1.Overview of the Surgery

CONTENTS

1.Overview of the Surgery

2.Job Specification

3.Job Description

4.Application Form

HOW TO APPLY FOR THIS POST

Completed Application Forms should be sent to the surgery and marked for the attention of Mrs. Val. Harvey, Practice Manager.

Closing date for receipt of applications is 9.00 a.m. 31st January 2017.

If you have not heard from us by 28.02.17. please assume that your application has been unsuccessful.

Please be aware that interviews may take place in the evening.

Thank you for your interest.

Overview of the Surgery

We are a 3 partner training practice, working from purpose-built premises in the pleasant mid Norfolk market town of East Dereham. Just twenty minutes drive from Norwich, we are also within easy reach of Cambridge, Bury St. Edmunds and Ipswich. The practice is currently part of South Norfolk CCG.

Our surgery team comprises a full complement of ancillary staff, together with attached Community Nurses, Midwives and Health Visitor. We also have an Emergency Care Practitioner working with us for four days each week offering in-house appointments and home visits. Mid Norfolk Locality employs a team of three Nurse Practitioners to focus on the clinical needs of the elderly in local care homes and those in their own homes. We have one of the team, a Prescribing Nurse Practitioner - based at Theatre Royal Surgery and she undertakes home visits as well as providing regular support to the three care homes that our practice looks after.

We are fully computerised, using TPP SystmOne network with integrated Appointment System together with an extensive suite of ancillary Microsoft (and other) programmes. Our Financial Team uses Sage Accounts and Iris GP Payroll programmes. The practice operates registration, item of service and pathology service links and is comprehensively furnished with up to date office and clinical equipment.

Our Practice currently uses IC24 for out of hours services between the hours of 6.30 p.m. and 8.00 a.m. weekdays and all weekend.

Our patient list of approximately 9,000, falls within a fairly compact area - extending to an approximate 4.5 mile radius of the town centre. The practice is open every weekday between 8.00 a.m. and 6.30 p.m. Throughout the day there is always a nurse on duty and they are able to assess any emergencies which may arrive when there is no doctor on the premises. The daily duty doctor can be contacted by mobile telephone throughout the day. Our practice list is currently closed to new registrations.

We are a training practice and we regularly have medical students in the practice as a result of the collaborative work between ourselves and the UEAMedicalSchool. From time to time we also have trainee practice nurses or administrative staff working on the premises. From spring 2017 we will have two of the new cohort of Physician Associates based in our practice as part of the UEA's new training programme. In addition we also train FY2 doctors and currently have a doctor on placement with us until February when his replacement will start work with us.

All staff and partners are encouraged to attend external courses and we hold our own in-house sessions on a regular basis for all staff. In past years we have held five residential training weekend attended by all members of the practice team.

Since April 2004 we have offered a range of enhanced and private services from our premises and we opened a dispensary in May 2004 that enabled us to dispense to approximately 1000 of our patients (depending upon where they live in the practice area). The dispensary was superceded by a Pharmacy in 2011 and this is operated by an external company and open for one hundred hours per week.

We had our first CQC inspection in March 2014 and were randomly selected from other South Norfolk CCG practices to have a second, new-style CCG inspection in October 2014. Both inspections were passed with flying colours and were a reflection on the excellent staffing, facilities and systems that are in place at Theatre Royal Surgery.

We work closely with our colleagues in the Mid Norfolk Locality of South Norfolk CCG and are currently developing an MCP model of care based on the successful ICO pilot that we designed a few years ago.

We feel that we are a happy, efficient and caring practice where all members of the team are encouraged to use their initiative and particular skills to ensure that we offer the highest possible standard of care to our patients.

Job Specification

Essential / Desirable / Assessment
Qualifications
Registered General Nurse (Currently registered with the Nursing & Midwifery Council)
Recognised NP qualification / Teaching/Mentoring experience and /or qualification.
Independent Nurse Prescriber. / Original certificates, NMC card andCurriculum Vitae (CV)
Experience
Minimum of 5 years post registration experience with at least 2 years in primary care/A&E/OOH setting.
Management of minor illnesses or ailments.
Experience in management long term conditions e.g. Heart disease, 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. / Interpreting and implementing local and National policy agendas for health.
Previous experience of managing and developing a nursing team. / CV and interview.
Knowledge
Understanding and knowledge of policy devel-opments related to the delivery of primary care services including General Practice , Clinical Governance, Quality & Outcomes Framework.
Knowledge of Nurse Revalidation requirements.
Understanding of systems to determine health needs of the Practice population related to primary care.
Understanding of evidence based practice.
Knowledge of national standards that inform practice (e.g. National Service Frameworks, NICE guidelines etc.).
Understanding of equal opportunity and diversity issues. / CV and 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 CCG/AT 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 and interview.
Requirements of the Role
Meet the requirements of and be able to produce evidence for Nurse Revalidation.
Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the NP role
Understanding of their accountability arising from the NMC Code of Professional Conduct (2008) and medico-legal aspects of the Nurse Practitioner role / Revalidation documentation and interview.

Job Description - Nurse Practitioner / Minor Illness Nurse

Summary

We are seeking 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 our practice. The successful applicant 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 in that the post holder will work to their personal scope of practice and competencies, seeking advice where and when appropriate with clinical colleagues, GP's or other professional agencies.

Scope and Purpose of the Role

To deliver a high standard of patient care as 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 the presenting patient’s needs in a primary care setting, including triage with the duty GP.

To support the Lead Nurse and the nursing team and ensure the highest standards of care are provided for the patients.

To support the development of nursing services offered by the practice

To provide clinical mentorship to the nursing team within the practice.

To undertake clinical visits to patients in their own homes or our practice patients residing in care homes.

