Job Description Job Title: Job Location: Responsible to: Hours of work: Salary: Nurse Practitioner (NP) Wilson Health Centre, Cranmer Road, Mitcham, Surrey, CR4 4TP Practice Manager / Clinical Manager (Clinical Matters) As agreed Very competitive available on request JOB SUMMARY To provide high quality, person-centred, holistic nursing care to patients registered with or seeking care at Concordia Health practices, including screening, assessment and treatment To see patients at first contact for undifferentiated problems and for follow-up, managing their presenting symptoms, minor self-limiting conditions and long-term conditions, and deal with their physical, psychological and social problems To promote and facilitate a healthy lifestyle and to provide preventative health care and health education Main Duties and Responsibilities Professional To adhere to the Nursing and Midwifery Council (NMC) Code of Professional Conduct and to be conversant with The Scope of Professional Practice and other NMC advisory papers To maintain clinical competence and exercise awareness of professional responsibilities by reading current relevant literature and by taking opportunities for personal and professional development in accordance with Post-Registration Education and Practice requirements and the changing requirements of Concordia Health and the National Health Service To use evidence-based practice to develop and maintain high quality clinically effective and cost-effective primary care To participate in and provide clinical supervision as required To participate in research within the practice, as appropriate Clinical To assess and diagnose across a wide range of primary health care conditions, order investigations, plan and provide treatment as needed and discharge patients without reference to a doctor To assess, tolerate and manage risk and deal with uncertainty To prescribe in accordance with regulations and with the post holders training and registration
To initiate appropriate and timely consultation and/or referral when a presenting condition exceeds the nurse practitioner s scope of practice and/or expertise To liaise with a doctor about patients with complex problems who need the expertise of a general practitioner To provide, develop and evaluate health promotion and disease prevention services to patients, including those who are healthy and those who have acute and/or long-term conditions To undertake screening procedures To ensure that appropriate health promotion materials are provided effectively To work collaboratively to develop and implement a predominantly nurse-provided model of care for patients with primary health or social care needs To be an expert resource for and to undertake the appropriate management of long-term conditions and the diagnosis and treatment of primary care conditions To assist and advise on the development of a model of primary care triage To provide telephone consultations as required To perform house visits for house bound patients with undifferentiated diagnosis. To use and develop protocols and guidelines for the delivery of care to patients with primary health care needs According to the needs of the patient, to assess, plan, implement, monitor and evaluate the primary care services provided To work collaboratively to identify the skill mix required to meet the health and social care needs of patients To play an integral role in the operational and strategic development of nursing services for patients presenting with primary health and social care needs To develop appropriate referral routes and care pathways into primary care services for patients presenting with primary health and social care needs To demonstrate critical thinking and diagnostic reasoning skills in clinical decision-making To maintain comprehensive, accurate and contemporaneous computerised records of all consultations and contacts with patients and, when appropriate, written or printed records To contribute to the accurate collection of statistical information To ensure the accurate completion of all necessary documentation associated with health care and practice administration To maintain confidentiality and privacy while communicating data, plans and results, in a manner that preserves the dignity and privacy of the patient and provides a legal record of care
To collaborate with other health professionals and agencies as appropriate, liaising and communicating effectively, when appropriate, with medical and nursing colleagues, voluntary and statutory agencies To manage child protection cases efficiently and, when appropriate, to attend child protection supervision, to act accordingly to protect children at risk of harm and to have a clear knowledge and understanding of child protection issues and work within national and local child protection policies and guidelines To be able to work with people from a wide variety of cultures and backgrounds, and people with disabilities and learning difficulties, and to be able to communicate with them (and, when necessary, their carers) appropriately to facilitate their care and understanding of their care within the service To participate in the needs assessment of local populations and work collaboratively to improve public health To contribute to the clinical aspects of added value agreements between Concordia Health and the Primary Care Trust To work autonomously without the need for senior colleagues to be on site at all times. Managerial and leadership To be aware of and implement Concordia Health s current and future policies and procedures and participate in the development of new policies and procedures as required To ensure systems are in place to monitor the quality of the primary care nursing service offered, and to contribute to the development of quality measures To co-ordinate and monitor clinical activity across the primary care nursing service and keep accurate, comprehensive updated records and written reports in line with NMC and Concordia Health record-keeping policies To act as a role model and motivate team members in working towards innovative and high standards of primary care nursing practice To provide and promote leadership for primary care nurses and health care assistants, and to manage practice nurses and health care assistants as appropriate To liaise effectively with all other disciplines and to forge effective links with primary, secondary and tertiary care to ensure effective communication To actively manage and reduce risks to patients and to ensure the reporting of adverse incidents in line with Concordia Health policies To undertake and participate in clinical audit To deliver the standards of and maximise achievement within the Quality and Outcomes Framework To participate in clinical governance procedures To participate in significant event analysis To participate in the investigation of clinical and other complaints where appropriate
To participate in regular training and development needs assessment To encourage service user involvement in and feedback on the delivery of services to patients To ensure best use of resources within agreed protocols to provide a cost-effective service To ensure that clinical equipment is maintained and checked regularly To monitor stock levels and expiry dates and to ensure that appropriate supplies are ordered Educational To supervise, teach and monitor trainee nurse practitioner, practice nurses and health care assistants To support nurses new to primary care, health care assistants and nursing and medical students To have a role in teaching and developing staff working within primary care, including nonclinical staff To identify the training needs of other team members To participate in regular educational meetings as part of Concordia Health internal training To undertake professional development as agreed with Concordia Health CONFIDENTIALITY In the course of your employment you will have access to confidential information relating to Concordia Health business. You are required to exercise due consideration in the way you use such information and should not act in any way which might be prejudicial to Concordia Health s interests. Information which may require extra consideration includes information relating to the general business of Concordia Health and information regarding individuals. If you are in any doubt regarding the use of information in the pursuit of your duties you should seek advice from your manager before communicating such information to any third party. DATA PROTECTION Concordia Health is registered under the Data Protection Act 1998. You must not at any time use the personal data held by Concordia Health or disclose such data to a third party for a purpose not described in the Register entry. If you are in any doubt regarding what you should or should not do in connection with the Data Protection Act 1998 then you must contact your manager. HEALTH AND SAFETY Employees must be aware of the responsibility placed on them under the Health and Safety at Work Act 1974 to maintain a healthy safe working environment for both staff and visitors. Employees are also required to observe obligations under Concordia Health s Health and Safety policies, and to maintain awareness of safe practices and risk assessments.
