Advanced Nurse Practitioner

Job responsibilities

Key responsibilities

Acute illness

• Run acute illness clinics
• Ensure clinical practice is safe, effective and remains within boundaries of competence and that limitation are acknowledged
• Advise patients on general health care and minor ailments, with referral to other members of the primary and secondary health care team when necessary

• Organise and coordinate the provision of nursing services for the Practice to include the delegation of duties to other members of the Practice nurse team as appropriate

• Assist with the running of chronic illness clinics including diabetes, asthma, COPD and ensure evidence-based practice as suggested by the Quality and Outcomes Framework (QOF) and other national and local services

Other Duties

General Practice Nursing Providing assessment, screening treatment services and health education advice

• Dietary advice
• Blood pressure checks
• Urinalysis
• Health screening
• Ear syringing
• Dressings
• ECG
• Phlebotomy
• Routine injections
• Minor injuries
• Childhood immunisations and vaccinations
• Travel immunisations and vaccinations
• Carry out cervical smears
• Removal of sutures / clips
• Assisting with the fitting of IUCD / IUS
• First registration checks / health surveillance / general health advice
• Assisting with minor procedures in the treatment room
• Provide general and specific health screenings to the Practice patients (within agreed protocols) with referral to other members of the primary and secondary health care team when necessary
• Assist with research as required in the normal course of clinical practice.

• Undertake the collection of pathological specimens including intravenous blood samples, swabs etc. Perform investigations requested by the GPs

• Participate in the administrative and professional responsibilities of the Practice team
• Ensure accurate, contemporaneous notes of all consultations and treatments are recorded in the electronic patient record (EPR)
• 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 research, teaching and audit
• Attend and participate in Practice meetings
• Restocking and maintenance of clinical areas and consulting rooms
• Participate in the teaching of medical students and postgraduate Registrars

• Management of the treatment room for minor operations including maintenance of equipment and stock.
• To assist the doctors to carry out minor operations as required
• Report any problems to the Practice Manager

• Maintenance of equipment and stock relating to patient care

• Training requirements will be assessed by yearly appraisal and will be in accordance with Practice requirements. Personal development will be encouraged and supported by the Practice. It is the individuals responsibility to remain up to date with recent developments
• Participate in the education and training of students of all disciplines and the Introduction of all members of the Practice staff where appropriate
• Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development ensuring PREP requirements are met.
• If it is necessary to expand the role to include additional responsibilities, full training will be given

• Develop and maintain a Personal Learning Plan

• As well as the nursing team there is a need to work closely with reception, office to ensure the smooth running of the Practice, reporting any problems encountered to the relevant person and ensuring everyone is aware of the different roles within the nursing team.
• There is also the need to establish and maintain good liaison with other local practices, including the primary care network as well as other agencies including secondary care

Meetings

• It will be necessary to attend and contribute to various Practice meetings

Confidentiality

• Ensure the maintenance of patient confidentiality as per the Practice protocol. Essentially, 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 and Safety

• The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the PracticeHealth & 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

• 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 peoples 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.

• 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
• Demonstrating skills and activities to others who are undertaking similar work

Quality

• The post-holder will strive to maintain high quality standards 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 teams 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 peoples 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 research, teaching and audit

In addition to the duties which this job normally entails you may from time to time be required to undertake additional or other duties as necessary to meet the needs of the Practice

Qualifications

Essential

• Registered General Nurse (Currently registered with the
• Nursing & Midwifery Council)
• Recognised ANP qualification at minimum of degree level or equivalent
• Independent Nurse Prescriber
• Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and ongoing competence in all aspects of the ANP role

Experience

Essential

• Minimum of several years experience working in General Practice
• Experience in management long term conditions e.g. asthma,
• COPD, diabetes, CHD
• Evidence of working autonomously and as part of a team
• Proven ability to evaluate the safety and effectiveness of their
• own clinical practice
• Experience of minor illness, clinical management and patient referrals
• Understanding of systems to gain an understanding of the health
• needs of the Practice population as they relate to primary care
• Understanding of evidence based practice
• Knowledge of national standards that inform practice (eg National
• Service Frameworks, NICE guidelines etc
• Understanding and accountability arising from the NMC Code of
• Professional Conduct (2004) and medico-legal aspects of the Nurse
• Practitioner role
• Understanding of equal opportunity and diversity issues
• Ability to assess and manage
• patient risk effectively and safely
• Well developed word processing/data collection/IT skills
• Excellent interpersonal, verbal and written communication skills
• Reflective practitioner
• Time management and ability to prioritise workload
• Able to analyse data and information, drawing out implications for the individual patient/impact on care plan
• Able to establish and maintain effective communication pathways
• within the organisation, the local ICB and with key external stakeholders

Desirable

• Teaching / Mentoring experience and /or qualification
• Minimum of several years post registration experience
• Interpreting and implementing local and National policy agendas for health
• Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS/PMS contract, Clinical Governance, Quality & Outcomes Framework
• Experience of use of EMIS clinical system
• Proven record of effective use of networking and influencing skills
• Ability to think strategically

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).