Job Summary

Ivy Grove Surgery is looking to appoint a forward–thinking, enthusiastic, motivated ACP (full or part time) to join our friendly, established, patient centred team. We offer full support for professional development and clinical interests and can be flexible on the sessions to ensure maintenance of a good work/life balance.

The ideal candidate 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 care. They will demonstrate safe, clinical decision-making and expert care, including applying assessment and diagnostic skills, for patients within the general practice. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the wider general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing leadership as required. In order to work at this level NMC requirements for advanced practice must be met.

Duties & Responsibilities

• Be proficient at working autonomously and be accountable for own actions, recognising and working within own competence and professional code of conduct as regulated by NMC
• Assess diagnose and treat patients attending primary health care services with a range of acute, non-acute and chronic medical conditions
• Proactively identify, diagnose and manage treatment plans for patients at risk of developing or have already developed long-term/complex condition/s (as appropriate)
• Undertake and interpret a range of diagnostic tests and routine clinical procedures e.g. cytology, venepuncture, blood pressure monitoring etc
• Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan
• Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and local formularies
• Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions and work with patients and their carers in order to support compliance with and adherence to prescribed treatments
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
• Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care
• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly

Essential Criteria

• Independent Nurse Prescriber
• Appropriate qualifications in autonomous practice
• Ability to manage patient risk effectively and safely Excellent interpersonal, verbal and written communication skills Reflective practice
• Time management & ability to prioritise
• Negotiation and conflict management skills
• Able to analyse data and information, drawing out implications for the patient/implications for the care plan
• Undertake home visits as required

Administrative and Professional Responsibilities

• Participate in the administrative and professional responsibilities of the practice team
• Ensure accurate notes of all consultations and treatments are recorded in the patients’ notes on the clinical computer system as appropriate
• Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
• Ensure collection and maintenance of statistical information required for regular and ad hoc reports
• Attend and participate in practice meetings as required
• Assist in the formulation of practice policies and develop appropriate protocols

Student / Staff Education and Training

• Participate in the education and training of students of all disciplines and the induction of new nursing staff

Liaison

• Maintain effective liaison with other agencies and staff concerned with patient care and with all other disciplines within the practice, with appropriate regard to confidentiality

Professional Development

• Maintain continued education by attendance at courses and study days as deemed useful or necessary by the practice manager for professional development

Confidentiality

• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
• In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
• In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

Health & Safety

The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the practice Health & Safety Policy, to include:

• Using personal security systems within the workplace according to practice guidelines
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
• Making effective use of training to update knowledge and skills
• Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
• Reporting potential risks identified

Equality and Diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognizes the importance of people’s rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights

Personal/Professional Development

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work

Quality

The post-holder will strive to maintain quality within the practice, and will:

• Alert other team members to issues of quality and risk
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance
• Work effectively with individuals in other agencies to meet patients needs
• Effectively manage own time, workload and resources

Communication

The post-holder should recognize the importance of effective communication within the team and will strive to:

• Communicate effectively with other team members
• Communicate effectively with patients and carers
• Recognize people’s needs for alternative methods of communication and respond accordingly

Contribution to the Implementation of Services

The post-holder will:

• Apply practice policies, standards and guidance
• Discuss with other members of the team how the policies, standards and guidelines will affect own work
• Participate in audit where appropriate

Additional

Job title: Advanced clinical practitioner

Responsible to: Practice business manager

Accountable to: Partners (clinically), Practice Business Manager (administratively)

Get in touch

Contact: Ian Bonser, Practice Business Manager, Ivy Grove Surgery, Church Farm Primary Care Centre, Ripley, Derbyshire DE5 3TH

Email: ian.bonser2@nhs.net

Telephone: 01773 514140

Website: ivy.gs

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The usual offer

• Innovative practice
• High QOF performance
• Good support network
• Regular learning schedule
• Friendly approachable team
• Standard BMA contract

What we can offer

• £10,500 - £11,000 per session based on experience and duties
• 15 appointments per session (face to face and telephone mix)
• Pro-rata leave entitlement of 6 weeks annual leave and additional 1 week study leave
• Working hours flexibility
• Low or zero on-call commitment with controlled duty list
• Option to partake in extended hours
• Low visiting rate due to PCN home visiting team based in our premises (average zero to 1 daily)
• Dealing with own generated admin (e.g., referrals, results) and defined admin workload
• Involvement in training (with protected time) - we are an associate training practice
• We are open to the retainer GP service for increased flexibility

Availability

• Full-time or part-time available
• Immediate start

Let’s be honest it’s no secret that times are tough in general practice what with the workforce crisis and the contract impositions, sometimes it can feel like you are being attacked from all angles with everyone wanting a piece of you. Workload is definitely up!

At Ivy Grove Surgery (IGS) we recognise this pressure. Unlike the NHS, NHSE or the government, our ethos is to protect our staff, which is the greatest asset in any organisation. We aim to support each other through regular peer meetings, from our meet-ups for lunch to chat and discuss cases, to our induction and mentoring for new GPs.

Support for the more challenging aspects of our work takes the form of bereavement meetings, complaint de-brief & support meetings plus the advice and support of the team.

Innovation is key to our ethos, we should not be duplicating or completing work that would be more suitable for another member of our practice team. Our resident IT wizard, the notable Dr Wong, has streamlined our processes with integrated templates, easy QOF reminders and merged referrals forms to name but a few. All of this cuts down the amount of admin our GP’s have to do! Please visit our bespoke website ivy.gs, this should give you a feel of what our practice is all about.

Like any other employer we expect our employees and partners to work hard but we pride ourselves on our fair and compassionate approach. Our management team are supportive and caring, they are there when you need them the most. They can guide you through practice processes when first starting, give advice on complaint handling, help you network in our locality or help you apply to the CQC for registration when you make partner!

If you choose to take part, on-call days can get busy but you are not on your own, our duty doctor is supported during the busy period by a second GP, who also completes the morning visits if not passed over to the PCN home visiting service. As a salaried doctor, your workload will be controlled with no extras added to your list.

The enhanced access hub operates from the building. This give the opportunity for any Amber Valley based GP to work in the hub.

The nuts and bolts of IGS are its staff and partners but the advertising blurb is as follows-

Established practice, 10,700 patients, 5 partners, 3 practice nurses, 1 HCA plus managerial, administrative and reception staff.

IGS is situated in the heart of the UK in the small market town of Ripley, a stones-throw from the Peak District National Park.

Prestigious areas of Duffield and Belper are within a 10-minute drive of IGS. Good transport links to the A38, M1 and East Midlands airport and parkway, giving rail access to London in 1.5 hours.

The cities of Nottingham, Derby, Birmingham and Manchester are all within approximately an hour to an hour and a half drive.

We are looking for part-time or full-time GPs, either salaried or with a view to partnership. We would also be interested in meeting applicants who have had previous partnership experience and are looking to relocate.

We welcome each applicant on their merits but advantageous skills would be in the following areas: Palliative care, safeguarding, GP specialty trainer, foundation year or medical student trainer.

If you are interested, please get in touch, quoting WEB.

We are very happy to accommodate informal visits to the surgery, just speak to Ian, our practice business manager. We look forward to meeting you!

Contact: Ian Bonser, Practice Business Manager, Ivy Grove Surgery, Church Farm Primary Care Centre, Ripley, Derbyshire DE5 3TH

Email: ian.bonser2@nhs.net

Telephone: 01773 514140

Website: ivy.gs