Font Size:
University Health Service
Richard Verney Health Centre 6 Bristo Square Edinburgh EH8 9AL
Tel: 0131 650 2777
Fax: 0131 662 1813
Out of Hours: NHS 24 Tel: 111

 

University Health Service

       ANP Job Description 
 

 
TITLE OF POST:
 
 
ADVANCED NURSE PRACTITIONER  
 
GRADE/SALARY :
 
Either Band 7 or  Band 8a subject to negotiation and based on experience
(£32,013 – £47,562) Pay award pending
 
HOURS OF EMPLOYMENT :  
Full time, 37.5 hours a week worked Monday to Friday although hours are negotiable
 
 
APPOINTMENT :  
Permanent contract
 
 
RESPONSIBLE TO:
 
 
GP Partners overall and on a day to day basis to the Partner with nursing responsibility
 
ANNUAL LEAVE:
 
 
30 days per annum plus 9 Public Holidays.
LOCATION: Richard Verney Health Centre, Bristo Square, Edinburgh

 
 
 
JOB SUMMARY
 
The post holder will be an 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 their care.  They will demonstrate safe, clinical decision-making and expert care for patients within the general practice.  They will work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures and providing nurse leadership as required.  In order to work at this level, NMC requirements for advanced practice must be met. 
 
 
1.         SCOPE AND PURPOSE OF THE ROLE
 
 

  • To deliver a high standard of patient care as a Nurse Practitioner (NP) in general practice, using advanced autonomous clinical skills and a broad and in-depth theoretical knowledge base
  • To manage a clinical caseload, dealing with presenting patient’s needs in a primary care setting
  • To participate in developing nurse-led minor illness clinics

 
2.         JOB DIMENSIONS
 
 

  • To manage own clinical workload in general practice responding effectively to patient need and ensuring patient choice and ease of access to services.
  • The development and use of referral pathways for NPs to the local acute NHS secondary services and to Diagnostic and Treatment Centres.
  • To mentor and support other nurses in developing and maintaining clinical skills

 
 
3.         ORGANISATIONAL CHART
                       
 

Partnership

                                          

       Nurse Practitioner

 
 
4.         KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED
     
See Person Specification
 
 
5.         PRIMARY DUTIES & AREAS OF RESPONSIBILITY
 
            A. CLINICAL ROLE:
 
            The post-holder will:
 

  • Provide the choice of direct access to an NP, in the Practice, to Community Team and over the telephone, for the general practice population
  • Make professionally autonomous decisions for which he/she is accountable
  • Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan
  • Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports
  • To prescribe safe, effective and appropriate medication as defined by current legislative framework
  • Provide safe, evidence-based, cost-effective, individualised patient care
  • Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care
  • Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills
  • Refer patients directly to other services/agencies as appropriate
  • Work as part of the Practice team in developing and delivering specialist primary care services,  such as long term disease management (diabetes, asthma, chronic obstructive pulmonary disease, coronary heart disease and hypertension)
  • Screen patients for disease risk factors and early signs of illness
  • Work with nursing, medical and health care assistant colleagues to ensure all aspects of the GMS Contract 2018 and any national/local Public Health Initiatives are being delivered
  • Work with multi-disciplinary team within the Practice, and across the wider health care system, to promote integrated and seamless pathways of care
  • Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery
  • Participate in identification of community health needs and develop patient/family-centred strategies to address them
  • Help develop and set up new patient services and participate in initiatives to improve existing patient services

 
 
B. TEACHING AND MENTORING ROLE:
 
            The post-holder will:
 
 

  • Promote a learning environment for patients, nurses and other health professionals.
  • Contribute to the planning and implementation of the teaching for existing staff, such as nursing students, and GP registrars, within the Practice.

