Advanced Nurse Practitioner

Job responsibilities

MAIN DUTIES AND RESPONSIBILITIES:

Clinical practice

• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, including those with complex needs, whilst demonstrating safe clinical decision making skills.
• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
• Proactively identify, diagnose and initiate treatment plans for patients at risk of developing a long-term condition (as appropriate).
• Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan .
• Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice, national and practice protocols, and within scope of practice
• Work with patients to support compliance with and adherence to prescribed treatments.
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.

Delivering a quality service

• Recognise and work within own competence and professional code of conduct as regulated by the NMC.
• Undertake advanced skills appropriate to the role, ensuring clinical competencies are maintained in accordance with the NMC competency framework for advanced practice.
• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
• Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
• Deliver care according to practice protocols, current national guidelines and evidence-based care .
• Participate in planning and implementing changes within the area of care and responsibility .
• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation .
• Follow infection-control measures within the practice according to local and national guidelines .
• 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 work, 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 .
• Evaluate patients response to health care provision and the effectiveness of care.
• Participate in shared learning across the practice.
• Review and identify learning from patient complaints, clinical incidents and near-miss events .
• 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 .
• Understand own role and scope and identify how this may develop over time .
• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working .
• Use clear referral mechanisms to meet patient need .
• Prioritise own workload and ensure effective time-management strategies are adopted.
• Participate in discussion with the team to create opportunities to improve patient care.
• Input on the delivery of specifically identified services or projects as agreed with the GP Partner lead and Urgent Care Lead.

Professional

• Adhere to own professional body requirements and at all times work within the scope of professional practice.
• Ensure that professional practice adheres to organisational policies, procedures and guidelines.
• Maintain a professional manner and act as a role model and mentor for junior staff including trainees and student nurses.
• Maintain confidentiality with regard to information pertaining to patients and staff.
• Ensure that the service interfaces with all other departments in a professional and productive manner, providing an effective service to partner organisations and other service providers.

Communication

• Communicate effectively with patients and families regarding complex information about their care
• Provide advice and information to patients, carers and their families where appropriate
• Communicate effectively and work collaboratively with medical, nursing and allied health professionals to ensure delivery of a co-ordinated service.
• Ensure accurate documentation record keeping in line with local policies and own professional body guidelines.
• Promote and demonstrate effective communication networks within the organisation, with partner organisations and other service providers

Clinical Governance

• Contribute to the development and maintenance of sound clinical governance and risk management.
• Support the development/implementation on any new ways of working/policies that need to be introduced across SAH.
• Support SAH in operating a quality assurance but no blame culture that adheres to best practice around incident reporting and whistle blowing.

Engagement with Patients, Internal and External Stakeholders

• Initiate, develop and maintain excellent third party relationships e.g. with CCGs, NHSE Area Teams, sub-contractor providers, patient groups, local community health teams and other stakeholders to grow, maintain and support service and performance delivery.
• To ensure patient surveys are undertaken, analysed and action plans are developed and acted upon

Confidentiality

• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
• In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
• 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.

All such information from any source is to be regarded as strictly confidential.

Equality and Diversity

• Support the equality, diversity and rights of patients, carers and colleagues to include:
• Acting in a way that recognises 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-judgemental and respects their circumstances, feelings priorities and rights.

Personal/Professional Development

• To participate in any training programme implemented by the practice as part of this employment.
• Participate 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 and demonstrating skills and activities to others who are undertaking similar work.
• Participation in an annual review of performance during the previous year and agree objectives to be met in the next year. These will be reviewed at agreed points during the year.

Health and Safety

• Assist in promoting and maintaining their own and others health, safety and security as defined in the practice health & safety policy, the practice infection control policy and published procedures.

Communication

• The importance of effective communication within the team is key and you will strive to:
• Communicate effectively with other team members
• Communicate effectively with patients and carers
• Recognise peoples needs for alternative methods of communication and respond accordingly.

Quality

You will strive to maintain quality 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.

Contribution to the implementation of services

• 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 audit where appropriate

Working hours will be between 8am and 8pm Monday to Friday and will involve some weekend working (especially Saturdays) at the agreed standard rate. Thirty minutes unpaid break must be taken at lunchtime.

Qualifications

Essential

• RGN with post registration clinical experience in primary care/urgent care setting
• Educated to Degree Level with Postgraduate level ANP qualification ( or working towards)
• Independent Non-medical prescriber
• Portfolio of evidence showing achievements and up to date CPD
• Evidence of continuing professional development and application to practice within the last 12 month
• Safeguarding Children and adults level 3

Desirable

• Recognised training in assessment of minor injury and minor illness
• Eager to teach both formally and informally
• Five years recent experience in acute / primary care nursing
• Recent experience of face-to-face patient care

Experience

Essential

• Evidence of a range of clinical expertise.
• Experience of working under supervision or within scope of practice in unscheduled or primary health care.
• Experience of multidisciplinary working.
• Ability to take full responsibility for the clinical care of patients.
• Evidence of clinical competence in a wide range of relevant clinical skills
• Health Promotion experience
• Experience of working as an autonomous practitioner
• Experience using clinical computer systems
• Understanding of current Urgent Health care issues and initiatives
• Ability to work effectively under pressure, intense conditions and within time constraints
• Understanding and awareness of CQC compliance and essential standards of quality and safety

Desirable

• Experience of TPP SystmOne clinical system
• Experience of working within a community setting and/or previous experience of working in urgent care
• An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
• Innovative practice to deliver patient centred care

Management

Essential

• The ability to demonstrate an understanding of the current issues affecting Primary Care services
• Commitment to support, develop and manage change
• Evidence of good organisational and leadership skills
• Information governance understanding and awareness

Desirable

• Experience in managing clinic staff and team organisation

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).