Advanced Nurse Practitioner

We are looking for a compassionate and experiencedAdvanced Nurse Practitioner to join our Home Visiting Service at Ashfield NorthPCN. This is a rewarding opportunity to make a real difference by providingtimely, high-quality care to patients who are unable to attend GP practicesettings across four practices in and around Sutton-in-Ashfield, serving apopulation of around 52,000.

In this role, you will assess, diagnose, and manage awide range of acute and chronic conditions through home visits and same-dayconsultations, delivering safe, effective, and person-centred care to those whoneed it most.

You will play an important part in supporting GPpractices by responding to triaged requests, helping to ease pressure onprimary care services and improving access for housebound and care home patients.The role also offers the chance to contribute to reducing avoidable hospitaladmissions and supporting proactive care for patients within frailty pathways.

As part of the Additional Roles Reimbursement Scheme(ARRS), you will be joining a wider multidisciplinary team across the PCN,working collaboratively to support integrated care and improve outcomes forpatients and communities.

You will work closely with GP practices, communityservices, and PCN colleagues, building strong working relationships whilemaintaining high standards of clinical practice, communication, and patientadvocacy in line with organisational and professional requirements.

Main duties of the job

• Act as anautonomous advanced practitioner working independently and in conjunction withother health care professionals to assess, diagnose and treat the conditions ofpatients.
• Avoidinginappropriate admissions and maintain patients in their home environments witha safe package of care and referral to other agencies as necessary, includingdirectly admitting patients to hospital when necessary.
• Respondingto GP triage for home visiting both in the patients home and in care homes.
• Provideevidence based professional advice to patients, carers and colleagues andensure the maintenance of clinical excellence and a proactive approach to care.
• To developand lead new and innovative concepts, models, methods and practices to delivernew and improved primary care services to meet the needs of the practicepopulation.

About us

PICS is the employer for this role. We collaborate with patients and partners to design and deliver clinically robust health and social care solution through Community Services, Out of Hospital Services, GP Practices, and Primary Care Networks. Find out more about us: http://picsnhs.org.uk/.

Benefits of working for PICS

We offer a comprehensive package which includes:

• NHS Pension 2015 Scheme (subject to eligibility)
• Alternative government-based scheme (subject to eligibility)
• Competitive leave entitlement that includes maternity, paternity and adoption leave, study leave allowance, and sickness provisions
• Access to education and training opportunities, depending on your role (CPPE Pharmacy, NHS England Roadmap for First Contact Practitioners, apprenticeship schemes, support professional development)
• Working in a multi-disciplinary team with support from a wide variety of professionals
• A flexible approach to a work-life balance
• Cycle to work scheme (subject to eligibility)
• Access to Blue Light Card scheme
• All staff events and conferences
• Free parking across many sites
• Personalised induction into the company and job role

Job responsibilities

• To act asan autonomous advanced practitioner working independently and in conjunctionwith other health care professionals to assess, diagnose and treat theconditions of patients.
• To avoidinappropriate admissions and maintain patients in their home environments witha safe package of care and referral to other agencies as necessary, includingdirectly admitting patients to hospital when necessary.
• To respondto GP triage for home visiting both in the patients home and in care homes.
• Provideevidence based professional advice to patients, carers and colleagues andensure the maintenance of clinical excellence and a proactive approach to care.
• To developand lead new and innovative concepts, models, methods and practices to delivernew and improved primary care services to meet the needs of the practicepopulation.
• To provideeducation and training to other staff and students.
• Toundertake research and audit as part of the role.