 
 
C. PROFESSIONAL ROLE:
 
The post-holder will:
 
 

  • Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
  • Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review
  • Maintain their professional registration
  • Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained
  • Work within the latest NMC Code of Professional Conduct
  • Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards
  • Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation
  • Work collaboratively with colleagues within and external to the practice.
  • Demonstrate leadership
  • Pro-actively promote the role of the NP within the Practice and externally to key stakeholders and agencies

 
 
D. MANAGERIAL ROLE:
 
      The post-holder will:
 

  • Encourage and develop teamwork within the practice.
  • Participate in multi-disciplinary protocol and Patient Group Directions development
  • Help the practice operate in a cost-effective manner.
  • Identify and manage nursing care risks on a continuing basis.
  • Participate in practice meetings and externalmeetings, reporting progress as required.
  • Participate in audits and inspections as appropriate.
  • Work closely with the doctors and practice manager in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets.
  • Ensure that all Practice Policy’s are fully implemented

 
 
E. AREAS OF PRACTICE EXCLUDED FROM THE POST-HOLDERS REMIT:
 
The post-holder will not undertake the following:
 
 

  • Staff Management of the nursing team

 
 
6.         HEALTH AND SAFETY/RISK MANAGEMENT
 
 

  • The post-holder must comply at all times with the Practice’s Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the practice Incident Reporting System.

 
 
 
 
 
7.         EQUALITY AND DIVERSITY
 
 

  • The post-holder must co-operate with all policies and procedures designed to ensure equality of employment.  Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.

 
8.         RESPECT FOR PATIENT CONFIDENTIALITY
 
 

  • The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

 
9.         COMMUNICATION & WORKING RELATIONSHIPS
 
 

  • The post-holder will establish and maintain effective communication pathways with the following :

 
Internal
 
               Partners/Salaried GP’s/Registrars/Retainer
Practice Manager
Practice Nurses
Practice I.T. Manager
Reception Manager
Other Practice staff
 
 
External
 
Locality Medical and Nursing Colleagues
University of Edinburgh liaison
University Pharmacist and local pharmacies
Other NHS Services



10.       SPECIAL WORKING CONDITIONS
 
 
 

  • The post-holder will have contact with body fluids (i.e. wound exudates; urine etc.) while in clinical practice.

 
 
11.       REHABILITATION OF OFFENDERS ACT 1994 (optional)
 
Because of the nature of the work, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1994 (Exceptions) Order 1995.  Applicants for posts are not entitled to withhold information about convictions which for other purposes are “spent” under the provisions of the Act and in the event of employment any failure to disclose such convictions could result in disciplinary action or dismissal by the Practice.  Any information given will be completely confidential and will be considered only in relation to an applicant of a position to which the order applies.
 
12.       JOB DESCRIPTION AGREEMENT
 
 
This job description is intended to provide an outline of the key tasks and responsibilities only.  There may be other duties required of the post-holder commensurate with the position.  This description will be open to regular review and may be amended to take into account development within the Practice.  All members of staff should be prepared to take on additional duties or relinquish existing duties in order to maintain the efficient running of the Practice.
 
Personal Specification
Nurse Practitioner: General Practice
 
 

ESSENTIAL DESIRABLE ASSESSMENT METHOD
Qualifications:
  • Registered General Nurse  (Currently registered with the Nursing & Midwifery Council)

 

  • Recognised NP qualification at minimum of degree level or equivalent
 
  • Independent Nurse Prescriber

 

  • RGN Advanced Nurse Practitioner programme accreditation

 

  • Teaching / Mentoring experience and /or qualification
 
Original certificates, NMC card &
CV
Experience:
  • Minimum of 5 years post registration experience

 

  • Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the NP role

 

  • Experience in management long term conditions e.g. asthma, COPD, diabetes, CHD

 

  • Evidence of working autonomously and as part of a team

 

  • Proven ability to evaluate the safety and effectiveness of their own clinical practice

 

  • Previous experience of managing and developing a nursing team
 
  • Interpreting and implementing local and National policy agendas for health
 
 
 
