Advanced Nurse/Clinical Practitioner - Moorlands Rural PCN

Job responsibilities

The Advanced Nurse/Clinical Practitioner(ANP/ACP) has been assessed as competent in practice using their expert clinical knowledge and skills. They have the freedom and authority to act and make autonomous decisions in the assessment, diagnosis and treatment of patients.

The post holder works at the level of advanced clinical practice and has developed and can evidence the underpinning competencies applicable to the specialty or subject area, i.e., the knowledge, skills and behaviours appropriate to the healthcare professionals (HCP) setting and job role.

The role provides an opportunity for patients to avoid the need to be referred to a GP, thereby enabling them to receive timely care and negate unnecessary delay in receiving treatment.

An ACP in primary care can develop close, long term relationships with their patients and work in partnership with them to achieve optimum health. They are autonomous in making decisions based on assessment, diagnosis and interpretation of test results. They can independently prescribe appropriate medication, evaluate or refer to other specialists if necessary.

Primary responsabilities

The following are the core responsibilities of the Advanced Nurse/Clinical Practitioner.

There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

• Manage patients presenting with a range of acute and chronic medical conditions.
• Be an extended and supplementary prescriber, adhering to guidance.
• Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required.
• Contribute to practice/PCN targets (QOF, etc.) complying with local and regional guidance.
• Identify manage and support patients at risk of developing long term conditions, preventing adverse effects to the patients health.
• Request pathology services as necessary.
• Process and interpret pathology and other test results as required.
• Maintain accurate clinical records in conjunction with legislation.
• Support the team in dealing with clinical emergencies.
• Support the clinical team with all safeguarding matters in accordance with local and national policies.
• Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions, and omissions at this level of practice.
• Demonstratea critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty, and incomplete information.
• Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
• Work in partnership with individuals, families, and carers, using a range of assessment methods as appropriate.
• Demonstrate effective communication skills, supporting people in making decisions, planning care, or seeking to make a positive change.
• Use expertise and decision-making skills to inform clinical reasoning.
• Exercise professional judgement to manage risk.
• Be a professional role model for the organisation.
• Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.
• Actively seek feedback and involvement from individuals, families, carers, communities, and colleagues in the co-production of service improvements.
• Critically assess and address own learning needs, negotiating a personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice (clinical practice, leadership and management, education, and research).
• Chaperone patients where necessary.
• Deliver opportunistic health promotion where appropriate.

Secondary resposabilities

In addition to the primary responsibilities, the Advanced Nurse/Clinical Practitioner may be requested to:

• Participate in local initiatives to enhance service delivery and patient care.
• Support and participate in shared learning within the organisation.
• Develop an area of specialist interest, taking the lead within the organisation.
• Continually review clinical practices, responding to national policies and initiatives where appropriate.
• Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA).
• Commensurate with their role, support the development of clinical services within the organisation, liaising with external agencies and professional organisations as required.
• Develop practice administrative and clinical protocols in line with the needs of the patient and current legislation.

Generic responsabilities

All staff at Moorlands Rural PCN have a duty to conform to the following:

Equality, Diversity, and Inclusion

A good attitude and positive action towards Equality Diversity & Inclusion (ED&I) creates an environment where all individuals can achieve their full potential. Creating such an environment is important for three reasons it improves operational effectiveness; it is morally the right thing to do, and it is required by law.

Patients have a responsibility to treat other patients and our staff with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

This organisation is committed to supporting and promoting opportunities for staff to maintain their health, wellbeing, and safety.

The post holder is to manage and assess risk within their areas of responsibility, ensuring adequate measures are in place to protect staff and patients, and 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.

All personnel are to comply with the:

Health and Safety at Work Act 1974

Environmental Protection Act 1990

Environment Act 1995

Fire Precautions (workplace) Regulations 1999

Coronavirus Act 2020

Other statutory legislation which may be brought to the post holders attention.

Confidentiality

The organisation is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality.

Quality and Continuous Improvement (CI)

To preserve and improve the quality of this organisations output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work.

Moorlands Rural PCN continually strives to improve work processes which deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuousimprovement where everyone counts, and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Induction

At Moorlands Rural PCN you will be required to complete the induction programme and the practice management team will support you throughout the process.

Learning and development

The effective use of training and development is fundamental to ensuring that all staff are equipped with the appropriate skills, knowledge, attitude, and competences to perform their role. All staff will be required to partake in and complete mandatory training as directed by Moorlands Rural PCN It is an expectation for this post holder to assess their own learning needs and undertake learning as appropriate

The post holder will provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.

Collaborative working

All staff are to recognise the significance of collaborative working, understand their own role and scope, and identify how this may develop over time. Staff are to prioritise their own workload and ensure effective time-management strategies are embedded within the culture of the team.

Managing information

All staff should use technology and appropriate software as an aid to management in the planning, implementation and monitoring of care, and presenting and communicating information.

Data should be reviewed and processed using accurate SNOMED/read codes to ensure easy and accurate information retrieval for monitoring and audit processes.

Service delivery

Staff will be given detailed information during the induction process regarding policy and procedure.

The post holder must adhere to the information contained within the organisations policies and regional directives, ensuring protocols are always adhered to.

Security

The security of the organisation is the responsibility of all personnel. The post holder must ensure they always remain vigilant and report any suspicious activity immediately to their line manager.

Under no circumstances are staff to share the codes for the door locks with anyone, and they are to ensure that restricted areas remain effectively secured. Likewise, password controls are to be maintained and passwords are not to be shared.

Professional conduct

All staff are required to dress appropriately for their role.

Leave

All personnel are entitled to take leave. Line managers are to ensure all their staff are afforded the opportunity to take a minimum number of days leave each year and are encouraged to take all their leave entitlement.

Public holidays will be calculated on a pro-rated basis dependent on the number of hours worked.

Qualifications

Essential

• Qualified healthcare professional i.e. NMC, GPHC etc.
• Educated to Masters degree as detailed within the HEE document tilted Multi-professional framework for advanced clinical practice in England.
• Qualified independent prescriber - V300.
• Registered on their appropriate professional register.

Desirable

• Minor illness qualification.
• ALS and PALS.

Experience

Essential

• Experience of practice within the four pillars.
• Job plan that demonstrates advanced clinical practice and has equity with peers working at this level.
• Experience of prescribing and undertaking medication reviews.

Desirable

• Experience of working in a primary care environment

Clinical knowledge and skills

Essential

• Understand the importance of evidence-based practice.
• Broad knowledge of clinical governance.
• Ability to record accurate clinical notes.
• Ability to work within own scope of practice and understand when to refer to GPs.
• Knowledge of health promotion strategies.
• Understand the requirement for PGDs and associated policy.
• Polite and confident, flexible and cooperative.
• Motivated, forward thinker.
• Problem solver with the ability to process information accurately and effectively, interpreting data as required.
• High levels of integrity and loyalty.
• Sensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situations.

Desirable

• Knowledge of public health issues in the local area.
• Awareness of issues within the wider health arena.

Other requirements

Essential

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

Other requirements

Essential

• Flexibility to work outside of core office hours
• Disclosure Barring Service (DBS) check
• Occupational Health Clearance

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).