Advanced Nurse Practitioner

Job responsibilities

Job Title: Advanced Nurse Practitioner

Employer:Wandsworth Primary Care Services Ltd

Location:Bolingbroke MedicalCentre, Wakehurst Road, London SW11 6BF

Hours of work: Mon-Fri,37.5 hours per week

Responsible to:Dr Hima Puvinathan / MissSusan Soe

Accountable to:Wandsworth PCN's joint Clinical Directors

Salary:Band 8a dependent on experience (£61,927 £66,384)

Job Type:Permanent

Job Summary

The Advanced Nurse Practitioner(ANP) will be competent in using their expert clinical knowledge and skills. They will have the freedom and authority to act and make autonomous decisions in the assessment, diagnosis and treatment of patients.

The ANP will work with their patients to achieve optimum health outcomes. They will be autonomous in making decisions based on assessment, diagnosis and interpretation of test results. They will be able to independently prescribe appropriate medication, evaluate or refer to other specialists if necessary.

Primary Key Responsibilities

The following are the core responsibilities of the ANP. There may be, on occasion, a requirement to carry out other tasks, dependent upon workload and staffing levels:

1. To manage patients presenting with a range of acute/chronic medical conditions, including undifferentiated undiagnosed conditions, providing subject matter expert advice
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 LTCs, 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 provide 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. During 1 day/week on call duties, to provide clinical decision-making and care for on-the-day urgent cases, including telephone triage, face-to-face consultations, or home visits as necessary
9. To actively take a personalised care approach and population centred care approach to enable shared decision making with presenting patients
10. During 1 day/week on call duties, to respond to and manage urgent medical queries from patients or clinical staff
11. To provide wound care (ulcer/Doppler, etc.)
12. To provide specialist clinics such as ear syringing, contraception, etc.
13. To undertake the collection of pathological specimens
14. To provide travel medicine services
15. To request pathology services as necessary
16. To process and interpret pathology and other test results as required in a timely and clinically appropriate manner (especially during 1 day/week on call duties)
17. To provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
18. To develop, implement and embed health promotion and well-being programmes
19. To maintain accurate and up-to-date clinical records in line with practice and regulatory standards as well as in conjunction with extant legislation
20. To ensure SNOMED CT codes are used effectively
21. To maintain chronic disease registers
22. To develop, implement and embed well woman/well man/travel clinics and effective call/recall systems
23. To be responsible for the implementation of an effective immunisation programme
24. To chaperone patients where necessary
25. To prioritise health issues and intervene appropriately
26. To support the team in dealing with clinical emergencies
27. To recognise, assess and refer patients presenting with mental health needs
28. To implement vaccination programmes for adults and children
29. To review and process clinical documents during 1 day/week on call duties, ensuring accurate workflow and appropriate coding or follow-up actions
30. To be an extended and supplementary prescriber, adhering to extant guidance
31. To support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
32. To contribute to practice targets (QOF, etc.), PCN targets and service requirements (IIF, etc.) complying with local and regional guidance
33. 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.
34. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
35. To delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)
36. During 1 day/week on call duties, to collaborate with the wider clinical team to ensure, safe, effective and efficient care delivery.
37. To support the clinical team with all safeguarding matters in accordance with local and national policies
38. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
39. To deliver opportunistic health promotion where appropriate

Secondary Responsibilities

In addition to the primary responsibilities, the Advanced Nurse Practitioner may be requested to:

1. Act as the audit lead, effectively utilising the audit cycle
2. Act as the IPC lead for the practice, ensuring compliance, undertaking audit as necessary
3. Monitor and ensure the safe storage, rotation and disposal of medicaments
4. Undertake overall management of the nursing team, providing guidance when necessary, acting as a mentor to students and newly qualified staff
5. Maintain an effective nursing staff rota ensuring all clinics are staffed appropriately
6. Participate in local initiatives to enhance service delivery and patient care
7. Support and participate in shared learning within the organisation
8. Develop an area of specialist interest, taking the lead within the organisation
9. Continually review clinical practices, responding to national policies and initiatives where appropriate
10. Participate in the review of significant and near-miss events applying a structured approach i.e., root cause analysis (RCA)
11. Drive the development of nursing services within the organisation, liaising with external agencies and professional organisations as required
12. Develop practice administrative and clinical protocols in line with the needs of the patient and current legislation

Generic Responsibilities

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.
• 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/PCN as a business organisation. All such information from any source is to be regarded as strictly confidential.

Health & Safety

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice/PCN Health & 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.

Equality and Diversity

• Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with procedures and policies, and current legislation.
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
• Behaving in a manner which is non-judgmental and respects patients circumstances, feelings priorities and rights.
• Acting in a way that recognizes the importance of peoples rights.
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.

Personal/Professional Development

• Participation in an annual individual performance reviews, including taking responsibility for maintaining a record of own personal and/or professional development
• Attend all relevant annual updates.
• Be aware of own professional boundaries and what to do when you have reached them.

Quality

The post-holder will strive to maintain quality within the Practice, and will:

• Alert other team members to issues of quality and risk
• Work to practice/PCN protocols.
• 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.
• Effectively manage own time, workload and resources.

Communication

The post-holder should recognise the importance of effective communication within the team and will strive to:

• Communicate effectively with other team members.
• Be familiar in all mediums of communications such as email, tasks, telephone etc.
• Communicate effectively with patients and carers.
• Recognise peoples needs for alternative methods of communication and respond accordingly.
• Communicate effectively to outside agencies.
• Communicate clearly with their lead GP.

Contribution to 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 audit where appropriate.

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'.
• Must have either:
• 1.Graduated from a Centre for Advancing Practice accredited MSc advanced practice programmed or completed the Centres ePortfolio (Supported) Route; both pathways enable eligibility for an Advanced digital badge issued by the Centre for Advancing Practice, demonstrating recognised educational and experimental preparation in advanced practice; or
• 2.Enrolled as a trainee on a Centre for Advancing Practice accredited MSc advanced practice programme linked with subsequent guaranteed progression onto a reimbursable Advanced Practitioner Nurse role on completion of training; or
• 3.Enrolled on and progressed past the initial Learning Needs Analysis (LNA) stage of the Centre for Advancing Practice portfolio (supported) Route, linked with subsequent guaranteed progression onto a reimbursable Advanced Practitioner Nurse role on completion of the ePortfolio process.
• - 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
• - Qualified triage nurse
• - Minor illness qualification

Desirable

• - Teaching qualification
• - ALS and PALS

Experience

Essential

• - Working at a masters level aware or equivalent that encompasses the four pillars of clinical practice, leadership and management, education and research, with demonstration of core capabilities and area specific clinical competencies
• - 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

Clinical knowledge and skills

Essential

• - Wound care/removal of sutures and staples
• - Clinical knowledge and skills 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.)
• - 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

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).