Job summary
We have an exciting opportunity for a dynamic, motivated, and experienced Advanced Nurse Practitioner to join Warrington Innovation (WIN) Primary Care Network.
We are looking for a forward thinking, flexible and adaptable candidate with experience working in primary care or healthcare management, it is essential the individual has a good understanding of general practice systems and processes and the ability to provide strategic, business, and operational support to our network.
The PCN Advanced Nurse Practitioner will act within their professional
boundaries to provide patient care from initial triage, history taking,
clinical assessment, diagnosis, treatment and evaluation of care in the surgery
and on home visits. The PCN Advanced Nurse
Practitioner will demonstrate critical thinking in the clinical decision making
process.
The
role is to work across the 7 practices of our PCN. You will be expected to work autonomously and undertake face to face clinical
assessment of your patient list in 15 minute appointments, making clinical
decisions based on experience, knowledge and analytical ability of undiagnosed
presentations.
The applicant must be
a Nurse prescriber, you must be willing to undertake home visits if necessary, make
appropriate clinical referrals and process pathology results and hospital
correspondence for your patients.
You must have a valid driving license and be willing to travel between our 7 member practices.
Main duties of the job
Manage
patients presenting with a range of acute and chronic medical conditions,
providing subject matter expert advice including children.
Implement
and evaluate individual specialised treatment plans for chronic disease
patients
Identify,
manage and support patients at risk of developing long-term conditions,
preventing adverse effects to the patients health
Provide
advanced, specialist nursing care to patients as required in accordance with
clinical based evidence, NICE and the NSF
Provide
specialist clinics such as ear syringing, contraception, etc.
Undertake
the collection of pathological specimens
Request
pathology services as necessary
Process
and interpret pathology and other test results as required
Provide
chronic disease clinics, delivering patient care as necessary, referring
patients to secondary/specialist care as required
Maintain
accurate clinical records in conjunction with extant legislation
Ensure
SNOMED CT codes are used effectively
Support
the team in dealing with clinical emergencies
Recognise,
assess and refer patients presenting with mental health needs
Be
an extended and supplementary prescriber, adhering to extant guidance
Support
patients in the use of their prescribed medicines or over the counter medicines
(within own scope of practice), reviewing annually as required
About us
Warrington Innovation Network is a well-established PCN in Warrington, comprising of seven GP practices serving a diverse population of 58,000 patients.
We are a committed and adaptable network who welcome innovation, change and collaboration.
This is an exciting opportunity to join our organisation and support healthcare services across a large and diverse population.
Job description
Job responsibilities
Job description and person specification
Job title
Advanced Nurse Practitioner
Line manager
PCN Manager
Accountable to
Clinical Director
Hours per week
37.5
Job summary
The Advanced Nurse Practitioner (ANP) has been assessed as competent in practice using their expert clinical knowledge and skills. They have the freedom and authority to act and make autonomous decisions in the assessment, diagnosis and treatment of patients.
The ANP provides an opportunity for patients to avoid the need to be referred to a GP, thereby enabling them to receive timely care and negate unnecessary delay in receiving treatment.
ANPs in primary care can develop close, long-term relationships with their patients and work in partnership with them to achieve optimum health. They are autonomous in making decisions based on assessment, diagnosis and interpretation of test results. They can independently prescribe appropriate medication, evaluate or refer to other specialists if necessary.
Primary responsibilities
The following are the core responsibilities of the PCN Advanced Nurse Practitioner. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
- Develop, implement and embed health promotion and wellbeing programmes
- Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice
- Implement and evaluate individual specialised treatment plans for chronic disease patients
- Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health
- Provide home visits to patients
- Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
- Provide specialist clinics such as contraception, etc.