AdvancedClinical Practice

• The Advancedclinical Practitioner works autonomously and is accountable for ownprofessional actions.
• Undertakesclinical practice at an advanced level using expert knowledge and clinicalskills to deliver holistic care to people accessing primary health careservices.
• Utilisesthe four pillars of Advanced practice: clinical practice, leadership,facilitating learning and evidence, research and development.
• Assessesdiagnoses and treats patients in own home who require acute/none acute medicalattention and set up a package of care and/or refer to appropriate agencies ifappropriate
• Prescribesappropriate treatment in line with Local/National prescribing guidelinesaccording to assessment.
• Assessesdiagnoses and treats patients who require medical care
• TelephoneConsultations
• Referspatients to other medical specialities for assessment if deemed appropriate.
• Referspatients as appropriate to other members of the multidisciplinary team,secondary care and to other statutory and voluntary organisations includingreferral for further clinical investigations including but not limited to ECHO,ECG, Bloods, X-ray
• Ability tointerpret a range of diagnostic tests and routine clinical procedures.
• Makescritical judgements of the highest order to satisfy the expectations anddemands of the job e.g. first contact with patients presenting acutely andmanages care in the presence and absence of protocols.
• Makesdecisions where precedents do not exist, where appropriate without recourse toothers e.g. direct referral of patients to Hospital Consultants without priorreference to other medical colleagues.
• Advises andsupports others where standard protocols do not apply.
• Workswithin professional guidelines and codes of conduct.
• Workswithin all relevant practice policies and procedural guidelines e.g. infectioncontrol, chaperoning, risk management.
• Communicateshighly sensitive condition related information to patients, relatives and carers.
• Initiatesthe process of diagnosis with patients suspected to have a chronic disease eg:Diabetes, COPD, Asthma, IHD referring onto other clinical staff asappropriate.
• Auditsoutcomes of care against standards and initiate changes as necessary.
• Refers toother members of the extended primary health care team as appropriate.

ProfessionalDevelopment

• To beresponsible for maintaining own competency to practice through ContinuingProfessional Development activities and to participate in the review andappraisal process.
• To alwaysadhere to the individual Professional Code of Conduct and practice.
• To reflecton own practice individually and/or through regular clinical supervision.
• Toparticipate in any relevant training/course/conferences to maintain ownprofessional development
• Participatein the education, induction programmes and support meetings for other professionalstaff.
• Toparticipate in peer review, attend team meetings and periodically attendFederation meetings.
• Maintain upto date mandatory training records.
• Tomaintain, develop and disseminate specialist knowledge of evidence-basedpractice.
• Tocritically evaluate own work using evidence-based projects, audits and outcomemeasures.
• To workautonomously as a Home Visiting Practitioner within professional and PICSguidelines, policies and procedure

Job description

Job responsibilities

• To act asan autonomous advanced practitioner working independently and in conjunctionwith other health care professionals to assess, diagnose and treat theconditions of patients.
• To avoidinappropriate admissions and maintain patients in their home environments witha safe package of care and referral to other agencies as necessary, includingdirectly admitting patients to hospital when necessary.
• To respondto GP triage for home visiting both in the patients home and in care homes.
• Provideevidence based professional advice to patients, carers and colleagues andensure the maintenance of clinical excellence and a proactive approach to care.
• To developand lead new and innovative concepts, models, methods and practices to delivernew and improved primary care services to meet the needs of the practicepopulation.
• To provideeducation and training to other staff and students.
• Toundertake research and audit as part of the role.

