Job responsibilities
Job Title: Advanced Nurse Practitioner
Responsible to: Practice Manager
Accountable to: Nursing Operations Manager
Grade/Pay: Dependent on exprience
Hours: 20 hours per week
Holiday: 25 days holiday (pro rata)
Job Purpose
The responsibilities will include direct
patient contact through assessment, examination, investigation, diagnosis, and
treatment. The post-holder will provide holistic clinical services with support
from the multi-disciplinary team.
The ANP will work within their scope of clinical practice and provide
care for patients presenting with undifferentiated, undiagnosed problems,
utilising history-taking, physical examinations, and clinical decision-making
skills to establish a working diagnosis and management plan in partnership with
the patient.
Working to a professional code of ethics you will be able to demonstrate
flexibility in the role and have a calm and caring attitude towards patients.
Key working
relationships
Patients
Windrush Medical Practice Staff
GP Clinical Lead(s)
PCN Clinical Director
Community nurses and other allied health
professionals
Secondary care clinicians.
Responsibilities
underpinning the role
The following are the core
responsibilities expected of the ANP fulfilling this role. On occasion
there may be a requirement to carry out other tasks; this will be dependent on
factors such as workload and staffing levels:
Provide care for patients presenting with undifferentiated, undiagnosed problems, utilising history-taking, physical examinations and clinical decision-making skills to establish a working diagnosis and management plan in partnership with the patient (and their carers where applicable). Patients will have been initially triaged by the Duty GP, to ensure suitability in line with clinicians scope of competenc
Undertake
face to face consultations for emergency problems, as determined by the
Practice, including management of patients with long-term conditions.
Participate in all treatment and preventative healthcare services in the
Practice as delegated and agreed by the supervising GP(s).
Perform
diagnostic physical examinations and treatment.
Identify,
signpost or refer patients at risk of developing long-term conditions,
preventing adverse effects on the patients health.
Organise
onward investigation, treatment and referral where appropriate.
Ensure
continuity of care, arranging follow-up consultations or reviews as
necessary.
Attend
regular practice clinical meetings.
Support
the clinical team with all safeguarding matters, in accordance with local
and national policies.
Under
supervision of the GPs in the practice, make professional, autonomous
decisions in relation to presenting problems, whether self-referred or
referred from other health care workers within the Organisation.
Record
clear and contemporaneous IT based consultation notes to an agreed
standard.
Understand
practice and local policies for substance abuse and addictive behaviour,
referring patients appropriately.
Be
able to justify choice of medication, and support patients in the use of
their prescribed medication (within own scope of practice).
Be
able to understand the impact of comorbidities, other medications and
poly-pharmacy.
Deliver
integrated patient centred care through appropriate working with the wider
primary care multi-disciplinary team and social care networks.
Act on
alerts (e.g. QOF, local enhanced services etc.) and reminders during a
consultation.
Assist
the practices in achieving their clinical targets and objectives in QOF,
Local enhanced services etc.
Participate
in continuing professional development opportunities and keep up to date
with evidence-based knowledge and competence in all aspects of your role,
meeting clinical governance guidelines for continuing professional
development (CPD).
This job description
is intended as a guide to the duties and responsibilities of the post and
should not be regarded as a complete list of those required to be fulfilled
under the written statement of the main terms and condition of employment.
This role profile is intended
to provide a broad outline of the main responsibilities only. The post holder
will have the opportunity to develop the role and participate in initial and
ongoing discussions with their line manager as to the development of the team.
Code of Conduct: ANPs must comply with the Standards for Proficiency set by the NMC, Professional registration
requirements.
Participate in defining
own developmental plan to maintain and develop own clinical skills and ensure
own professional development.
Undertake and complete all
statutory and mandatory training.
Participate in an appraisal
and regular performance reviews.
Ensure that all mandatory
training is completed in line with organisational policy.
Contribute to the planning
and implementation of the teaching of and support for new and existing staff in
the Practice, including GP registrars, medical students, student ANPs and
newly-recruited ANPs.
Under the Data Protection Act 1998 and GDPR, the
post holder must maintain the confidentiality of information about patients and
staff. The work is of a confidential nature and information gained must not be
communicated to other persons except in the recognized course of duty.
Unauthorised disclosure of confidential information will result in disciplinary
action and may lead to your dismissal.
We expect all of our
staff to actively promote equality and diversity and encourage colleagues to do
the same. We encourage staff to support a zero tolerance approach to bullying and
harassment in all forms, and to lead by example in this area.
This post is deemed
to require a Disclosure check Enhanced Level with the Disclosure & Barring
Service (DBS). This is due to the fact the post has access to children and
vulnerable adults. Further information on the disclosure Service is available
from www.disclosure.gov.uk
