Advanced Nurse Practitioner

Job description

Job responsibilities

Clinical Practice

Health and care professionals working at the level of advanced clinical practice should be able to:

Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions, and omissions at this level of practice.

Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty, and incomplete information.

Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.

Work in partnership with individuals, families, and carers, using a range of assessment methods as appropriate (e.g., of history-taking; holistic assessment; identifying risk factors; mental health

Demonstrate effective communication skills, supporting people in making decisions, planning care, or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care.

Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.

Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care.

Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families, and carers.

Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining, and evaluating links to manage risk and issues across organisations and settings.

Function as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies, and networks.

Evidence the underpinning subject-specific competencies i.e., knowledge, skills, and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope.

Leadership

Health and care professionals working at the level of advanced clinical practice should be able to:

Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working.

Role model the values of their organisation/place of work, demonstrating a person-centred approach to service delivery and development.

Evaluate own practice, and participate in multi-disciplinary service and team evaluation, demonstrating the impact of advanced clinical practice on service function and effectiveness, and quality (i.e., outcomes of care, experience, and safety).

Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.

Lead new practice and service redesign solutions in response to feedback, evaluation, and need, working across boundaries and broadening sphere of influence.

Actively seek feedback and involvement from individuals, families, carers, communities, and colleagues in the co-production of service improvements.

Critically apply advanced clinical expertise in appropriate faciliatory ways to provide consultancy across professional and service boundaries, influencing clinical practice to enhance quality, reduce unwarranted variation and promote the sharing and adoption of best practice.

Demonstrate team leadership, resilience, and determination, managing situations that are unfamiliar, complex, or unpredictable and seeking to build confidence in others.

Continually develop practice in response to changing population health need, engaging in horizon scanning for future developments (e.g., impacts of genomics, new treatments and changing social challenges).

Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals, families, carers, communities and colleagues safety and well-being when necessary.

Negotiate an individual scope of practice within legal, ethical, professional, and organisational policies, governance, and procedures, with a focus on managing risk and upholding safety.

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

Education

Health and care professionals working at the level of advanced practice should be able to:

Critically assess and address own learning needs, negotiating a personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice.

Engage in self-directed learning, critically reflecting to maximise clinical skills and knowledge, as well as own potential to lead and develop both care and services.

Engage with, appraise, and respond to individuals motivation, development stage and capacity, working collaboratively to support health literacy and empower individuals to participate in decisions about their care and to maximise their health and well-being.

Advocate for and contribute to a culture of organisational learning to inspire future and existing staff.

Facilitate collaboration of the wider team and support peer review processes to identify individual and team learning.

Identify further developmental needs for the individual and the wider team and supporting them address these.

Supporting the wider team to build capacity and capability through work-based and interprofessional learning, and the application of learning to practice

Act as a role model, educator, supervisor, coach and mentor, seeking to instil and develop the confidence of others.

Research

Health and care professionals working at the level of advanced clinical practice should be able to:

Critically engage in research activity, adhering to good research practice guidance, so that evidence-based strategies are developed and applied to enhance quality, safety, productivity, and value for money.

Evaluate and audit own and others clinical practice, selecting and applying valid, reliable methods, then acting on the findings.

Critically appraise and synthesise the outcome of relevant research, evaluation, and audit, using the results to underpin own practice and to inform that of others.

Take a critical approach to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and organisations to these and how they might be addressed in a safe and pragmatic way.

Actively identify potential need for further research to strengthen evidence for best practice. This may involve acting as an educator, leader, innovator, and contributor to research activity and/or seeking out and applying for research funding.

Develop and implement robust governance systems and systematic documentation processes, keeping the need for modifications under critical review.

Disseminate best practice research findings and quality improvement projects through appropriate media and fora (e.g., presentations and peer review research publications).

Person Specification

Qualifications

Essential

• Registered Nurse with additional Masters level Advanced Practice qualification.
• Qualified Independent Prescriber.

Desirable

• Minor Illness qualification.
• Teaching Qualification.

Experience

Essential

• Previous experience working in Primary Care.
• Competent in the use of EMIS.
• Excellent communication skills (written and oral).
• Competent in the use of Office and Outlook.
• 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.
• Experience with audit and able to lead audit programmes.
• Experience with clinical risk management.
• 6 months post qualification experience working in primary care.
• Qualified independent prescriber able to undertake medication reviews.

Desirable

• Triage experience.
• Experience of working in primary care/out of hours clinic.

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).

Employer details

Employer name

South Warwickshire GP Federation

Address

Gainsborough Hall

Russell Street

Leamington Spa

Warwickshire

CV32 5QB

Employer's website

https://www.southwarwickshiregps.nhs.uk/ (Opens in a new tab)