Job description

Job responsibilities

Job Purpose:

The Advanced Nurse Practitioner (ANP)/Advanced Clinical Practitioner (ACP) has been assessed as competent in practice using their advanced clinical knowledge and skills. They work autonomously and part of a team to provide decisions in the assessment, diagnosis and treatment of patients.

ANPs/ACPs in primary care can develop close, long-term relationships with their patients and work in partnership with them to achieve optimum health. They are autonomous in making decisions based on assessment, diagnosis and interpretation of test results. They can independently prescribe appropriate medication, evaluate or refer to other specialists if necessary.

ANPs/ACPs are registered nurses with advanced education and clinical training including non- medical prescribing. They must meet the NMC requirements for advanced practice, which includes the 4 pillars clinical practice, leadership, education and research.

Key Responsibilities:

The following are the core responsibilities of the Advanced Nurse Practitioner/Advanced Clinical Practitioner. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

• Develop, implement and embed health promotion and wellbeing programmes
• Provide high-quality and advanced care for patients of all ages with a range of conditions, including acute and chronic illnesses. They perform physical exams, take medical histories, and order diagnostic tests. They also develop and implement care plans, prescribe medications, and manage ongoing care via face to face, video or telephone consultations.
• Make clinical decisions based on diagnostic results and adjust treatment plans as needed. They must demonstrate safe clinical decision-making and expert care. And work within own scope of practice.
• Work with physicians, specialists, and other healthcare professionals to provide patient-centered care. Provide clinical triage of patients to appropriate services and healthcare professionals.
• Educate patients and their families about healthy lifestyle choices, disease prevention and self-management techniques.
• Stay up to date with the latest evidence and standards of care through ongoing education and research.
• Mentor less experienced nurses and staff.
• Support the Practices future development and share the Practices values.
• Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice
• Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health
• Provide wound care where appropriate
• Provide specialist clinics such as contraception where appropriate
• Undertake the collection of pathological specimens
• Request pathology services as necessary
• Process and interpret pathology and other test results as required
• Maintain accurate clinical records in conjunction with extant legislation
• Ensure SNOMED CT codes are used effectively
• Be responsible for the implementation of an effective immunisation programme
• Chaperone patients where necessary
• Prioritise health issues and intervene appropriately
• Support the team in dealing with clinical emergencies
• Recognise, assess and refer patients presenting with mental health needs
• Be an extended and supplementary prescriber, adhering to extant guidance
• Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
• Contribute to practice targets (QOF, etc.), complying with local and regional guidance
• Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
• Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)
• Support the clinical team with all safeguarding matters in accordance with local and national policies
• Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriatelyProvide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
• Deliver opportunistic health promotion where appropriate

Secondary Key Responsibilities:

In addition to the primary responsibilities, the Advanced Nurse Practitioner/Advanced Clinical Practitioner may be requested to:

• Act as the audit lead, effectively utilising the audit cycle
• Act as the IPC lead for the practice, ensuring compliance, undertaking audit as necessary
• Monitor and ensure the safe storage, rotation and disposal of medicaments
• Participate in local initiatives to enhance service delivery and patient care
• Support and participate in shared learning within the organisation
• Continually review clinical practices, responding to national policies and initiatives where appropriate
• Participate in the review of significant and near-miss events applying a structured approach i.e., root cause analysis (RCA)
• Develop practice administrative and clinical protocols in line with the needs of the patient and current legislation

Note: The responsibilities of this role will normally include all duties described in this job description and any additional or different duties, which the employer may require from time to time.

Person Specification

Experience

Essential

• Experience of practice within the four pillars
• Job plan that demonstrates advanced nursing practice and has equity with peers working at this level
• Experience of prescribing and undertaking medication reviews
• Experience of working in a primary care environment
• Wound care/removal of sutures and staples
• Travel medicine
• Understand the importance of evidence-based practice
• Broad knowledge of clinical governance
• Knowledge of health promotion strategies
• Understand the requirement for PGDs and associated policy
• Evidence of continuing professional development (CPD) commensurate with the role of an ANP
• Clinical knowledge and skills including:
• ECGs
• Venepuncture
• New patient medicals
• Chaperone procedure
• Requesting and processing pathology tests
• Advising patients accordingly
• Diabetes
• Hypertension
• Asthma
• Spirometry
• CHD
• Immunisations (routine and childhood)
• Womens health (cervical cytology, contraception, etc.)

