Advanced Nurse Practitioner - ADHD Pathway

Job responsibilities

JOB SUMMARY

The Post Holder will work as part of the trust wide Adult ADHD and Autism Service.

The post holder will practice as a non-medical prescriber (independent/supplementary prescribing) in accordance with the Trusts non-medical prescribing policy and protocols

Prescribe as an independent/supplementary prescriber within ones scope of competencyand in accordance with Trust and national policies

Following national training and a period of actively prescribing as a supplementaryprescriber, to work as an independent non-medical prescriber within the designated areasof clinical practice

Be responsible and accountable for the assessment of the patient with diagnosed andundiagnosed conditions and for decisions about the clinical management required including prescribing as agreed with Consultant Psychiatrist

This job description is an outline of the main duties of the post. The postholder will be required to undertake other duties commensurate with the grade as directed.

The content of this post will be reviewed in consultation with the postholder when necessary and in line with the service developments.

KEY RESULT AREAS:

The post holder will work across the localities supporting an agree caseload. The post holder will:-

• Provide advice and support to other clinicians acting as a source of expertise

• Prescribe for the patients needs and the management of drug-related complications within their own sphere of competence

• Promote the health needs of clients with complex issues and within their sphere ofcompetence provide interventions for these needs

• Promote clinical excellence by complying with agreed Trust and statutory policies and clinical guidance, while maintaining own clinical competencies in this role

• Work in close collaboration with medical personnel regarding prescribing protocols, policies etc. and where necessary work closely with the independent prescriber in developing and delivering clinical management plans for clients

• Work within relevant NMC/RPSGB and any other appropriate statutory requirements

• Work as an independent non-medical prescriber within areas as required and designated, taking responsibility for the clinical assessment of the patient, establishing a diagnosis andthe clinical management required

• Be responsible for stopping or prescribing where necessary and the appropriateness of anyprescription issue being responsible for prescribing a range of drugs within their competence in accordance with the Trust protocols and British National Formulary (BNF)

• Carry out appropriate risk assessment regarding prescribing and non-prescribinginterventions and implement appropriate interventions to manage the risks

• Write prescriptions in accordance with Trust policy taking full responsibility for the patient as well as for the medicines prescribed as agreed with the medical prescriber

• Ensure that appropriate records are made in the patients RIO notes which identifypostholder as the independent/supplementary prescriber

• Ensure that a GP is notified when a patient is seen as an out-patient in the event that theprescription is changed in accordance with service policies

• Responsibility for ensuring that the non-medical prescribing is recorded in line with Trust policy and procedures

• Communicate fully to those patients who are unable to communicate or give consent,ensuring that the benefits of non-medical prescribing are documented fully and to providereassurance to both the patient and the carer that postholder is fulfilling the role of the doctor in this regard, including providing patient information leaflet

• Assist with the development of policies and inform development of non-medical prescribingacross the Trust

• Take the lead on policy, procedural development and patient information development of non-medical prescribing across the Adult ADHD and Autism Service

• Undertake auditing and monitoring of prescribing in postholders own designated areas ofPractice

• Be responsible for ensuring the security and safe handling of FP10 prescription forms and to report any loss or theft as per Trust guidelines

• In the event of adverse drug reaction, to be accountable for ensuring that the GP/Consultant is advised accordingly

• Participate in patient satisfaction survey design and obtain feedback on patients views onnon-medical prescribing

• Act as a mentor and guide for supplementary non-medical prescribers and to provide clinical supervision, ensuring that any short falls/concerns form part of the CPD

• Be accountable for ensuring that training, CPD and clinical supervision sustains independent prescribing status
• Request necessary clinical investigations such as blood tests and communicate results to all appropriate clinicians

• Provide/ refer for appropriate health and social care interventions according to service users recovery Goals

• Assess health and social care needs as part of an integrated team, and implement /request packages of care where appropriate

Service Governance Responsibilities

• Required to contribute to clinical audit and clinical governance

• Participate in a formal appraisal programme and provide support forlower banded staff

