Advanced Nurse/Clinical Practitioner

Job responsibilities

Operational Responsibilities

A. CLINICAL ROLE:

The post-holder will:

Work autonomously to provide direct access for the general practice population in dedicated ANP clinics, either as a face to face appointment or via the telephone & video call.

Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem solving and clinical decision making, to establish a diagnosis and management plan.

Support, on a rota basis, the triage of daily requests from patients and providing immediate decision making and or redirection of patient to most appropriate clinician with appropriate timescale.

Be accountable for own actions and work within own scope of practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary health care services.

Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports.

As an independent prescriber, ensure delivery of safe, effective, and appropriate medication in a cost-effective manner, following best practice & national guidance and as defined by current legislative framework.

Provide safe, evidence-based, individualised, and holistic care to patients and their families, developing where appropriate an on-going plan of care & support, with an emphasis on prevention and self-care.

Promote health and well-being using health promotion, health education, screening and therapeutic communication skills.

Refer patients directly to other services & agencies as appropriate, utilising all services effectively.

Work with healthcare colleagues to ensure that National Service Frameworks (eg coronary heart disease/Older People, Diabetes, Mental Health) are being delivered.

Work with multi-disciplinary team within the Practice to promote integrated and seamless pathways of care.

Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery e.g. QOF and enhanced services.

Works at the forefront of practice innovation and supports the identification of community health needs. Helps to develop and advance primary care services for the benefit of patients, carers and communities.

Seeks to develop an area of special interest within the practice to support improved outcomes for practice population.

Audits outcomes against standards and initiates learning & change where necessary.

To actively implement safeguarding protocols for children and vulnerable adults and to know who to refer to and how to escalate any concerns promptly.

Be aware of practice-based commissioning and contribute to current initiatives to improve existing patient services.

Embrace IT and all computer services available in practice and nationally to aid communication and education of patients.

To carry out all duties in a professional manner and adhere to all Adam Practice protocols, policies, and procedural guidelines at all times.

B. TEACHING AND MENTORING ROLE:

The post-holder will;

Recognition of The Adam Practice as a teaching unit and promotes a learning environment for patients, nurses, and other health professionals.

Actively supports the Practice student training programme, including medical and nursing students, alongside providing mentorship for other colleagues to support their personal development.

Shares innovation and new learning with others at clinical meetings, practice huddles and on a one-to-one basis.

C. PROFESSIONAL ROLE:

The post-holder will:

Promote evidence-based practice using the latest research-based guidelines and the development of practice-based research.

Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review.

Maintain their professional registration.

Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained.

Work within the latest NMC Code of Professional Conduct.

Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards.

To work with Nurse Manager& GPs in identifying issues related to clinical care which need to be further discussed within the practice.

Actively take part in mandatory and internal & external training as requested including annual appraisal.

Be aware of government guidelines in relation to confidentiality, clinical information etc.

Adhere to and follow all policies and protocols as listed in the Staff Handbook and contract.

Follow all Practice Health and Safety guidelines and policies and inform the H&S lead of any infringements.

Any other delegated duties considered appropriate to the post.

General Responsibilities

Any other duties commensurate to the grade and as requested by the Nurse Manager, Business Manager, Partners

• To carry out all duties in a professional and confidential manner and adhere to all Adam Practice protocols, policies and guidelines at all times.
• To assist where possible in ensuring management team objectives are met.
• Actively take part in mandatory and internalexternal training as requested.
• Adhere to and follow all policies and protocols as listed in the Staff Handbook and contract, and demonstrate behaviour in line with the Adam Practice values as outlined in the Person Specification
• Follow all Practice Health and Safety guidelines and policies and inform the H&S lead of any infringements.

Other

Essential

• Good general level of education
• Ability to handle sensitive information confidentially
• Ability to self motivate, organise and prioritise workload, meet deadlines
• Ability to work independently and as part of a team
• Flexible approach and willingness to adjust to the needs of the practice
• Willingness and ability to travel to our 5 surgeries as required

Qualifications

Essential

• Registered General Nurse or Allied Health Care Professional.
• Masters Degree in Clinical Advanced Practice or demonstrates equitable experience at working to Advanced level.
• Independent Non Medical Prescriber.

Desirable

• Teaching, Mentoring experience and or qualification

Experience

Essential

• Minimum of 5 years post registration experience and demonstrate currently working at Advanced level within a related healthcare environment.
• Evidence of appropriate continuing professional development activity to maintain up to date knowledge and on going competence in all aspects of the NP role, including long term condition management.
• Evidence of working autonomously and as part of a team
• Proven ability to evaluate the safety and effectiveness of their own clinical practice.

Desirable

• Interpreting and implementing local and National policy agendas for health.
• Experience of working within a primary care, community, emergency setting.

Skills and Attributes

Essential

• Ability to assess and manage patient risk effectively and safely.
• 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 Multi Disciplinary Team.

Desirable

• Experience of use of a medical software package.

Mobility

Essential

• Use of own vehicle to travel between surgeries when required.

Knowledge

Essential

• Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS & PMS contract, Clinical Governance, Quality & Outcomes Framework.
• Understanding of systems to gain an understanding of the health needs of the Practice population as they relate to primary care.
• Understanding of evidence based practice.
• Knowledge of national standards that inform practice eg National Service Frameworks, NICE guidelines etc.
• Understanding of their accountability arising from the NMC Code of Professional Conduct 2004 and medico legal aspects of the Nurse Practitioner role.

Behaviours in line with The Adam Practice values

Essential

• Excellent communication, to cement relationships, keep people informed and reduce errors.
• Consistent collaborative working. By working together we can have a greater learning and sharing of knowledge, resource and expertise.
• Effective decision making, a person must be able to consider the outcome and impact of options, based on all these items they must then determine which option is the best for that particular situation.
• Taking responsibility, ownership for the quality of the performance delivered, whether in individual areas of work or as a team or whole practice. It is each person's own responsibility for the quality of performance in their role.
• Self-development, there should be an enthusiasm and responsibility to develop self and others through knowledge, skill and behaviours that add value to the patient experience and performance of the practice.
• Excellent leadership and management ensure all employees have clear direction, know what is expected of them, are supported and valued, are confident in delivering the best quality service.

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).