Advanced Nurse Practitioner

Job description

Job responsibilities

The Advanced Nurse Practitioner will work autonomously and is accountable for their own professional actions.

The role will include:

Provide the choice of direct access to a nurse practitioner, both in the practice and over the telephone, for the general practice population.

May see both self-referred and internally referred cases and make professional autonomous clinical and prescribing decisions in relation to their problems for which she/he is accountable.

Provide a first point of contact within the Practice for patients presenting with selected 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.

Be able to prescribe safe, effective and appropriate medication as defined by current legislative framework as appropriate.

Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards.

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 including seeking GP advice if and when appropriate.

Work with nursing, medical and health care assistant colleagues to ensure that latest NHS directives and long term chronic disease management are being delivered.

Work with multi-disciplinary teams within the Practice and across the wider locality 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.

Help develop and set up new patient services and participate in initiatives to improve existing patient services.

Participate in audits and inspections as appropriate.

Care and Programme Management

Develops and manages highly specialised programmes of care and care packages and provides highly specialised advice concerning care normally beyond the scope of normal

Nursing practice (e.g. establishes differential diagnoses, management/treatment plans and makes referrals as appropriate). Makes fast track referrals.

Communicates highly sensitive condition related information to patients, relatives and carers.

Initiates the process of diagnosis with patients suspected to have a chronic disease (e.g. diabetes, COPD, asthma, IHD) referring to other clinical staff as appropriate.

Contribute to practice targets both local and national within the disease management agenda (e.g. QOF, prescribing incentive scheme).

Contributes to disease registers.

Audits outcomes of care against standards and initiate changes as necessary.

Undertakes annual review of patients understanding and ability to self manage and medication reviews.

Refers to other members of the extended primary health care team as appropriate (e.g. Chiropodist, Dietician, Specialist Nurses).

Actively implements safeguarding protocols for children and vulnerable adults and to know who to refer to and how to escalate concerns about radicalisation.

Professional & Personal Development

Work within the latest NMC Code of Professional Conduct.

Maintain their professional registration.

Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of revalidation, audit and peer review.

Participate in continuing professional development opportunities (attending necessary courses & study days) to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained.

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.

Pro-actively promote the role of the ANP within the Practice and externally to patients, key stakeholders and agencies.

Contribute to the practice operating in a cost-effective manner.

Identify and manage nursing care risks on a continuing basis.

Participate in practice meetings and practice management meetings, reporting progress as required.

Identify areas for change to enhance efficiencies and effectiveness.

Health Improvement

Initiates and carries out programmes of health screening and ensures other team members are aware of health agendas and screening programmes.

Introduces innovation in practice to meet on-going health need demands of the practice.

Works to introduce new developments that will improve health outcomes for patients and is able to demonstrate through written and presentation these developments i.e. Sexual Health agenda.

Shares innovation and new learning with others.

Supports practitioners in profiling the practice population in order to initiate, contribute and promote improved health and prevent disease in individuals and groups.

Represents individuals and families interests when they are not able to do so themselves.

Makes referrals to statutory and voluntary agencies as appropriate.

Communication

Provides and receives highly complex, sensitive or contentious information and occasionally deals with situations which are hostile or emotive.

Uses developed communication, negotiation, conflict management skills which require empathy, reassurance and persuasive skills where there can be significant barriers to acceptance which need to be overcome.

Regularly communicates service related information to Federation Management, Salaried GPs, Nursing and Administrative staff, patients, relatives and carers.

Makes operational judgements, manages conflicting views and reconciles inter and intra professional differences of opinion.

Communicate effectively with other members of the practice, patients and carers

Recognize peoples needs for alternative methods of communication and respond accordingly

Person Specification

Qualifications

Essential

• Qualified as Advanced Nurse Practitioner
• NMC Registered

Experience

Desirable

• Experience of working within primary care
• Experience of working in a GP practice

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).

Employer details

Employer name

Ratby Surgery

Address

Ratby Medical Centre

Desford Lane

Ratby

Leicester

LE6 0LE

Employer's website

https://www.ratbysurgery.nhs.uk/ (Opens in a new tab)