Advanced Nurse Practitioner - #1769195

The future is exciting. Are you ready to joinPrimary Care Sheffield (PCS) as one of our Advanced Nurse Practitioner growingcollaboration within health and social care in Sheffield provides PCS with a widerange of opportunities which can improve patient pathways and reduce cost

This post is for 14 hours 45 minutes per week

The post holder is an experienced nurse who,acting within their professional boundaries, will provide care for the patientfrom initial history taking, clinical assessment, diagnosis, treatment, andevaluation of care. They will demonstrate safe, clinical decision-making andexpert care, including assessment and diagnostic skills, for patients within thegeneral practice

Thepost holder will demonstrate critical thinking in the clinical decision-makingprocess. They will work collaboratively with the PSC practices to meet theneeds of patients, supporting the delivery of policy and procedures, andproviding clinical leadership as required

Inorder to work at this level NMC requirement for advanced practice must be met. Tobe considered for this exciting role you must have: a minor illnessqualification and a Non Medical Prescribing qualification (V300)

The work to be undertaken, could be as partof a group wide triage team or within one of our seven practices

Main duties of the job Comprehensively assess, review and evaluatethe needs of patients with undifferentiated healthcare needs

Undertakeclinical assessment and providing the necessary treatment

Requestdiagnostic tests only where clinically indicated in line with organisational,local and national guidelines and where appropriate

Developa plan of care in conjunction with the patient

Toutilise effective communication to aid onward referrals to specialists asappropriate

Towork in an autonomous manner without direct supervision whilst recognisinglimitation of the practitioner role

Tocarry out enhanced clinical skills as required

Tokeep accurate and immediate records of all interventions fully utilisingsoftware systems in place

Toencourage clients to carry out self-care as appropriate

About us Primary Care Sheffield (PCS) is a GP-ledorganisation. Our shareholders are 75 GP practices in Sheffield covering over600,000 patients. As well as providing a unified voice for general practice inthe city, we play an active role both within our Accountable Care Partnership(ACP) and the wider South Yorkshire and Bassetlaw Integrated Care System (ICS)

PCS run nine practices in the City Darnall, North Darnall,Highgate, Mulberry, City, Sothall, Harrold Street, Buchanan Road, and HeeleyGreen which delivered care to 50,000 patients, approximately 7.5% ofSheffields total population. The practices are in some of the most deprivedareas of the city with four of them located in wards which rank in the mostdeprived decile nationally

Were ambitious for our shareholders and so wecontinue to work hard, both with providers and commissioners, to find new waysof maximising positive patient outcomes and experiences

Job responsibilities Clinical Responsibilities

Comprehensivelyassess, review and evaluate the needs of patients with undifferentiatedhealthcare needs to improve their physical, psychological and mental healthwellbeing to promote self-care and reduce the need for hospitalisation. Including the needs of Children from the dateof their first birthday

Undertakingclinical assessment and providing the necessary treatment including the use of IndependentPrescribing in line with local/national policies, procedures and guidelines.This may be face to face or via other remote communication methods (such asTelephone triage)

Requestdiagnostic tests only where clinically indicated in line with organisational,local and national guidelines and were appropriate

Developa plan of care in conjunction with the patient, with the application ofclinical knowledge and, analysis of symptoms and data, identification of riskfactors associated with those conditions, recognition of early signs of acuteillness, involving the patients and the carers in the care plan and ensuring itis understood, documenting safety netting plans and processes

Toutilise effective communication to aid onward referrals to specialists asappropriate. Facilitating a coordinated primary healthcare response to service usersneeds

Towork in an autonomous manner without direct supervision whilst recognisinglimitation of the practitioner role

Tocarry out enhanced clinical skills as required

Tokeep accurate and immediate records of all interventions fully utilisingsoftware systems in place (namely System one and C- The Signs)

Toencourage clients to carry out self-care as appropriate through effectivecommunication of health care using written information as appropriate

Tomaintain patient confidentiality as per Primary Care Sheffields Policies

Professional

Towork within the NMC Code of Professional Conduct or other relevant Codes ofConduct for Advance Nurse Practitioners

Toact in accordance with and promote PCSs values at all times

Toact as an ambassador for PCS and build professional relationship with ourprimary care partners, voluntary organisations and other outside agencies

Tobe committed to working flexibly and respond positively to the changing needsof the service

