Advanced Nurse Practitioner/Advanced Clinical Prescribing Practitioner

Advanced Nurse Practitioner/Advanced Clinical Prescribing Practitioner We are looking for an Advanced Clinical Prescribing Practitioner to add to our urgent care team. The successful candidate will be working alongside our ANPs, ACP and AHPs to provide urgent care to our population for 37,000 patients. The team will be led by a GP on site, and supported by the wider team across Hamble Valley Health.

Main duties of the job Duties will include telephone and face to face assessments of patients who have been signposted to an appointment at the Urgent Care Centre by our clinical team. You will work as part of a larger team, supported by a GP lead.

About us BlackthornHealth Centre and Hedge End Medical Centre have merged and are now known asHamble Valley Health.

Ourlist size is over 37000, and our patients are mainly concentrated in Hamble,Bursledon, Hedge End and Botley. Our aim is to provide high quality, accessiblemedical care to our patients, whilst maintaining a supportive and pleasantworking environment for clinicians and staff.

Weare part of Hampshire and Isle of Wight ICB, and offer General Medical Servicesto our patients.

Weare a training practice, and take registrar doctors and also teach medicalstudents from Southampton School of Medicine.

The practice has eight Partners.The current Partnership team is Dr Tomson, Dr Harris, Dr Cropley, Dr Graham, DrSonpal, Dr Shahsavanspour, Dr Yates and Dr McKenzie.

We employ fourteen salaried GPs,five Advanced Nurse Practitioners, a First Contact Prescribing Paramedic, threeVisiting Paramedics, a Nursing team of fifteen, and a reception/admin team of seventy.

The practice uses Emis as aclinical system. We are paper light, so scan all incoming correspondence ontopatients medical records.

Job responsibilities Main Purpose: To be responsible for independently leading and managing practice, using an advanced level of professional accountability, autonomy and judgement for highly complex decision-making across a broad range of situations/conditions.

To work autonomously, but as part of the Duty Team, using advanced knowledge and skills, underpinned by theory and experience, to holistically assess the identified patient caseload, using a range of methods across a broad range of, often complex, patient conditions.

To plan and manage complete episodes of care, working in partnership with others, delegating and referring as appropriate, to optimise health outcomes and resource use, as well as providing direct support to patients and carers.

To promote the proposal and implementation of service and policy development and redesign, impacting beyond own area and other disciplines, informed by current best practice and evidence-base, in accordance with values-based care.

The post holder is expected to be able to:

Hold sole responsibility for a range of duties, relevant to post

• Works unsupervised, clinically examining and assessing patients and initiating any appropriate action.
• Make independent, autonomous clinical decisions relating to patient condition and treatment / care. May require minimal support and will be expected to obtain support from GPs to make decisions, which may be outside their scope of clinical knowledge.
• Exercise significant discretion in the delivery of this role, being guided by policies and procedures and implementing appropriate action in order to achieve expected results. Proposes and implements appropriate changes to policy / service provision as consequence of interpretation of local and/or national guidance/research findings.

Key Working Relationships: Working daily as part of the Duty Team, having own list of patients to assess and treat, but also assisting, where time allows, with Critical Care list and any emergencies that arise.

Working with the Econsult administrators to ensure clinical and patient management is safe and time efficient.

Working with the Reception team to ensure clinical and patient management is safe and time efficient.

Key responsibilities (General Duties):

Responsibility for patient care, communication, planning, organisation, analysis, freedom to act, research and service development

Advanced clinical practice / direct patient care

• Takes responsibility for providing care and treatment in line with current evidence base, at an advanced clinical practice level, demonstrating the ability to make critical judgements and problem-solving, regarding patient pathways, on a daily basis, for a distinct caseload of patients.
• Initiates and carries out highly complex patient assessment, analyses and interprets results, using highly developed advanced knowledge and skills that includes: Comprehensive patient history and health assessment, physical examination, clinical measurements using advanced clinical skills, detailed medicines history, undertaking and interpreting range of tests / investigations.
• If legally authorised and in accordance with Trust regulations, independently prescribes a range of medications, as agreed with the Partners, based on efficacy, safety and cost.
• Discusses and agrees assessment outcomes with patients, carers and other health professionals, to enable them to make informed decisions regarding treatment and care, and initiates appropriate, timely consultation and/or referral, when more expert input is required
• Rapidly and continuously evaluates patients changing condition and response to therapeutic interventions and modifies plan of care for optimal patient outcome

Communication and relationships

• Establishes and maintains excellent communication, with individuals/ groups, providing and receiving highly complex, sensitive and/or contentious information and exploring complex issues across a wide range of care options and decisions
• Uses highly developed communication skills to provide guidance, advice and support to the patient/carer regarding management of their health/illness condition and its impact on patients/carers life
• Communicates complex, very sensitive, sometimes distressing information to patient/carer using empathy and reassurance; identifies and overcome barriers to understanding as appropriate
• Provides verbal and written information to patient, to enable them to give informed consent for treatment and obtains written consent for specified procedures, using highly developed specialist knowledge
• Establishes supportive partnerships with patients/carers and communicates with them, sometimes in highly distressing or emotional circumstances, which may involve imparting bad news
• In all aspects of work, challenges and demonstrates an ability to work autonomously across organisational and professional boundaries
• Establishes and maintains local and regional network of contacts sharing good practice, innovative ideas, promotes developments.

Leadership and management

• Acts as a visible advanced practice role model by demonstrating high standards of care having both advisory and clinical input into care and treatment.
• Acts in such a way as to be a credible, effective leader, demonstrating values-based clinical leadership, on a daily basis.
• Uses their professional judgement in leading on and managing complex and unpredictable care events and captures learning from these experiences to improve patient care and service delivery.
• Formulates, develops, implements, monitors and evaluates policies/guidelines, relevant to caseload of patients.
• Leads on, plans and manages own workload and workload of the service, in a flexible manner, ensuring service provision meets needs of patients.
• Assesses risks to health, safety and security using the results to take appropriate action and to promote and improve practice.
• Contributes to the Practice governance process, including adverse incident and complaints reporting and investigation.
• Supports the introduction and maintenance of quality and safety systems and processes within own area and monitors quality of own and others practice and participates in continuous quality improvement, using current evidence, making adjustments as required

Education /Professional

• Actively engages in continuous professional development in line with advanced clinical practice role and service development, maintains a suitable CPD record and ensures adheres to revalidation requirements
• Develops and delivers relevant specialist teaching for all disciplines and levels of staff, patient and carer groups within Trust, in relation to own area of expertise. This will include development of links with other organisations.
• Uses high-level communication skills and contributes to wider development of those working in their area of practice by disseminating best practice, regionally, nationally and Internationally.
• Generates and applies new knowledge to own and others practice.

Evaluation and research

• Initiates, facilitates and leads change at individual, team, Practice levels, in order to improve practice and health outcomes, consistent with national and international standards.
• Continually evaluates and audits practice at individual and systems levels, selecting and applying valid and reliable approaches and methods, appropriate to needs and context, and acts on findings.
• Frequently critically appraises and synthesises outcomes of relevant research and evaluations, and applies them to improve practice.
• Regularly involved in the initiation and implementation of research and clinical audit activities in own area and takes action . click apply for full job details