Desirable

• Experience of working as a practice nurse or community nurse
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena

Qualifications

Essential

• Registered Nurse with Nursing and Midwifery Council
• Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice or Post graduate diploma or degree for Advanced Practice Qualification up to December 2020
• Qualified Independent Nurse Prescriber on the NMC register
• Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
• Meets the standards for registered ANP working at advanced level
• Minor illness qualification

Desirable

• Qualified triage nurse
• Teaching qualification
• ALS and PALS

Skills and Abilities

Essential

• Ability to record accurate clinical notes
• Ability to work within own scope of practice and understand when to refer to GPs
• Polite and confident, flexible and cooperative
• Motivated, forward thinker
• Problem solver with the ability to process information accurately and effectively, interpreting data as required
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situations

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).

Employer details

Employer name

Norfolk Primary Care C.I.C.

Address

Millwood Surgery

Mill Lane

Bradwell

Great Yarmouth

Norfolk

NR31 8HS

United Kingdom

Employer's website

https://norfolkprimarycare.com/ (Opens in a new tab)

Job description

Job responsibilities

Main Clinical Responsibilities:

• To undertake a comprehensive holistic assessment, liaising and referring to other agencies and professionals as necessary.
• To use clinical examination and diagnostic skills, initiate investigation, prescribe care and treatment as appropriate.
• To facilitate and/or provide health promotion and education.
• To work collaboratively with other health professionals and agencies.
• To develop and maintain advanced nursing skills.
• To prescribe effectively from the non-medical nurse prescribers formulary in line with local and national prescribing formularies.

Education and Development:

• To support peer review and reflective practice.
• To formally and informally disseminate knowledge and skills to other staff.
• To proactively develop practice across boundaries.
• To undertake and participate in clinical supervision.
• To identify personal and professional development needs and implement action plans to meet those needs.
• To participate in agreed in-service training programmes.
• To contribute to identifying own training needs and those of nurses working at the Centre.
• To attend mandatory training annually.

Professional:

• To ensure all practice is in accordance with the NMC Code of Professional Conduct, Scope of Professional Practice, Standards in the Administration of Medicines, and Standards of Record Keeping.
• To maintain and develop advanced clinical skills.
• To identify areas of unsafe practice and areas of concern, initiating prompt and appropriate action.
• To respect the confidentiality of all matters learned as a result of employment in the NHS, including matters relating to other members of staff and the public/patients.
• To have a working knowledge of NPC policies and procedures.
• To attend meetings as required.

Quality:

The post-holder will strive to maintain quality within the Centre, and will:

• Alert other team members to issues of quality and risk.
• Assess own performance and take accountability for own actions, either directly or under supervision.
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance.
• Work effectively with individuals in other agencies to meet patients needs.
• Effectively manage own time, workload and resources in line with Health Centre Policy.

Person Specification

Experience

Essential

• Minimum of 3 years post registration experience.
• Experience of working autonomously and as part of team at primary care.
• Experience in management minor illness and minor injury at primary care.
• Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence all aspects of the ANP/NP/paramedic clinical practitioner role.
• Understanding of evidence-based practice.

Desirable

• Experience of in urgent care setting.
• Experience with Paediatric examination.
• Teaching /Mentoring experience or qualification.
• Experience of using SystmOne.

Qualifications

Essential

• Registered general Nurse degree /Paramedic BSC or degree or equivalent level 1 degree.
• NMC registration Nurse or HCPC paramedic.
• Non-medical prescribing course level 6/7.

Desirable

• MSC level 7 advanced professional practice.
• Paediatric /Adult ALS/ILS.
• Qualification for minor illness /minor injury course of level 7.

Skills & Abilities

Essential

• Ability to perform clinical examination, make a diagnosis, prescribing medication, and treatment plan for patient with minor illness or minor injury.
• Ability to identify and manage emergency or acute presentations.
• Ability to assess and manage patient risk effectively and safely.
• Excellent interpersonal, verbal and written communication skills.
• Time management and ability priority workload.
• Reflective practitioner.
• Proven experience in professionally autonomous decision making and accountability.

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).

Employer details

Employer name

Norfolk Primary Care C.I.C.

