Advanced Nurse Practitioner

Job responsibilities

You will work autonomously, seeing patients within their homes without immediate support and supervision, enabled by a collaborative and supportive working relationship supported by the clinical team. Working independently and in conjunction with other health care professionals acting within their professional boundaries; to provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. Demonstrate safe, clinical decision-making and expert care for patients within the general practice.

You will deliver safe, effective clinical decision-making and expert quality care, including assessment, diagnosis, clinical management and evaluation to the Practice population. You will have the attitude, skills and knowledge base to deliver quality holistic care and treatment.

You will assist in the provision of patient care at the practice premises, or in the patients place of residence, working in collaboration with a multidisciplinary team.

Clinical Responsibilities including:

Provide a first point of contact to assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis

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

Demonstrate critical thinking in the clinical decision-making process

Manage patient risk effectively and safely, including high levels of complexity and uncertainty

Evaluate the safety and effectiveness of your own clinical practice

Ensure safe and effective patient care, demonstrating awareness of your own limitations supported by the clinical team

Provide safe, evidence-based, cost-effective, individualised patient care within the surgery, patients own home or other environment where patient care is carried out

Refer patients directly to other services/agencies as appropriate, utilising Practice and local guidelines and in a timely manner

Pro-actively identify, diagnose, monitor 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

Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice, and national and practice protocols, and within own scope of practice

Work with patients in order to support compliance with and adherence to prescribed treatments

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

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 living and to apply principles of self-care

Recognise, assess and refer patients with mental health within scope of practice

Communicate with and support patients receiving bad news

Other responsibilities:

Recognise and work within own competence and in accordance with the professional code of conduct of the Nursing and Midwifery Council (NMC), Health and Care Professions Council (HCPC)

Monitor the safety and effectiveness of own clinical practice through quality assurance strategies such as the use of audit, mentor feedback, case review and peer review

Maintain accurate and complete documentation and records utilising the practice clinical system as appropriate and in accordance with Practice protocols

Use own judgement, resourcefulness and common sense

Deliver care according to evidence based practice, following agreed protocols, local and national guidelines

Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance

Contribute to achievement of the highest possible quality standards such as Quality and Outcomes Framework (QoF) and other agreed Key Performance Indicator targets

Assist with the training of other staff members and also with the education of doctors, nurses and other health professionals in training as appropriate

Pro-active engagement with the practice population and wider community to promote healthy living and encourage uptake of services

Undertake additional tasks as required within your general role as a Primary Care Practitioner and senior member of the clinical team

Business responsibilities:

Maintain ethos and culture of The Station Practice

Positively promote The Station Practice

Ensure rationalisation of resources

To assist in enhanced and extended services to grow the professional offerings of the business

Attend in-house governance, educational and staff meetings as appropriate

To help plan, develop and support the introduction of new working processes to quality improvement (QI)

Train staff to attain optimum performance

To build and maintain relationships with other healthcare professionals, including GPs, GP surgery personnel, care home personnel etc

Represent the Practice at external events in a professional and proactive manner

Leadership responsibilities:

Act as a positive role model

Provide professional leadership as required

Support the development of others in order to maximise potential

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

Critically evaluate and review innovations and developments that are relevant to the area of work

Participate in planning and implementing changes within the area of care and responsibility

Contribute and participate in the development of local guidelines, protocols and standards

Ensure the principles of infection control and local/national policies and guidelines are applied throughout the practice, monitoring and implementing changes as required

Safeguarding:

Be responsible for and committed to safeguarding and promoting the welfare of Adults-at-risk (vulnerable adults), children and young people and for ensuring that they are protected from harm

Be aware of your duties and responsibilities regarding current legislation and adhere to our policies and procedures on Child Protection and Safeguarding Adults

Recognise the types and signs of abuse and neglect

Ensure the Safeguarding Lead is alerted to, and kept fully informed of, any concerns you may have in relation to safeguarding adults, children and young people.

Learning and development:

You will participate in any training programme implemented by the Practice as part of this employment, such training to include:

Participation in individual performance reviews, including maintaining a record of own personal and/or professional development.

Working in conjunction with senior management, assess own learning needs and undertake learning as appropriate

Develop and utilise a written Personal Development Plan. Keep your training portfolio up to date and available to the Practice

Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information

Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments

Undertake mandatory and statutory training as required.

Team working:

Understand own role and scope in the organisation 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

Accept delegation from senior staff, prioritise own workload and ensure effective time management strategies are embedded in own practice

Participate in team activities that create opportunities to improve patient care

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Participate and support local projects as agreed with the management team

Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties.

Special requirements of the post:

An understanding, acceptance and adherence to the need for strict confidentiality

Ability to use own judgment, resourcefulness and common sense, but also a knowledge of when to seek assistance

A commitment to maintain a high professional standard of care and keep up to date with all aspects of care relevant to the post

A commitment to ensure all health and safety requirements and infection control measures are met and to report any problems to the Practice Manager/HR & Deputy Manager.

Experience

Essential

• Significant post registration experience
• Recent primary and community nursing experience
• Nurse-led management of minor illness, minor ailments and injuries
• Nurse-led triage
• Compiling protocols and clinical guidelines
• Clinical Leadership
• Audit
• Nurse prescribing

Desirable

• Working with community development initiatives
• Health-needs assessment

Knowledge

Essential

• Advanced clinical practice skills Management of patients with long-term conditions
• Management of patients with complex needs
• Clinical examination skills
• Accountability of own role and other roles in a nurse-led service
• Local and national health policy
• Wider health economy
• Clinical governance issues in primary care
• Patient group directions and associated policy
• Clinical leadership skills
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Change management
• Teaching and mentorship clinical setting
• Resource management

Desirable

• Knowledge of public health issues
• Able to identify determinants on health in the area
• Knowledge of public health issues in the area

Qualifications

Essential

• MSC in advanced nursing/clinical practice or working towards it
• Relevant nursing/health degree
• Mentor/teaching qualification
• Clinical supervision training and experience
• Extended/independent nurse
• Full UK driving licence required

Desirable

• Community nursing specialist
• qualification

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).