining their independent prescribing status.

  About us

  We seek to preserve the best of traditional family practice values with a willingness to adapt and modernise to ensure a continuing high standard of care to patients with a sustainable working environment. We describe ourselves at Grayshott Surgery as being a working family, our staff are loyal and hardworking and we are so proud of that.

  We are a friendly semi-rural training practice of 12,300 patients with an established practice training module for new GPs. We are also part of West of Waverley PCN and a high achieving QOF practice.

  We use EMIS/Docman 10/AccuRX.

  Our Clinical Team includes GP Partners, Salaried GPs, Nurses, HCAs, Physician Associates, First Contact Physios, First Contact Mental Health Worker, Clinical Pharmacists.

  Date posted

  10 October 2023

  Pay scheme

  Other

  Salary

  £50,933.29 to £51,512.07 a year pro rata to hours

  Contract

  Permanent

  Working pattern

  Full-time, Part-time

  Reference number

  B0141-23-0145

  Job locations

  Grayshott Surgery

  Boundary Road

  Grayshott

  Hindhead

  Surrey

  GU26 6TY

  
  

  Job description

  Job responsibilities

  Primary Duties and Responsibilities

  Clinical Nursing Practice

  • The Advanced Nurse Practitioner works autonomously and is accountable for own professional actions.
  • Undertakes Clinical Nursing Practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary health care services.
  • Assesses diagnoses and treats patients attending primary health care services with a range of acute, non acute and chronic medical conditions.
  • Assesses diagnoses and treats patients in surgery or own home who require acute medical attention and refer to appropriate agency.
  • Directly admits patients to secondary care hospital in acute medical need.
  • Refers patients to other medical specialities for assessment if deemed appropriate.
  • Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for x-ray.
  • Has undertaken x-ray training as required by hospitals trust.
  • Interprets a range of diagnostic tests and routine clinical procedures.
  • Makes critical judgements of the highest order to satisfy the expectations and demands of the job eg first contact with patients presenting acutely and manages care in the presence and absence of protocols.
  • Makes decisions where precedents do not exist, where appropriate without recourse to others e.g. direct referral of patients to Hospital Consultants without prior reference to other medical colleagues.
  • Advises and supports others where standard protocols do not apply.
  • Works within professional guidelines and codes of conduct.
  • Works within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning, risk management.
  • Extended and supplementary prescriber.

  Care and Programme Management

  • Develops and manages highly specialised programmes of care and care packages and provides highly specialised advice concerning care normally beyond the scope of normal Nursing practice eg establishes differential diagnoses, management/treatment plans and makes referrals as appropriate. Makes fast track referrals.
  • Communicates highly sensitive condition related information to patients, relatives and carers.
  • Initiates the process of diagnosis with patients suspected to have a chronic disease eg. diabetes, COPD, asthma, IHD referring to other clinical staff as appropriate.
  • Contribute to practice targets both local and national within the disease management agenda eg QOF, prescribing incentive scheme.
  • Contributes to disease registers.
  • Audits outcomes of care against standards and initiate changes as necessary.
  • Undertakes annual review of patients understanding and ability to self manage and medication reviews.
  • Refers to other members of the extended primary health care team as appropriate eg chiropodist, dietician, specialist Nurses.
  • To actively implement safeguarding protocols for children and vulnerable adults and to know who to refer to and how to escalate concerns about radicalisation.

  Strategic Development of Primary Care Services

  • Contributes to the strategic development of primary care and public health services to meet patient and population needs within the practice and across the wider organisation. Works/liaises across multi-professional and agency boundaries.
  • Works at the forefront of practice innovation. Determines how to deal with ambiguous or unique problems to develop and advance primary care services for the benefit of patients, carers and communities.
  • Recognition and involvement in the Grange Group Practice as a teaching unit and help drive the Nursing element of training, including trainee NPs.
  • Develop links within the CCG and other local and national bodies relevant to primary care Nursing initiatives.
  • Involvement in Grange Prime Health and Prime Health Huddersfield services and other ventures in conjunction with The Grange Group Practice.

  Health Improvement

  • Initiates and carries out programmes of health screening and ensures other team members are aware of health agendas and screening programmes.
  • Introduces innovation in practice to meet on going health need demands of the practice.
  • Works to introduce new developments that will improve health outcomes for patients and is able to demonstrate through written and presentation these developments i.e. Sexual Health agenda.
  • Shares innovation and new learning with others.
  • Supports practitioners in profiling the practice population in order to initiate contribute and promote improved health and prevent disease in individuals and groups.
  • Represents individuals and families interests when they are not able to do so themselves.
  • Makes referrals to statutory and voluntary agencies as appropriate.

  Please see full Job Description for further information.

  Job description

  Job responsibilities

  Primary Duties and Responsibilities

  Clinical Nursing Practice

  • The Advanced Nurse Practitioner works autonomously and is accountable for own professional actions.
  • Undertakes Clinical Nursing Practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary health care services.
  • Assesses diagnoses and treats patients attending primary health care services with a range of acute, non acute and chronic medical conditions.
  • Assesses diagnoses and treats patients in surgery or own home who require acute medical attention and refer to appropriate agency.
  • Directly admits patients to secondary care hospital in acute medical need.
  • Refers patients to other medical specialities for assessment if deemed appropriate.
  • Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for x-ray.
  • Has undertaken x-ray training as required by hospitals trust.
  • Interprets a range of diagnostic tests and routine clinical procedures.
  • Makes critical judgements of the highest order to satisfy the expectations and demands of the job eg first contact with patients presenting acutely and manages care in the presence and absence of protocols.
  • Makes decisions where precedents do not exist, where appropriate without recourse to others e.g. direct referral of patients to Hospital Consultants without prior reference to other medical colleagues.
  • Advises and supports others where standard protocols do not apply.
  • Works within professional guidelines and codes of conduct.
  • Works within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning, risk management.
  • Extended and supplementary prescriber.

