Advanced Nurse/Clinical Practitioner, Unsworth Group Practice, Bolton

We are looking for a clinician qualified in Advanced Practice (ANP or ACP) to MSc level, to join our friendly, supportive GP Practice. This position has a salary of Band 8.

Ideal candidate would be Advanced Practitioner with independent prescribing, 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, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within general practice. They will work collaboratively with the GP and Nursing team to meet the clinical needs of patients and sustain the strong ethos of the Practice.

Main duties of the job

The successful candidate would be an experienced clinician with independent prescribing status 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, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the GP and Nursing team to meet the clinical needs of patients and sustain the strong ethos of the Practice.

About us

GP practice with 20,500 patients over two sites (large practice with a small team ethos).

Two longstanding ANPs already in post.

MDT also includes GPs, 7 Nurses, 2 Phlebotomists, 4 Practice Pharmacists, MSK practitioner, Mental health Practitioner, Physician Associate, Social prescribers, and a visiting Paramedic.

Highly trained admin team with to streamline volume of workflow for clinicians.

Large pharmacy team which has reduced workload.

Training practice with an embedded culture of continual learning and teaching and dedicated supervising doctor.

Daily catch up over coffee at 11.30am.

Whole team meetings every Monday at 1.30pm (with cake).

SystemOne TPP Practice, embraced use of AccuRx. Mix of face to face and telephone/ video appointments.

Monthly joint clinical teaching session with GPs / ANPs/ PA.

CQC good in all areas.

Hours and work pattern can be flexible.

Sociable team who enjoy meeting outside of work to maintain well-being and positive working relationships.

Job description

Job responsibilities

Job description

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
  • Participate in vaccination and immunisation programmes for both adults and children
  • Advise, support and administer vaccinations for patients travelling abroad, where appropriateCommunication
  • 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 (eg 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 NMC.
  • 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 (eg 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
  • Monitor and develop the performance of the GPN team in accordance with local policies
  • Approve the performance of the team, providing feedback as appropriate
  • Understand and be aware of statutory child/vulnerable patients health procedures and local guidance
  • 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 & Management personal and people development
  • Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode
  • 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
  • Contribute to the development of local guidelines, protocols and standards
  • Maintain active involvement in the planning and processes of enhanced servicesTeam working
  • Understand own role and scope and identify how this may develop over time
  • Prioritise own workload and ensure effective time-management strategies are embedded
  • Work effectively with others to clearly define values, direction and policies impacting upon care delivery
  • 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 Manager and GP partners
  • Agree plans and outcomes by which to measure successManaging 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 coding in order to ensure easy and accurate information retrieval for monitoring and audit processes
  • Manage information searches using the internet and local library databases
  • Understand responsibility of trust regarding Information GovernanceLearning and development
  • Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences)
  • Assess own learning needs and undertake learning as appropriateEquality and diversity
  • Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity
  • Enable others to promote equality and diversity in a non-discriminatory culture
  • Support people who need assistance in exercising their rights
  • Monitor and evaluate adherence to local chaperoning policies
  • Act as a role model in the observance of equality and diversity good practice

Person Specification

Experience

Essential

  • Experience within Primary Care

Desirable

  • Experience of working in a GP practice

Qualifications

Essential

  • Advanced Practice – preferable within primary care environment

Desirable

  • Non-Medical Prescriber

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).

For more information about this job vacancy please contact Steph Moore, Business & Governance Manager, Stephanie.moore6@nhs.net, 01942812525.

Connect with Unsworth Group Practice on Workforce Connect

Unsworth Group Practice, Peter House, Captain Lees Road, Bolton, Lancashire, BL5 3UB (view map). For more information about the practice please visit https://www.unsworthgroup.com/.

Closing date: 30/04/2023Job type: PermanentJob location: BoltonEmployer: Unsworth Group PracticeSalary: Depending on experienceAfC pay band: Band 8a