Address

Norwich Walk-In Centre

Rouen House

Rouen Road

Norwich

Norfolk

NR1 1RB

United Kingdom

Employer's website

https://norfolkprimarycare.com/ (Opens in a new tab)

Job description

Job responsibilities

• Provide high-quality, patient-centred primary care consultations.
• Undertake face-to-face and telephone consultations.
• Assess, diagnose and manage acute and long-term conditions.
• Prescribe safely and in accordance with local prescribing guidance.
• Review and sign repeat prescriptions.
• Make referrals to secondary care and community services.
• Support patients with complex physical, mental health and social needs.
• Work collaboratively with the multidisciplinary team to deliver coordinated care.
• Maintain accurate and contemporaneous clinical records using SystmOne.
• Maintain professional registration, appraisal, revalidation and mandatory training requirements.

Person Specification

Qualifications

Essential

• Fully qualified General Practitioner with current GMC registration and licence to practise.
• Included on the NHS England GP Performers List.

Skills & Abilities

Essential

• Compassionate and non-judgemental approach.
• Excellent interpersonal skills.
• Resilient and calm under pressure.
• Committed to equality, diversity and inclusion.
• Passionate about improving healthcare for vulnerable adults.
• Excellent communication and consultation skills.
• Ability to work independently and as part of a multidisciplinary team.
• Commitment to delivering high-quality, person-centred care.

Experience

Essential

• Understanding of safeguarding adults and information governance.
• Experience using SystmOne.

Desirable

• Experience working with vulnerable or socially excluded populations.
• Experience in homelessness, inclusion health, prison healthcare or substance misuse services.
• Experience managing complex mental health and physical health presentations.
• Knowledge of local community and voluntary sector services.
• Experience of multidisciplinary working.
• Interest in population health, health inequalities or inclusion medicine.

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).

Employer details

Employer name

Norfolk Primary Care C.I.C.

Address

Vulnerable Adult Service

Under One Roof

100-102 Westwick Street

Norwich

Norfolk

NR2 4SZ

United Kingdom

Employer's website

https://norfolkprimarycare.com/ (Opens in a new tab)

Job description

Job responsibilities

• Welcome patients, visitors and professionals in a friendly and professional manner.
• Manage appointments and maintain an efficient appointment system.
• Answer telephone calls, respond to enquiries and direct calls appropriately.
• Register new patients and update patient records accurately.
• Process clinical correspondence, electronic tasks and administrative requests.
• Support clinicians and support workers with administrative duties.
• Liaise with prescription, scanning and clinical teams to resolve patient queries.
• Maintain accurate electronic patient records and ensure confidentiality at all times.
• Assist with clinic administration and the day-to-day running of reception.
• Comply with data protection, confidentiality and safeguarding requirements.
• Work collaboratively with colleagues to provide a high-quality service.

Note: The responsibilities of this role will normally include all duties described in this job description and any additional or different duties, which the employer may require from time to time.

Person Specification

Skills & Abilities

Essential

• Excellent customer service and communication skills.
• Strong organisational skills and the ability to prioritise workload.
• Good IT skills, including Microsoft Office and email.
• Ability to remain calm and professional in a busy environment.
• High level of accuracy and attention to detail.
• Compassionate and approachable.
• Reliable and professional.
• Excellent interpersonal skills.
• Good problem-solving skills.
• Committed to equality, diversity and inclusion.

Experience

Essential

• Experience working in a reception, customer service or administrative role.
• Understanding of confidentiality and data protection.

Desirable

• Any of the following would be advantageous, but training will be provided:
• Previous NHS, GP practice or healthcare reception experience.
• Experience using SystmOne.
• Experience supporting vulnerable adults or working within health or social care.
• Knowledge of NHS services and patient pathways.
• Experience working with external agencies and partner organisations

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.

Employer details

Employer name

Norfolk Primary Care C.I.C.

