Advanced Nurse Practitioner (ANP)

Job responsibilities

Develop, implement and embed health promotion and wellbeing programmes

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

• Implement and evaluate individual specialised treatment plans for chronic disease patients

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

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

• Provide wound care (ulcer/Doppler etc.)

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

• Undertake the collection of pathological specimens

• Provide travel medicine services

• Request pathology services as necessary

• Process and interpret pathology and other test results as required

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

• Maintain accurate clinical records in conjunction with extant legislation

• Ensure read/SNOMED CT codes are used effectively

• Maintain chronic disease registers
• Develop, implement and embed well woman clinics

• Develop, implement and embed well man clinics

• Develop, implement and embed travel clinics

• Develop, implement and embed an effective call/recall system

• Be responsible for the implementation of an effective immunisation programme

• Chaperone patients where necessary

• Prioritise health issues and intervene appropriately

• Support the team in dealing with clinical emergencies

• Recognise, assess and refer patients presenting with mental health needs

• Implement vaccination programmes for adults and children

• Be an extended and supplementary prescriber, adhering to extant guidance

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

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

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

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

• Support the clinical team with all safeguarding matters in accordance with local and national policies

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

• Deliver opportunistic health promotion where appropriate

Secondary Responsibilities

In addition to the core responsibilities, the Advanced Nurse Practitioner may be requested to:

• Act as the audit lead, effectively utilising the audit cycle

• Act as the IPC lead for the practice, ensuring compliance, undertaking audit as necessary

• Monitor and ensure the safe storage, rotation and disposal of medicaments

• Undertake overall management of the nursing team, providing guidance when necessary, acting as a mentor to students and newly qualified staff

• Maintain an effective nursing staff rota ensuring all clinics are staffed appropriately

• Participate in local initiatives to enhance service delivery and patient care

• Support and participate in shared learning within the organisation

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

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

• Participate in the review of significant and near-miss events applying a structured approach i.e., root cause analysis (RCA)

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

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

Safety, Health, Environment and Fire (SHEF)

This organisation is committed to supporting and promoting opportunities for staff to maintain their health, wellbeing, and safety.

The post holder is to manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients and 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.

All personnel have a duty to take reasonable care of health and safety at work for themselves, their team, and others and to cooperate with employers to ensure compliance with health and safety requirements.

Confidentiality

The organisation is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality.

It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff must protect patient information and provide a confidential service.

Quality and Continuous Improvement (CI)

To preserve and improve the quality of this organisations outputs, all personnel are required to think not only of what they do but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work.

The responsibility for this rests with everyone working within the organisation to look for opportunities to improve quality and share good practice and to discuss, highlight and work with the team to create opportunities to improve patient care.

The South Hams Primary Care Network continually strives to improve work processes which deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuous improvement where everyone counts, and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Staff should interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.

All staff are to contribute to investigations and root cause analyses whilst participating in serious incident investigations and multidisciplinary case reviews.

Induction

At the South Hams Primary Care Network, you will be required to complete the induction programme and the practice management team and wider PCN team will support you throughout the process.

Learning and development

effective use of training and development is fundamental to ensuring that all staff are equipped with the appropriate skills, knowledge, attitude, and competences to perform their role. All staff will be required to partake in, and complete mandatory training as directed by [insert named individual]. It is an expectation for this post holder to assess their own learning needs and undertake learning as appropriate

The post holder will undertake mentorship for team members and disseminate learning and information gained to other team members to share good practice and inform others about current and future developments (e.g., courses and conferences).

The post holder will provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.

Collaborative working

All staff are to recognise the significance of collaborative working and understand their own role and scope and identify how this may develop over time. Staff are to prioritise their own workload and ensure effective time-management strategies are embedded within the culture of the team.

Teamwork is essential in multidisciplinary environments and the post holder is to work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working and work effectively with others to clearly define values, direction and policies impacting upon care delivery

Effective communication is essential, and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

All staff should delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.

Service delivery

Staff will be given detailed information during the induction process regarding policy and procedure.

The post holder must adhere to the information contained within the organisations policies and regional directives, ensuring protocols are always adhered to.

Security

The security of the organisation is the responsibility of all personnel. The post holder must ensure they always remain vigilant and report any suspicious activity immediately to their line manager.

Professional conduct

All staff are required to dress appropriately for their role.

Leave

All personnel are entitled to take leave. Line managers are to ensure all their staff are afforded the opportunity to take annual leave each year and should be encouraged to take all their leave entitlement within that financial year.

Public holidays will be calculated on a pro-rated basis dependent on the number of hours worked.

Qualifications

Essential

• Registered Nurse with Nursing and Midwifery Council.
• Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice.
• Post graduate diploma or degree for Advanced Practice Qualification up to December 2020.
• Qualified Independent Nurse Prescriber on the NMC register.
• Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet.
• Meets the standards for registered ANP working at advanced level.
• Minor illness qualification.

Desirable

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

Experience

Essential

• Experience of practice within the four pillars.
• Job plan that demonstrates advanced nursing practice and has equity with peers working at this level.
• Experience of prescribing and undertaking medication reviews.
• Experience of working in a primary care environment.

Desirable

• Experience of working as a practice nurse or community nurse.

Knowledge and skills

Essential

• Disclosure Barring Service (DBS) check.
• Occupational health clearance.
• Meet the requirements and produce evidence for nurse revalidation.
• Evidence of continuing professional development (CPD) commensurate with the role of an ANP.
• Access to own transport and ability to travel across locality on a regular basis.
• Flexibility to work outside core office hours.

Knowledge and skills

Essential

• Wound care/removal of sutures and staples.
• Clinical knowledge and skills.
• Travel medicine.
• Understand the importance of evidence-based practice.
• Broad knowledge of clinical governance.
• Ability to record accurate clinical notes.
• Ability to work within own scope of practice and understand when to refer to GPs.
• Knowledge of health promotion strategies.
• Understand the requirement for PGDs and associated policy.
• Polite and confident, flexible and cooperative.
• Motivated, forward thinker.
• Problem solver with the ability to process information accurately and effectively, interpreting data as required.
• High levels of integrity and loyalty.
• Sensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situations.

Desirable

• Knowledge of public health issues in the local area.
• Awareness of issues within the wider health arena.

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).