Advanced Nurse Practitioner

Job 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:

a. Develop, implement and embed health promotion and well-being programmes

b. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice to patients

c. Implement and evaluate individual specialised treatment plans for chronic disease patients

d. Identify, manage and support patients as risk of developing long-term conditions, preventing adverse effects on the patients health

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

f. Provide wound care (ulcer /Doppler etc.) to patients

g. Provide specialist clinics such as ear syringing, contraception etc.

h. Undertake the collection of pathological specimens

i. Provide travel medicine services

j. Request pathology services as necessary

k. Process and interpret pathology and other test results as required

l. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / specialist care as required

m. Maintain accurate clinical records in conjunction with extant legislation

n. Ensure read codes are used effectively

o. Maintain chronic disease registers

p. Be responsible for the implementation of an effective immunisation programme

q. Chaperone patients where necessary

r. Prioritise health issues and intervene appropriately

s. Support the team in dealing with clinical emergencies

t. Recognise, assess and refer patients presenting with mental health needs

u. Implement vaccination programmes for adults and children

v. Extended and supplementary prescriber, adhering to extant guidance

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

x. Contribute to practice targets (QOF etc.), complying with local and regional guidance

y. Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

z. Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)

aa. Support the clinical team with all safeguarding matters, in accordance with local and national policies

bb. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

Deliver opportunistic health promotion where appropriate

Skills

Essential

• Ability to assess and manage patient risk effectively and safely.
• Sensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situations.
• 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.
• Flexible approach to work and change including ability to work outside of core hours where required.
• Access to own transport and ability to work across our Practice footprint.

Desirable

• EMIS Web
• Able to establish and maintain effective communication pathways within the organisation, the local ICB and with key external stakeholders.

Experience

Essential

• Working autonomously in an advanced nursing role.
• Independent Nurse prescribing and undertaking medication reviews.
• Health needs assessment.
• Chronic disease management.
• Experience of case management.
• Requesting and processing pathology tests.
• Audit work

Desirable

• Nurse led triage.
• Experience of working within a primary care setting or General Practice.
• General Practice Nurse experience wound care, sutures, vaccs and imms, smears etc.

Qualifications

Essential

• Registered General Nurse with NMC.
• Recognised ANP qualification at minimum of degree level or equivalent.
• Qualified Independent Nurse Prescriber on the NMC register.
• Long term / chronic conditions qualification.
• Minor illness qualification.

Desirable

• Qualified Triage Nurse.
• Teaching / Training Qualification.

Knowledge

Essential

• Advanced clinical practice skills.
• Management of patients with long term conditions.
• Management of patients with complex needs.
• Clinical examination skills.
• Ability to work within own scope and know when to refer to GPs.
• Clinical governance issues in primary care.

Desirable

• Knowledge of public health issues
• Able to identify determinants on health in the locality.
• National health policy.

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).