Advanced Nurse Practitioner (Primary Care)

Job description

Job responsibilities

Main responsibilities

Clinical

Leads and manages the Enhanced Health in Care Homes programme which includes:

o Undertaking weekly ward rounds

o Supporting person centred holistic assessments of all patients admitted / readmitted to a care home within 7 days.

o Ensuring that all residents have a personalised support care plan within 7 days of re/admission.

Develops and manages highly specialised programmes of care and care packages and provides highly specialised advice concerning care normally beyond the scope of normal advance clinical practice e.g. establishes differential diagnoses, management/treatment plans and makes referrals as appropriate. Makes fast track referrals.

Works autonomously and be accountable for his/ her professional actions.

Undertakes clinical nursing practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to registered patients.

Assesses patients with a range of acute, non-acute, and chronic medical conditions. To take history, conduct appropriate physical examinations, formulate differential diagnoses and carry through management treatment plans ensuring relevant follow-up.

Manages undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action.

Uses complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice.

Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person.

Where appropriate makes referrals to other healthcare professionals in primary and secondary care.

Prescribes medications as appropriate.

Maintains accurate record keeping in Emis Web.

Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g., first contact with patients presenting acutely and manages care in the presence and absence of protocols.

Makes decisions where precedents do not exist, where appropriate without recourse to others e.g., direct referral of patients to Hospital Consultants without prior reference to other medical colleagues.

Advises and supports others where standard protocols do not apply.

Works within professional guidelines and codes of conduct

Visits patients at home and within care homes as part of the wider clinical team.

Communicate complex and sensitive information concerning a patients medical condition effectively to patients/carers, recognising that sometimes there are barriers to understanding.

Fosters good public relations by ensuring courtesy and discretion when dealing with patients and their relatives.

Supports and advises patients on the promotion of health, prevention of ill-health and the self-management of their health within their limitations.

Recognises situations that may be detrimental to the health and well-being of the individual and act on the findings.

Ensures that care given is supported by the best available evidence and local policies and procedures.

Maintains professional competency whilst remaining current and in date for NMC revalidation.

Education

Complete the relevant training to provide multi-professional clinical practice and CPD for other roles within Primary Care for example Community Paramedic, nurses, HCAs and Care Co-ordinators

The postholder will link with the Training Hub and other colleagues across BNSSG to ensure that Care Home staff are aware of local training opportunities.

The postholder will organise at least one training session per year for PCN and Practice staff to update on issues relating to the care of frail elderly people.

Research

Connexus PCN has an active research programme, and the postholder will have Continuous involvement in research/evaluation and/or development work which may be as part of one or more formal research programmes or activities. In addition, they will:

Actively contribute to PCN/Service/Team audit/Research activity as required.

Instigate audit activity as required for new and existing services.

Identify, apply and disseminate research findings relating to clinical practice.

Leadership

The postholder will establish strong working relationships with nursing and management staff in care homes to encourage good clinical practice.

The postholder will work with the GP lead for care homes in each of the five Practices to identify and follow up opportunities for the improvement of care for frail elderly and care home residents.

The postholder will provide clinical support and advice to colleagues including Care Co-ordinators and Community Paramedic.

This list of responsibilities is not exhaustive and is subject to changed based on clinical and organisational needs and contractual requirements.

Person Specification

Experience

Essential

• Demonstrates clinical competency in working with frail older people (including care home residents)
• Management of patients with long term conditions
• Advanced clinical practice skills

Desirable

• Experience of working in primary care
• Nurse-led management of minor illnesses and minor ailments
• Developing protocols and clinical guidelines
• Clinical supervision of staff

Qualifications

Essential

• Registered Nurse with Nursing and Midwifery Council
• Masters degree required for qualification post December 2020
• Post graduate diploma or degree for Advanced Practice Qualification up to December 2020
• Qualified Independent Nurse Prescriber on the NMC register or working towards a Prescribing Qualification with completion expected within twelve months of appointment.
• Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet.
• Meets the standards for registered ANP working at advanced level.

Skills and Abilities

Essential

• Good IT skills including use of GP clinical systems (EMIS web)
• Comfortable working in a range of settings including GP surgeries, Care Homes and patients own home with minimum support and supervision.
• Excellent communication skills to work with patients from a variety of background, their careers, health professionals and care home staff.

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).

Employer details

Employer name

Connexus PCN

Address

Brooklea Health Centre

Wick Road

Bristol

BS4 4HU

Employer's website

https://www.nightingalevalleypractice.co.uk/ (Opens in a new tab)