Job responsibilities
Clinical
Practice
Assess,
diagnose, plan, implement and evaluate treatment/interventions and care for
patients presenting with an undifferentiated diagnosis. Clinically examine and
assess patient needs from a physiological and psychological perspective.
Assess,
diagnose, plan, implement and evaluate interventions/treatments for patients
with complex needs. Proactively identify, diagnose and manage treatment plans
for patients at risk of developing a long-term condition.
Diagnose
and manage both acute and chronic conditions, integrating both drug- and
non-drug-based treatment methods into a management plan.
Prescribe
and review medication for therapeutic effectiveness, appropriate to patient
needs and in accordance with evidence-based practice and national, local and
practice protocols, and within scope of practice.
Work
with patients in order to support compliance with and adherence to prescribed
treatments. Provide information and advice on prescribed or over-the-counter
medication on medication regimens, side-effects and interactions.
Prioritise
health problems and intervene appropriately to assist the patient in complex,
urgent or emergency situations, including initiation of effective emergency
care.
Support
patients to adopt health promotion strategies that promote healthy lifestyles,
and apply principles of self-care.
Communication
Utilise
and demonstrate sensitive communication styles, to ensure patients are fully
informed and consent to treatment, including communication with, and support
of, patients and their significant persons who are receiving bad news.
Communicate
effectively with patients and carers, recognising the need for alternative
methods of communication to overcome different levels of understanding,
cultural background and preferred ways of communicating. Anticipate barriers to
communication and take action to improve communication.
Maintain
effective communication within the practice environment and with external
stakeholders
Act as
an advocate for patients and colleagues.
Ensure
awareness of sources of support and guidance and provide information in an
acceptable format to all patients, recognising any difficulties and referring
where appropriate.
Delivering
a Quality Service
Recognise
and work within own competence and professional code of conduct as regulated by
the NMC (Nursing & Midwifery Council, 2015c).
Produce
accurate, contemporaneous and complete records of patient consultation,
consistent with legislation, policies and procedures
Prioritise,
organise and manage own workload in a manner that maintains and promotes quality
Deliver
care according to NICE guidelines and evidence-based care
Assess
effectiveness of care delivery through self and peer review, benchmarking and
formal evaluation
Initiate
and participate in the maintenance of quality governance systems and processes
across the organisation and its activities
Utilise
the audit cycle as a means of evaluating the quality of the work of self and
the team, implementing improvements where required
In
partnership with other clinical teams, collaborate on improving the quality of
health care responding to local and national policies and initiatives as
appropriate
Evaluate
patients response to health care provision and the effectiveness of care
Support
and participate in shared learning across the practice and wider organisation
Use a
structured framework e.g. root-cause analysis to manage, review and identify
learning from patient complaints, clinical incidents, and near-miss events.
Assess
the impact of policy implementation on care delivery
Understand
and apply legal issues that support the identification of vulnerable and abused
children and adults, and be aware of statutory child/vulnerable patients health
procedures and local guidance
Leadership
Personal and People Development
Take
responsibility for own learning and performance including participating in
clinical supervision and acting as a positive role model
Support
staff development in order to maximise potential
Building
a PCN-wide nursing forum for all the nursing team in our PCN this includes
pulling together training needs
Represent
GPNs in a local Primary Care Network (PCN) so that their contribution to
meeting local population needs is clear.
Critically
evaluate and review innovations and developments that are relevant to the area
of work
Enlist
support and influence stakeholders and decision-makers in order to bring about
new developments in the provision of services
Contribute
actively to the PCN Board, attending all meetings that are relevant while being
that voice for nurses in the PCN
Contribute
to developing effective links and ways of working across the Primary Care
Network.
Take
part in relevant leadership roles that might arise, that will support PCNs and
practices to meet their contractual requirements
Take a
lead role in planning and implementing changes within the area of care and
responsibility
Contribute
to the development of local guidelines, protocols and standards
Market
the role of the advanced nurse practitioner in general practice
Team
Working
Understand
own role and scope and identify how this may develop over time
Work as
an effective and responsible team member, supporting others and exploring the
mechanisms to develop new ways of working
Delegate
clearly and appropriately, adopting the principles of safe practice and assessment
of competence
Create
clear referral mechanisms to meet patient need
Prioritise
own workload and ensure effective time-management strategies are embedded
within the culture of the team
Work
effectively with others to clearly define values, direction and policies
impacting upon care delivery
Discuss,
highlight and work win the team to create opportunities to improve patient care
Manage
and lead on the delivery of specifically identified services or projects as
agreed with the practice management team
Agree
plans and outcomes to measure success
Management
of Risk
Manage
and assess risk within the areas of responsibility, ensuring adequate measures
are in place to protect staff and patients
Monitor
work areas and practices to ensure they are safe and free from hazards and
conform to health, safety and security legislation, policies, procedures and
guidelines
Ensure
appropriate supervision of safe storage, rotation and disposal of vaccines and
drugs. Oversee the monitoring, stock control and documentation of controlled
drug usage according to legal requirements where appropriate
Ensure
the nursing team undertakes mandatory and statutory training requirements
Apply
infection-control measures within the practice according to local and national
guidelines
Advocate
for policies that reduce environmental health risks, are culturally sensitive
and increase access to health care for all
Interpret
national strategies and policies into local implementation strategies that are
aligned to the values and culture of general practice
Managing
Information
Use
technology and appropriate software as an aid to management in planning,
implementation and monitoring of care, presenting and communicating information
Review
and process data using accurate Read codes in order to ensure easy and accurate
information retrieval for monitoring and audit processes
Manage
information searches using the internet and local library databases
Understand
responsibility of self and others to the practice and primary care trust
regarding the Freedom and Information Act
Monitor
and confirm that the nursing team are receiving and processing data and
information in an agreed format
Collate,
analyse and present clinical data and information to the team
Communicate
essential financial restraints with the team and discuss with them ideas for
effective and efficient working within these constraints
Manage,
if agreed, a nursing budget within financial principles