JOB ENVIRONMENT Physical effort Within this role there may be requirements to exert moderate physical effort for short periods of time e.g. moving and handling, lifting scales and supporting patients from couches. Mental effort Good concentration is required when frequently dealing with unpredictable changes in patients conditions, appointments and the requirements of meeting deadlines. Emotional effort The post holder will need the ability to interact tactfully and sensitively with chronically sick or disabled patients. Working conditions The post holder may occasionally be exposed to unpleasant or hazardous working conditions such as face-to-face aggressive behaviour by patients or their relatives or carers or exposure to body fluids. FINANCIAL ISSUES All staff are responsible for the security of the property of Concordia Health, avoiding loss or damage of property and being economical and efficient in the use of resources. GENERAL In consultation with the manager, the nurse practitioner may be required to undertake any other duties for which the post holder has adequate training and which the post holder is competent to undertake. The post holder may be required to work at any of Concordia Health s practices in line with service needs. The post holder must, at all times, carry out responsibilities with due regard to Concordia Health s equal opportunities policies. This is an outline job description and should not be regarded as an inflexible specification. Priorities may change in line with service needs and new duties introduced after consultation with the post holder. It is anticipated that duties will change over time and the job description will need to be reviewed. All staff have a responsibility to contribute to their own development and to that of the primary health care team, and particularly to the development of any staff they supervise.
PERSON SPECIFICATION Nurse Practitioner Education and qualifications ESSENTIAL QUALITIES Current NMC Registered Nurse Evidence of professional updating Evidence of post-registration training Commitment to developing professional practice and skills DESIRABLE QUALITIES Practice nursing experience Nurse practitioner or equivalent experience Nurse prescriber Teaching/mentoring qualification Experience and abilities Minimum three years primary care experience Experience of health promotion Experience of undertaking clinical audit and implementing change Experience of working within a primary health care team Experience of working across clinical and organisational boundaries Experience of leading and developing health care services at a local level High level of personal integrity Self-belief, self-awareness and ability to self-manage Ability to lead, organise and develop teams effectively Willingness to change practice in the light of experience Motivation and enthusiasm Experience of managing and developing nursing teams Participation in clinical supervision
Skills - analytical/ judgmental - planning and organising - information resources - communication Accountability and responsibility as determined by the NMC Professional Code of Conduct Ability to think coherently Ability to assess and manage risk Ability to demonstrate critical understanding and application of ethical theories and principles when considering options and reaching decisions Ability to justify decisions and actions in an interprofessional/inter-agency arena and to demonstrate reasoning to senior managers if required Ability to implement and, if appropriate, lead organisational and operational change Ability to inspire, motivate and empower teams around common goals Knowledge of developments in the nursing profession Knowledge of current health and social care policy Ability to demonstrate an understanding of and commitment to equal opportunities Understanding of clinical governance and ability to implement at a local level Ability to persuade and influence a wide range of stakeholders Ability to communicate effectively at all levels within and across the organisation Information technology skills Ability to interpret research Experience of writing protocols Understanding of the developing roles of primary care Understanding of child protection principles
Personal qualities - interpersonal skills - team/collaborative working Highly developed interpersonal and communication skills Ability to organise and prioritise both individual and team workload Ability to work on own initiative in a self-reliant manner as well as working as part of a multidisciplinary primary health care team Commitment to collaborative and partnership working Commitment to promoting active public and user involvement and to working in partnership with patients - flexibility Intellectual flexibility and clarity Flexibility in accordance with the needs of Concordia Health Flexibility in covering the absences of team members Willingness to work extended hours (including early opening, late closing and Saturday morning opening) as required