Shropshire Rural Alliance Advanced Nurse Practitioner

Job responsibilities

The Advanced Nurse Practitioner has the following key responsibilities in delivery health services at Shropshire Rural Alliance PCN. There may be, on occasion, a requirement to carry out other tasks.

• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with undifferentiated diagnosis.
• Clinically examine and assess patient needs from a psychological perspective, and plan care accordingly.
• Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition.
• Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug based treatment methods in to a management plan.
• Prescribe and review medication for therapeutic effectiveness, appropriate to patients needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.
• Work with patients to support compliance with and adherence to prescribed treatments.
• Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of care.

Clinical responsibilities:

The post-holder will assess and triage patients, manage undifferentiated, undiagnosed condition and as appropriate provide definitive treatment (including prescribing medication following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team. The post-holder will need to demonstrate complex decision making to inform the diagnosis, investigation, and complete management of episodes of care within a broad scope of practice.

Personalised Care:

The post-holder will actively take a personalised care approach and population centered care approach to enable shared decision making with the presenting person. This will include using a high level of interpersonal and communication skills to communicate effectively with patients and multi-disciplinary professionals, including communication sensitive and complex information concerning patients' medical conditions.

Cross organisational working:

The post-holder will effectively communicate at all levels of the organisation, with a variety of health professionals, users, and carers to provide the best health outcomes for patients. This will include developing effective professional relationships, signposting to other services and working in close partnership with the wider PCN team.

Secondary responsibilities:

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

• Support delivery of QOF, incentive scheme, QIPP and other quality of cost effectiveness initiatives
• Undertake any tasks consistent with the level of post and scope of the role, ensuring that work is delivered in a timely and effective manner
• Duties may change from time to time without changing the general character of the post of the level of responsbility

Experience

Essential

• At least 3 years' experience
• Experience in the acute examination of adults and children
• Management of common minor injuries/illnesses
• Experience as an autonomous practitioner
• Able to work under pressure and manage varying workloads and changing demands
• Evidence of ongoing post registration CPD
• An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
• Experience of working within a multi-disciplinary team

Desirable

• Experience of working in a primary care environment
• Experience of telephone triage assessment
• Evidence of working across organisational boundaries within health and social care
• Experience of EMIS

Qualifications

Essential

• Master's Degree in Advanced Clinical Practice or equivalent
• Current Registered Nurse (NMC)

Desirable

• Relevant post graduate diploma or degree
• Non-medical prescriber qualification

Personal qualities

Essential

• An understanding, acceptance, and adherence to the need for strict confidentiality
• Ability to work without direct supervision and determine own workload priorities and those of others in the team
• Ability to use own judgement, resourcefulness, and common sense
• Ability to build rapport with people from all backgrounds and communities
• Sensitive and empathetic in distressing situations
• Ability to work under pressure and to multi-task
• Flexibility of working hours and commitment to team working, and of working across all PCN sites
• Punctual

Other

Essential

• Participates in continuing professional development opportunities by keeping up to date with evidence-based knowledge and competence in all aspects of the role, meeting clinical governance guidelines for continuing professional development
• Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home

Knowledge and skills

Essential

• Excellent communication and interpersonal skills
• Able to work autonomously and within professional boundaries
• Experience with clinical risk management
• Able to seek support from peers as necessary
• Good personal organisation
• Excellent computer skills/knowledge of IT systems
• Ability to support other members of the team when required
• Evidence of excellent documentation, report writing and record keeping skills
• Effective time management skills
• Knowledge of national standards that inform practice e.g., NICE guidelines etc
• Clear, polite telephone manner
• Problem solving and analytical skills
• Knowledge of and ability to work to policies and procedures

Desirable

• Involvement in clinical/audit research
• Knowledge of health promotion strategies

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).