Topromote and facilitate evidence-based practice

Tobe committed to providing a high level of customer service and patient experience

Maintainprofessional awareness and attend appropriate training as necessary

Toparticipate in the appraisal process and development of own PersonalDevelopment Plan to include clinical supervision and Revalidation

Todevelop a culture within PCS of continuing professional development, supportingnursing others to enhance their knowledge base and skill set

Toprovide clinical support and mentorship to others including Nurses, Nurse associates,HCAs to meet the requirements of their own personal/professional developmentplans. This may include, where appropriate assisting with the mentoring nursesthrough work-based learning programmes

Tosupport/facilitate the provision of Clinical Supervision in accordance withorganisational policy

Continuous Personal Development

Tomaintain current professional registration and to ensure that all personalresponsibilities in relation to this and to the revalidation process are met,including maintenance of a professional portfolio, evidence of practice hours,professional development planning and reflective writing

Tomeet the organisational requirements for mandatory training appropriate to therole

Torecognise own professional limitations, practising accordingly, seeking adviceand support as appropriate

Totake an active role in the organisational appraisal process and develop anappropriate and relevant personal development plan and work-based objectives

Tohave awareness of the relevant organisational and professional Safeguardingpolicies and guidance and to act in accordance with their direction, attendingupdate training as required

The post holderwill have regular 1:1s with line mangers to support ongoing development andreview performance

Management/Leadership

Toparticipate in the training and induction of new members of the team

Toparticipate in the mentorship, support and training of other professionals whomay be on a training program

Information will be communicated to a varietyof individuals including health and social care professionals, patients, carerswhere there are potential barriers to communication

Communication

Act as an integral part of themultidisciplinary Team

Disseminating information within the primaryhealth care team

Communicate effectively with otherprofessionals and managers, sometimes with different agendas and priorities

Provide high quality written referrals,reports and any other written documentation as required

To build professional relationship with primarycare partners, voluntary organisations and other outside agencies

Physical Effort

A combination of sitting, standing and walkingwith little requirement for physical effort

Able to fulfil physical demands of post, thismay involve moving and handling

Travel to any nominated site where the serviceis to be delivered

Carrying out diagnostic assessments

Mental Effort

Frequent concentration carrying out clinicalassessments of patients presenting with undifferentiated conditions

Work flexibly in a wide range of settingincluding newly developing services

Working with complex, time consuming cases indifficult situations including mental health concerns

Supporting others in distressing circumstancese.g. safeguarding referrals

Emotional Effort

May encounter distressing situations, possibleevidence of neglect or abuse and will need to report these incidences,

Support given to other members of team inchallenging situations

Advocacy of clients/carers

Highlighting of safeguarding cases and makingreferrals

General

The post holder may be required to work withinthe boundaries of the professional abilities at any identified site where PCSservices are delivered

Themain duties and responsibilities shown above are not exhaustive but shouldmerely be regarded as a guide. Thepost-holder will be expected to conduct any reasonable activities according tothe service needs at that time. Thesewill be subject to periodic review and may be amended to meet the challengingneeds of the service. The post-holder will be expected to participate in thisprocess and the organisation would aim to reach agreement to changes

Person Specification Experience Experience of working at an advanced level with patients presenting with undifferentiated illness some of which should be in Primary care

Knowledge and experience of multi-agency working

Experience of working with an MDT with the ability to motivate others

Leadership and management experience and skills

Knowledge and Skills In depth knowledge of contemporary nursing/clinical issues, legislation relating to nursing/clinical practice, and relevant Standards and Codes (eg NMC/HCPC)

Understanding of the principles and practice of clinical governance

Familiarity with accredited clinical systems for recording patient data e.g. SystmOne

IT skills, including use of MS Word and Excel

Demonstrates effective communication and interpersonal skills

Use of a range of communication techniques

Able to use internet as an information resource, including searching databases

Demonstrable/proven leadership skills

Qualifications Registered General Nurse, with current NMC registration

Primary Care nurse experience

Other Ability to demonstrate an understanding and application of PCSs Values, vision and behaviours, including the 6C Assessed A&I

Ability to be flexible over hours worked within contracted hours to meet the needs of the service, to work outside of regular office hours

Confident and self-aware

Able to fulfil physical demands of post, this may involve moving and handling

Proof of vaccination & immunisation status in accordance to Department of Health guidelines

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



#J-18808-Ljbffr