Advanced Nurse Practitioner/Paramedic Practitioner- Prescribing

Job responsibilities

The following are the core responsibilities of the Advanced Clinical 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. Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice

b. Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information

c. Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change

d. Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate

e. Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make a positive change

f. Use expertise and decision-making skills to inform clinical reasoning

g. Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care

h. Exercise professional judgement to manage risk

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

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

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

l. Be a professional role model for the organisation

m. Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements

n. Actively seek feedback and involvement from individuals, families, carers, communities and colleagues in the co-production of service improvements

o. Critically assess and address own learning needs, negotiating a personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice (clinical practice, leadership and management, education and research).

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

q. Maintain accurate clinical records in conjunction with extant legislation and to ensure SNOMED CT codes are used effectively

r. Develop, implement and embed an effective call/recall system

s. Critically appraise and synthesise the outcome of relevant research, evaluation and audit, using the results to underpin own practice and to inform that of others

t. Develop and implement robust governance systems and contribute to practice targets (QOF, etc.), complying with local and regional guidance

u. Chaperone patients where necessary

v. Support the team in dealing with clinical emergencies

w. Support the team with all safeguarding matters in accordance with local and national policies

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

Deliver opportunistic health promotion where appropriate

Experience

Essential

• Experience of practice within the four pillars.
• Job plan that demonstrates advanced clinical practice and has equity with peers working at this level.
• Experience of prescribing and undertaking medication reviews.

Desirable

• Experience of working in a primary care environment

Other Requirements

Essential

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

Qualifications

Essential

• Qualified healthcare professional.
• Educated to Masters degree as detailed within the HEE document tilted Multi-professional framework for advanced clinical practice in England .
• Qualified independent prescriber - V300.
• Registered on their appropriate professional register.

Desirable

• Teaching qualification.
• ALS and PALS

Clinical Knowledge and Skills

Essential

• 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).