Advanced Nurse Practitioner

Job responsibilities

Duties and Responsibilities

Operate under appropriate clinical supervision of a named GP supervisor.

Provide first point of contact care for patients presenting with undifferentiated and/or undiagnosed problems, utilising history-taking, physical examinations, and clinical decision-making skills to establish a working diagnosis and management plan in partnership with the patient (and their carers where applicable).

Recognise and work within own competence and professional code of conduct as regulated by the NMC and RCN General Practice Advanced Nurse Practitioner Competencies (2018)

Undertake face-to-face, telephone and online consultations for emergency or routine problems, as determined by the Practice, including management of patients with long-term conditions.

Participate in all treatment and preventative healthcare services in the Practice, as delegated and agreed by supervising GP's.

Perform diagnostic physical examinations and treatment.

Identify, signpost, or refer patients at risk of developing long-term conditions, preventing adverse effects on patients' health.

Organise onward investigation, treatment and referral where appropriate.

Ensure continuity of care, arranging follow-up consultations or reviews as necessary.

Attend regular Practice clinical meetings.

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

Under supervision of Practice GP's, make professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the Practice.

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.

Review and act upon laboratory results and clinical communications from hospitals and other providers.

Undertake complex clinical coding.

Recognise, assess and refer where appropriate, patients presenting with mental health problems.

Produce care plans for frequent attendees and undertake initial consultations.

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

Oversee referral process and intervene where appropriate.

Contribute to administrative element of clinical reports and initial observations, prior to GP appointment.

Be able to justify choice of medication and support patients in use of their prescribed medication (within own scope of practice).

Be able to understand impact of co-morbidities, other medications and polypharmacy.

Deliver integrated patient-centred care through appropriate working with the wider multi-disciplinary team and social care network

Conduct home visits and care home visits as necessary (follow adequate training).

Act on alerts and reminders during consultations (e.g. QOF, local enhanced services etc.).

Assist Practice in achieving it's clinical targets and objectives in QOF, local enhanced services etc.

Apply infection-control measures within the practice according to local and national guidelines.

Qualifications

Essential

• ANP - MSc Advance Practice or equivalent
• Independent Prescriber
• Registered on their appropriate professional register
• Clinical Knowledge and skills
• Essential
• Essential - clinical knowledge
• 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 GP's
• Knowledge of health promotion strategies
• Understand the requirement for PGD's 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
• Essential- skills
• Ability to assess and manage patient risk effectively and safely
• Well-developed word processing/data collection/IT skills
• Excellent interpersonal, verbal, and written communication skills
• Reflective practitioner
• Time management and ability to prioritise workload
• Able to analyse data and information, drawing out implications for the individual patient/impact on care plan
• Able to establish and maintain effective communication pathways within the organisation, the local ICB and with key external stakeholders
• Self-motivated
• Organisational skills
• Enthusiastic
• Car driver/access to car
• Desirable
• Clinical knowledge

Desirable

• Desirable
• Experience of use of SystemOne
• Proven record of effective use of networking and influencing skills
• Ability to think strategically
• Experience of presenting information to wider audience
• Ability to work flexible hours when required

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).