Advanced Nurse Practitioner

Job description

Job responsibilities

Salary: Inductive Banding under ARRs:

- Band 8a (AfC): Applicable where the postholder has achieved and holds a recognised Digital Badge

- Band 7 (AfC): Applicable where the postholder is actively undertaking the Advanced Clinical Practice (ACP) apprenticeship pathway

Interviews: Expected to take place on Thursday 11 December at Creech Medical Centre

Key responsibilities:

a. Provide holistic support in the clinical governance spectrum assuming a senior role in its compliance

b. Support the IPC lead for the proactive care team

c. Monitor and ensure the safe storage, rotation and disposal of medications

d. Participate in local initiatives to enhance service delivery and patient care

e. Support and participate in shared learning within the organisation

f. Develop an area of specialist interest, taking the lead within the organisation

g. Continually review clinical practices, responding to national policies and initiatives where appropriate

h. Drive the development of nursing services within the organisation, liaising with external agencies and professional organisations as required

i. Develop practice administrative and clinical protocols in line with the needs of the patient and current legislation

Clinical Care and Patient Services:

a. Manage a caseload of patients identified through MDTs and risk stratification tools (e.g., EMIS, Ardens, Brave AI)

b. Involvement in weekly Proactive Care Triage of referrals and cohorts identified through risk stratification, with the teams and with support of cross system IT systems

c. Conduct holistic assessments and develop Personalised Care and Support Plans (PCSPs) and TEPs

d. Deliver care home rounds and coordinate care with Lead GPs and the Nurse Practitioner in the EHCH Team

e. Support structured medication reviews with pharmacists support

f. Promote self-care and support patients to access community services (e.g., village agents, social prescribing)

g. Promote proactive care within care homes by educating care staff and residents

h. Support completion of Long-Term Condition checks, QOF, and Vaccination programs in housebound people and those struggling to engage in the GP system

Multidisciplinary Working:

a. Attend and contribute to weekly MDTs for care homes and community

b. Provide background information and updates on patients discussed

c. Liaise with internal and external stakeholders including social care, voluntary services, and secondary care

d. Implement actions from MDTs and monitor outcomes

e. Support sharing of information across team by use of shared IT platforms available

f. Be involved in Multi Agency Risk Assessment Meetings (MARMs) if required

Leadership and Supervision:

a. Provide clinical leadership and supervision to PAC Team

b. Support training and development of care home staff

c. Lead Quality Improvement (QI) projects and contribute to service development

d. Identify gaps in service delivery

Communication and Relationships:

a. Communicate effectively with patients, carers, and professionals

b. Share good news stories and learning across the PCN

c. Escalate safeguarding concerns appropriately through the safeguarding policy for Tone Valley

d. Maintain confidentiality and adhere to GDPR and information governance policies

e. Work closely with the fellow ANP in the TV Proactive Care Team

Planning and Organisation:

a. Prioritise workload and respond flexibly to service demands

b. Support reporting and analytics for PCN DES and EHCH specifications to Somerset ICB

c. Maintain accurate clinical records and use appropriate coding (e.g., SNOMED)

Policy, Research and Development:

a. Work within and contribute to the development of PCN policies and protocols

b. Participate in audits, evaluations, and clinical governance activities

c. Promote sustainability and equality in service delivery

Other Key Responsibilities:

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

b. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health

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

d. Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children

e. Request and collect pathological specimens. Upon receipt, to process and interpret pathology and other test results as required, according to competency

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

g. Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively

h. Maintain chronic disease registers and implement and embed an effective call/recall system

i. Support in the provision of vaccination programmes for both adults

j. Be a non-medical prescriber adhering to guidance

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

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

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

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

o. Deliver opportunistic health promotion where appropriate

There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels

Job Description Agreement:

This Job Description is flexible, and the post holder will be expected to undertake any other duties appropriate to the role as may be required by the PCN. This Job Description is subject to change from time to time with organisational need and the post holders agreement should not unreasonably be denied.

Person Specification

Qualifications

Essential

• Registered Nurse with Nursing and Midwifery Council (NMC).
• Advanced Clinical Practice Qualification (Masters or Postgraduate Diploma) with a Digital Badge, or on Advanced Clinical Practice credentialing apprenticeship pathway.
• Qualified Independent Nurse Prescriber on the NMC register.
• Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet.
• Confirmation of registration with the NMC.

Desirable

• Qualified triage nurse.
• Minor illness qualification.
• Teaching qualification.
• ALS and PALS.

Experience

Essential

• Understanding of general practice and the wider NHS.
• Experience of practice within the four pillars.
• Experience of leading in chronic disease management.
• Experience of prescribing and undertaking medication reviews.
• Experience of infection prevention and control measures.
• Experience of quality initiatives, i.e., benchmarking.
• Minimum 3 years post-registration experience at Band 6 or above.
• Experience in primary care, community nursing, and care home settings.
• Experience in MDT working and personalised care planning.

Desirable

• Experience of working as a practice nurse or community nurse .
• An appreciation of the new NHS landscape including the relationship between individual organisations, PCNs and the commissioners.

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

Tone Valley Primary Care Network

Address

Creech Medical Centre

Hyde Lane

Creech St. Michael

Taunton

Somerset

TA3 5FA