Advanced Nurse Practitioner

Job responsibilities

The Advanced Nurse Practitioner (ANP) will act autonomously within their professional scope of practice providing care for patients face to face, telephone consultations and home visits.

The postholder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence.

The Advanced Nurse Practitioner will need to prioritise and triage the needs of patients, accordingly, making any necessary referrals for investigations in the appropriate manner.

The postholder will use skills, knowledge and competencies as a qualified Advanced Nurse Practitioner in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate.

Clinical Nursing Practice

• Work as part of a multi-disciplinary team to deliver safe and high-quality care.
• Carries out clinical nursing practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.
• Delivery of care in line with NSF, NICE guidelines and evidence-based care
• Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.
• Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.
• Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.
• Diagnose and manage acute and chronic conditions, including drug and non-drug-based treatment methods into a management plan.
• Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.
• Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.
• Refers patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.

Care Management

• Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.
• Provide highly specialised care advice beyond the scope of normal Nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).
• Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.
• To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.

Health Improvement

• Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.
• Innovation in practice to meet ongoing demands on the practices delivery of care.
• Improve health outcomes for patients by introducing new developments and can demonstrate them as reports and presentations where appropriate.
• Supports practitioners in reporting the practice population to promote health improvement and disease prevention.
• Makes referrals to appropriate agencies (statutory and voluntary) where necessary.

Providing assessment, screening services, health education advice

These may include (but not restricted to).

1. Blood pressure checks
2. Urinalysis
3. Ear syringing
4. Dressings
5. Contraception/ fitting contraceptive devices.
6. Routine immunisations and vaccinations
7. Removal of sutures / clips
8. First registration checks / health surveillance / general health advice
9. Assisting with minor procedures in the treatment room
10. Organise and plan the provision of nursing services for the practice to include the delegation of duties to other members of the practice nurse team as appropriate.

Administration and professional responsibilities

• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
• Participate in the administrative and professional responsibilities of the practice team.
• Accurate and legible notes of all consultations and treatments are recorded in the patients notes.
• Ensure clinical systems kept up to date, recording and/or amending accurate details.
• Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator.
• Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice.
• Attend and participate in practice meetings as required.
• Restocking and maintenance of clinical areas and consulting rooms

And more... please view the full job description attached to this advert.

Personal Attributes and Behaviours

Essential

• A desire to work with a diverse patient group
• Ability to use own initiative
• Ability to work as a part of a team or as an individual
• Aptitude and keenness to learn new skills
• Ability to work under pressure
• Ability to be flexible, adaptable and thrive in a rapidly changing environment.
• Commitment to equal opportunities and a non-judgmental working practice
• Time management skills and the ability to prioritise, plan and problem solve.
• Negotiation and conflict management skills
• Good administrative and organisational skills, with the ability to prioritise work

Qualifications

Essential

• RGN / RN With current NMC registration
• MSc or BSc, Nurse Practitioner degree
• Independent prescriber
• Completed Nurse Practitioner (Primary Care) Post Graduate Diploma level

Experience

Essential

• Experience of working within the NHS
• Recording and understanding clinical observations
• Refer patients independently as appropriate
• Interprets a range of diagnostic tests and routine clinical procedures
• An understanding of accountability and the confidence to take guidance from a more senior registered practitioner when needed
• An understanding of how long-term conditions are managed in primary care/general practice
• Has a planned and organised approach with an ability to prioritise their own workload to meet strict deadlines
• Good communication skills across the immediate and wider multi-disciplinary team
• Excellent verbal and written communication skills with team members, patients, carers, and other healthcare professionals whilst recognising peoples needs for alternative methods of communication
• Has attention to detail, able to work accurately, identifying errors quickly and easily
• Basic wound management
• Venepuncture
• Immunisations, vaccinations, and injections
• Experience of working with computers and good keyboard skills
• Evidence of appropriate continuing professional development activity.

Desirable

• Experience of working within General Practice/Primary Care
• Experience of using EMIS Web
• Cervical Screening
• Full driving licence and access to a vehicle
• Knowledge of patient group/specific directive

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).