  Care and Programme Management

  • Develops and manages highly specialised programmes of care and care packages and provides highly specialised advice concerning care normally beyond the scope of normal Nursing practice eg establishes differential diagnoses, management/treatment plans and makes referrals as appropriate. Makes fast track referrals.
  • Communicates highly sensitive condition related information to patients, relatives and carers.
  • Initiates the process of diagnosis with patients suspected to have a chronic disease eg. diabetes, COPD, asthma, IHD referring to other clinical staff as appropriate.
  • Contribute to practice targets both local and national within the disease management agenda eg QOF, prescribing incentive scheme.
  • Contributes to disease registers.
  • Audits outcomes of care against standards and initiate changes as necessary.
  • Undertakes annual review of patients understanding and ability to self manage and medication reviews.
  • Refers to other members of the extended primary health care team as appropriate eg chiropodist, dietician, specialist Nurses.
  • To actively implement safeguarding protocols for children and vulnerable adults and to know who to refer to and how to escalate concerns about radicalisation.

  Strategic Development of Primary Care Services

  • Contributes to the strategic development of primary care and public health services to meet patient and population needs within the practice and across the wider organisation. Works/liaises across multi-professional and agency boundaries.
  • Works at the forefront of practice innovation. Determines how to deal with ambiguous or unique problems to develop and advance primary care services for the benefit of patients, carers and communities.
  • Recognition and involvement in the Grange Group Practice as a teaching unit and help drive the Nursing element of training, including trainee NPs.
  • Develop links within the CCG and other local and national bodies relevant to primary care Nursing initiatives.
  • Involvement in Grange Prime Health and Prime Health Huddersfield services and other ventures in conjunction with The Grange Group Practice.

  Health Improvement

  • Initiates and carries out programmes of health screening and ensures other team members are aware of health agendas and screening programmes.
  • Introduces innovation in practice to meet on going health need demands of the practice.
  • Works to introduce new developments that will improve health outcomes for patients and is able to demonstrate through written and presentation these developments i.e. Sexual Health agenda.
  • Shares innovation and new learning with others.
  • Supports practitioners in profiling the practice population in order to initiate contribute and promote improved health and prevent disease in individuals and groups.
  • Represents individuals and families interests when they are not able to do so themselves.
  • Makes referrals to statutory and voluntary agencies as appropriate.

  Please see full Job Description for further information.

  Person Specification

  Qualifications

  Essential

  • Registered first level nurse MSc or equivalent
  • Relevant nursing/health degree
  • Mentor/teaching qualification
  • Clinical supervision training and experience

  Desirable

  • Independent Prescribing qualification
  • Community nursing specialist qualification

  Experience

  Essential

  • 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

  • Project management
  • Working with community development initiatives
  • Health-needs assessment

  Knowledge

  Essential

  • Advanced clinical practice skills
  • Management of patients with long-term conditions
  • Management of patients with complex needs
  • Clinical examination skills
  • Accountability of own role and other roles in a nurse-led service
  • Local and national health policy
  • Wider health economy
  • Clinical governance issues in primary care
  • Patient group directions and associated policy

  Desirable

  • Knowledge of public health issues
  • Able to identify determinants on health in the area

  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 clinical setting
  • Resource management

  Other

  Essential

  • Commitment to reducing health inequalities and proactively working to reach people from all communities
  • Able to recognise personal limitations and refer to more appropriate colleague(s) when needed
  • Able to provide leadership and maintain effective working relationships and to promote collaborative practice with all colleagues
  • Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
  • Ability to work flexibly and enthusiastically within a team or on own initiative
  • Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes

  Person Specification

  Qualifications

  Essential

  • Registered first level nurse MSc or equivalent
  • Relevant nursing/health degree
  • Mentor/teaching qualification
  • Clinical supervision training and experience

  Desirable

  • Independent Prescribing qualification
  • Community nursing specialist qualification

  Experience

  Essential

  • 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

  • Project management
  • Working with community development initiatives
  • Health-needs assessment

  Knowledge

  Essential

  • Advanced clinical practice skills
  • Management of patients with long-term conditions
  • Management of patients with complex needs
  • Clinical examination skills
  • Accountability of own role and other roles in a nurse-led service
  • Local and national health policy
  • Wider health economy
  • Clinical governance issues in primary care
  • Patient group directions and associated policy

  Desirable

  • Knowledge of public health issues
  • Able to identify determinants on health in the area

  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 clinical setting
  • Resource management

  Other

  Essential

  • Commitment to reducing health inequalities and proactively working to reach people from all communities
  • Able to recognise personal limitations and refer to more appropriate colleague(s) when needed
  • Able to provide leadership and maintain effective working relationships and to promote collaborative practice with all colleagues
  • Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
  • Ability to work flexibly and enthusiastically within a team or on own initiative
  • Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes

  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).

  Additional information

  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

  Alliance for Better Care CIC

  Address

  Grayshott Surgery

  Boundary Road

  Grayshott

  Hindhead

  Surrey

  GU26 6TY

  
  

  Employer's website

  https://allianceforbettercare.org/ (Opens in a new tab)

  Employer details

  Employer name

  Alliance for Better Care CIC

  Address

  Grayshott Surgery

  Boundary Road

  Grayshott

  Hindhead

  Surrey

  GU26 6TY

  
  

  Employer's website

  https://allianceforbettercare.org/ (Opens in a new tab)

• About the company

  National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care.

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