Address

Vulnerable Adult Service

Under One Roof

100-102 Westwick Street

Norwich

Norwich

NR2 4SZ

United Kingdom

Employer's website

https://norfolkprimarycare.com/ (Opens in a new tab)

Job description

Job responsibilities

Job Purpose:

• Through excellent project management skills, ensure that Lung Cancer Screening projects are well organised and rigorously delivered at pace.
• Lead on the implementation of the Lung Cancer Screening programme within Norfolk and West Suffolk by supporting and informing the targeting of resources, monitoring, implementation and evaluation of the tasks by providing high quality support including complex information and analysis, communications and stakeholder management.
• The outcomes of the Lung Cancer Screening are key to further programme delivery, which will include establishing the Lung Cancer Screening pathway, which will run seamlessly from community to secondary care safety netting patients for follow up, it will include a robust diagnostic pathway establishing access to low dose CT.
• Ensure accurate and open communication and co-ordination with a range of organisations and individuals, researching and drafting correspondence and papers and ensuring the management of specific tasks, lead reporting and analysis across a range of specialties, functions and projects.
• Required to maintain constructive relationships with a broad range of internal and external stakeholders.
• Participate in relevant internal and external working groups/projects, services, and initiatives which may be highly complex, sensitive, political, and contain contentious information with the aim of providing information and analytical advice to the teams.
• Exercise autonomy in proposing and progressing service change.
• Support the establishment and development of robust commissioning processes, working with providers that will ensure the delivery of high quality, accessible and cost-effective services to meet the diverse needs of the population and which contribute to the delivery of the key targets and priorities.

Key Responsibilities:

• The Lung Cancer Screening Senior Project Manager will provide system wide programme leadership to support the successful delivery of the NHS Lung Cancer Screening Programme across Norfolk and West Suffolk. Working closely with the Norfolk and Suffolk ICB, Cancer Alliance, acute providers, primary care, community services and independent providers, the post holder will coordinate the implementation of national policy into a single, coherent local programme.
• The role will lead programme planning and delivery, develop and monitor implementation plans and trajectories, oversee governance and performance reporting, manage risks and issues, and support the development of robust diagnostic pathways and equitable population rollout. The post holder will support local transformation projects and work with commissioners and providers to secure value for money while improving service quality and patient outcomes. Using data and analysis to inform decision making, the post holder will provide assurance against national milestones, support financial oversight, and build effective relationships across partner organisations to deliver high quality, patient centred services. The role will also promote continuous improvement, innovation and the sharing of learning across the system.

Please see attached full Job Description.

Person Specification

Skills and Abilities

Essential

• Must be able to use initiative to decide relevant actions and make recommendations with the aim of improving deliverables and compliance to policies.
• Ability to make decisions autonomously, when required, on difficult issues, working to tight and often changing timescales.
• Commitment to and focused on quality, promotes high standards in all they do.
• Able to make a connection between their work and the benefit to patients and the public.
• Consistently thinks about how their work can help and support clinicians and frontline staff deliver better outcomes for patients.
• Values diversity and difference, operates with integrity and openness
• Works well with others, is positive and helpful, listens, involves, respects and learns from the contribution of others.
• Consistently looks to improve what they do, look for successful tried and tested ways of working, and seeks out innovation.
• Actively develops themselves and supports others to do the same.
• Needs to have a thorough understanding of and commitment to equality of opportunity and good working relationships both in terms of day-to-day working practices, but also in relation to management systems.
• Used to working in a busy environment.
• Adaptability, flexibility and ability to cope with uncertainty and change.
• Willing to engage with and learn from peers, other professionals and colleagues in the desire to provide or support the most appropriate interventions.
• Professional calm and efficient manner.
• Demonstrates a strong desire to improve performance and make a difference by focusing on goals.
• Completer/Finisher.

Qualifications

Essential

• Educated to masters level or equivalent of experience of working at a senior level in specialist area

Experience

Essential

• Extensive knowledge of specialist area, acquired through post-graduate diploma or equivalent experience or training plus further specialist knowledge or experience to masters
• level equivalent.
• Evidence of post qualifying and continuing professional development.
• Must have an understanding of the background to and aims of current healthcare policy and appreciate the implications of this on engagement.
• Should have an appreciation of the relationship between the Department of Health and individual provider and commissioning organisations
• Experience of identifying and interpreting national policy.

Desirable

• Comprehensive experience of project principles techniques and tools such as Prince 2 and Managing Successful Projects.
• Experience of researching best practice interpreting its relevance and processes/ practices which could be implemented successfully to achieve system reform (advising on policy implementation).

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.

Employer details

Employer name

Norfolk Primary Care C.I.C.

Address

3rd Floor, Reed House

Peachman Way

Broadland Business Park

Norwich

NR7 0WF

United Kingdom

Employer's website

https://norfolkprimarycare.com/ (Opens in a new tab)