CV & Interview
 
 
Knowledge :
  • Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS contract, Clinical Governance  and locality initiatives

 

  • Understanding of systems to gain an understanding of the health needs of the Practice population as they relate to primary care

 

  • Understanding of evidence based practice

 

  • Knowledge of national standards that inform practice (e.g. NICE, SIGN  guidelines etc)

 

  • Understanding of their accountability arising from the NMC Code of Professional Conduct (2004) and medico-legal aspects of the Nurse Practitioner role

 

  • Understanding of equal opportunity and diversity issues
 
 
 
CV & Interview
Skills:
  • Ability to assess and manage patient risk effectively and safely

 

  • Well developed word processing/data collection/IT skills

 

  • Excellent interpersonal, verbal and written communication skills

 

  • Reflective practitioner

 

  • Time management and ability to prioritise workload

 

  • Able to analyse data and information, drawing out implications for the individual patient/impact on care plan

 

  • Able to establish and maintain effective communication pathways within the organisation, the local Operational Unit and with key external stakeholders
 
  • Experience of use of a medical software package

 

  • Proven record of effective use of networking and influencing skills

 

  • Ability to think strategically

 

  • Experience of presenting information to wider audience
 
CV & Interview
 
 

 Closing date : Friday 14th September 2018
 

CV and covering letter to:

Mrs Jean Grant
Practice Business & Development Manager
Richard Verney Health Centre
6 Bristo Square
EDINBURGH
EH8 9AL
 

  ==============================================================================
 

University Health Service

Lead Nurse Job Description

 

1.JOB DETAILS

 
Post Title:  Lead Nurse
 
Responsible to: GP Partners overall and on a day to day basis to Partner with nursing responsibility
 
Grade: Band 7 £32,013-£42,205 with pay award pending for 37.5 hrs per week Monday to Friday
 
Location: Richard Verney Health Centre, Bristo Square, Edinburgh
 
Annual Leave: 30 days per annum plus 9 Public Holidays.  Our leave year runs from January to 
                          December.
 
Consideration will also be given to anyone interested in undertaking ANP training
 

 
 

2.  JOB PURPOSE

The post holder will work as an independent practitioner providing evidence based nursing services to meet the needs of the practice population, including travel health, chronic disease management, health promotion and sexual health services. They will also be responsible for leadership for all nurses in the practice participating in mentorship and clinical skills training ensuring that the nursing team works in an integrated way to provide a quality nursing service to all patients. The post holder will be accountable for the provision of nursing care by the nursing team and maintaining a good working relationship with other professional disciplines within the practice and primary care.
   

 
 

3. DIMENSIONS
 
  • Working as an autonomous practitioner within a General Practice Setting, providing evidence-based, holistic nursing care for all patients (children and adults) who attend the practice. The practice is situated in a busy urban area and within a university campus and has a population of approximately 25,000-26,000 patients.
  • Part of a multidisciplinary team of 6 GP Partners, 1 Retainer, 1-2 GP Registrars and 8-10 salaried  GP’s, 2 Practice Nurses, 1 Treatment Room Nurse, 1 Health Care Assistant, Practice Manager, IT Manager, Reception Manager, 2 Receptionist/Typists, 5 Receptionists and 1 Summariser.
  • Supervision of Nursing Staff and Health Care Assistant.
  • Overall responsibility for the day to day operation of the Nursing service
  • Mentorship and education of Nursing Staff and Health Care Assistant.
  • Receiving and making direct referrals of patients and carers.
  • Involvement in a number of Practice Meetings.
  • To take lead responsibility for specifically agreed clinical areas

 
 
 
 

4.   ROLE OF NURSING SERVICE

 
Providing general medical and nursing services to a practice population as part of a multidisciplinary team. Dealing with extremely high volumes of work determined by the university academic calendar, with a particularly high level of work during and after Freshers’ Week. Planning, implementing and delivering existing and new nursing services to meet with national strategies and local arrangements, within a robust clinical governance framework. 
 

