Advanced Nurse Practitioner

Job responsibilities

CLINICAL ROLE:

· Provide the choice of direct access to a NP, both in the Practice, over the telephone and via domiciliary visits, for the general practice population.

· Make professionally autonomous decisions for which he/she is accountable.

· Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.

· Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports.

· As an independent prescriber: prescribe safe, effective and appropriate medication as defined by current legislative framework.

· Provide safe, evidence-based, cost-effective, individualised patient care.

· Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care.

· Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills.

· Refer patients directly to other services/agencies as appropriate.

· Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks (eg Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered.

· Work with multi-disciplinary teams both within the Practice and external organisations to promote integrated and seamless pathways of care.

· Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery e.g. QOF and enhanced services.

· Participate in identification of community health needs and develop patient/family-centred strategies to address them

· Be aware of current initiatives to improve existing patient services.

· Be prepared to embrace IT and all computer services to update knowledge, educate patients and use templates etc.

TEACHING AND MENTORING ROLE:

· Promote a learning environment for patients, nurses and other health professionals.

PROFESSIONAL ROLE:

· Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.

· Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review.

· Maintain their professional registration.

· Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained.

· Work within the latest NMC Code of Professional Conduct.

· Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards.

· To work with Partners in identifying issues related to nursing which need to be further discussed within the practice.

· Actively take part in mandatory and internal\external training as requested including annual appraisal (both external and internal).

Qualifications

Essential

• Registered General Nurse (Currently registered with the Nursing & Midwifery Council).
• Recognised NP qualification.

Desirable

• Teaching / Mentoring experience and /or qualification
• ANP qualification; masters level.
• Independent Nurse Prescriber.

Experience

Essential

• Minimum of 5 years post registration experience.
• Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the NP role, including long term condition management.
• Evidence of working autonomously and as part of a team
• Proven ability to evaluate the safety and effectiveness of own clinical practice.

Desirable

• Experience in a primary care/ community/ emergency setting.
• Experience of Patient Home Visits
• Interpreting and implementing local and National policy agendas for health

Knowledge & Skills

Essential

• 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 of their accountability arising from the NMC Code of Professional Conduct (2004) and medico-legal aspects of the Nurse Practitioner role.
• Ability to assess and manage patient risk effectively and safely.
• 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 Multi-Disciplinary Team.

Desirable

• 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 a medical software package.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

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