Advanced Nurse Practitioner - Saturdays

Job Title: Advanced Nurse Practitioner – Saturdays

Salary: £10,174.32 - £11,613.34 pa

Hours: 6.5 hours per week, on site.

Responsible to: Lead ANP

Key Relationships: 31 General Practices: 4PCN’s, WL ICB, Central London Borough Team, Westminster City Council, Bi-Borough (West London), Central and North West London NHS Foundation Trust (CNWL),Central London Community Healthcare NHS Trust (CLCH), One Westminster, Imperial College Health Partners

BACKGROUND

WHO WE ARE

Healthcare Central London Ltd (HCL) is a federation of 31 General Practices and 4 Primary Care Networks (PCNS) in Westminster caring for more than 275,000 registered patients. We provide Community and Primary Care services to our local residents, in addition to a wide range of staffing, management and administrative support to our member practices. By working closely with our PCNs and other key partners, including the Local Authority and community organisations, we help people to stay well and live healthier lives for longer.

We operate Federation-led services including Respiratory and Spirometry hubs; Community Cardiology; Community Dermatology; Community Diabetes service; Access E-hub and Enhanced Access and we support PCNs with managing their NWL single offer contract of services and the National Network DES contract, including ARRS roles.

We are proud to have a unique model of community-led care and support to tackle imbalances and inequality in the system called ‘The Octopus’ and takes us on a journey as part of the Westminster Integrated Neighborhood Team (INT)

We work collaboratively with other partners in the commercial sector including joint ventures; research and consultancy.

Our Approach

Our approach is to deliver exceptional assistance to our 31 General Practice members and to operate our NHS contracts in a manner that supports our Practices and their patients by providing services economically, locally, promptly and in a familiar environment.

Our employees work flexibly according to the needs of our customers onsite at our practices, or hub sites including the South Westminster Centre.

Our Purpose

Our purpose is to transform Health and Wellbeing in our communities.

Our Vision

Our Vision is to be the Healthcare Provider of choice, rooted in primary care.

Our Values

For our practices, patients, teams and ecosystem we commit to be:

Compassionate : we listen respectfully, offer the opportunity for different viewpoints, and are kind to each other

Accountable : we work with integrity, taking accountability for our work to achieve the highest quality outcomes

Resilient : we listen and with this feedback, we constantly build and improve

Pioneering : we champion change, embrace creativity and promote innovation and new ways of thinking

Aspirational : we nurture and motivate so our people are enabled to reach their full potential

ROLE PURPOSE

• The post holder will work within the Enhanced Access service on Saturdays, seeing patients face to face on site at one of our hubs.

• The post holder will demonstrate courageous and critical thinking and is a caring, compassionate and committed experienced nurse 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, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice and other clinical settings.

• The post holder will commit to demonstrating critical thinking in the safe clinical decision-making process. They will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.

KEY TASKS AND RESPONSIBILITIES

Clinical

• Triage urgent care requests if required, consulting with patients or directing them appropriately.

• Provide advanced nursing care to patients, including assessment, diagnosis, treatment, and follow-up.

• Conduct holistic assessments on patients and ensure appropriate care and action plans based on their needs are clearly recorded and documented.
• Undertake regular patient reviews.
• Following assessment where appropriate/necessary and with the patients’ consent refer appropriately to other services and agencies.

• Perform and interpret diagnostic tests, such as laboratory and radiological tests.

• Prescribe and administer medications in accordance with the law and established protocols.

• Collaborate with the healthcare team, including GPs, nurses, and allied health professionals, to ensure comprehensive patient care.

• Maintain accurate patient records, including medical histories, treatment plans, and progress notes.

• Educate patients and their families about their health conditions and treatment options.

• Stay up-to-date on the latest medical research and guidelines relevant to the clinical specialty.

• Maintain compliance with all relevant clinical standards and regulations.

• Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports.

• Promote health and well-being using health promotion, health education, screening, and therapeutic communication skills (i.e. smoking cessation, weight management, alcohol misuse).

• Refer patients directly to other services/agencies as appropriate.

Requirements

Education & Qualifications

▪ Current Registration of Part 1 of NMC Register

▪ 1st Degree/ Master’s level qualification (Advanced Practitioner)

▪ Two year’s post qualification experience – consideration given to ANPs with primary healthcare experience

▪ Independent Prescriber

▪ Physical Examination Skills

DESIRABLE

▪ Teaching/Assessing/Mentorship Qualification

▪ Advanced Communication Skills

Experience

▪ Demonstrate previous successful ability of working at Advanced Practice Level

▪ Advanced Clinical Skills

▪ Leading and Managing change in collaboration with others

▪ Partnership working across sectors

▪ Clinical Leadership in a Multi-Professional Service

▪ Ability to plan and prioritise care with advanced decision-making skills

▪ Demonstrate evidence of delivering formal and informal teaching

▪ Previously worked within Primary care setting

▪ Research

Skills, knowledge and abilities

▪ Excellent communication skills, multi-agency and multi-disciplinary

▪ Applied pharmacology and evidence-based prescribing.

▪ Comprehensive physical assessment, history taking and clinical decision-making skills.

▪ Leadership and team working abilities.

▪ Motivational skills for self and others

▪ Effective IT skills, competent in Microsoft office programmes and SystmOne

▪ Critical evaluation skills

▪ Clear understanding of the systems of clinical governance and quality assurance, specifically relating to advanced practice

Aptitude and personal characteristics

▪ Ability to direct and co-ordinate programmes of care, able to work both collaboratively and autonomously

▪ Ability to work across traditional professional and organisational boundaries and agencies

▪ Empathy with palliative care setting

▪ Non-judgemental

▪ Ability to prioritise workload and delegate effectively.

▪ Ability to liaise and network effectively.

▪ Commitment to equal opportunities

▪ Ability to work flexibly.

▪ Ability to think creatively, laterally and problem solve.