Advanced Nurse Practitioner

Job responsibilities

Role summary: The post holder is responsible for the assessment of health and clinical needs of the patient. They will work as an autonomous practitioner using advanced clinical practice skills and clinical judgement to diagnose and treat the practice population.

Clinical Responsibilities:

Provide consultations to diagnose and treat the patient, both face-to-face and on the telephone.

Consultations to include taking comprehensive history, physical examination, an using expert knowledge and own clinical judgement to identify any potential diagnosis.

Use advanced clinical practice skills and clinical intervention skills in an autonomous manner.

Make a final diagnosis and decide upon relevant treatment

Refer patients to primary or secondary care services where appropriate using agreed pathways and protocols.

Prescribe medicine or carry out other treatment where appropriate.

Treatment must be based on best practice/evidence based.

Use advanced knowledge to provide skilled and competent care that will meet the patients health and social care needs.

Work with multi-disciplinary and multi-agency teams to ensure patients needs are met.

Assess treatment plans and their effectiveness with the patient, and make changes where required.

Action any results of investigations requested.

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care

Assess and care for patients presenting with uncomplicated wounds

Recognise, assess and refer patients presenting with mental health needs in accordance with the National Framework for Mental Health

Work flexibly to support the needs of the services provided by the practice.

Maintaining, Monitoring & Updating Computer Database and Management of Medical Records & Practice Audits

• Ensure that practice clinical system is updated promptly and accurately with information relating to patient records.
• Respond to alerts on records
• Appropriate use of read codes
• Participating in the collection and collation of statistics towards the preparation of practice reports, performance monitoring and audits
• Participation in the auditing of Practice activity
• Participation in patient satisfaction audits
• Develop and maintain knowledge in computer skills including necessary software applications, databases, documents, email and internet resources.

Practice Organisation

Process and action incoming patient and hospital correspondence as required.

Attendance at primary health care team meetings, significant event audit meetings, annual complaint audit meeting and others as deemed necessary

Initiate and participate in the formulation and implementation of new protocols, policies and procedures to aid and improve administrative organisation and the provision of services to patients

Ensure that the Practice complaints system is adhered to at all times

Awareness of and compliance with all relevant Practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety

Completion of Information Governance on line toolkit annually and provide certificate

Maintain current CPR and anaphylaxis certification, child safeguarding training and any other mandatory training as required.

Professional Development

Participate in an annual performance review under agreed headings

Engage in appropriate educational activity to maintain clinical competence and performance, including mandatory training.

Attendance and participation in educational meetings in the Practice and externally

Actively participate in clinical supervision to facilitate personal and professional development.

Contribute to the training of other staff where required.

Confidentiality:

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential

Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & Safety:

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy, to include:

Using personal security systems within the workplace according to Practice guidelines

Providing information regarding immune consent with particular regard to Hepatitis B status

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

Making effective use of training to update knowledge and skills

Using appropriate infection control procedures particularly those relating to needlestick injuries, maintaining work areas in a tidy and safe way and free from hazards

Ensuring that all accidents or dangerous incidents are reported and investigated, and follow up action taken where necessary.

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Quality:

The post-holder will strive to maintain quality within the Practice, and will:

Alert other team members to issues of quality and risk

Assess own performance and take accountability for own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload, and resources.

Communication:

The post-holder should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with other team members

Communicate effectively with patients and carers

Maintain a professional, respectful, and reassuring manner.

Recognise peoples needs for alternative methods of communication and respond accordingly.

Utilise advanced listening skills

Qualifications

Essential

• Registered Nurse with NMC registration.
• Full UK driving licence and insurance for business use
• Current CPR certificate
• UK work permit (if required)
• Hepatitis B immunity Certificate
• Degree level or equivalent qualification
• Independent/supplementary prescriber
• Evidence of completion of studies in Minor Illness and Minor Injury (including paediatric).

Desirable

• Evidence of continued professional development
• Teaching/training qualification
• Masters level study in advanced practice
• Degree in Advanced Practice (or equivalent)

Motivation

Essential

• Commitment to the assessment of health and clinical needs of the patient
• To use advanced knowledge for the benefit of the patient

Aptitude & Abilities

Essential

• Willingness to share and collaborate across entire primary health team
• Ability to develop and maintain effective working relationships with mutli disciplinary teams
• Ability to work flexibly
• Ability to recognize own limitations and act upon them appropriately
• Willingness to learn and acquire new skills.
• An understanding, acceptance and adherence to the need for strict confidentiality

Experience

Essential

• Experience of working as a Nurse practitioner
• Experience of telephone triage and assessment of acute minor ailments
• Advanced clinical assessment skills including history taking and clinical examination
• Ability to use expert knowledge and clinical judgement to identify potential diagnosis.
• Ability to work autonomously
• Advanced problem and decision making skills
• Good communication, listening and interpersonal skills
• Self audit and reflection
• Organised and efficient in record keeping and completion of paperwork
• Time management being able to prioritise work and work under pressure
• Computer literacy
• Awareness of appropriate clinical guidelines.

Desirable

• Experience of a primary care environment
• Experience of working with SYSTMONE clinical system.
• Clinical audit work
• Experience of mentorship to other staff

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).