ANP

Job responsibilities

The following are the core responsibilities of the Advanced nurse practitioner. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

Clinical Responsibilities

To use advanced practice skills within consultation to assess, diagnose, advise, treat and refer patients both in Surgery and on Home visits

To provide a comprehensive assessment

Arranging and interpreting appropriate investigations

Develop, implement and embed health promotion and well-being programmes

Support the clinical team in the development of individual 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

Ensure read codes are used effectively

Chaperone patients where necessary

Prioritise health issues and intervene appropriately

Support the team in dealing with clinical emergencies

Recognise, assess and refer patients presenting with mental health needs

Recognise, assess and refer patients with community health needs, developing strategies for effective care pathways

Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

Support the clinical team with all safeguarding matters, in accordance with local and national policies

Deliver opportunistic health promotion where appropriate

Professional Responsibilities

Practice within the policies and guidelines of the NMC

Maintain confidentiality of all patients identifiable information and contacts

Maintain and develop clinical knowledge and competence using best practice, evidence, guidelines & supervision

Have a clear understanding of the legal issues and professional accountability relating to advance practice roles

Prescribers must comply with current legislation for prescribing and be accountable or their practice; it is best practice to maintain the guidelines of the NMC and local ICB

Maintain skills and competencies in the use of the EMIS and System One clinical systems

Inform the on call GP or line manager of any concerns during session, report significant events according to policy

Maintain accurate records of all patient contacts in accordance with NMC guidelines of best practice

Support the clinical team with all safeguarding matters, in accordance with local and national policies

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.

Management Responsibilities

Effectively manage workload, planning prioritising and co-ordinating workload

Work in partnership with other clinicians on duty to maintain effective communication

Promote a safe and effective service

Adhere to policy and procedures

Support and contribute to the future development of the service

In addition to the primary responsibilities, the advanced nurse practitioner may be requested to:

Contribute to the implementation of an effective training programme for staff and students within the practices

Participate in local initiatives to enhance service delivery and patient care

Support and participate in shared learning within the practice

Continually review clinical practices, responding to national policies and initiatives where appropriate

Be aware of and contribute to the planning and implementation of ICB patient pathway initiatives

Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA).

Maintain professional registration and adhere to revalidation requirements

Qualifications

Essential

• 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 their appropriate professional register

Clinical Knowledge and skills

Essential

• Essential - clinical knowledge
• 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
• Skills
• Essential- skills
• 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
• Car driver/access to car

Desirable

• Clinical knowledge
• Desirable
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena
• Skills
• 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

Other requirements

Essential

• Essential
• 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

Experience

Essential

• 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

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).