Advanced Nurse Practitioner or Nurse Practitioner

Job responsibilities

Clinical practice

Competently triage patients via online forms or telephone conversations

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with a minor illness and/or an undifferentiated diagnosis

Assess patients via telephone or face to face, recognising the need to assess patients at the most appropriate place to take into account the healthcare need

Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs. Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)

Assess, treat and educate patients as required, making use of prescribing experience to prescribe safe, effective and appropriate medication as defined by current legislative framework.

To follow up patients as appropriate dependent on healthcare need and the most appropriate use of resources for our population

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

Make professionally autonomous decisions for which you are accountable

Book diagnostic investigations as indicated.

Refer patients directly to other services/agencies as appropriate

Follow up patients as required by clinical need and guidelines within scope of practice

Undertake the assessment of pathology reports, interpret results and direct for further action as warranted

Complete medical reports for various agencies, including DWP and insurance companies (where the patient is known to you and it does not specifically require completion by a GP)

Delivering a quality service

Recognise and work within own competence and professional code of conduct as regulated by the NMC. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

Deliver care according to NICE guidelines and evidence-based care

Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities

Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

Support and participate in training, shared learning across the practice and wider organisation Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance

Act as nurse advisor to other members of the Primary Healthcare team.

Supervise other allied healthcare professionals where appropriate

Encourage and develop teamwork within the practice.

Involvement in quality improvement and service development particularly pertaining to access improvement as part of a team

Help the practice operate in a cost-effective manner.

Identify and manage nursing care risks on a continuing basis.

Participate in practice meetings and practice management meetings, reporting progress as required. Participate in audits and inspections as appropriate.

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

Ensure that all Practice Policies are fully implemented.

Health and Safety

To comply with the Health and Safety at Work etc. Act 1974.

To take responsibility for their own health and safety and that of other persons who may be affected by their own acts or omissions.

Equality and Diversity

To carry out at all times their responsibilities in line with Equal Opportunities Policy and Procedure.

Risk Management and Clinical Governance

To work within the Clinical Governance Framework of the practice, incorporating Risk Management and all other quality initiatives and all aspects of CQC implementation.

Confidentiality

To maintain confidentiality of information relating to patients, clients, staff and other users of the services in accordance with the General Data Protection Regulations 2018 including outside of the work environment. Any breach of confidentiality may render an individual liable for dismissal and/or prosecution.

Safeguarding

Whilst in post, staff are expected to acquire and update their knowledge on safeguarding as per the intercollegiate document requirements and SHP policies.

Professional development

The post holder will participate in any training programme implemented by the practice as part of this employment

To participate in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

General

To undertake any other duties commensurate with the role, within the bounds of their own competence as guided by the attached management framework.

To work across the various SHP sites as required.

In light of national policy and due to the needs of the business it may be necessary for the Partnership to alter the opening hours of the surgeries. This could incorporate different opening hours and weekend working which may affect when you are required to work. The post holder is expected to be flexible and accommodating, following consultation, in terms of any changes to operating times in the future.

Experience

Essential

• Has worked autonomously in an ANP or NP role
• Worked within a primary care network or general practice setting
• Demonstrable experience in triage
• Experience of case management
• Experience of conducting audits
• Experience in handling and updating QOF data

Desirable

• Experience of supervising or supporting the training of junior clinical team members

Qualifications

Essential

• RGN Qualification
• Qualified Independent Nurse Prescriber on the NMC register
• Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet

Desirable

• Masters degree for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice.
• Or Post graduate diploma or degree for Advanced Practice Qualification up to December 2020
• Accredited training in
• Minor illness
• Urgent care
• Chronic disease management or frailty
• Mentor or teaching qualification

Skills and Knowledge

Essential

• Clinical examination skills
• Able to triage patients
• Communicates effectively with patients and carers, recognising the need for alternative methods of communication to overcome difficult levels of understanding, cultural background and preferred ways of communicating, whilst ensuring the patient is fully informed
• Able to work as part of a wider clinical and non-clinical team for the benefit of the patient and organisation
• Management of patients with acute care needs
• Experience of managing patients with long term conditions and/or frailty or within care homes
• Experience of using prescribing qualification and carrying out medication reviews within skill set and competencies
• Knowledge of health promotion strategies and comfortable giving lifestyle advice and signposting to agencies to support patients
• Knowledge of clinical governance issues in primary care
• Effective decision making and negotiation skills
• Ability to work within own scope of practice and understand when to refer to GPs
• Ability to problem solve whilst working under pressure
• Excellent organisational skills
• Accountability of own role and other roles in a nurse-led service
• IT skills (MS Office and EMISweb)
• Flexibility to meet the needs of the business
• Able to travel to all SHP sites
• DBS required
• Meet the requirements and produce evidence for nurse revalidation
• Evidence of continuing professional development (CPD) commensurate with the role of an ANP or NP

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).