- Undertake the collection of pathological specimens
- Request pathology services as necessary
- Process and interpret pathology and other test results as required
- Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
- Maintain accurate clinical records in conjunction with extant legislation
- Ensure SNOMED CT codes are used effectively
- Maintain chronic disease registers
- Chaperone patients where necessary
- Prioritise health issues and intervene appropriately
- Support the team in dealing with clinical emergencies
- Recognise, assess and refer patients presenting with mental health needs
- Be an extended and supplementary prescriber, adhering to extant guidance
- Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
- Contribute to practice targets (QOF, etc.), complying with local and regional guidance
- Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
- Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)
- Support the clinical team with all safeguarding matters in accordance with local and national policies
- Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
- Deliver opportunistic health promotion where appropriate
- Issue sick notes
- Complete direct referrals for radiology
- Complete direct referrals for blood tests
- Complete 2WW referrals
- Refer onto other specialities
- Prescribe within full range of formulary
- Titrate medications as required
- The ability to deal with mental health patients
- complete gynae/PR exams as required
- Women's health and contraception
- Secondary responsibilities
- In addition to the primary responsibilities, the PCN Advanced Nurse Practitioner may be requested to:
- a. Act as the audit lead, effectively utilising the audit cycle
- b. Monitor and ensure the safe storage, rotation and disposal of medication
- c. Participate in local initiatives to enhance service delivery and patient care
- d. Support and participate in shared learning within the organisation
- e. Develop an area of specialist interest, taking the lead within the organisation
- f. Continually review clinical practices, responding to national policies and initiatives where appropriate
- g. Participate in the review of significant and near-miss events applying a structured approach i.e., root cause analysis (RCA)
- h. Drive the development of nursing services within the organisation, liaising with external agencies and professional organisations as required
- i. Develop practice administrative and clinical protocols in line with the needs of the patient and current legislation
Person Specification available on request
Job locations
Guardian Medical Centre
Four Seasons Medical Centre
Westbrook Medical Centre
Culcheth Medical Centre
Springfields Medical Centre
Parkview Medical Centre
Chapelford Medical Centre
Job description
Job responsibilities
Job description and person specification
Job title
Advanced Nurse Practitioner
Line manager
PCN Manager
Accountable to
Clinical Director
Hours per week
37.5
Job summary
The Advanced Nurse Practitioner (ANP) has been assessed as competent in practice using their expert clinical knowledge and skills. They have the freedom and authority to act and make autonomous decisions in the assessment, diagnosis and treatment of patients.
The ANP provides an opportunity for patients to avoid the need to be referred to a GP, thereby enabling them to receive timely care and negate unnecessary delay in receiving treatment.
ANPs in primary care can develop close, long-term relationships with their patients and work in partnership with them to achieve optimum health. They are autonomous in making decisions based on assessment, diagnosis and interpretation of test results. They can independently prescribe appropriate medication, evaluate or refer to other specialists if necessary.
Primary responsibilities
The following are the core responsibilities of the PCN Advanced Nurse Practitioner. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
- Develop, implement and embed health promotion and wellbeing programmes
- Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice
- Implement and evaluate individual specialised treatment plans for chronic disease patients
- Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health
- Provide home visits to patients
- Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
- Provide specialist clinics such as contraception, etc.
- Undertake the collection of pathological specimens
- Request pathology services as necessary
- Process and interpret pathology and other test results as required
- Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
- Maintain accurate clinical records in conjunction with extant legislation
- Ensure SNOMED CT codes are used effectively
- Maintain chronic disease registers
- Chaperone patients where necessary
- Prioritise health issues and intervene appropriately
- Support the team in dealing with clinical emergencies
- Recognise, assess and refer patients presenting with mental health needs
- Be an extended and supplementary prescriber, adhering to extant guidance
- Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
- Contribute to practice targets (QOF, etc.), complying with local and regional guidance
- Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
- Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)
- Support the clinical team with all safeguarding matters in accordance with local and national policies
- Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
- Deliver opportunistic health promotion where appropriate
- Issue sick notes
- Complete direct referrals for radiology
- Complete direct referrals for blood tests
- Complete 2WW referrals
- Refer onto other specialities
- Prescribe within full range of formulary
- Titrate medications as required
- The ability to deal with mental health patients
- complete gynae/PR exams as required
- Women's health and contraception
- Secondary responsibilities
- In addition to the primary responsibilities, the PCN Advanced Nurse Practitioner may be requested to:
- a. Act as the audit lead, effectively utilising the audit cycle
- b. Monitor and ensure the safe storage, rotation and disposal of medication
- c. Participate in local initiatives to enhance service delivery and patient care
- d. Support and participate in shared learning within the organisation
- e. Develop an area of specialist interest, taking the lead within the organisation
- f. Continually review clinical practices, responding to national policies and initiatives where appropriate
- g. Participate in the review of significant and near-miss events applying a structured approach i.e., root cause analysis (RCA)
- h. Drive the development of nursing services within the organisation, liaising with external agencies and professional organisations as required
- i. Develop practice administrative and clinical protocols in line with the needs of the patient and current legislation
Person Specification available on request
Job locations
Guardian Medical Centre
Four Seasons Medical Centre
Westbrook Medical Centre
Culcheth Medical Centre
Springfields Medical Centre
Parkview Medical Centre
Chapelford Medical Centre
Person Specification
Qualifications
Essential
- Registered Nurse with Nursing and Midwifery Council
- Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice.
