Job responsibilities
Clinical practice
To deliver a
high standard of patient care as an Advanced Nurse Practitioner (ANP) or
Nurse Practitioner in any care facility (Nursing, Residential and Learning
Disability Care Homes), their own homes and for patients of the Practice and
PCN with Frailty using advanced autonomous clinical skills and a broad,
in-depth knowledge base and experience.
To manage a clinical caseload, dealing with patients needs in a
Nursing, Residential and Learning Disability Care Home setting, step down
(Intermediate Care Beds) and to include frail and vulnerable patients within
the Practice. To deliver a high standard of care using autonomous clinical
skills and a broad
To work efficiently, pro-actively and autonomously to provide
consistent and appropriate care to Frail patients often with complex needs.
This could be looking after their long term care needs or where they have an
acute concern.
Instigate and be involved in pro-active and appropriate advanced care
planning discussions with all patients and their families and develop personalized
care plans according to the patients needs.
Prescribing
for end-of-life care, completing/ amending Respect forms, Respect discussions
with patients, families and care home staff and providing excellent end of
life care to patients as appropriate.
To have
an awareness of all services and support available for frail and vulnerable
patient and knowing when to refer on to other services as appropriate.
The development and use of referral pathways for ANPs to the local
acute NHS Trust services and to Diagnostic and Treatment Centres (where
appropriate).
To support the SHP leadership team to develop our services for Frail
patients (planned and unplanned care) as a key member of our Frailty and Care
homes MDT.
To mentor and support other Health Care Professionals within the
Practice and members of the Care Homes MDT in developing and maintaining
clinical skills and knowledge.
To
build strong connections with the Urgent Community Response (UCR) team, Care
home staff, Palliative care nursing staff and Community nursing and therapies
To actively contribute to achieving our
contractual requirements
Assess, diagnose, plan, implement and evaluate
treatment/interventions and care for patients presenting with an
undifferentiated diagnosis
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 (as appropriate)
Assess, treat and educate patients as
required, making use of prescribing experience to prescribe safe, effective
and appropriate medication as defined by current legislative framework.
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
Make professionally autonomous decisions for
which you are accountable
Book diagnostic investigations as indicated.
Refer patients directly to other
services/agencies as appropriate
Follow up patients as required by clinical
need and guidelines within scope of practice
Undertake the assessment of pathology reports
and direct for further action as warranted
Complete medical reports for various agencies,
including DWP and insurance companies (where it does not specifically require
completion by a GP)
Provide Holistic Care as part of an MDT within
SHP and with INTs (Integrated Neighbourhood Teams)
Delivering a quality service
Recognise and work within own competence and
professional code of conduct as regulated by the NMC. Produce accurate,
contemporaneous and complete records of patient consultation, consistent with
legislation, policies and procedures
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
Support and participate in shared learning
across the practice and wider organisation 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
Act as nurse advisor to other members of the
Primary Healthcare team.
Encourage and develop teamwork within the
practice.
Help the practice operate in a cost-effective
manner.
Identify and manage nursing care risks on a
continuing basis.
Participate in practice meetings and practice
management meetings, reporting progress as required. Participate in audits
and inspections as appropriate.
Work closely with the doctors and
administrative managers in the setting up and/or improving of practice
systems for monitoring/measuring performance against Clinical Governance and
Quality Indicator targets.
Ensure that all Practice Policies are fully
implemented.
3. Other Responsibilities
Health and Safety
To comply with the Health and Safety at Work
etc. Act 1974.
To take responsibility for their own health
and safety and that of other persons who may be affected by their own acts or
omissions.
Equality and Diversity
To carry out at all times their responsibilities
in line with Equal Opportunities Policy and Procedure.
Risk Management and Clinical Governance
To work within the Clinical Governance
Framework of the practice, incorporating Risk Management and all other
quality initiatives and all aspects of CQC implementation.
Confidentiality
To maintain confidentiality of information
relating to patients, clients, staff and other users of the services in
accordance with the General Data Protection Regulations 2018 including
outside of the work environment. Any
breach of confidentiality may render an individual liable for dismissal
and/or prosecution.
Safeguarding
Whilst in post, staff are expected to acquire
and update their knowledge on safeguarding as per the intercollegiate
document requirements and SHP policies.
Professional development
The post holder will participate in any
training programme implemented by the practice as part of this employment
To participate in an annual individual
performance review, including taking responsibility for maintaining a record
of own personal and/or professional development
General
To undertake any other duties commensurate
with the role, within the bounds of their own competence as guided by the
attached management framework.
To work across the various SHP sites as
required.
In light of national policy and due to the
needs of the business it may be necessary for the Partnership to alter the
opening hours of the surgeries. This
could incorporate different opening hours and weekend working which may
affect when you are required to work.
The post holder is expected to be flexible and accommodating,
following consultation, in terms of any changes to operating times in the
future.