 
 

5.  KEY RESULT AREAS

 
  1. Clinically assess and manage patients presenting with various conditions including Family Planning, Cervical Cytology, Travel Health and Chronic Disease Management.  Initiating and performing diagnostic testing as provided by the practice and be able to act on results.
  2. Actively promote healthy lifestyle, utilising current national and local health promotional strategies including opportunistic screening and intervention.
  3. Participate in the organisation and implementation of public health strategies and campaigns for large patient groups such as MenACWY and MMR .
  4. Undertake when appropriate treatment room duties - venepuncture, urinalysis, swabs, mycology, dressings/complex wound management, blood glucose testing, INR testing and BP recording.  Assist Doctor with IUD clinic.
  5. Provide Nurse Leadership for the nursing team, sharing good practice and providing mentorship and clinical education to other members of the nursing team.
  6. Document and accurately record nursing intervention in patient's medical record  in accordance with all NMC documentation and working regulations.  Adhere to work and defined policies and protocols within the Practice.
  7. Provide a Family Planning and Sexual Health service to patients, including emergency contraception using Patient Group Directions (PGDs) as determined by the practice. Undertake Nexplanon Insertions and Removals.
  8. Supply or administer medication/vaccination using Patient Group Directions (PGDs).
  9. Contribute clinical knowledge and expertise in drawing up Patient Group Directions when needed specifically for work within the practice e.g. Yellow Fever vaccination, Hepatitis B vaccination.
  10. Accountable for day to day management of nursing staff including professional supervision, co-ordination of annual leave(in liaison with the Practice Manager) to ensure adequate nursing cover at all times, provision of locum nursing staff when necessary, risk management and maintaining high  standards of clinical practice. Provision of evidence-based best practice through clinical audit as recommended in the GMS contract.  Audit will usually be carried out in collaboration with the responsible GP Partner.  Will be expected to work collaboratively as a member of the local integrated primary health care team.
  11. Accountable for the ordering of supplies including safe storage and handling of medicines including dressings and other practice equipment.
  12.  Implement Health and Safety policies as laid down by the practice, ensuring a safe environment for patients and staff.
  13. Lead clinical audit in nursing department related issues e.g. cervical cytology.

 
 

6. EQUIPMENT AND MACHINERY

Responsible for the safe use of all diagnostic and treatment equipment ranging from basic, e.g. Syringes, peak flow meters, H.Pylori tests, pregnancy tests, and sphygmomanometers, to complex equipment requiring additional training for use i.e. Defibrillator, and other emergency equipment.
Decontamination systems and all equipment associated in this process.

 
 
 
 

7. ASSIGNMENT AND REVIEW OF WORK

 
As an autonomous practitioner, the post holder will be expected to prioritise their own and team's workload, anticipating and resolving problems.   Accountable for assigning work and review of systems for all nursing staff and will anticipate and facilitate workload from the doctors in the practice, University and outside agencies.
Act as a member of the practice team reviewing work with planned meetings to address practice requirements and patient demands.
As lead nurse will co-ordinate ongoing education of all nursing staff to satisfy the Professional Development Plans as decided by NMC in discussion with the lead nursing Partner. Will maintain up to date and accurate staff training records.
Undertake nursing staff annual appraisals.
Clinical Supervisionthe post holder is expected to ensure this is accessed on a regular basis as advised by the GMS contract and NMC. Post holder will encourage and facilitate all nursing staff to access ongoing learning,

 
 

8.  DECISIONS AND JUDGEMENTS
 
  • Clinical assessment skills are required to be used for each patient to enable consultation with

      patients who present with a variety of clinical and psychological conditions.