- Post graduate diploma or degree for Advanced Practice Qualification up to December 2020
- Qualified Independent Nurse Prescriber on the NMC register
- Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
- Meets the standards for registered ANP working at advanced level
- Minor illness qualification
Desirable
- Qualified triage nurse
- Teaching qualification
- ALS and PALS
Experience
Essential
- Experience of practice within the four pillars
- Job plan that demonstrates advanced nursing practice and has equity with peers working at this level
- Experience of prescribing and undertaking medication reviews
- Experience of working in a primary care environment
Desirable
- Experience of working as a practice nurse or community nurse
Knowledge/Skills
Essential
- Clinical knowledge and skills (add/delete as applicable) including:
- ECGs
- Venepuncture
- New patient medicals
- Chaperone procedure
- Requesting and processing pathology tests
- Advising patients accordingly
- Diabetes
- Hypertension
- Asthma
- Spirometry
- CHD
- Immunisations (routine and childhood)
- Womens health (cervical cytology, contraception, etc.)
- Mental Health
- Clinical Examinations
- Travel medicine
- Understand the importance of evidence-based practice
- Broad knowledge of clinical governance
- Ability to record accurate clinical notes
- Ability to work within own scope of practice and understand when to refer to GPs
- Knowledge of health promotion strategies
- Understand the requirement for PGDs and associated policy
- Polite and confident, flexible and cooperative
- Motivated, forward thinker
- Problem solver with the ability to process information accurately and effectively, interpreting data as required
- High levels of integrity and loyalty
- Sensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situations
Desirable
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
Person Specification
Qualifications
Essential
- Registered Nurse with Nursing and Midwifery Council
- Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice.
- Post graduate diploma or degree for Advanced Practice Qualification up to December 2020
- Qualified Independent Nurse Prescriber on the NMC register
- Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
- Meets the standards for registered ANP working at advanced level
- Minor illness qualification
Desirable
- Qualified triage nurse
- Teaching qualification
- ALS and PALS
Experience
Essential
- Experience of practice within the four pillars
- Job plan that demonstrates advanced nursing practice and has equity with peers working at this level
- Experience of prescribing and undertaking medication reviews
- Experience of working in a primary care environment
Desirable
- Experience of working as a practice nurse or community nurse
Knowledge/Skills
Essential
- Clinical knowledge and skills (add/delete as applicable) including:
- ECGs
- Venepuncture
- New patient medicals
- Chaperone procedure
- Requesting and processing pathology tests
- Advising patients accordingly
- Diabetes
- Hypertension
- Asthma
- Spirometry
- CHD
- Immunisations (routine and childhood)
- Womens health (cervical cytology, contraception, etc.)
- Mental Health
- Clinical Examinations
- Travel medicine
- Understand the importance of evidence-based practice
- Broad knowledge of clinical governance
- Ability to record accurate clinical notes
- Ability to work within own scope of practice and understand when to refer to GPs
- Knowledge of health promotion strategies
- Understand the requirement for PGDs and associated policy
- Polite and confident, flexible and cooperative
- Motivated, forward thinker
- Problem solver with the ability to process information accurately and effectively, interpreting data as required
- High levels of integrity and loyalty
- Sensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situations
Desirable
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
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).
Additional information
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).
