Lead Advanced Nurse Practitioner (Long Term Conditions)

Job responsibilities

Clinical practice

Assess patients presenting for review of chronic disease conditions with a focus on, but not limited to diabetes.

Work with the practice team to foster care and support planning with people with long term conditions and increase patients' participation in their healthcare

Clinically examine and assess patient needs from a physiological and psychologicalperspective, and plan clinical care accordingly

Manage chronic conditions, integrating both drug- and nondrug-based treatment methods into a management plan

Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs

and in accordance with evidence-based practice and national and practice protocols andformularies

Work with patients and their carers in order to support shared care planning and self-management.

Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions

Support patients to adopt health promotion strategies that promote healthy lifestyles, andapply principles of self-care

Implement and participate in vaccination and immunisation programmes for both adults andchildren

Communication

Utilise and demonstrate sensitive communication styles, to ensure patients are fullyinformed and consent to treatment

Attend and contribute to nursing team, practice and primary care team meetings

Delivering a quality service

Recognise and work within own competence and professional code of conduct as regulatedby the NMC

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

Prioritise, organise and manage own workload in a manner that maintains and promotesquality

Deliver care according to local and national policy, NICE guidelines and evidence-based care

Assess effectiveness of care delivery through self and peer review, benchmarking and formalevaluation

Initiate and participate in the maintenance of quality governance systems and processesacross 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 careresponding to local and national policies and initiatives as appropriate

Actively participate in the practice significant event procedures. Ensure learning and actionsfrom significant event reviews are implemented and reviewed.

Assess the impact of policy implementation on care delivery

Understand and apply legal issues that support the identification of vulnerable and abusedchildren and adults, and be aware of statutory child/vulnerable patients health proceduresand local guidance

Leadership personal and people development

Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode

Support nursing staff development in order to maximise potential

Actively promote the workplace as a learning environment, encouraging everyone to learnfrom each other and from external good practice

Enlist support and influence stakeholders and decision-makers in order to bring about newdevelopments in the provision of services

Take a lead role in planning and implementing changes within the practice to improve services and quality of care

Contribute to the development of local guidelines, protocols and standards

Maintain effective communication with those responsible for the overall commissioning andprocurement process

Team working

Understand own role and scope and identify how this may develop over time

Work as an effective and responsible team member, supporting others and exploring themechanisms to develop new ways of working

Delegate clearly and appropriately, adopting the principles of safe practice and assessmentof competence

Prioritise own workload and ensure effective time-management strategies are embeddedwithin the culture of the team

Manage and lead on the delivery of specifically identified services or projects as agreed withthe practice management team

Agree plans and outcomes by which to measure success

Managing information

Use technology and appropriate software as an aid to management in planning,implementation and monitoring of care, presenting and communicating information

Review and process data using accurate codes in order to ensure easy and accurateinformation retrieval for monitoring and audit processes

Manage information searches using the internet and local library databases

Understand responsibility of self and others to the practice regarding the Freedom of

Information Act, GDPR etc.

Collate, analyse and present clinical data and information to the team

Learning and development

Undertake mentorship for more junior staff, assessing competence against set standards

Disseminate learning and information gained to other team members in order to share goodpractice and inform others about current and future developments (e.g. courses and conferences)

Assess own learning needs and undertake learning as appropriate

Equality and diversity

Identify patterns of discrimination and take action to overcome this and promote diversityand equality of opportunity

Enable others to promote equality and diversity in a non-discriminatory culture

Support people who need assistance in exercising their rights

Monitor and evaluate adherence to local chaperoning policies

Act as a role model in the observance of equality and diversity good practice

Skills and Knowledge

Essential

• Evidence of autonomous working.
• Ability to communicate effectively, verbally and in writing.
• Basic IT skills.
• Ability to demonstrate clinical expertise and knowledge of audit.
• Demonstrable critical reasoning skills and decision making.
• Demonstrable evidence of multi-professional/multi-agency working.
• Provide evidence of autonomous skills in physical assessment, diagnosis and treatment e.g. portfolio.
• Ability to prioritise patient care.
• Perceptive, flexible and effective leadership skills.
• Ability to demonstrate effective use of staff and resources.
• Ability to literature search and procedure protocols based on a best practice evidence base.
• Experienced in investigation of clinical incidents and monitoring of clinical key performance indicators
• Adaptable, friendly, polite, courteous and caring.
• Enthusiastic, highly motivated and committed
• Ability to cope in stressful situations
• Ability to work in a multi-disciplinary team
• Ability to communicate effectively both verbally and in writing
• Caring attitude to patients
• Patient focused.
• Committed to continuing education and professional development
• Mentally and physically able to undertake the role.

Qualifications

Essential

• 1st level Registered Nurse with current registration with the UK Nursing Midwifery Council (NMC).
• Post registration qualification in Diabetes
• Evidence of Continuous Professional development (CPD).
• Willingness to undertake prescribing qualification

Desirable

• Masters degree in a health related subject, or already working towards ANP Masters
• Post registration qualification in
• Chronic Disease management
• Independent Nurse Prescriber

Experience

Essential

• Experienced for 2yrs+ at ANP /specialist nurse level in an:
• Acute setting.
• Primary Care
• or another related area
• Experience of working autonomously.
• Experience of working within a multi-disciplinary team.

Desirable

• Evidence of team leadership and supervision of junior staff.
• Experienced in leading multidisciplinary teams
• Experience of performance management of clinical staff members.

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).