Advanced Nurse Practitioner - PCN

Job responsibilities

SCOPE AND PURPOSE OF THE ROLE

• To deliver a high standard of patient care as Advanced Nurse Practitioner (ANP) in general practice, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base in line with the latest ANP guidance on competencies.

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

• To undertake telephone triage of patients requesting medical advice if required

• To assess, diagnose, treat, refer and signpost patients, who present with undifferentiated conditions relating to minor illness or injury, in the surgery and in the community.

• To proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition

To assess, diagnose, plan, implement and evaluate interventions and treatments for patients with complex needs and long term conditions

• To adhere to infection control guidelines within the practice and ensure the highest standards of care are provided for the patients.

• To provide clinical leadership within the practice.

JOB DIMENSIONS

• To manage own clinical workload in general practice responding effectively to patient need and ensuring patient choice and ease of access to services.

• The development and use of referral pathways for ANPs to the local acute NHS Trust services and to Diagnostic and Treatment Centres (where relevant).

• To mentor and support other clinical staff in developing and maintaining clinical skills

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

See person specification

PRIMARY DUTIES & AREAS OF RESPONSIBILITY

A. CLINICAL ROLE:

The post-holder will

• Provide the choice of direct access to an ANP, both in the Practice and over the telephone, 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
• Assess patients in their own homes/care homes in accordance with the practice home visit protocol
• Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports
• As an independent prescriber: to 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, paramedic and health care assistant colleagues to ensure that National Service Frameworks, QOF and enhanced services (eg Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered
• Work with multi-disciplinary team within the Practice, and across the wider Integrated Care Board (ICB) 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

Participate in identification of community health needs and develop patient/family-centered strategies to address them in liaison with appropriate community health professionals and agencies.

Help develop and set up new patient services and participate in initiatives to improve existing patient services as required

• Be aware of and contribute to planning and delivery of practice-based commissioning if required

B. TEACHING AND MENTORING ROLE:

The post-holder will :

• Promote a learning environment for patients, nurses and other health professionals.
• Contribute to the planning and implementation of the teaching for existing staff, such as medical students, nursing students, NP/ANP students, GP registrars, FY2 doctors, Health Care Assistants and admin staff within the Practice.

C. PROFESSIONAL ROLE :

The post-holder will :

• 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 Code of Professional Conduct for their appropriate role and revalidate as required
• Record accurate consultation data in patients records in accordance with the latest guidance and other pertinent standards
• Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation
• Work collaboratively with colleagues within and external to the practice.
• Demonstrate leadership
• Pro-actively promote the role of the ANP within the Practice, and externally to key stakeholders and agencies

D. MANAGERIAL ROLE :

The post-holder will :

Act as role model and mentor for the clinical team as necessary and through this, support their personal development.

Encourage and develop teamwork within the practice.

Participate in the development of multi-disciplinary protocols

Identify appropriate opportunities to delegate both clinical and administrative tasks to more junior staff.

Help the practice operate in a cost-effective manner.

Identify and manage nursing care risks on a continuing basis.

Participate in relevant meetings, reporting progress as required.

Participate in audits and inspections as appropriate.

Work closely with the doctors, nurse manager and practice manager in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets.

Ensure that all Practice Policies are fully implemented

E. AREAS OF PRACTICE EXCLUDED FROM THE POST-HOLDERS REMIT:

The post-holder will not undertake the following :

• ALL aspects of antenatal/obstetric care, or consult with any pregnant women whose condition may be attributed or indirectly linked to their pregnancy.
• Treatment of babies under the age of 6 months.

HEALTH AND SAFETY/RISK MANAGEMENT

The post-holder must comply at all times with the Practices Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System.

The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).

EQUALITY AND DIVERSITY

The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.

RESPECT FOR PATIENT CONFIDENTIALITY

The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

COMMUNICATION & WORKING RELATIONSHIPS

The post-holder will establish and maintain effective communication pathways with the following as necessary:

All personnel employed within the Practice

ANPs across the ICB/local geographical area

Local GPs

Other non-medical independent prescribers in the area

Commissioner for Services for Children/Older People

Pertinent Professional Organisations

JOB DESCRIPTION AGREEMENT

This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post-holder commensurate with the position.

full job description attached.

Qualifications

Essential

• Registered first level nurse MSc or equivalent
• Relevant nursing/health degree
• Mentor/teaching qualification
• Clinical supervision training
• Independent prescribing qualification
• Current UK driving licence
• Current resuscitation and safeguarding training

Desirable

• Long term conditions qualification
• Qualification in delivering contraceptive services

Experience

Essential

• Working autonomously in an advanced nursing role
• Audit
• Research
• Nurse Prescribing
• Nurse-led management of minor illness, minor ailments and injuries and chronic disease management
• Evidence of CPD in autonomous practice

Desirable

• Experience of working within a primary care setting of General Practice
• Experience of case management
• Nurse led triage
• Palliative care
• Experience of visiting patient in own home

Skills

Essential

• Clinical leadership skills
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Change management
• Teaching and mentorship in a clinical setting
• Resource management

Desirable

• EMIS Web

Knowledge

Essential

• Advanced clinical practice skills
• Management of patients with long term conditions
• Management of patients with complex needs
• Clinical examination skills
• Accountability of own role and other roles in a nurse-led service
• Local and national health policy
• Clinical governance issues in primary care

Desirable

• Able to identify determinants on health in the area

Personal qualities

Essential

• Reliable and punctual
• Well-presented and professional approach
• Self-motivated and willingness to develop within role
• Flexible, caring and empathetic

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).