AdvancedClinical Practice

• The Advancedclinical Practitioner works autonomously and is accountable for ownprofessional actions.
• Undertakesclinical practice at an advanced level using expert knowledge and clinicalskills to deliver holistic care to people accessing primary health careservices.
• Utilisesthe four pillars of Advanced practice: clinical practice, leadership,facilitating learning and evidence, research and development.
• Assessesdiagnoses and treats patients in own home who require acute/none acute medicalattention and set up a package of care and/or refer to appropriate agencies ifappropriate
• Prescribesappropriate treatment in line with Local/National prescribing guidelinesaccording to assessment.
• Assessesdiagnoses and treats patients who require medical care
• TelephoneConsultations
• Referspatients to other medical specialities for assessment if deemed appropriate.
• Referspatients as appropriate to other members of the multidisciplinary team,secondary care and to other statutory and voluntary organisations includingreferral for further clinical investigations including but not limited to ECHO,ECG, Bloods, X-ray
• Ability tointerpret a range of diagnostic tests and routine clinical procedures.
• Makescritical judgements of the highest order to satisfy the expectations anddemands of the job e.g. first contact with patients presenting acutely andmanages care in the presence and absence of protocols.
• Makesdecisions where precedents do not exist, where appropriate without recourse toothers e.g. direct referral of patients to Hospital Consultants without priorreference to other medical colleagues.
• Advises andsupports others where standard protocols do not apply.
• Workswithin professional guidelines and codes of conduct.
• Workswithin all relevant practice policies and procedural guidelines e.g. infectioncontrol, chaperoning, risk management.
• Communicateshighly sensitive condition related information to patients, relatives and carers.
• Initiatesthe process of diagnosis with patients suspected to have a chronic disease eg:Diabetes, COPD, Asthma, IHD referring onto other clinical staff asappropriate.
• Auditsoutcomes of care against standards and initiate changes as necessary.
• Refers toother members of the extended primary health care team as appropriate.

ProfessionalDevelopment

• To beresponsible for maintaining own competency to practice through ContinuingProfessional Development activities and to participate in the review andappraisal process.
• To alwaysadhere to the individual Professional Code of Conduct and practice.
• To reflecton own practice individually and/or through regular clinical supervision.
• Toparticipate in any relevant training/course/conferences to maintain ownprofessional development
• Participatein the education, induction programmes and support meetings for other professionalstaff.
• Toparticipate in peer review, attend team meetings and periodically attendFederation meetings.
• Maintain upto date mandatory training records.
• Tomaintain, develop and disseminate specialist knowledge of evidence-basedpractice.
• Tocritically evaluate own work using evidence-based projects, audits and outcomemeasures.
• To workautonomously as a Home Visiting Practitioner within professional and PICSguidelines, policies and procedure

Communicationand Relationship Skills

• Ensureclose liaison with Line Manager and Clinical Lead in communicating with regardsto clinical issues. Organise and attend regular MDT / Supervision
• Providesand receives highly complex, sensitive or contentious information andfrequently deals with situations which are hostile or emotive.
• Usesdeveloped communication, negotiation, conflict management skills which requireempathy, reassurance and persuasive skills where there can be significantbarriers to acceptance which need to be overcome.
• Regularlycommunicates service-related information to GPs, Practice Manager, Nursing andAdministrative staff, patients, relatives and carers.
• Makesoperational judgements, manages conflicting views and reconciles inter andintra professional differences of opinion.
• Builds andcommunicates therapeutic working relationships with a wide array of statutoryand voluntary organisations for the benefit of patient care and facilitatesgood working relationships.
• Developsand delivers presentations to large groups e.g. local and national conferences,clinical meetings, empowers staff to develop presentation skills to promotegood practice.

InformationResources

• To maintainaccurate and comprehensive documentation in line with legal, professional andorganisational requirements.
• Ensure allinformation regarding each patient related contact is recorded within SystmOnerecords.
• The natureof mobile working can sometimes lead to difficulties with IT/Telephone systems.There is a requirement that initiative is used in this circumstance to ensure aquality service is still provided.

ClinicalGovernance

• Identifyrisk issues that impact on the patients health or social are needs
• Takeappropriate action to the significance of the risk and consistent withprotection procedures, applying protection procedures, following lone workerprocedure
• Demonstrateeffective team working inclusive of all relevant professionals
• Report allaccidents / incidents, and all ill health, failings in equipment and / orenvironment to line managers.
• Contributetowards audit and data collection as required.

Person Specification

Experience

• Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Knowledge and skills

• Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Personal Qualities

• Please provide details for why you would be a great fit for this role and why you have decided to apply.

Qualifications

• Please provide details of your CPD, using examples where necessary.
• Please provide your registration number of your NMC professional registration.

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.

Depending on experienceUp to £57,528 pro rata depending on experience

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