Nurse Practitioner

Combe Down Surgery is a progressive GP practice set in the picturesque outskirts of Bath. Serving nearly 14,000 patients, we are dedicated to providing high-quality care in a supportive and innovative environment. Wehave recently transitioned to a total triage model, which has been extremely well-received by both patients and clinicians. This approach ensures patients see the right clinician at the right time, and it also allows us to make themost of each team members skills.

Our main surgery is in the heart of Combe Down village, witha second site in Odd Down. Due to increasing patient numbers alongside reviewing our current skill mix we have a position for a permanent Nurse Practitioner.

As a Nurse Practitioner/Paramedic, youll be working 2-4 daysper week, handling a mix of 15-minute face-to-face and some telephone appointments with scheduled admin time and breaks. You'll be responsible for assessing, diagnosing, and treating a variety of conditions, with the potential for managing both acute and chronic cases.

The role offers an exciting opportunity to develop areas of interest or utilise any specialist skills you may have, as the triage model allows for focused care in your area of expertise. Youll work alongside asupportive team of 9 GPs, 2 Nurse Practitioners and a Paramedic home visiting service in a collaborative environment.

AtCombe Down Surgery, we pride ourselves on our Outstanding CQC rating and our commitment to maintaining high standards of patient care. We offer acollaborative and supportive work environment where you can grow professionally, develop your skills, and make a real impact in patient care.

With flexible hours, the opportunity to develop special interests, and a focuson work-life balance, this role offers the perfect combination of challenge and flexibility. Our practice is located in a beautiful area of Bath, with easy access to local amenities and excellent transport links.

Reports to:
Nurse Manager

Hours:
Between 25 - 37.5 hours per week

Job Summary

The post holder will always work within the boundaries of their professional body. The post holder will review patients presenting with minor illness and minor injuries that have been booked into their designated clinics using the local template system. The patients presenting needs will be assessed using history taking and clinical assessment. A diagnosis and plan of care will be provided in partnership with the patient.

Safe clinical decision making that fits with national and local guidance will be demonstrated. There is a requirement that extra or emergency patients may also need to be seen. The Nurse Practitioner will be required to prioritise and triage the needs of the patients accordingly making any necessary referrals for investigations in the appropriate manner. Patients needing referral to secondary care can be made using the referral pathways on Ardens.

If referral criteria are not met but the referral is still deemed necessary then advice from Duty GP is required.

Clinical Role

The post holder will:

• Provide telephone and face to face reviews for the patients registered with Combe Down Surgery to include those patients who have undifferentiated or undiagnosed problems.
• Make professionally autonomous decisions using broad and in-depth theoretical knowledge base.
• Use skills in history taking, physical examination, problem solving and clinical decision making to establish a diagnosis and management of care acceptable to the patient.
• Carryout or organise necessary invasive and non-invasive diagnostic tests or investigations and interpret their results.
• Independently prescribe within the requirements of their professional body to ensure the prescribing is required, safe and appropriate whilst meeting national and local guidance
• Ensure that the care delivered is evidenced based, cost effective and in keeping with local/ surgery policies and procedures.
• To maintain accurate documentation in keeping with the relevant professional bodies guidance.
• Help promote health and well-being to patients of Combe Down Surgery.
• Assist in the ongoing management of patients with long-term conditions.

Professional/Organisational Role

Work as an effective team member and promote a multi-agency collaborative approach to health care.

Follow agreed protocols with referral to senior nurse or GPs as appropriate.

Ensure that accurate record keeping, and communication is maintained to ensure efficient evaluation and monitoring.

Advise senior nurse of potential problems or errors within range of assigned tasks.

Attend and participate in practice meetings as per contract.

To promote clinical excellence and personal development.

Work with the practice to explore and develop new ways of working in keeping with the changing healthcare needs of the patients of Combe Down Surgery.

Monitor the effectiveness of own practice by means of audit, bench marking and reviews for quality assurance.

Education, Training and Research

Maintain professional…