Advanced Nurse Practitioner

Job description

Job responsibilities

JOB PURPOSE

• To act as an autonomous practitioner working independently and in conjunction with other health care professionals to assess, diagnose and treat the condition of patients attending within primary care initiating direct referrals as appropriate.
• To provide expert professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence.
• To develop new and innovative concepts, models, methods, and practices to deliver new and improved primary care services to meet the needs of the practice population.
• To provide education and training to other staff and students.
• To undertake research as part of the role.

KEY RESPONSIBILITIES

Clinical Nursing Practice

• The Advanced Nurse Practitioner (ANP) work autonomously and is accountable for their own professional actions.
• Undertakes Clinical Nursing Practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary health care services.
• Assesses diagnoses and treats patients attending primary health care services with a range of acute, non-acute and chronic medical conditions.
• Assesses diagnoses and treats patients in surgery or own home who require acute medical attention and refer to appropriate agency.
• Assesses diagnoses and treats patients in care homes who require medical attention and refer to appropriate agency.
• Triage requests for home visits to establish which clinician is required for the visit requested.
• Telephone Consultations.
• Refers patients to other medical specialities for assessment if deemed appropriate.
• Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for x-ray.
• Interprets a range of diagnostic tests and routine clinical procedures.
• Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g. first contact with patients presenting acutely and manages care in the presence and absence of protocols.
• Makes decisions where precedents do not exist, where appropriate without recourse to others e.g. direct referral of patients to Hospital Consultants without prior reference to other medical colleagues.
• Advises and supports others where standard protocols do not apply.
• Works within professional guidelines and codes of conduct.
• Works within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning, risk management.

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.
• To actively implement safeguarding protocols for children and vulnerable adults and to know who to refer to and how to escalate concerns about radicalisation.

Strategic Development of Primary Care Services

• Contributes to the strategic development of primary care and public health services to meet patient and population needs within the practice and across the wider organisation. Works/liaises across multi-professional and agency boundaries.
• Works at the forefront of practice innovation. Determines how to deal with ambiguous or unique problems to develop and advance primary care services for the benefit of patients, carers, and communities.
• Develop links within the CCG and other local and national bodies relevant to primary care Nursing initiatives.

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 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 frequently 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 GPs, Practice Manager, Nursing and Administrative staff, patients, relatives, and carers.
• Makes operational judgements, manages conflicting views, and reconciles inter and intra professional differences of opinion.
• Builds and communicates therapeutic working relationships with a wide array of statutory and voluntary organisations for the benefit of patient care and facilitates good working relationships.
• Develops and delivers presentations to large groups e.g. local and national conferences, clinical meetings, empowers staff to develop presentation skills to promote good practice.

Please download the supporting documentation for full role details and to assist with your application.

Person Specification

Knowledge and skills

Essential

• Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Qualifications

Essential

• Please provide details of your CPD, using examples where necessary.
• Please provide your registration number of your NMC professional registration.

Experience

Essential

• Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Personal qualities

Essential

• Please provide details for why you would be a great fit for this role and why you have decided to apply.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

Primary Integrated Community Services

Address

Saxon Cross Surgery

Church Street

Stapleford

Nottingham

NG9 8DA

Employer's website

http://picsnhs.org.uk/ (Opens in a new tab)