ARRS Advanced Care Practitioner (ANP)

Job responsibilities

Clinical responsibilities:

In accordance with the practice rota, as agreed, the post-holder will be available to undertake a variety of duties comprising mainly visiting patients at home, but may include surgery consultations, telephone consultations and queries, care home ward rounds, checking and signing/authorising repeat prescriptions and dealing with queries, paperwork and correspondence in a timely fashion.

Making decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation.

Assessing the health care needs of patients with undifferentiated and undiagnosed problems.

Screening patients for disease risk factors and early signs of illness in consultation with patients and in line with current practice disease management protocols, developing care plans for health.

Providing counselling and health education.

Referring to other care providers as appropriate.

Recording clear and contemporaneous consultation notes to general medical practice standards.

Expectation to complete a mandatory induction.

Compiling and issuing computer-generated acute and repeat prescriptions.

Prescribing in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate.

Communication

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

Recognise the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.

Delivering a quality service

Prioritise, organise and manage own workload in a manner that maintains and promotes quality, including participating in shared learning across the practice, PCN and wider organisation. Work as part of the team to seek feedback, continually improve the service and contribute to business planning.

Managing information

Use technology, read codes and appropriate software as an aid to planning, implementing and monitoring care, communicating information and reviewing and processing data for audit purposes.

Learning and development

Take responsibility for own learning and performance through continuous professional development, including participating in supervision, acting as a positive role model and assessing own learning needs.

Actively engage with the annual appraisal process, and produce the relevant evidence to external appraiser in a timely manner.

Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.

Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences).

Equality and diversity

Support the equality and diversity of patients, carers and colleagues by recognising the importance of peoples rights and interpreting them in a way that is consistent with policy, procedures and current legislation.

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues by behaving in a manner which is welcoming, non-judgmental and respects their circumstances, feelings priorities and rights.

Professional development

Participate in an annual individual performance review, including taking responsibility for maintaining a record of own professional development

Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

Work with your line manager to undertake continual personal and professional development, access regular supervision and take an active part in reviewing and developing the roles and responsibilities of the post.

Miscellaneous

Work as part of the team to seek feedback, continually improve the service and contribute to business planning.

Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.

Duties may vary from time to time, without changing the general character of the post or the level of responsibility.

Knowledge and skills

Essential

• Proven ability to evaluate the safety and effectiveness of own clinical practice
• Understanding of evidence-based practice
• Evidence of working autonomously, with some support and supervision
• Ability to effectively triage, assess and diagnose
• Requesting pathology tests and processing the results, advising patients accordingly
• Assessing and managing acute deteriorations/exacerbations of Long-Term Conditions
• In the case of an ACP/paramedic, have appropriate radiology training to enable requesting and interpreting of imaging
• Understands the importance of evidence-based practice
• Ability to assess and manage patient risk effectively and safely
• Broad knowledge of clinical governance
• Ability to work within own scope of practice and understanding when to refer to GPs
• Excellent communication skills (written and oral) including recording of accurate clinical notes
• Strong IT skills and competent in the use of Microsoft Office and Outlook
• Effective time management (Planning, Organising and Prioritising), with excellent problem solving and analytical skills
• Ability to work autonomously, and as part of a multi-disciplinary team
• Ability to listen and empathise whilst being honest and caring
• Ability to follow clinical policy and procedure with and understanding of the audit process
• Polite and confident, flexible and cooperative
• Motivated, forward thinker with ability to use own judgement and common sense
• Problem solver with the ability to process information accurately and effectively, interpreting data as required
• High levels of integrity
• 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
• Punctual and committed to supporting the team effort
• Observance of strict confidentiality
• Disclosure Barring Service (DBS) check
• Full UK driving licence with access to own vehicle

Desirable

• Knowledge of Quality and Outcomes Framework ( QOF) and or Investment and Impact Fund( IIF)
• Awareness of issues within the wider health arena
• Knowledge of health-promotion strategies

Experience

Essential

• Experience of dealing with a range of clinical conditions
• Experience of providing home visits and/or working in the community with housebound patients

Desirable

• Experience of working in a GP practice
• Experience of System one
• Experience in triage ( digital or telephone) (the process of quickly examining/assessing patients to decide which ones are the most seriously ill and must be treated first)

Qualifications

Essential

• - graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centres ePortfolio (Supported) Route; both pathways enable eligibility for an Advanced digital badge issued by the Centre for Advancing Practice, demonstrating recognised educational and experiential preparation in advanced practice; OR
• - enrolled as a trainee on a Centre for Advancing Practice accredited MSc advanced practice programme linked with subsequent guaranteed progression onto a reimbursable Advanced Practitioner Nurse role on completion of training; OR
• - enrolled on and progressed past the initial Learning Needs Analysis (LNA) stage of the Centre for Advancing Practice ePortfolio (supported) Route, linked with subsequent guaranteed progression onto a reimbursable Advanced Practitioner Nurse role on completion of the ePortfolio process.

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).