Advanced Nurse Practitioner (ANP) - Primary Care

Job responsibilities

1. Clinical practice

• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly

• Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs and seek appropriate advice from GP colleagues if necessary

• Provide general and specific health screening and proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)

• Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan

• In conjunction with the doctors, prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice

• Work with patients in order to support compliance with and adherence to prescribed treatments

• Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions

• Prioritise health problems and intervene appropriately to assist the patient in complex situations, including initiation of effective care

• Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care

• Assess, identify and refer patients presenting with mental health needs in accordance with Mental Health pathways

• Implement and participate in vaccination and immunisation programmes for both adults and children, when required.

• Advise, support and administer vaccinations for patients travelling abroad, where appropriate

1. Delivering a quality service

• Recognise and work within own competence and professional code of conduct as regulated by the RGN NMC

• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

• Prioritise, organise and manage own workload in a manner that maintains and promotes quality

• Deliver care according to NSF, NICE guidelines and evidence-based care

• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

• Initiate and participate in the maintenance of quality governance systems and processes for the surgery and its activities

• Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

• In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

• Evaluate patients response to health care provision and the effectiveness of care

• Support and participate in shared learning across the practice and wider organisation

• Use a structured framework (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events

• Assess the impact of policy implementation on care delivery

• Approve the performance of the team, providing feedback as appropriate

• Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance

• Ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required

• Encourage the principles of clinical governance within the team in order to embed them within practice and help to maintain and drive high levels of personal and professional practice.

• Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice

• Critically evaluate and review innovations and developments that are relevant to the area of work

• Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services

• Take a role in planning and implementing changes within the area of care and responsibility

1. Communication and Relationships

• Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment

• Act as an advocate when representing patients and colleagues

• Produce written documents that evidence the contribution of the clinical team to the practice priorities

• Provide and receive confidential and complex information from a range of sources, and escalating as required.

• To identify and use the most effective means of communication, appropriate to the situation and individuals involved.

• To manage own behaviour in a positive manner to maintain effective working relationships

• To always behave professionally and uphold the reputation of the Practice

• To observe complete confidentiality of all information including awareness and adherence to the legal requirements of the Data Protection Act.

1. Analysis and Judgement

• To ensure you are competent and appropriately trained to carry out any delegated responsibility you accept.

• Ensure you undertake mandatory and statutory training requirements

• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients

• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines

• Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriate

• Apply infection-control measures within the practice according to local and national guidelines

• Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all

• Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice

• Recognise and inform managers of any matters requiring their immediate attention or expedite and progress issues with appropriate lead, as and when necessary, to ensure that deadlines are met.

1. Planning and Organising

• Prioritise own and others workload and ensure effective time-management strategies are embedded within the culture of the team

• Expectation to be flexible in undertaking any other duties as deemed appropriate to the role

• Support the Practice Team with providing clinical leadership when setting up clinics and appointments where needed, and support with directing and monitoring cancellation of clinics.

1. Service and Policy Development

• To be aware of relevant Practice related policies/procedures relevant to the post.

• Develop clinical standard operating procedures with leads, where required.

1. Personal Development

• Take personal responsibility to ensure any mandatory training is undertaken.

• Be willing to undertake additional training and development as identified at annual appraisal.

1. Information System use and management

• Use relevant IT systems to support role including SystmOne, Team Net, Word, Excel, Access, and other systems where necessary.

1. Freedom to Act and Autonomy

• Expected to work on own initiative regarding own allocated work.

• The post holder will be required to manage own workload and will be required to adjust priorities as required to meet continually changing service needs.

• Work is discussed in regular supervision sessions and the post holder is responsible for deciding which issues need to be referred to Line manager.

• To ensure that relationships and own behaviour is managed in line with the practice policies

• To always work with due regard for personal safety, adhering to Health & Safety requirements of the service.

1. Equality, Diversity & Inclusion (ED&I)

• A good attitude and positive action towards ED&I creates and environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

• Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

• Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that you treat our patients and their colleagues with dignity and respect.

1. Safety, Health, Environment and Fire (SHEF)

• This practice is committed to supporting and promoting opportunities to for staff to maintain their health, well-being and safety.

• The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy and the practice infection control policy and published procedures.

• All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

1. Please see the attached JD (supporting Docs) for the Full JD wording

Qualifications

Essential

• Professional registration (RGN, NMC, HCPC)

Desirable

• Non-medical prescribing qualification, or willingness to undertake NMP qualification.
• Evidence of continuing post registration development

Knowledge and Experience

Essential

• Experience of multi-disciplinary working
• Clear understanding of professional responsibility and accountability
• Practical knowledge across a wide range of clinical conditions
• Knowledge of current clinical evidence based practice

Desirable

• Experience of delivering patient care in a primary care, urgent or community setting
• Knowledge and understanding of local health and social care pathways

Skills

Essential

• Excellent communication and interpersonal skills including emotional intelligence to in order to deal effectively with complex and sensitive patient information, distressed or aggressive patients, or those with an impaired level of understanding.
• Ability to liaise and communicate effectively with all members of the multi-disciplinary team and other services.
• Ability to perform holistic assessment, critically analyse complex patient information or situations
• Ability to critically analyse patient information or situations and make clinical judgements and decisions as to the best course of action
• Strong IT skills
• Effective time management (Planning & Organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Skilled in clinical history taking
• Excellent attention to detail

Personal Qualities

Essential

• Planning and organising
• Flexible and cooperative
• Motivated and proactive
• Forward thinker
• High levels of integrity and loyalty
• Resilient
• Ability to work under pressure

Other

Essential

• Disclosure Barring Service (DBS) check
• Willingness to travel to other sites
• Flexibility to work outside of core office hours
• Maintains confidentiality at all times
• Full UK driving licence

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).