Advanced Clinical Nurse Practitioner

Job responsibilities

Key Responsibilities

Advanced Clinical Nursing Practice

assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team;

manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action;

use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice;

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

complete the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.

Work as part of a multi-disciplinary team to deliver safe and high-quality care.

Carries out clinical nursing practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

Delivery of care in line with NSF, NICE guidelines and evidence-based care

Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.

Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.

Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.

Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.

Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.

Assess, diagnose and treat patients in a community setting

Refers patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.

Care Management

Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.

Provide highly specialised care advice beyond the scope of normal Nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).

Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.

To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.

Strategic Development of Primary Care Services

Works / liaise across multi-professional and agency boundaries

Works at the forefront of practice innovation

Determines how to deal with ambiguous or unique problems to develop and advance primary care services for the benefit of patients, carers, and communities' recognition and involvement in the HIPC primary care network as a teaching unit and help drive the Nursing element of training, including trainee NPs

Develop links within the ICB and other local and national bodies relevant to primary care Nursing initiatives.

Administration and professional responsibilities

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.

Participate in the administrative and professional responsibilities of the practice team

Accurate and legible notes of all consultations and treatments are recorded in the patients notes

Ensure clinical systems kept up to date, recording and/or amending accurate details

Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice

Attend and participate in practice and or PCN meetings as required

Training and personal development

Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.

Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.

Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.

Participate in the education and training of students of all disciplines and the introduction of all members of PCN staff where appropriate.

This job description may be reviewed in the light of changing organisational and service needs. Any changes will be fully discussed with the post holder. The post holder may also be required to carry out other work appropriate to the grade of the post.

Qualifications

Essential

• ANP - MSc Advance Practice or equivalent
• Independent Prescriber
• ACP - Advanced clinical practitioners (ACPs) will be a healthcare professional educated to Masters level or equivalent, with the skills and knowledge to allow them to expand their scope of practice to better meet the needs of the people they care for. ACP should work at a level of advanced clinical practice that pulls together the four ACP pillars of clinical practice, leadership and management, education and research.
• Registered on the appropriate professional register

Experience

Essential

• Experience of practice within the four pillars
• Job plan that demonstrates advanced clinical practice and has equity with peers working at this level
• Experience of prescribing and undertaking medication reviews

Desirable

• Experience of working in a primary care environment

Clinical Skills & Knowledge

Essential

• Understand 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 understand when to refer to GP's
• Knowledge of health promotion strategies
• Understand the requirement for PGD's and associated policy
• 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 as well as ability to work under pressure / in stressful situations

Desirable

• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena

Other

Essential

• Ability to assess and manage patient risk effectively and safely
• Well-developed word processing/data collection/IT skills
• 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 organisation, the local ICB and with key external stakeholders
• Self-motivated
• Organisational skills
• Enthusiastic
• Enhanced Disclosure Barring Service (DBS) check
• Occupational health clearance
• Meet the requirements and produce evidence for revalidation
• Evidence of continuing professional development (CPD) commensurate with the role of an ACP
• Access to own transport and ability to travel across locality on a regular basis
• Flexibility to work outside core office hours

Desirable

• Experience of use of a medical software package
• Proven record of effective use of networking and influencing skills
• Ability to think strategically
• Experience of presenting information to wider audience
• Ability to work flexible hours when required

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).