Nurse Practitioner

NHS; London; On-site; GBP 51,000 - 59,000; Full time

Job description

We are currently looking for a motivated and committed B7 Nurse Practitioner who would like to have experience in managing the team and service.

Barnet Unplanned Integrated service works primarily as an admission avoidance service reducing the number of patients sent to hospital Emergency departments.

The Unplanned service also supports the early discharge home of patients on the Hospital at Home pathway for 1-14 days. Initially the service is for patients requiring IV antibiotic, however we will be stepping up to see patients who require monitoring of observation, COPD monitoring, heart failure, and blood taking.

The Hospital@Home ward operates from BGH and RFH. We envisage long term we will also receive patients from 111/999 and step-up patients from the RR and D2A pathway and other hospitals. We are a multi-disciplinary team consisting of Nurse Practitioners, Senior Community Nurses, Occupational Therapists, Physiotherapist, Rehabilitation Support Workers, and Technical Instructors with administrator support.

This is an expanding admissions avoidance service working with both the primary care and the acute sectors to support and deliver treatment to patients in their own home.

Main duties of the job

The post holder will be an autonomous practitioner, collaborating with colleagues in primary care, community, and hospital settings as appropriate.

The post holder will be responsible for:

• Be clinically and operationally responsible for the team and act as a role model.
• Be responsible for undertaking comprehensive health assessments, physical examination and ordering tests for patients on the RR, H@H pathways.
• Use advanced clinical decision making and assessment skills, coordinate care planning and initiate referrals to diagnostics for appropriate tests for this population.
• Be involved in establishing, delivering and leading a comprehensive service within community services.
• Play a leadership role within the team and work with external stakeholders such as London Ambulance Service and Social Services to develop new ways of working and increase the number of referrals from the acute and community.
• Candidates should be an experienced nurse with sound clinical knowledge and proven experience in acute and community clinical environments.
• You will need to be adaptable to operate in a fast-moving environment and have the clinical skills and ability to function as a lone worker in a larger team.
• Candidates should have excellent communication skills; and the ability to provide care as determined by the clinical assessments.
• Candidates will have undertaken professional development and have extended nursing skills, with evidence to support this.

About us

Just as we care about our patients' well-being, we care about yours!

We can offer you:

• A comprehensive induction into the community service followed by a local induction to introduce you to the role.
• Car lease scheme (only available for Band 5 and up).
• Flexible working options.
• Training, support and development in your career.

To have a full look at our benefits and what it's like working for us please go here: https://www.clch.nhs.uk/job/pay-and-benefits

Job responsibilities

The clinical leads shift pattern will be over 7 days per week. Current shift pattern in the team are 8am -4pm and 2pm -10pm. We also offer long days 8am -8pm and 10am -10pm.

Please refer to Job description and Person Specification for outline of skills, knowledge and experience required.

Person Specification

Education/Qualification

• Registered Nurse with current NMC registration.
• BSc / PgDip Nurse Practitioner Primary Health Care/ Minor injuries / Minor Illnesses.
• Qualification in Community and/ or Accident and Emergency Nursing.
• Evidence of continuing personal and professional development with up-to-date CPD portfolio.
• Community or Independent Nurse Prescribing qualification or prepared to work towards.
• Evidence of continuing professional education and training at master's Level.
• Further desirable qualifications in Primary Care/ Accident & Emergency.
• Qualification in teaching or practice-based learning.
• Management or leadership qualification.

Experience

• Extensive senior experience within adult nursing services especially Primary Care and/ or Accident & Emergency.
• Proven experience of utilising expert diagnostic and clinical skills to provide autonomous, unscheduled nursing care and management of patients presenting with undifferentiated and undiagnosed conditions.
• Experience of undertaking comprehensive health needs assessment and developing complex care plans.
• Experience of assessing and providing quality care to people with complex needs and long-term conditions.
• Track record of practice excellence.
• Experience of effectively working in collaboration, negotiating, and liaising within a multi-disciplinary team and across organisational boundaries.
• Experience in monitoring clinical standards.
• Experience of working in a changing and uncertain environment.
• Proven ability to prioritise and manage own workload with minimal supervision.
• Experience of team / service/ staff management.
• Experience of implementing evidence-based care and developing others to do so.
• Experience of conducting research projects and audit.
• Experience of change management and implementing change in practice.
• Evidence of innovation in practice.

Skills & Knowledge

• Evidence of comprehensive range of clinical skills and expertise relevant to the role.
• Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills, and prescribing/treatment.
• Advanced knowledge and in depth understanding of anatomy and physiology of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management.
• Clinical knowledge across a range of long term and enduring conditions.
• Basic IT skills including use of Microsoft Office package, clinical systems and email.
• Knowledge of the national priorities relating to provision of adult nursing services including current health care policy and legislation and relevance to the delivery of healthcare services.
• Knowledge of current health care policy and relevance to the delivery of healthcare services.
• Knowledge of recent developments in Primary Care.
• Knowledge of adult protection and safeguarding children's issues.
• Knowledge of NMC Code of Professional Conduct.
• Knowledge of Personal Development Planning.
• Detailed knowledge of Primary Health Care and collaborative working with other care providers, e.g., social care and voluntary services.
• Knowledge of the audit process and able to implement in practice.
• Knowledge of evidence-based practice and able to implement in practice.
• Knowledge of outcome measures and evidence-based practice associated with community nursing.
• Knowledge of the audit process.
• Knowledge and understanding of clinical governance and its application to clinical practice.
• Knowledge and application of clinical supervision.
• Knowledge of how to implement equal opportunities in practice.
• Supervision of Students.
• Knowledge of resource management.
• Knowledge and understanding of NICE and other relevant guidelines.
• Knowledge and understanding of the role of MDT members within an integrated locality team.

Key Attributes

• Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010).

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.

£51,883 to £58,544 a year per annum inclusive of HCAS.