  • Accountable for the direct delivery of clinical nursing care to practice population.
  • Responsible for policy implementation and development of services within the nursing department.
  • Line manager for nursing department, including joint responsibility for interviewing and

      recruitment, career development, discipline, work evaluation and appraisal.

  • Ability to act autonomously on history and clinical examination which will determine whether the

      patient pathway will be nurse managed or appropriately referred.

  • Responds appropriately to patients and carers requests with particular regard to risk management issues.
  • Chronic Disease Management will require the nurses to determine risk factors for the patient
       and professional judgement will be required for individual patients, regarding future planning
       and prevention  or deterioration of  disease.
  • As an extended /supplementary prescriber, decisions and judgement on prescriptions/treatments are

      made on an individual bases.

  • Referral to other agencies, internal/external.
  • Co-ordinates and supervises team members, and make judgements about their competency, taking

      action to support staff and resolve staff problems and disputes.

  • Accountable for decision making using national strategies, practice guidelines and protocols.
  • Providing and or facilitating appropriate clinical education to nursing staff, utilising existing

      or establishing appropriate levels of training to meet individuals needs.

  • Judgements involving highly complex facts, requiring interpretation and analysis and with a range of options. Skills for analysing service, client, organisational and staffing issues.
  • Formulates, adjusts plans and strategies for a broad range of complex activities and organisational structure within the practice.

 
 
 
 
 

9.  MOST CHALLENGING ASPECTS PARTS OF THE POST

Staff Management
Managing both scheduled and unscheduled care, balancing conflicting and unpredictable priorities.
Managing, and anticipating staff issues causing concern.
Working with a unique population with students outwith their home environment for the first time, and foreign students and visitors with cultural and language barriers.

 
 
 

 

10.  KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

 
Minimum required to undertake the role.
 
  • Registered first level nurse with minimum 5 years post registration experience.
  • SPQ Practice Nursing.
  • Educated to Degree Level.
  • Staff Management
  • Evidence of continued professional development.
  • Willingness to work towards Extended /Supplementary Prescribing Qualification.
  • Willingness to work towards Evidence Based Chronic Disease Management.
  • Evidence of Cervical Cytology education and updated practice.
  • Family Planning Qualification.
  • Evidence of formal nurse triage educational programme.
  • Evidence of recognised training in Travel Health.
  • IT Skills.
  • Evidence of experience in developing and teaching junior staff.
  • Evidence of formal training to conduct staff appraisal.
  • Experience of multidisciplinary team working.
  • Leadership experience with evidence of achievement.
  • Accountable for own professional actions and freedom to act as lead nurse on agreed predetermined practice policies.

 Closing date : Friday 14th September 2018


 CV and covering letter to:

 Mrs Jean Grant
 Practice Business & Development Manager
 Richard Verney Health Centre
 6 Bristo Square
 EDINBURGH
 EH8 9AL

==========================================================================================

 University Health Service – 6 Bristo Square Edinburgh
 
Salaried GP Post

 
Up to 9 Session Post Available from January 2019
 
We are happy to take applications for the full 9 sessions or a combination of lesser sessions.
 
We are a centrally located practice serving a largely student population using Vision IT system and paper-light practices.
 
If you are interested in receiving the details on this opportunity then these can be downloaded from our website at www.health-service.ed.ac.uk
 
Any enquiries to Mrs J Grant, Practice Business & Development Manager on 0131 650 2777 or email j.grant@nhs.net   
 
CV and covering letter are required to apply with
Closing Date being 21 September 2018.
 
Please submit your application to Mrs J Grant, Practice Business & Development Manager, Richard Verney Health Centre, 6 Bristo Square, Edinburgh, EH8 9AL
 
 
 

Person Specification

 

Attributes

Essential

Desirable

Qualifications

Full GMC registration

 
Proof of membership of Medical Defence Organisation
 
JCPTGP, GPCCT or GEGPR

 
Eligible for or on
 
Child Surveillance List
 
MRCGP
 
DFSRH
Communications Good Interpersonal/
Communication Skills at all levels
 
 
Special Aptitude and Abilities Experience of team working
 
Confidentiality awareness
 
Demonstrable IT skills/
Accuracy in work
 
Evidence of continuing professional development
Interest in young adult health, sexual health, mental health and travel medicine.
 
