Job responsibilities
The post holder is an ANP who, acting within their professional
boundaries, will provide care for the presenting patient from initial history
taking, clinical assessment, diagnosis, treatment and evaluation of their care.
They will demonstrate safe, clinical decision-making and expert care for
patients within the general practice. They will work collaboratively with the
multi-disciplinary general practice and attached teams to meet the needs of
patients, supporting the delivery of policy and procedures, and providing
leadership as required. In order to work at this level, NMC requirements for
advanced practice must be met.
1. SCOPE AND PURPOSE OF THE ROLE
To deliver a high standard of patient care as an ANP in general
practice, using advanced autonomous clinical skills, and a broad and
in-depth theoretical knowledge base
To manage a clinical caseload, dealing with presenting patients needs
in a primary care setting
2. JOB DIMENSIONS
To manage own clinical workload in general practice responding
effectively to patient need and ensuring patient choice and ease of
access to services.
The development and use of referral pathways for ANPs to the local
acute NHS Trust services and to Diagnostic and Treatment Centres.
To mentor and support other nurses in developing and maintaining
clinical skills
PRIMARY DUTIES & AREAS OF RESPONSIBILITY
A. CLINICAL ROLE:
The post-holder will:
Provide the choice of direct access to an ANP, in the Practice, to
Community Team and over the telephone, for the general practice
population
Make professionally autonomous decisions for which he/she is
accountable
Provide a first point of contact within the Practice for patients
presenting with undifferentiated, undiagnosed problems, making use of
skills in history taking, physical examination, problem-solving and
clinical decision-making, to establish a diagnosis and management
plan
Instigate necessary invasive and non-invasive diagnostic tests or
investigations and interpret findings/reports
To prescribe safe, effective and appropriate medication as defined by
current legislative framework
Provide safe, evidence-based, cost-effective, individualised patient
care
Offer a holistic service to patients and their families, developing where
appropriate an on-going plan of care/support, with an emphasis on
prevention and self-care
Promote health and well-being through the use of health promotion,
health education, screening and therapeutic communication skills
Refer patients directly to other services/agencies as appropriate
Work as part of the Practice team in developing and delivering
specialist primary care services
Screen patients for disease risk factors and early signs of illness
Work with nursing, medical and health care assistant colleagues to
ensure that National Service Frameworks (e.g. Coronary Heart
Disease/Older People/ Diabetes /Mental Health) are being delivered
Work with multi-disciplinary team within the Practice, and across the
wider Operational Unit (Moray Health & Social Care Partnership), to
promote integrated and seamless pathways of care
Contribute to the practice achieving its quality targets to sustain the
high standards of patient care and service delivery
Participate in identification of community health needs and develop
patient/family-centred strategies to address them
Help develop and set up new patient services and participate in
initiatives to improve existing patient services
Be aware of and contribute to planning and delivery of practice-based
commissioning
B. TEACHING AND MENTORING ROLE:
The post-holder will:
Promote a learning environment for patients, nurses and other health
professionals.
Contribute to the planning and implementation of the teaching for
existing staff, such as medical students, NP students, GP registrars,
within the Practice.
C. PROFESSIONAL ROLE:
The post-holder will:
Promote evidence-based practice through the use of the latest
research-based guidelines and the development of practice-based
research.
Monitor the effectiveness of their own clinical practice through the
quality assurance strategies such as the use of audit and peer review
Maintain their professional registration
Participate in continuing professional development opportunities to
ensure that up-to-date evidence-based knowledge and competence in
all aspects of the role is maintained
Work within the latest NMC Code of Professional Conduct
Record accurate consultation data in patients records in accordance
with the latest NMC guidance and other pertinent standards
Keep up to date with pertinent health-related policy and work with the
practice team to consider the impact and strategies for implementation
Work collaboratively with colleagues within and external to the practice.
Demonstrate leadership
Pro-actively promote the role of the ANP within the Practice, and
externally to key stakeholders and agencies
D. MANAGERIAL ROLE:
The post-holder will:
Encourage and develop teamwork within the practice.
Participate in multi-disciplinary protocol and Patient Group
Directions development
Help the practice operate in a cost-effective manner.
Identify and manage care risks on a continuing basis.
Participate in practice meetings and practice management
meetings, reporting progress as required.
Participate in audits and inspections as appropriate.
Work closely with the doctors and administrative managers in the
setting up and/or improving of practice systems for
monitoring/measuring performance against Clinical Governance
and Quality Indicator targets.
Ensure that all Practice Policys are fully implemented
E. AREAS OF PRACTICE EXCLUDED FROM THE POST-HOLDERS
REMIT:
Depending on skills / experience, it is recognised that there may be some
aspects of care which the post-holder may refer to the Duty GP.