Advanced Clinical Nurse Practitioner

We are looking for an Advanced Clinical Nurse Practitioner to join our Synergy PCN based in Uxbridge.The post holder will demonstrate courageous and critical thinking and is a caring, compassionate and committed experienced nurse who, 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, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice.The post holder will commit to demonstrating critical thinking in the safe clinical decision-making process. They will communicate and 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.Main duties of the job

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosisClinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordinglyAssess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs 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 planPrescribe 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 practiceWork with patients in order 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 interactionsPrioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency careAbout us

The Confederation, Hillingdon CIC works withGeneral Practice and other healthcare providers to deliver its vision forHillingdon to deliver the best primary care outcomes for patients in the wholeof London. We are a not for profit community interest company. TheConfederation works to develop and support individual GP practices, PCNs andNeighbourhoods and their changing needs. We deliver excellent clinicalservices ourselves both at scale and complementary to General Practice.We are the provider representative voice for local General Practice into thewider NHS and other Partners. We are of the NHS but independent,innovative and transformational.The Confederation determines to develop as anattractive place to work, providing rewarding roles and opportunities to growin order to attract and retain great staff that in turn delivers our vision.Our Values:We work together to make a difference for patientsWe care enough to go the extra mileWe support, trust, and empowerWe sincerely value each otherWe support Primary Care to own its destinyJob responsibilities

Clinical Practice:Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosisClinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordinglyAssess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needsProactively 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 planPrescribe 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 practiceWork with patients in order to support compliance with and adherence to prescribed treatmentsProvide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactionsPrioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergencysituations, including initiation of effective emergency careSupport patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-careSupport and manage health needs of women presenting for family planning, cervical cytology or sexual health consultationAssess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental HealthImplement and participate in vaccination and immunisation programmes for both adults and childrenAdvise, support and administer vaccinations for patients travelling abroad, where appropriatePromote and deliver evidence-based care for patients presenting with aural conditionsMeet the needs of patients presenting for opportunistic wound careUndertake minor surgery as appropriate to competenceCommunication:Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatmentCommunicate with and support patients who are receiving bad newsCommunicate 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 communicatingAnticipate barriers to communication and take action to improve communicationMaintain effective communication within the practice environment and with external stakeholdersAct as an advocate for patients and colleaguesEnsure 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 appropriateDelivering a Quality Service:Recognise and work within own competence and professional code of conduct as regulated by the NMCProduce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and proceduresPrioritise, organise and manage own workload in a manner that maintains and promotes qualityDeliver care according to NSF, NICE guidelines and evidence-based careAssess effectiveness of care delivery through self and peer review, benchmarking and formal evaluationInitiate and participate in the maintenance of quality governance systems and processes across the organisation and its activitiesUtilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where requiredIn partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriateEvaluate patients response to health care provision and the effectiveness of careSupport and participate in shared learning across the practice and wider organisationUse a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss eventsAssess the impact of policy implementation on care deliveryWorking with the practice management monitor and develop the performance of the GPN team in accordance with local policiesContribute to the appraisal of the performance of the team, providing feedback as appropriateUnderstand 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 guidanceWorking 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 requiredLeadership Personal and People Development:Act as a clinical leader in the delivery of practice nursing services ensuring that the needs of the patient are a priorityTake responsibility for own learning and performance including participating in clinical supervision and acting as a positive role modelSupport staff development in order to maximise potentialActively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practiceEncourage 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 servicesCritically evaluate and review innovations and developments that are relevant to the area of workEnlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of servicesWork with practice management to ensure 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 processesContribute to the development of local guidelines, protocols and standardsMaintain effective communication with those responsible for the overall commissioning and procurement processMaintain active involvement in the planning and processes of practice-based commissioning or similar initiativesPromote the role of the advanced nurse practitioner in general practiceTeam Working:Understand own role and scope and identify how this may develop over timeWork as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of workingDelegate clearly and appropriately, adopting the principles of safe practice and assessment of competenceCreate clear referral mechanisms to meet patient needPrioritise own workload and ensure effective time-management strategies are embedded within the culture of the teamWork effectively with others to clearly define values, direction and policies impacting upon care deliveryDiscuss, highlight and work with the team to create opportunities to improve patient careManage and lead on the delivery of specifically identified services or projects as agreed with the practice management teamAgree plans and outcomes by which to measure successManagement of Risk:Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patientsMonitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelinesEnsure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriateWorking with the practice management, ensure the nursing team has access to and undertakes mandatory and statutory training requirementsApply infection-control measures within the practice according to local and national guidelinesAdvocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for allInterpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practiceManaging Information:Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating informationReview and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processesManage information searches using the internet and local library databasesUnderstand responsibility of self and others to the practice and primary care trust regarding the Freedom of Information ActCollate, analyse and present clinical data and information to the teamCommunicate essential financial restraints with the team and discuss with them ideas for effective and efficient working within these constraintsManage, if agreed, the nursing budget within financial principlesLearning and Development:Undertake mentorship for more junior staff, assessing competence against set standardsDisseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences)Assess own learning needs and undertake learning as appropriateProvide an educational role to patients, carers, families and colleagues in an environment that facilitates learningPerson Specification

Experience

Clinical leadership skillsCommunication skills, both written and verbalCommunication of difficult messages to patients and familiesNegotiation and conflict management skillsChange managementTeaching and mentorship clinical settingResource managementAdvanced clinical practice skills Management of patients with long-term conditionsManagement of patients with complex needsClinical examination skillsAccountability of own role and other roles in a nurse-led serviceLocal and national health policyClinical governance issues in primary carePatient group directions and associated policyRecent primary and community nursing experienceNurse-led management of minor illness, minor ailments and injuriesNurse-led triageCompiling protocols and clinical guidelinesAuditResearchNurse prescribingKnowledge of public health issuesAble to identify determinants on health in the areaKnowledge of public health issues in the areaProject managementWorking with community development initiativesHealth-needs assessmentQualifications

Professional registration with NMCRegistered first level nurse MSc or equivalentClinical supervision training and experienceCommunity nursing specialist qualificationDisclosure 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.£56,000 to £64,000 a yearDependent on ..... full job details .....