 
Interest in clinical governance
 
Disposition Friendly, sympathetic, tactful
Enthusiastic
 
 
Physical Requirements General good health
Good attendance record
 
Particular Requirements of post Good organisational and time management skills.
Flexible in working hours to meet practice contracted requirements.
 
 

 
 
July 2018
 
 
 

Conditions of Service

 
Confidentiality of personal patient information is paramount and the successful candidate will be required to sign a declaration of confidentiality.
 
Health & Safety
 
In carrying out these duties, the postholder is required to take reasonable care to avoid injury or accident which may be caused by work activity.  Duties must be performed in accordance with the Practice procedures.  The postholder must familiarise themselves with the Practice Health and Safety procedures.
 
A No Smoking Policy applies.
 
Location
 
This post will be based in the Practice within the Richard Verney Health Centre at 6 Bristo Square, Edinburgh.
 
 
 
JOB DESCRIPTION
 
Job Title:                                            Salaried GP
 
Place of Employment:                       Dr Young & Partners
                                                            Richard Verney Health Centre
                                                            6 Bristo Square
                                                            Edinburgh
                                                            EH8 9AL
 
Starting Date:                                      3 January 2019
 

Length of Contract                         Permanent

                         

                                                               
Sessions:                                            Up to 9 per week required but happy to consider
                                                           applications for a combination of lesser sessions
                                                       

                                                       

Salary:                                               £72k pa for 9 Sessions
                                                           
Study Leave:                                     9 sessions per annum, pro rata for less than 9 sessions
 

Hours of Work:                           

                                                          9 sessions Monday to Friday worked as agreed
                                                                                                                    
                                                            
                                                            Worked during surgery opening hours
                                                            which may be variable, in line with NHS Lothian requirements, and may include evening and weekend work.
 
Holiday Entitlement:                         54 sessions per annum-Annual Leave pro rata for less than 9 sessions                                                        
                                                      
                                                             10 days per annum- Public Holidays
                                                              Pro rata for less than 9 sessions
                                                            
                                                                                            

Duties & Responsibilities of the Post:

                                                            Provision of general medical services by way of
                                                            surgeries, clinics, and relevant administrative
                                                            work, and other such duties as are required of
                                                            the partners under the NHS regulations, and
                                                            which are reasonably delegated to Post Holder
                                                            by the partners.  This will also include liaison
                                                            with the University in an advisory capacity as required.
 
                                                            Although most of the work is envisaged to be in surgery
                                                            premises, the Post Holder will be required to provide
                                                            emergency treatment etc. to patients and to undertake
                                                            such other duties outside the surgery as are required of
                                                            the partners under NHS regulations and which are
                                                            reasonably delegated to the Post Holder.  The Post holder    
                                                            may require to participate on the daytime practice on call
                                                            rota.
 
                                                            The practice is fully computerised using Vision and the
                                                             Post Holder will be expected to familiarise him/herself
                                                             with the system.
 
Organisational Details:                        There are 6 Partners, 7 Salaried GP's, 1 Retainer
                                                            1 GP Registrar, 3 Practice Nurses, 1 Health Care Assistant
                                                            Practice Business & Development Manager,
                                                            Senior Receptionist, 2 Medical Typists, IT Manager,
                                                            6 Receptionists and 1 Summariser.


 CV and covering letter are required to apply with
Closing Date being 21 September 2018.
 
Please submit your application to Mrs J Grant, Practice Business & Development Manager, Richard Verney Health Centre, 6 Bristo Square, Edinburgh, EH8 9AL

==========================================================================================
  
                                       

print this page