Advanced Nurse Practitioner

Job responsibilities

JOB SUMMARY

To deliver a high standard of patient care as Nurse Practitioner (NP) in general.

practice, using advanced autonomous clinical skills, and a broad and in-depth.

theoretical knowledge base.

To manage a clinical caseload, dealing with presenting patients needs in a primary care setting.

Telephone triage and seeing patients.

Review and action laboratory results.

Signing prescriptions -if you are an independent prescriber.

Supporting urgent clinical queries.

You'll have a mix of face-to-face and telephone consultations, and autonomy to manage minor illnesses, acute presentations, and long-term conditions within your scope of practice. The role will be supported by our clinical team, with regular team meetings, CPD opportunities and access to further training to help you develop your career and skills.

Primary Key Responsibilities

The following are the core responsibilities of the 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:

1. To manage patients presenting with a range of acute and chronic medical conditions, including undifferentiated undiagnosed conditions, providing subject matter expert advice, however the majority of your workload will be same day urgent triage.

2. To identify red flags and underlying serious pathology and take appropriate action.

3. To use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice.

4. To implement and evaluate individual specialised treatment plans for chronic disease patients.

5. To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health.

6. To provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF.

7. To assess and triage patients, including same day triage, and as appropriate provided definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.

8. To process and interpret pathology and other test results as required in a timely and clinically appropriate manner.

9. To maintain accurate and up-to-date clinical records in line with practice and regulatory standards as well as in conjunction with extant legislation.

10. To ensure SNOMED CT codes are used effectively.

11. To maintain chronic disease registers.

12. To chaperone patients where necessary.

13. To support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required.

14. To contribute to practice targets (QOF, etc.), PCN targets and service requirements (IIF, etc.) complying with local and regional guidance.

15. To complete all relevant training in order to provide multi-professional clinical practices and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.

16. To liaise with external services/agencies to ensure the patient is supported appropriately - vulnerable patients, etc.

17. To delegate clinical responsibilities appropriately -ensuring safe practice and that the task is within the scope of practice of the individual.

18. To support the clinical team with all safeguarding matters in accordance with local and national policies.

Criteria

Essential

• Knowledge
• Essential
• Understanding and knowledge of policy developments related to the
• delivery of primary care services including General Practice, the
• GMS contract, Clinical Governance, Quality & Outcomes Framework.
• 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.
• Understanding of equal opportunity and diversity issues.
• Skills
• Essential
• 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 CCG and with key external
• stakeholders.
• Desirable
• Experience of use of a medical software package.
• Ability to think strategically.
• Experience of presenting information to wider audience.
• Qualifications
• Essential
• Registered General Nurse - Currently registered with the
• Nursing & Midwifery Council.
• Recognised NP qualification at minimum of degree level or
• equivalent.
• Desirable
• Teaching -Mentoring experience and, or qualification.
• 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.
• Experience of dealing with 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.
• Experience of prescribing safe, effective and appropriate medication as defined by current
• legislative framework.
• Experience in management long term conditions e.g. COPD,
• asthma, diabetes, CHD, atrial fibrillation.
• Evidence of working autonomously and as part of a team.
• Proven ability to evaluate the safety and effectiveness of their own
• clinical practice.
• Desirable
• Interpreting and implementing local and National policy
• agendas for health.
• An interest in womens health, a willingness to learn, relevant
• experience, or existing qualification in a womens health
• role.
• 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).

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).