We are looking to recruit two full-time advanced nurse practitioners to join our enthusiastic and dynamic nursing team at HCL. As a federation of local GP practices, we run a number of services for the diverse communities of central London. Our Advanced Nurse Practitioners undertake both telephone and face to face appointments, working alongside the eHUB team who manage our PATCHS eConsults, as well as same day access face to face appointments and evening and weekend enhanced access services at our dedicated clinical site in Westminster. As an ANP, you will ideally hold your MSc in Advanced Clinical Practice and be able to evidence how you meet the four pillars of advanced practice in your current role. We are looking for autonomous practitioners who are skilled in history taking, clinical assessment, diagnosis and treatment, prescribing within local and national clinical guidelines.  

Requirements

ROLE PURPOSE

·         We run a range of services and our ANPs work across 3 key services:

-          Our eHub is a digital same-day service for our 33 practices. ANPs speak to and possibly see patients assigned to them by our senior clinical decision maker who triages all the e-consultations we receive.

-          We run an Extended Access service in the afternoons and evenings of Mon-Fri, and on Saturdays. 

-          We run research clinics, where we see and screen patients who are eligible for our studies.

-          Furthermore, we employ GP assistants and Nurse Associates and ANPs will be involved in the training and supervision of these staff.

·         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

·         Working across the following specialities;  eHub, Enhanced Access and research

·         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.
• Plan patient discharges safely and effectively, including use of independent prescribing in respect of providing medications on discharge.
• 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 physicians, 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.

Essential

▪ 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

▪ Master’s level Qualification

▪ Post Graduate Qualification in Palliative Care

▪ Teaching/Assessing/Mentorship Qualification

▪ Advanced Communication Skills

▪ 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

▪ 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

▪ 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.

Benefits

NHS Pension

Modern office

Hybrid working

Free tea/coffee etc.

Cycle to work scheme