Job responsibilities
Principal Duties and Responsibilities
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 and 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.
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 scope of practice.
Work
with patients to support compliance with and adherence to prescribed treatments.
Provide
information and advice on prescribed or 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 lifestyles,
and apply principles of self-care.
Support
and manage womens health needs.
Assess,
identify, and refer patients presenting with mental health needs.
Implement
and participate in vaccination and immunisation programmes for both adults and
children.
Promote
and deliver evidence-based care for patients presenting with aural conditions.
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 (e.g., PALS) and provide
information in an acceptable format to all patients, recognising any
difficulties and referring where appropriate.
Delivering a quality service
Recognise
and work within own competence and professional code of conduct as regulated by
the NMC or other regulatory body.
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 NSF, 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 (e.g. 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.
Work
with practice management to ensure the whole team have skills and knowledge
regarding domestic violence, vulnerable adults, substance abuse and addictive
behaviour.
Provide
guidance and support to ensure appropriate referral if required.
Leadership personal and people development
Take
responsibility for own learning and performance including participating in
clinical supervision and acting as a positive role model.
Support
staff development to maximise potential.
Actively
promote the workplace as a learning environment, encouraging everyone to learn
from each other and from external good practice.
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 to bring about new
developments in the provision of services.
Contribute
to the development of local guidelines, protocols, and standards.
Maintain
effective communication with those responsible for the overall commissioning
and procurement process.
Maintain
active involvement in the planning and processes of practice-based
commissioning or similar initiatives.
Promote
the role of the advanced nurse practitioner in general practice.
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.
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.
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.
Ensure
appropriate supervision of safe storage, rotation and disposal of vaccines and
drugs.
Oversee
the monitoring, stock control and documentation of drug usage according to
legal requirements where appropriate.
Undertake
mandatory and statutory training requirements
Attend
clinical and non-clinical meetings where appropriate.
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.
