Advanced Nurse Practitioner - Havering Health - North PCN

Advanced Nurse Practitioner - Havering Health - North PCN The post holderwill demonstrate courageous and critical thinking and is a caring,compassionate and committed experienced nurse who, acting within theirprofessional boundaries, will provide care for the presenting patient frominitial history taking, clinical assessment, diagnosis, treatment andevaluation of care. They will demonstrate safe, competent clinicaldecision-making and expert care, including assessment and diagnostic skills,for patients within the general practice.

The post holderwill commit to demonstrating critical thinking in the safe clinicaldecision-making process. They will communicate and work collaboratively withthe general practice team to meet the needs of patients, supporting thedelivery of policy and procedures, and providing nurse leadership as required.

Main duties of the job Independently 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 andpsychological perspective and plan clinical care accordingly.Proactively identify, diagnose and manage treatment plans for patientsat risk of developing a long-term condition (as appropriate)Diagnose and manage both acute and chronic conditions, integrating bothdrug- and nondrug-based methods into a management plan

Prescribe and review medication for therapeutic effectiveness,appropriate to patient needs and within scope of practice

Provide information and advice on prescribed or over-the-countermedication on medication regimens, side-effects and interactions.

Support patients to adopt health promotion strategies that promotehealthy lifestyles, and apply principles of self-care.

Support and manage health needs of women presenting for family planning,cervical cytology or sexual health consultation.

Assess, identify and refer patients presenting with mental health needsin accordance with the NSF for Mental Health.

Implement and participate in vaccination and immunisation programmes forboth adults and children.

Meet the needs of patients presenting for opportunistic wound care.

Undertake minor surgery asappropriate to competence.

About us HaveringHealth is a membership organisation, and our remit is to deliver services onbehalf of our Practices, PCNs and Partners. With them, we share theresponsibility for delivering high quality, patient-focused services at scalefor our communities. Working in this way, we are able to maximise the opportunity of deliveringflexible care as close to our community as possible as well as developing newservices and responding to needs at speed and with impact.

Havering Primary Care Networks (PCNs) aregroups of GP practices that have come together to work more closely together toimprove the quality of care for patients in Havering. The ARRS staff provide a valuable resource and additional services to thePCNs and Practices in supporting the delivery of high-quality and integratedcare to patients across Havering. This staff group supports the otherhard-working staff in general practice.

Job responsibilities Role Summary:

• The post holder as part of the PCN GP Multidisciplinary (MDT team), will be an experienced Advanced Nurse Practitioner who, acting within their professional boundaries and will utilise a range of advanced skills and expert knowledge for patients presenting with undifferentiated and undiagnosed conditions. The post holder will demonstrate critical thinking in the clinical decision-making process.
• The role will involve working closely with Lead Clinicians, care staff and pharmacists on the development and updating of personalised care and support plans and repeat medication. The Advanced Clinical Practitioner will be skilled in recognition and management of emergencies and minor illness that commonly present in primary care .

Primary Responsibilities:

Clinical Practice:

• 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, 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 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 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 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 health needs of women presenting for family planning, cervical cytology or sexual health consultation
• Assess, identify, and refer patients presenting with mental health needs in accordance with the NSF for Mental Health
• Implement and participate in vaccination and immunisation programmes for both adults and children
• Advise, support, and administer vaccinations for patients travelling abroad, where appropriate
• Promote and deliver evidence-based care for patients presenting with aural conditions
• Meet the needs of patients presenting for opportunistic wound care
• Undertake minor surgery as appropriate to competence

Communication:

• 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

Delivering a quality service:

• Recognise and work within own competence and professional code of conduct as regulated by the NMC
• Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies, and procedures
• 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
• 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
• Working with the practice management monitor and develop the performance of the GPN team in accordance with local policies

Leadership 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 priority
• Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model
• Support staff development in order to maximise potential
• Work 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 processes
• Contribute to the development of local guidelines, protocols and standards
• 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

Management of Risk:

• 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 controlled drug usage according to legal requirements where appropriate

Managing Information:

• Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information
• Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes
• Understand responsibility of self and others to the practice and primary care trust regarding the Freedom of Information Act
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