Andover PCN Advanced Nurse Practitioner

Job responsibilities

Overview of Key Responsibilities

The advanced nurse practitioner will be working across the Andover Primary Care Network doing a combination of practice work and at the Health Hub delivering the following key responsibilities:

Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications 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

Manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action

Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice

Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person

Complete the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.

As an ANP youll be working at a masters level aware or equivalent that encompasses the four pillars of clinical practice, leadership and management, education and research, with demonstration of core capabilities and area specific clinical competencies.

Primary Responsibilities

As an ANP you will be an experienced clinician who will provide care to patients registered at the surgery. This includes telephone triage and F2F assessments.

Develop, implement and embed health promotion and well-being programmes.

Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.

Diagnose and manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice to patients

Identify, manage and support patients as risk of developing long-term conditions, preventing adverse effects on the patients health

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

Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / highly specialised care advice beyond the scope of normal nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals)

Support the team in dealing with clinical emergencies

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

Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme and national benchmarking.

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

Support the clinical team with all safeguarding matters for children and vulnerable adults, in accordance with local and national protocols

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

Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, nation and practice protocols and within the scope of qualified practice

Management of health screening programmes and ensure other team members are aware of health priorities and screening objectives and programmes.

Experience

Essential

• Experience of working in a primary care environment
• Experience of chronic disease management
• Experience of prescribing and undertaking medication reviews

Desirable

• Experience of working as a practice nurse or community nurse

Qualifications

Essential

• Registered Nurse
• Masters degree level or Post graduate diploma (Advanced Practice Qualification)
• Qualified Nurse Prescriber
• Qualified Triage Nurse

Desirable

• Minor Illness Qualification
• Teaching Qualification
• ALS, PALS

Personal Qualities

Essential

• 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
• Ability to work under pressure / in stressful situations
• Effectively able to communicate and understand the needs of the patient
• Commitment to ongoing professional development
• Effectively utilises resources
• Punctual and committed to supporting the team effort
• Flexibility to work outside of core office hours
• Disclosure Barring Service (DBS) check
• Occupational Health Clearance

Clinical Knowledge and Skills

Essential

• Wound Care / Removal of sutures & staples
• ECGs
• New patient medicals
• Chaperone procedure
• Requesting pathology tests and processing the results, advising patients accordingly
• Travel medicine
• Diabetes
• Hypertension
• Asthma
• Spirometry
• CHD
• Immunisations (routine, childhood and travel)
• Womens health (Cervical cytology, contraception, etc.)
• Understands 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 understanding when to refer to GPs
• Knowledge of health promotion strategies
• Understands the requirement for PGDs and associated policy
• Excellent communication skills (written and oral)
• Strong IT skills
• Clear, polite telephone manner
• Competent in the use of Office and Outlook
• EMIS / Systmone / Vision user skills
• Effective time management (Planning & Organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem solving & analytical skills
• Ability to follow clinical policy and procedure

Desirable

• Venepuncture
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena
• Experience with audit and able to lead audit programmes
• Experience with clinical risk management

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).