Job summary
- Main area
- District Nursing Service
- Grade
- Band 7
- Contract
- Permanent
- Hours
- Full time - 37.5 hours per week
- Job ref
- 391-NMUH-7401413
- Employer
- Royal Free London NHS Foundation Trust
- Employer type
- NHS
- Site
- St Micheal Primary care center
- Town
- Enfield
- Salary
- £53,751 - £60,651 inclusive of Outer HCAS per annum
- Salary period
- Yearly
- Closing
- 31/08/2025 23:59
Employer heading
Advanced Community Nurse Practitioner
Band 7
Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community. This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.
Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers’ money, being safe and meeting our external duties, and building a strong organisation.
Everyone is welcome at Royal Free London NHS Foundation Trust. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.
Click here to view our video Welcome to the Royal Free
Job overview
An exciting opportunity has arisen for a dynamic and experienced Advanced Community Nurse Practitioner to join the Enfield District Nursing service.
The Advanced Community Nurse Practitioner carries the continuing responsibility for the health care management of a particular geographical area as aligned with Primary Care Network (PCN) and with the responsibility for clinical leadership to optimize quality and standard care service delivery.
The post holder strives to continually improve care pathways for patients, their carers, and families when utilising district nursing services in conjunction with other statutory and voluntary services.
The Advance Community Nurse Practitioner is a specialist role who provides holistic care and promotes independent living. The post holder will be a senior nurse with a Specialist Practitioner District Nursing Qualification or equivalent and has significant Community Nursing experience to provide expert clinical advice to support the District Nursing Team.
Please see the Job Description and Person Specification for further details
Main duties of the job
- To provide highly developed clinical leadership for all patients on the District Nursing caseload through advanced level autonomous practice including taking managed risk.
- Highly provides specialist clinical leadership for patients on the caseload and works collaboratively with all professionals, carers, and relatives to gain a deep understanding of all aspects of the patient’s physical, emotional, and social situation.
- This includes physical examination and detailed history taking, diagnosis, prescribing, planning and evaluation of care
- Highly provides specialist clinical leadership for the development and maintenance of personalised care plans for patients on the community nursing caseload, based on the full assessment of medical, nursing and care needs. This includes preventative measures and anticipation of future needs..
- Order investigations and tests and interpret and act on results, using clinical guidelines and policies to support clinical decision-making.
- Maintain competence in prescribing according to the level of prescribing qualification i.e., Nurse Prescriber or Independent Prescriber and participate in regular continuing professional development in relation to the role.
Working for our organisation
North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London’s busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond.
Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients’ wellbeing.
We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families.
For more information, please access the following link: https://www.northmid.nhs.uk/
Detailed job description and main responsibilities
The post holder is required to be a Registered Nurse with substantial community experience in managing patients with complex needs and holding advanced clinical assessment skills.
The post requires the completion of the DNSP qualification. The post holder should be an independent prescriber or working towards this qualification.
To take a comprehensive history, perform a systematic physical examination and establish baseline data to inform the development of a comprehensive care plan.
Utilise highly specialist assessment, planning, treatment, and evaluation skills appropriate to the clinical area.
Analyse signs and symptoms, laboratory tests, investigations, and other measures of function in formulating a diagnosis.
Undertake advanced clinical assessment and management for patients requiring an urgent care response within four hours of referral within the community setting.
Use highly complex analytical and problem-solving skills in unpredictable situations.
Provide evidence-based treatment plans based on sound clinical decision making, including the unique presentation of illness and response to treatment of patients on the community nursing caseload.
Collaborate with the multi-disciplinary team to plan and implement treatment for acute illness/injury/chronic illness as required, using skills in nurse prescribing and medicines management.
Negotiate, collaborate, and support individuals and families to make sometimes difficult decisions about plans of care by empowering them to decide on the most appropriate course of action.
Ensure a robust process is in place to review care and treatment plans.
Take a leading role in auditing and monitoring all components of care delivery.
Review and develop clinical competency as required to support clinical practice, participating in the ongoing personal development of self and of others.
Please see the Job Description and Person Specification for further details
Person specification
EDUCATION AND QUALIFICATIONS
Essential criteria
- • Specialist Practitioner District Nursing Qualification or equivalent
- • Community practitioner Nurse prescriber (V100/V300), Physical assessment module
Desirable criteria
- • Educated to Master level
Experience and Knowledge
Essential criteria
- • Broad range of clinical skills relevant to District Nursing • Ability to undertake full assessments of patients with complex needs
- • Experience of staff management and appraisal • Evidence of professional development
- • Demonstrate evidence of service improvement / implementing local change • Clinical audit and why this is important
- • Clear understanding of community services, NHS policy and future implications
- • Clinical audit and why this is important
- • Good knowledge of health and safety and risk management
Skills and Abilities
Essential criteria
- • Ability to work across a seven-day week • Ability to delegate care and prioritise visits
- • Team working • Communication skills • Interpersonal skills • Written and verbal skills
Values
Essential criteria
- Demonstrate ability to meet Trust Values
Other Requirements
Essential criteria
- . Car driver for business use with Valid UK licence .
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Nihinlola Akinyemi
- Job title
- Area Manager District Nursing Service
- Email address
- [email protected]
- Telephone number
- 020 8702 4545
- Additional information
Lola Akinyemi
Area Manager District Nursing Service in West Locality
02087024545.
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