Job responsibilities
Key
responsibilities
Clinical
practice
Assess, diagnose, plan, implement
and evaluate treatment/interventions and care for patients presenting with an
undifferentiated diagnosis
Undertake home visits for
acute illness or Chronic Disease management.
Clinically examine and
assess patient needs from a physiological and psychological perspective, and
plan clinical care accordingly
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)
Diagnose and manage both
acute and chronic conditions, integrating both drug- and non- drug-based
treatment methods into a management plan
Fully participate in the
clinical administration within the practice, reviewing letters / discharge / results, respond to queries
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
Support and manage health
needs of women presenting for family planning or sexual health consultation
Access, identify and
refer patients presenting with mental health needs in accordance with the NSF for Mental Health
Implement and participate
in vaccination and immunisation clinics for both adults and children
Communication
Utilise and demonstrate
sensitive communication styles, to ensure patients are fully informed and
consent to treatment
Communicate with and
support patients who are receiving bad news
Communicate effectively
with patients and carers, recognising the need for alternative methods of
communication to overcome different levels of understanding, cultural
background and preferred ways of communicating
Anticipate barriers to
communication and take action to improve communication
Maintain effective
communication within the practice environment and with external stakeholders
Act as an advocate for
patients and colleagues
Ensure awareness of
sources of support and guidance (eg PALS) and provide information in an
acceptable format to all patients, recognising any difficulties and referring
where appropriate
Attend and contribute to
practice and primary care team meetings
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
Prioritise, organise and
manage own workload in a manner that maintains and promotes quality
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
Evaluate patients
response to health care provision and the effectiveness of care
Support and participate
in shared learning across the practice and wider organisation
Use a structured
framework (eg root-cause analysis) to manage, review and identify learning from
patient complaints, clinical incidents and near-miss events
Assess the impact of
policy implementation on care delivery
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
Leadership
personal and people development
Take responsibility for
own learning and performance including participating in clinical supervision
and acting as a positive role mode
Provide leadership to the
nursing team and liaise between both the nursing team and GPs
Support staff development
in order to maximise potential
Actively promote the
workplace as a learning environment, encouraging everyone to learn from each
other and from external good practice support and contribute to the teaching of
nursing staff/ medical students / GP registrars and administration
staff as appropriate
Encourage others to make
realistic self-assessment of their application of knowledge and skills,
challenging any complacency or actions that are not in the interest of the
public and / or users of services.
Critically evaluate and
review innovations and developments that are relevant to the area of work
Enlist support and
influence stakeholders and decision-makers in order to bring about new
developments in the provision of services
Take a lead role in
planning and implementing changes within the area of care and responsibility
Contribute to the
development of local guidelines, protocols and standards
Maintain effective
communication with those responsible for the overall commissioning and procurement
process.
Market the role of the
advanced nurse practitioner in general practice
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 the mechanisms to
develop new ways of working
Delegate clearly and
appropriately, adopting the principles of safe practice and assessment of
competence
Create clear referral
mechanisms to meet patient need
Prioritise own workload
and ensure effective time-management strategies are embedded within the culture
of the team
Work effectively with
others to clearly define values, direction and policies impacting upon care
delivery
Discuss, highlight and
work with the team to create opportunities to improve patient care
Manage and lead on the
delivery of specifically identified services or projects as agreed with the
practice management team
Agree plans and outcomes
by which to measure success
Management of risk
Manage and assess risk
within the areas of responsibility, ensuring adequate measures are in place to
protect staff and patients
Monitor work areas and
practices to ensure they are safe and free from hazards and conform to health,
safety and security legislation, policies, procedures and guidelines
Apply infection-control
measures within the practice according to local and national guidelines
Advocate for policies
that reduce environmental health risks, are culturally sensitive and increase
access to health care for all
Interpret national
strategies and policies into local implementation strategies that are aligned
to the values and culture of general practice
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 Read codes in order to ensure easy and accurate information
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 and primary care trust regarding the Freedom
and Information Act
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 good practice and
inform others about current and future developments (eg courses and
conferences)
Assess own learning needs
and undertake learning as appropriate
Provide an educational
role to patients, carers, families and colleagues in an environment that
facilitates learning
Equality
and diversity
Identify patterns of
discrimination and take action to overcome this and promote diversity and
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
Accept the rights of
individuals to choose their care providers, participate in care and refuse care
Assist patients from
marginalised groups to access quality care
Undertake any training
required in order to meet the needs of the practice
