In Hours Home Visiting ANP / Enhanced Practice Nurse

Job responsibilities

PRIMARY RESPONSIBILITIES

The following are the core responsibilities of the ANP/ACP. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

Clinical Responsibilities

To use advanced practice skills within consultation to assess, diagnose, advise, treat and refer patients on Home visits

To provide a comprehensive assessment

Arranging and interpreting appropriate investigations

Develop, implement and embed health promotion and well-being programmes

Support the clinical team in the development of individual treatment plans for chronic disease patients

Ensure read codes are used effectively

Prioritise health issues and intervene appropriately

Recognise, assess and refer patients presenting with mental health needs

Recognise, assess and refer patients with community health needs, developing strategies for effective care pathways

Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

Support the clinical team with all safeguarding matters, in accordance with local and national policies

Deliver opportunistic health promotion where appropriate

Professional Responsibilities

Practice within the policies and guidelines of the NMC

Maintain confidentiality of all patients identifiable information and contacts

Maintain and develop clinical knowledge and competence using best practice, evidence, guidelines & supervision

Have a clear understanding of the legal issues and professional accountability relating to advance practice roles

Prescribers must comply with current legislation for prescribing and be accountable or their practice; it is best practice to maintain the guidelines of the NMC and local ICB

Maintain skills and competencies in the use of SystmOne clinical system and other supporting systems like WebV.

Inform the on Duty Dr GP of the patients registered practice or line manager of any concerns during session, report significant events according to policy

Maintain accurate records of all patient contacts in accordance with NMC guidelines of best practice

Support the clinical team with all safeguarding matters, in accordance with local and national policies

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.

Participate in the administrative and professional responsibilities of the practice team.

Accurate and legible notes of all consultations and treatments are recorded in the patients notes.

Ensure clinical systems kept up to date, recording and/or amending accurate details.

Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice.

Attend and participate in practice/PCN and multi-disciplinary meetings as required.

Management Responsibilities

Effectively manage workload, planning prioritising and co-ordinating workload

Work in partnership with other clinicians on duty to maintain effective communication

Promote a safe and effective service

Adhere to policy and procedures

Support and contribute to the future development of the service

SECONDARY RESPONSIBILITIES

In addition to the primary responsibilities, the ANP/ACP may be requested to:

Contribute to the implementation of an effective training programme for staff and students within the practices

Participate in local initiatives to enhance service delivery and patient care

Support and participate in shared learning within the practice

Continually review clinical practices, responding to national policies and initiatives where appropriate

Be aware of and contribute to the planning and implementation of ICB patient pathway initiatives

Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA).

Maintain professional registration and adhere to revalidation requirements

Qualifications

Essential

• Registered Nurse (Nursing and Midwifery Council)
• Relevant Advanced Practice Masters Degree
• Independent Prescribing Qualification

Skills

Essential

• Excellent communication skills (written and oral)
• Effective time management (planning and organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem solving and analytical skills
• Ability to follow clinical policy and procedure

Desirable

• Strong IT skills
• Clear, polite telephone manner

Personal Qualities

Essential

• Polite and confident
• Flexible and co-operative
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations
• Effectively able to communicate and understand the needs of the patient
• Commitment to ongoing professional development
• Punctual and committed to supporting the team effort

Desirable

• Motivated, forward thinker
• Problem solver with the ability to process information accurately and effectively, interpreting data as required
• Ability to work under pressure/in stressful situations
• Effectively utilise resources

Experience

Essential

• Experience of working in a primary care environment
• Experience of chronic disease management
• Experience of working autonomously
• Clinical Management
• Service Delivery
• Audit and Research
• Promoting Health Education
• Experience of working with frail and complex patients and co-morbidities

Desirable

• Experience of working with patients residing in care homes
• General Practice/ Primary Care Experience

Clinical knowledge and skills

Essential

• Wound care/removal of sutures and staples
• ECGs
• Venepuncture
• New patient medicals
• Requesting pathology tests and processing the results, advising patients accordingly
• Understanding the importance of evidence-based practice
• Understand the requirement for PGDs and associated policy
• Ability to record accurate clinical notes on SystmOne
• Ability to work within own scope of practice and understanding when to refer to GPs
• Chaperone procedure
• Chronic disease management

Desirable

• Travel medicine
• Spirometry
• Broad knowledge of clinical governance
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena
• Knowledge of health promotion strategies

Other Requirements

Essential

• Flexibility to work outside of core office hours
• Disclosure Barring Service (DBS) check
• Complete K2 Governance checks
• Meet the requirements and produce evidence for nurse revalidation
• Evidence of continuing professional development (CPD) commensurate with the role of a Practice Nurse
• A full, clean driving licence and a suitable roadworthy vehicle with business use insurance

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).