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Nurse or Paramedic Practitioner / Advanced Clinical Practitioner

Employer
NHS England Apprenticeships
Location
Preston
Salary
Competitive salary
Closing date
31 May 2022

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Job Details

Job summary

North Preston Medical Practice

Urgent Care Practitioner (Suitable for Nurse Practitioner or Paramedic Prescriber) - Full-time

Based in the North of Preston with excellent transport links, Broadway surgery and Ingol Health Centre care for 11,000 registered patients and has a dedicated team of long-established clinicians.

We are looking for a further appropriately qualified paramedic prescriber / nurse practitioner to work alongside our three existing Urgent Care Practitioners, supporting our six GP partners, one retained GP, 4 practice nurses, a nursing associate and a healthcare assistant.

Working from our Ingol Health Centre and also doing a share of home visits, you will assess, diagnose and treat patients presenting with illness within your scope of practice. You'll work as part of our committed team, with support from our dedicated GP team who will provide clinical advice guidance and support when required.

Required Experience

- Post registration qualification to evidence autonomous clinical practice relevant to the role

- Experience of working within a multi-disciplinary team in an acute, Primary Care or Community setting - Understanding of patient management in Primary Care setting

Competitive salary & package for the right candidate.

Main duties of the job

You will work within our existing team of 3 Urgent Care Practitioners (all of whom are from paramedic backgrounds), 7 GPs, 4 Practice Nurses and 2 Nursing Associates. You will be supported by a dedicated and friendly non-clinical team, lead by the Practice Business Manager and Deputy Practice Manager.

We are a dedicated team and the chosen candidate will be working autonomously, though with full GP support where needed, to treat patients with acute medical problems. A prescribing qualification would be highly desirable although we are happy to support the right candidate in obtaining this.

About us

Operating from 2 sites in the North of Preston (Fulwood and Ingol), we care for over 11,000 patients.

We are an EMIS Web practice and our patient feedback is always very positive. We assist with the training of FY2, ST2 and ST3 doctors and we also host medical students from Manchester University.

Job description

Job responsibilities

Urgent Care Practitioner Job Description

The post holder is an experienced Nurse/Paramedic Practitioner 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. The post holder will need to prioritise and triage the needs of the patients accordingly, instigating appropriate investigations or referral to secondary care. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures.

Key responsibilities

Clinical practice

· Triage and treat patients wishing to see a health care professional making any necessary referrals to other members of the primary health care team.
  • 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 and seek appropriate advice from GP colleagues if necessary
  • Provide general and specific health screening and 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
  • In conjunction with the doctors, 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

Delivering a quality service
  • Recognise and work within own competence and professional code of conduct as regulated by the RGN / 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 for the surgery 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 apply legal issues that support the identification of vulnerable and abused children and adults, 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 required
  • Encourage the principles of clinical governance within the team in order to embed them within practice and help to maintain and drive high levels of personal and professional practice.
  • Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
  • Critically evaluate and review innovations and developments that are relevant to the area of work
  • Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services
  • Take a role in planning and implementing changes within the area of care and responsibility
  • Maintain effective communication with those responsible for the overall commissioning and procurement process
  • Maintain active involvement in the planning and processes of practice-based commissioning or similar initiatives
  • Market the role of the Urgent Care Practitioner in general practice

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
  • Ensure you undertake mandatory and statutory training requirements
  • Apply infection-control measures within the practice according to local and national guidelines
  • Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all
  • Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice

Learning and development
  • Training requirements will be monitored by yearly appraisal and will aim to support both the preferences of the individual and service requirements of the Practice. It is recognised that where further responsibilities are to be added to the role, full training will be provided
  • Develop and maintain a Personal Learning Plan through the assessment of own learning needs and undertake learning as appropriate ensuring PREP requirements are met
  • There is an expectation that the post holder will take personal responsibility to keep up to date with recent clinical practice and health developments at both a local and national level, utilising a variety of electronic and written resources, local and national guidance
  • 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)
  • Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning


Person Specification

Qualifications

Essential

  • Professional registration (RGN, NMC, HCPC)


Desirable

  • Evidence of continuing post registration development
  • Non-medical prescribing qualification, or willingness to undertake NMP qualification.


Experience

Essential

  • Experience of delivering patient care in an urgent care, primary care or community setting.
  • Experience of multi-disciplinary working
  • Minimum of 2 years post registration experience


Desirable

  • Good experience of delivering patient care in an urgent care primary care or community setting
  • Good experience of multi-disciplinary working


Skills & abilities

Essential

  • Excellent communication and interpersonal skills including emotional intelligence to in order to deal effectively with complex and sensitive patient information, distressed or aggressive patients, or those with an impaired level of understanding.
  • Ability to liaise and communicate effectively with all members of the multi-disciplinary team and other services.
  • Ability to perform holistic assessment, critically analyse complex patient information or situations
  • Able to use various forms of media and IT systems such as video calling and Skype.
  • Ability to critically analyse patient information or situations and make clinical judgements and decisions as to the best course of action
  • Ability to act independently within occupational guidelines
  • Skilled in clinical history taking


Desirable

  • Previous experience with telephone triage would be an advantage
  • Previous use of EMIS clinical system would be advantageous.


Knowledge

Essential

  • Broad understanding of managing patients in a primary care of emergency setting
  • Clear understanding of professional responsibility and accountability
  • Practical knowledge across a wide range of clinical conditions
  • Knowledge of current clinical evidence based practice
  • Understanding of equality and diversity issues in a healthcare delivery setting


Desirable

  • Knowledge and understanding of local health and social care pathways
  • Knowledge and understanding of clinical governance
  • Knowledge of current professional issues relating
  • to nursing and changes in the NHS related to Primary
  • Care
  • Specialist theoretical and practical knowledge across
  • a range of clinical conditions including all aspects of catheter care, palliative care, COPD management
  • Knowledge of local Care of the Dying Pathway


Other

Essential

  • Covid vaccination status in line with current NHS requirements
  • Car owner with a full clean driving license


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

North Preston Medical Practice

Address

Ingol Health Centre

87 Village Green Lane, Ingol

Preston

Lancashire

PR2 7DS

Employer's website

https://www.broadwaysurgery.nhs.uk/ (Opens in a new tab)

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