• Ensure fulfilment of requirements for continuing professional development as required byprofessional body, eg NMC/RPSGB and as outlined in local and national non-medical prescribing policy (the organisation will support CPD through annual appraisal/job plan reviews and personal development plans with the designated non-medical prescribing lead)

• Attend and provide training events as necessary to maintain knowledge/skills and

competence of self and others

• Work within locally and national agreed guidance for best practice

• Work at all times only within their sphere of competence

• Participate in trust forums and networks for non medical prescribers to support and update

on service development/legislative changes and pharmaceutical updates

Security

• Demonstrate a clear understanding and adherence to security in relation to prescription security and management.

• Ensure all FP10s are kept under lock and key and returned to the Consultant Psychiatrist when leaving role or organisation

Management

• Participate in the Trusts appraisal performance reviews of self and team members

• Participate in and undertake clinical supervision for junior members of the team within the service on a regular basis

• Participate in and undertake clinical audit

• Maintain appropriate indemnity insurance through a professional body such as the RCN or RPSGB

Administration

• Maintain accurate records and adhere to professional requirements for accurate record Keeping

• Submit statistical returns as required

• Prepare and submit relevant reports including keeping a log/register of all prescribing

• Maintain electronic records on the relevant medical record systems (RIO) where necessary

• Work with the relevant managers to monitor service and non-medical prescriber performance

Communication

• Appropriately liaise with other services, external health and social care services and provide an expert opinion as required in relation to interventions with this complex client group

• Able to develop good working relationships with key stakeholders medical practitioners,administration staff, senior managers and other services personal, pharmacy staff, externalhealth providers, GP services and other partner agencies whom postholder might come into contact with.

• Negotiate with and motivate clients when working with care plans and treatment processesparticularly to socially excluded and vulnerable people

• Provide advice and decisions to other team members and lower banded staff in relation toconditions and treatment plans, based on medical/drug history and knowledge of potentialcontra indications

Research and Development

• Be responsible for contributing to audit of the effectiveness of non-medical prescribing
• Participate in relevant research projects as required and to identify new areas for researchand further development

Education and Training

• Participate in appropriate teaching and training for service staff and students, ensuringattendance at mandatory training

• Identify new training areas required for self and others

• Will be expected to travel between sites to attend clinics and meetings including dutiescommensurate with the post holders grade as agreed with the line manager

For full job description, please see attached supporting documents.

Special Knowledge/Skills

Essential

• Current philosophy underpinning learning disability community care provision.
• Awareness of accountability of own
• and others roles in a nurse-led service
• Leadership skills Communication
• skills, both written and verbal
• Awareness of national policy in relation to service user group

Desirable

• Knowledge and understanding of cultural and diversity issues.
• Specialist health needs of people with neurodevelopmental conditions
• Mental health needs
• Complex health needs
• Challenging Behaviours

Experience

Essential

• Experience of working as non medical prescriber
• Experience in senior role in care of people with a learning disability.
• Contributed to and Worked as a member of a multi-disciplinary team.
• Experience of implementing protocols and clinical guidelines

Desirable

• Service Development
• Working with families and carers

Personal Attributes

Essential

• Self Motivated
• Good communication and interpersonal skills
• Enthusiasm
• Ability to work under pressure
• Ability to travel around the Trust as appropriate to the role
• Flexible

Physical Attributes

Essential

• Ability to undertake the duties and demands of the post.
• A satisfactory sickness record over the previous 2 years (subject to the need to act with fairness and equality of opportunity, particularly where the sickness is related to a disability and/or pregnancy).

Training

Essential

• Postgraduate study to Masters Level or equivalent in a field related to nursing and learning Disabilities
• To be willing to undertake post graduate training to further skills, knowledge and expertise
• Evidence of continued professional development

Qualifications

Essential

• RNLD
• Relevant teaching qualification
• Recognised qualification in non - medical prescribing
• Supplementary Prescriber
• Independent Prescriber or within 6 months of achieving this

Desirable

• Evidence of additional academic study at Diploma /Degree level

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).