Advanced Nurse Practitioner (GP Practice)

Job responsibilities

Job title

Advanced Nurse Practitioner

Hours

22.5 per week

Accountable to

GP Partners & Practice Managers

Job Summary

The ANP is an autonomous practitioner with advanced clinical skills, able to assess, diagnose, treat and independently prescribe. The role supports timely patient care, reduces the need for GP referrals and allows development of long-term patient relationships. The ANP interprets investigations, prescribes safely, and refers to specialists when needed.

Mission Statement

The Dunstan Partnership aims to provide high quality, individualised medical care in a safe, clean, confidential and welcoming environment. The Practice is committed to staff training and professional development.

General Responsibilities

Equality, Diversity & Inclusion

Staff and patients must be treated fairly, with dignity and respect, without discrimination on any protected grounds. Staff must promote equality and a positive working environment.

Safety, Health, Environment & Fire

All staff must follow health and safety legislation, identify and manage risks, maintain safe working practices and cooperate with the organisations SHEF requirements.

Confidentiality

All patient information must be protected at all times. Staff must comply with legal and ethical confidentiality standards.

Quality & Continuous Improvement

All staff must support CI by reviewing processes, sharing good practice, contributing to audits, investigations and local implementation of national policy.

Induction

A full induction programme will be provided.

Learning & Development

Mandatory training must be completed. The ANP must identify personal learning needs, support colleagues through mentorship, and contribute to patient and staff education.

Collaborative Working

The ANP must work effectively within a multidisciplinary team, communicate appropriately, delegate safely and manage time efficiently.

Managing Information

Use clinical systems and SNOMED coding accurately for planning, monitoring and data retrieval.

Service Delivery

Follow all Practice and regional policies and protocols.

Security

Maintain building and information security, protect access codes and passwords, and report suspicious activity.

Professional Conduct & Appearance

Comply with dress code and maintain professional behaviour.

Leave

Staff are entitled to pro rata annual leave and public holidays.

Primary Responsibilities

a. Develop and deliver health promotion and wellbeing initiatives.

b. Provide expert assessment and management of acute and chronic conditions across all consultation types.

c. Lead proactive and reactive care for care home patients, including ward rounds.

d. Make timely referrals to secondary care using correct processes.

e. Manage routine prescription requests safely and efficiently.

f. Implement and evaluate chronic disease treatment plans.

g. Identify and support patients at risk of long term conditions.

h. Provide evidence based specialist nursing care following NICE and NSF guidance.

i. Comply with Safeguarding Adults and Children policies.

j. Request, process and interpret pathology and diagnostic tests.

k. Review and action incoming correspondence efficiently.

l. Demonstrate strong understanding of QOF and local performance schemes; use information effectively during consultations.

m. Complete chronic disease reviews and support maintenance of disease registers.

n. Maintain accurate, legally compliant records using SNOMED CT coding.

o. Act as a chaperone when required.

p. Prioritise health needs and intervene appropriately.

q. Support the team during clinical emergencies.

r. Recognise, assess and refer patients with mental health needs.

s. Support adult and child vaccination programmes.

t. Prescribe as an extended/supplementary prescriber following guidance.

u. Support patients with medication use and conduct annual reviews.

v. Contribute to achievement of QOF and local targets.

w. Liaise with external agencies to support patients e.g., vulnerable groups.

x. Delegate tasks safely within scope of practice.

y. Manage and refer issues related to substance misuse.

z. Provide opportunistic health promotion.

Additional tasks may be required depending on workload and staffing.

Wider Responsibilities

a. Support clinical governance and maintain high standards.

b. Support the Infection Prevention & Control lead.

c. Ensure safe storage, rotation and disposal of medicines.

d. Support nursing team management, mentor students and new staff.

e. Participate in supervision, peer review and appraisal.

f. Attend practice meetings and training.

g. Participate in local initiatives to improve patient care.

h. Contribute to shared learning within the organisation.

i. Develop and lead a specialist interest area.

j. Review and adapt clinical practice in line with national policies.

k. Support development of nursing services and communication with external bodies.

l. Contribute to clinical and administrative protocol development.

PLEASE SEE THE FULL JOB DESCRIPTION IN THE ATTACHMENT

Other Requirements and Wider Responsibilities

Essential

• Disclosure barring service DBS check.
• Occupational health clearance.
• Meet the requirements and produce evidence for nurse revalidation.
• Evidence of continuing professional development CPD commensurate with the role.
• Access to own transport and ability to travel across the locality on a regular basis.
• Flexibility to work outside core office hours.

Qualifications

Essential

• Registered Nurse with Nursing and Midwifery Council NMC
• Masters Degree required for qualification, post December 2020. Refer to RCN Credentialing for Advanced Level of Nursing Practice ALNP or, a Degree for Advanced Practice Qualification up to December 2020.
• Qualified Independent Nurse Prescriber on the NMC Register.
• Has evidence of working at an enhanced level, as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework.
• Meets NMC revalidation requirements in accordance with the NMC revalidation booklet.
• Confirmation of Registration with the NMC.
• Minor Illness qualification.

Desirable

• Qualified triage nurse.
• Teaching qualification.
• ALS and PALS.

Personal Qualities

Essential

• Effective time management, planning and organising.
• Demonstrate personal accountability, emotional resilience and work well under pressure.
• Ability to follow legal, ethical and professional policies, procedures and code of conduct.
• Knowledge of IT systems, including the ability to use Word Processing skills, emails and the internet.
• Ability to identify risk and assess and manage risk when working with individuals.
• Ability to work as a team member and autonomously.
• Good interpersonal and organisational skills.
• Sensitive and empathetic in distressing situations.
• Knowledge of and ability to work to key policies and procedures.

Experience

Essential

• Understanding of General Practice and the wider NHS.
• Experience of Practice within the 4 Pillars.
• Experience of leading in chronic disease management.
• Experience of prescribing and undertaking medical reviews.
• Experience of infections, prevention and control measures.
• Experience of quality initiatives, i.e. benchmarking

Desirable

• Experience of working as a Practice Nurse or a Community Nurse.
• An appreciation of the new NHS Landscape, including the relationship between individual organisations, PCNs and the Commissioners.

Clinical Knowledge and Skills

Essential

• Understanding of the importance of evidence based practice.
• Ability to promote best practice regarding nursing matters.
• Clinical knowledge and skills including, ECGs, venapuncture, new patient medicals, chaparone procedure, completion of incoming routine prescription requests, requesting and processing pathology tests, actioning incoming practice correspondence, both electronic and paper, advising patients accordingly, diabetes, hypertension, asthma, spirometry, CHD, immunisations, routine and childhood, women's health, cervical cytology, contraception etc.
• Ability to work within own scope of practice and understanding when to refer to GPs.
• Good clinical system IT knowledge and the ability to record accurate clinical notes.
• Broad knowledge of clinical governance.
• Understanding of safeguarding of adults and children.
• Knowledge of public health issues in the local area and issues in the wider health arena.
• Understanding of health promotion strategies.
• Excellent interpersonal, influencing, negotiation and organisational skills, with the ability to constructively challenge the view and practices of managers and clinicians.
• Understanding and knowledge of health care provision in GP surgeries, QOF and enhanced service.
• Detailed knowledge of national standards that inform general practice, NSF and NICE guidelines.

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).