Job summary
We are seeking a skilled and experienced Advanced Nurse Practitioner (ANP) to join our multidisciplinary team at Chiltern House Medical Centre on a part-time basis. This is a fantastic opportunity for an autonomous clinician to play a key role in delivering high-quality care to our patient population. The role involves providing advanced clinical assessments, managing long-term conditions, leading on health promotion and disease prevention initiatives, and contributing to the development of clinical policies and procedures. The ANP will work collaboratively with the wider team to support the delivery of patient-centred care across a range of clinical areas including chronic disease management, well woman and well man clinics, and urgent care.
Main duties of the job
As an Advanced Nurse Practitioner, you will work autonomously within your scope of practice to deliver high-quality, patient-centred care. Key responsibilities include managing acute and chronic conditions, conducting health assessments, running specialist clinics, prescribing medications, and promoting health and disease prevention. You will also contribute to clinical policy development, support safeguarding, and play an active role in clinical audits and service improvement across the practice.
About us
Chiltern House Medical Centreis committed to delivering outstanding clinical services to our NHS patients. We pride ourselves on providing compassionate, patient-focused care from the first point of contact through to diagnosis and treatment. We promote a respectful and inclusive working environment and believe that our patients come first in everything we do.
Job description
Job responsibilities
Clinical
Responsibilities:
In accordance with the practice timetable, the ANP will work
autonomously, delivering care within their scope of practice to the patient
population. Contributing towards clinical areas such as health promotion,
chronic disease management, health prevention, well-women and well man clinics
as well as supporting the management team in the reviewing of clinical policy
and procedure.
-
Manage patients presenting with a range of acute
and chronic medical conditions, providing subject matter expert advice to
patients
-
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
-
Provide wound care (ulcer /Doppler etc.) to
patients
-
Provide specialist clinics such as ear
syringing, contraception etc.
-
Undertake the collection of pathological
specimens
-
Provide travel medicine services
-
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 read codes are used effectively
-
Maintain chronic disease registers
-
Prioritise health issues and intervene
appropriately
-
Support the team in dealing with clinical
emergencies
-
Recognise, assess and refer patients presenting
with mental health needs
-
Implement vaccination programmes for adults and
children
-
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
-
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.)
Other responsibilities
within the organisation:-
Awareness of and compliance with all relevant
practice policies/guidelines, e.g. prescribing, confidentiality, data
protection, health and safety.
-
A commitment to life-long learning and audit to
ensure evidence-based best practice.
-
Contributing to evaluation/audit and clinical
standard setting within the organisation.
-
Participate in local initiatives to enhance
service deliver and patient care.
-
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 with external agencies and professional
organisations are required
-
Attending training and events organised by the
practice or other agencies, where appropriate.
Job description
Job responsibilities
Clinical
Responsibilities:
In accordance with the practice timetable, the ANP will work
autonomously, delivering care within their scope of practice to the patient
population. Contributing towards clinical areas such as health promotion,
chronic disease management, health prevention, well-women and well man clinics
as well as supporting the management team in the reviewing of clinical policy
and procedure.
-
Manage patients presenting with a range of acute
and chronic medical conditions, providing subject matter expert advice to
patients
-
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
-
Provide wound care (ulcer /Doppler etc.) to
patients
-
Provide specialist clinics such as ear
syringing, contraception etc.
-
Undertake the collection of pathological
specimens
-
Provide travel medicine services
-
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 read codes are used effectively
-
Maintain chronic disease registers
-
Prioritise health issues and intervene
appropriately
-
Support the team in dealing with clinical
emergencies
-
Recognise, assess and refer patients presenting
with mental health needs
-
Implement vaccination programmes for adults and
children
-
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
-
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.)
Other responsibilities
within the organisation:-
Awareness of and compliance with all relevant
practice policies/guidelines, e.g. prescribing, confidentiality, data
protection, health and safety.
-
A commitment to life-long learning and audit to
ensure evidence-based best practice.
-
Contributing to evaluation/audit and clinical
standard setting within the organisation.
-
Participate in local initiatives to enhance
service deliver and patient care.
-
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 with external agencies and professional
organisations are required
-
Attending training and events organised by the
practice or other agencies, where appropriate.
Person Specification
Qualifications
Essential
- Registered Nurse;
- Post graduate diploma or degree (Advanced Practice Qualification);
- Qualified Nurse Prescriber;
- Qualified Triage Nurse;
Desirable
- Minor Illness Qualification;
- Teaching Qualification;
- ALS, PALS;
Experience
Essential
- Experience working in a primary care environment;
- Experience in chronic disease management;
- Experience in prescribing and undertaking medication reviews;
Desirable
- Experience working as a practice nurse or community nurse
Clinical Knowledge
Essential
- Wound Care / Removal of sutures & staples
- ECGs
- Venepuncture
- New patient medicals
- Chaperone procedure
- Requesting pathology tests and processing the results, advising patients accordingly
- Travel medicine
- Diabetes
- Hypertension
- Asthma
- Spirometry
- CHD
- Immunisations (routine, childhood and travel)
- Womens health (Cervical cytology, contraception, etc.)
- 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 health promotion strategies
- Understands the requirement for PGDs and associated policy
Desirable
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
Person Specification
Qualifications
Essential
- Registered Nurse;
- Post graduate diploma or degree (Advanced Practice Qualification);
- Qualified Nurse Prescriber;
- Qualified Triage Nurse;
Desirable
- Minor Illness Qualification;
- Teaching Qualification;
- ALS, PALS;
Experience
Essential
- Experience working in a primary care environment;
- Experience in chronic disease management;
- Experience in prescribing and undertaking medication reviews;
Desirable
- Experience working as a practice nurse or community nurse
Clinical Knowledge
Essential
- Wound Care / Removal of sutures & staples
- ECGs
- Venepuncture
- New patient medicals
- Chaperone procedure
- Requesting pathology tests and processing the results, advising patients accordingly
- Travel medicine
- Diabetes
- Hypertension
- Asthma
- Spirometry
- CHD
- Immunisations (routine, childhood and travel)
- Womens health (Cervical cytology, contraception, etc.)
- 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 health promotion strategies
- Understands the requirement for PGDs and associated policy
Desirable
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
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).
Additional information
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).
