Advanced Nurse Practitioner - Moorlands Rural PCN

Job responsibilities

Advanced Nurse Practitioner job description

Job Title

Advanced Nurse Practitioner

Line Manager

Lead GP Partner

Accountable to

GP Partners

Hours per week

37.5 ( job share will be considered )

Job Summary

Generic Responsibilities

All staff at Werrington Village Surgery have a duty to conform to the following:

Equality, Diversity & Inclusion

A good attitude and positive action towards ED&I creates and environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that you treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

This practice is committed to supporting and promoting opportunities to for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

Confidentiality

This practice is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters, pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times. It is essential that if, the legal requirements are to be met and the trust of our patients is to be retained that all staff protect patient information and provide a confidential service.

Quality & Continuous Improvement (CI)

To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice.

This practice continually strives to improve work processes which deliver health care with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Induction Training

On arrival at the practice all personnel are to complete a practice induction programme; this is managed by the Deputy Practice Manager.

Learning and Development

The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to partake and complete mandatory training as directed by the training coordinator, as well as participating in the practice training programme. Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and ultimately, enable them to improve processes and service delivery.

Collaborative Working

All staff are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

Service Delivery

Staff at Werrington Village Surgery must adhere to the information contained with practice policies and regional directives, ensuring protocols are adhered to at all times. Staff will be given detailed information during the induction process regarding policy and procedure.

Security

The security of the practice is the responsibility of all personnel. Staff must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager. Under no circumstances are staff to share the codes for the door locks to anyone and are to ensure that restricted areas remain effectively secured.

Professional Conduct

At Werrington Village Surgery, staff are required to dress appropriately for their role. Administrative staff will be provided with a uniform whilst clinical staff must dress in accordance with their role.

Infection Control

The post holder will adhere to the practices infection control policies and protocols.

Make effective use of infection control training to update knowledge

Report potential risks identified

Safeguarding

All Staff at Werrington Village Surgery are required to undertake Safeguarding training for both Children and Vulnerable adults. To take responsibility for identifying and raising any safeguarding concerns.

Leave

All personnel are entitled to take leave. Line managers are to ensure all of their staff are afforded the opportunity to take their full annual entitlement

Primary Responsibilities

The following are the core responsibilities of the Advanced Nurse Practitioner. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice to patients.

Develop, implement and embed health promotion and well-being programmes.

Implement and evaluate individual specialised treatment plans for chronic disease patients.

Identify, manage and support patients as risk of developing long-term conditions, preventing adverse effects on the patients health.

Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF.

Request pathology services as necessary.

Process and interpret pathology and other test results as required.

Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / specialist care as required.

Maintain accurate clinical records in conjunction with extant legislation.

Ensure SnoMed codes are used effectively.

Prioritise health issues and intervene appropriately.

Support the team in dealing with clinical emergencies.

Recognise, assess and refer patients presenting with mental health needs.

Extended and supplementary prescriber, adhering to extant guidance.

Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required.

Contribute to practice targets (QOF etc.), complying with local and regional guidance.

Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.).

Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual).

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

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

Deliver opportunistic health promotion where appropriate.

Secondary Responsibilities

In addition to the primary responsibilities, the advanced nurse practitioner may be requested to:

Act as the audit lead, effectively utilising the audit cycle.

Providing guidance when necessary, acting as a mentor to students and newly qualified staff.

Participate in local initiatives to enhance service delivery and patient care.

Support and participate in shared learning within the practice.

Develops an area of specialist interest, taking the lead within the practice.

Continually review clinical practices, responding to national policies and initiatives where appropriate.

Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA).

Drives the development of nursing services within the practice, liaising external agencies and professional organisations as required.

Develops practice administrative and clinical protocols in line with the needs of the patient and current legislation.

This document may be amended following consultation with the post holder, to facilitate the development of the role, the practice and the individual. All personnel should be prepared to accept additional, or surrender existing duties, to enable the efficient running of the practice.

Personal Qualities

Essential

• 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
• Ability to work under pressure / in stressful situations
• Effectively able to communicate and understand the needs of the patient
• Commitment to ongoing professional development
• Effectively utilises resources
• Punctual and committed to supporting the team effort

Qualifications

Essential

• Registered Nurse
• Post graduate diploma or degree (Advanced Practice Qualification)
• Qualified Nurse Prescriber

Desirable

• Minor Illness Qualification
• Teaching Qualification

Experience

Essential

• Experience of working in a primary care environment
• Experience of prescribing and undertaking medication reviews

Desirable

• Experience of working as a practice nurse or community nurse

Skills

Essential

• Excellent communication skills (written and oral)
• Strong IT skills
• Clear, polite telephone manner
• 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

Desirable

• EMIS user skills
• Experience with audit and able to lead audit programmes
• Experience with clinical risk management

Clinical Knowledge & Skills

Essential

• Management of patients presenting with acute and chronic medical conditions
• Chaperone procedure
• Requesting pathology tests and processing the results, advising patients accordingly
• Understands 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 understanding when to refer to GPs
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena
• Knowledge of health promotion strategies
• Understands the requirement for PGDs and associated policy

Desirable

• ECGs

Other requirements

Essential

• Flexibility to work outside of core office hours
• Disclosure Barring Service (DBS) check
• Occupational Health Clearance

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).