To work collaboratively with clinical staff within the locality to deliver integrated care as directed by the GP partners.

To assist in the development of referral pathways to secondary care, AQP and diagnostic and treatment centres (where relevant).

Primary Duties and Areas of Responsibility

Clinical

The post-holder will:

Provide the choice of direct access to a NP, both in the Practice and over the telephone, for the patients of Theatre Royal Surgery.

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 or further referral to alternative practitioner.

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

Where the post holder is an independent prescriber, to prescribe safe, effective and appropriate medication as defined by current legislative framework (Surgery/National policies)

Provide safe, evidence-based, cost-effective, individualised patient care.

Offer an holistic service to patients and their families, developing (where appropriate) an on-going plan of care and 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.

Process correspondence and patient related data received into/within the practice, whether by post or electronically in line with practice protocols.

Provision of enhanced services and minor operation procedures as required.

Refer patients directly to other services/agencies as appropriate in line with Practice policy.

Support the practice team in initiating/signposting and assisting in the development and delivery of specialist primary care services, such as long term disease management (diabetes, asthma, chronic obstructive pulmonary disease, coronary heart disease, hypertension and CKD).

Work with nursing, clinical and health care assistant colleagues to ensure that National Service Frameworks (e.g. Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered

Work with mutli-disciplinary team within the Practice, and across the wider Mid Norfolk Locality and Clinical Commissioning Group (CCG), 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.

Be aware of and contribute to planning and delivery of CCG patient pathways and, if required, be pro-active in the development and provision of new clinical services within the practice and the locality.

Teaching and Mentoring

The post-holder will:

Promote a learning environment for patients, nurses and other health professionals.

Where appropriate, contribute to the planning and implementation of the teaching for existing staff, such as medical students, NP students, GP registrars, Health Care Assistants, within the Practice.

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 towards nurse revalidation requirements. 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 and, where appropriate, with the wider locality team, to consider the impact and strategies for implementation.

Work collaboratively with colleagues within and external to the practice.

Demonstrate appropriate leadership.

Pro-actively promote the role of the NP within the Practice and externally to key stakeholders and agencies.

Administrative Role

The post-holder will:

Encourage and develop teamwork within the practice.

Participate in multi-disciplinary protocol and Patient Group Directions development.

Liaise with the Lead Nurse to identify appropriate opportunities to delegate both clinical and administrative tasks to more appropriate staff.

Help the practice operate in a cost-effective manner.

Work with the Lead Nurse to identify and manage nursing care risks on a continuing basis.

Participate in practice meetings as required.

Participate in audits and inspections as appropriate.

Work closely with the practice team in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets.

Health And Safety, Risk Management, Infection Control and Other Policies

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 organisations Incident Reporting System.

The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).

Post-holder will have indemnity cover either by self or via the working organisation in accordance with working level.

The post-holder will comply at all times with the Practice's Infection Control, Equality & Diversity and Confidentiality policies and any other policies that are in place at the Practice for the protection of clinicians, staff, patients and the general public.

Communication and Working Relationships

The post-holder will be expected to communicate with staff at all levels throughout the organisation as well as patients and carers.

Of particular importance is the development and maintenance of effective communication and working relationships with, and between, external agencies and secondary care clinicians.

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.

Application Form - Please complete all sections

Position for which you are applying?
Full Name / Title
Address
Post Code / Daytime Tel. No. / Evening Tel. No.
D.O.B. (optional) / G.P.
Are you registered disabled? / Nationality
Do you have any physical disabilities or health problems?
YOUR CURRENT EMPLOYMENT
Job Title / Date Employment Commenced
Current Hourly Rate £ / Period of Notice
Employer’s Name
Address
Post Code / Tel. No. / Fax No.
Name of your Supervisor/Manager
Supervisor/Manager's contact email address
IMPORTANT– We will contact your present employer for a reference UNLESS you specifically tell us in writing not to do so.
YOUR PREVIOUS EMPLOYMENT
On a separate A4 sheet, please give details of your employment history (prior to the information given above), listing the employer’s name and address, the position you held, dates when you were employed and reason(s) for leaving.
WHY US?
On a separate sheet of A4 paper – in your own handwriting – please tell us why you are applying for our vacancy, what you hope to gain from working with us, what qualities you could bring to the job and what you see yourself doing in five years time.
REFERENCES
As well as your present employer, we need you to give the names of two referees below – one of whom should be a previous employer or tutor.
Contact Name / Contact Name
Company / Company
Address / Address
Post Code / Post Code
Tel. No. / Tel. No.
Relationship to you / Relationship to you
YOUR SKILLS
Please attach a full Curriculum Vitae detailing your education, qualifications and any specific training which you have undertaken. In addition, please put a tick below against any of the items in which you feel you are fully competent and have a proper working knowledge.
Windows / Windows Version(s): / Please state:
MS Office / MS Office Version(s): / Please state:
TPP Systmone / Childhood Vaccinations / Spirometry
Nurse Practitioner Course / Travel vaccinations / 12 Lead ECGs
Nurse Prescribing Course / Dementia reviews / Venepuncture
Asthma Diploma or equivalent / Ear syringing / Infection control
COPD Diploma or equivalent / Prioritising workload / Critical Incident reporting
Diabetes diploma or equivalent / Health promotion / Data collection/Audits
Have you been immunised against Hepatitis B?
Have you completed Basic Life Support Training – if yes, date?
Have you completed Child Protection training – if yes, date?

Please send the completed form, marked for the personal attention of Lead Nurse Catherine Crosland, Theatre Royal Surgery, 27 Theatre Street, East Dereham, Norfolk. NR19 2EN.

Thank you for your interest in applying.