Advanced Nurse Practitioner

Job description

Job responsibilities

Knowledge, Skills and Experience Required

See person specification

Duties and Responsibilities

• 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 nurses in developing and maintaining clinical skills
• To always work as an effective member of the Practice team to ensure good quality care is afforded to all patients.

• Provide the choice of direct access to a 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
• Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports
• The post holder is 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 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 mutli-disciplinary team within the Practice, and across the wider CCG 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-centred strategies to address them

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

• Provide the choice of direct access to a 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
• 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 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 mutli-disciplinary team within the Practice, and across the wider CCG 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-centred strategies to address them

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

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, NP students, GP registrars, Health Care Assistants, within the Practice.

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 NMC Code of Professional Conduct
• Record accurate consultation data in patients records in accordance with the latest NMC 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

Communication and Working Relationships

• The post-holder will establish and maintain effective communication pathways with all members of the Primary Care Team and other agencies :

Special Working Conditions

• The post-holder is required to travel independently between practice sites (where applicable), and to attend meetings etc hosted by other agencies.

• The post-holder will have contact with body fluids ie, wound exudates; urine etc while in clinical practice.

SAFEGUARDING

All employees are required to act in such a way that at all times safeguards the health and well-being of children and vulnerable adults. Familiarisation with and adherence to Safeguarding policies is an essential requirement of all employees as is participation in related mandatory/statutory training.

Rehabilitation of Offenders Act 1994

The Post Holder will be required to undergo a Disclosure and Barring Service (formerly CRB) check. Because of the nature of the work, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1994 (Exceptions) Order 1995. Applicants for posts are not entitled to withhold information about convictions which for other purposes are spent under the provisions of the Act and in the event of employment any failure to disclose such convictions could result in disciplinary action or dismissal by the Practice. Any information given will be completely confidential and will be considered only in relation to an applicant of a position to which the order applies.

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. This description will be open to regular review and may be amended to take into account development within the Practice. All members of staff should be prepared to take on additional duties or relinquish existing duties in order to maintain the efficient running of the Practice.

Person Specification

Experience

Essential

• Level 1 Registered Nurse
• Demonstrates advanced nursing practice
• Experience of prioritising needs and informed decision making in care and delivery

Desirable

• Experience of developing services which are based on assessed needs of patient groups
• Knowledge relating to current primary care organisational policy and national legislation
• Managerial responsibilities, such as maintaining equipment and ordering supplies within agreed financial resources, maintaining effective ANP cover and holiday rota and undertaking appraisals
• A & E experience

Personal Qualities

Essential

• Self motivated and able to work autonomously and independently
• Well developed communication and independent interpersonal skills
• Experience of working in a role involving multidisciplinary communication
• Able to influence, inspire and effectively work with those around them
• Flexible approach to working in practice and willingness to develop new approaches to care
• Able to handle conflict respecting others values and opinions
• Awareness of professional and personal limitations

Skills

Essential

• Strong organisational and team working skills
• Excellent communication skills. Able to relate and communicate at all levels
• Excellent interpersonal skills. Able to work independently and with others to ensure the delivery of a high class service.
• Ability to provide care that is responsive to patient need and work in partnership with patients and carers empowering them to make informed decisions on their treatment
• Computer literate

Desirable

• Able to demonstrate competencies in a whole range of disease areas
• Able to demonstrate critical analytical skills to problem solve
• Ability to develop and initiate innovation in practice
• Ability to work across professional and organisational boundaries
• Presentation Skills
• Understanding of computer systems. Read code usage in general practice
• Data analysis, including the use of audit to review service and care provided.

Qualifications

Essential

• Independent Nurse Prescriber
• Current NMC Registration.
• Recognised Nurse Practitioner Qualification

Desirable

• Recognised teaching/assessment qualification
• Specialist course appropriate to primary care. CHD, Diabetes etc
• Family Planning
• Masters qualification

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).

Employer details

Employer name

The Westgate Practice

Address

Greenhill Health Centre

Church Street

Lichfield

Staffordshire

WS13 6JL

Employer's website

https://www.westgatepractice.co.uk/ (Opens in a new tab)