Nurse Practitioner job description and person specification

Job title

Nurse Practitioner

Line manager

Partners

Accountable to

The Partners – Clinically

Practice Manager – Administratively

Work Pattern

1 Whole time equivalent/2 part NP’s

Job summary

To be responsible for providing a comprehensive triage service, working as part of the practice multidisciplinary team. To support patients requiring primary care services whilst providing appropriate information, advice or referrals as per the agreed protocols.

The Nurse Practitioner will be required to work closely with the Duty Team in the practice and in the community (home visits), providing a range of services such as assessment, diagnosis, treatment, telephone triage and referring patients appropriately, as well as supporting the management team in the reviewing of clinical policy and procedure.  To support patients requiring primary care services whilst providing appropriate information, advice or referrals as per the agreed protocols.

To support the management team in the reviewing of clinical policy and procedure. 

Generic responsibilities

All staff at Tonbridge Medical Group have a duty to conform to the following:

Equality, diversity and inclusion

A good attitude and positive action towards ED&I creates an environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do and it is required by law.

Patients and their families have the right to be treated fairly and to be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that patients and colleagues are treated with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

This practice is committed to supporting and promoting opportunities for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (Workplace) Regulations 1999 and other statutory legislation. 

Confidentiality

This practice is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect that all staff will respect their privacy and maintain confidentiality at all times. It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff protect patient information and provide a confidential service.

Quality and Continuous Improvement (CI)

To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice.

This practice continually strives to improve work processes which deliver health care with improved results across all areas of our service provision. We promote a culture of continuous improvement where everyone counts and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care. 

Induction training

On arrival at the practice, all personnel are to complete a practice induction programme. This is managed by the Assistant Practice Manager.

Learning and development

The effective use of training and development is fundamental to ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role.  All staff will be required to partake and complete mandatory training as directed by the training coordinator as well as participating in the practice training programme.

Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and, ultimately, enable them to improve processes and service delivery. 

Collaborative working

All staff are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

Service delivery

Staff at Tonbridge Medical Group must adhere to the information contained within practice policies and regional directives, ensuring protocols are adhered to at all times. Staff will be given detailed information during the induction process regarding policies and procedures.   

Security

The security of the practice is the responsibility of all personnel. Staff must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager. Under no circumstances are staff to share the codes for the door locks with anyone and they are to ensure that restricted areas remain effectively secured.

Professional conduct

At Tonbridge Medical Group, staff are required to dress appropriately for their role. Administrative staff will be provided with a uniform whilst clinical staff must dress in accordance with their role.

Leave

All personnel are entitled to take leave. Line managers are to ensure all of their staff are afforded the opportunity to take a minimum of 20 days leave each year and should be encouraged to take all of their leave entitlement. 

Primary responsibilities

The following are the core responsibilities of the Nurse Practitioner. There may, on occasion, be a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

  1. To evaluate and prioritise patients’ symptoms and provide general advice and reassurance in line with the Standards for Better Health and up to date clinical research guidelines
  2. To provide appropriate signposting to the relevant clinician or external organisation whilst ensuring that the patient receives appropriate ongoing care
  3. Working closely with the Duty Team to triage patients and provide the necessary treatment during home visits
  4. Triage and treat or refer patients
  5. To promote high standards of patient care by the application of a systematic triage approach and undertake comprehensive holistic assessments of person centred care needs
  6. To maintain clear, concise and accurate documentation within the systems provided
  7. To ensure that all necessary arrangements are completed promptly and in a safe manner
  8. To maintain effective communication with multidisciplinary teams to the benefit of the patient
  9. To maintain the confidentiality of matters relating to patients and patient care in accordance with the NMC guidelines
  10. To communicate complex and sensitive information concerning a patient’s medical condition effectively to patients/carers, recognising that sometimes there are barriers to understanding
  11. To foster good public relations by ensuring courtesy and discretion when dealing with patients and their relatives
  • To support and advise patients on the promotion of health, prevention of ill-health and the self management of their health within their limitations
  1. To recognise situations that may be detrimental to the health and well-being of the individual and act on the findings
  • To ensure that care given is supported by the best available evidence and local policies and procedures
  • To deliver opportunistic health promotion where appropriate
  1. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
  2. To uphold the confidentiality of all records/information held by Tonbridge Medical Group.  This duty lasts indefinitely and will continue after you leave your employment at this practice.  All information which identifies individuals in whatever form should be managed locally with the Confidentiality Policy and in general in accordance with the Data Protection Act 2018
  3. To maintain professional competency whilst remaining current and in date for NMC revalidation

Secondary responsibilities

In addition to the primary responsibilities, the triage nurse may be requested to:

  1. Support the nursing department
  2. Act as the audit lead, effectively utilising the audit cycle
  3. Support junior members of the nursing team, providing guidance when necessary
  4. Participate in local initiatives to enhance service delivery and patient care
  5. Support and participate in shared learning within the practice
  6. Continually review clinical practices, responding to national policies and initiatives where appropriate
  7. Participate in the review of significant and near-miss events applying a structured approach, i.e. root cause analysis (RCA)

The person specification for this role is detailed overleaf.