Job responsibilities
The ANP
role within the PCN will provide comprehensive healthcare sensitive to the
needs of the population, including advanced clinical assessments, history
taking, diagnosis, planning and delivery of treatment. They will also prescribe
and evaluate care. The post holder will work as part of a multidisciplinary
team and across the primary care, neighbourhood teams and social care in the
LS25 26 PCN.
The post
holder will be responsible for working with the frailty team to co-ordinate the
delivery of proactive and reactive care needs of living with frailty. This
includes direct referrals from GP practices, discharge reviews, social care,
Neighbourhood teams, PCN staff, other professionals and from data from the
clinical system.
The post
holder will provide highly specialised health assessments and input as an
independent and autonomous practitioner developing and leading relationships
with members of the multi-professional team allowing for consultation and
collaboration.
The
focus will be to provide ongoing medical support and prevent unnecessary acute
hospital admissions and enable patients to remain safely supported within their
own homes/nursing and residential homes.
The post
holder will aid in developing, delivering, and evaluating high quality patient
centred interventions in conjunction with the associated clinical teams to
ensure this is incorporated within both the overarching PCN Frailty Service and
LS25 26 PCN objectives. As an
advanced practitioner defined first level nurse allied health professional, the
post holder will work within the PCN and be responsible for -
Working
alongside the PCN manager in developing and leading the PCN frailty team,
taking a lead on developments related to frailty.
Leading
and supervising clinical and non-clinical staff within the frailty team.
Providing
highly specialised care within the community and care settings, to those
patients with unscheduled care needs using advanced clinical knowledge that is
evidence based, assessing, diagnosing, treating patients, and advising people
in respect of their health care needs.
Provide
expert advice and clinical leadership to ensure the needs of the patient are
met by leading, challenging, and changing practice within the community.
Provide
community wide team working in the development of the role of the frailty
advanced Practitioners.
To
pro-actively support and maintain patients within the community.
To help
to develop clinical pathways and protocols, leading on clinical audit and
research.
To
recognise and act as an advocate for patients, carers, services and organisations. This role will require independent travel between practices and to carry out home
visits.
Key
duties and responsibilities
1. Clinical
Practice
Assess and holistically clinically examine patients with both
minor and complex needs through history taking, physical examination and
appropriate use of investigations to confirm diagnosis.
Recognise the early symptoms of
disease exacerbation and acute illness based on an understanding of disease,
the disease process, and current evidence and practice standards.
Plan, implement and evaluate an effective management plan for the
patient, ensuring safe discharge referral and or transfer to an appropriate
health care service.
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.
Triage telephone call referrals from external clinicians, patients
and others into a range of services appropriately as required utilising video
consultation resources where appropriate.
2. Communication
Utilise and demonstrate sensitive communication styles, to ensure
patients are fully informed and consent to treatment.
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 organisation and with
external stakeholders.
Ensure awareness of sources of support and guidance and provide
information in an acceptable format to all patients, recognising any
difficulties and referring where appropriate.
3. Non-Medical
Prescribing
The post holder will be employed in a prescribing capacity.
Applicants can only be employed if they are qualified and competent to do so.
This applies to those practitioners with V300 qualification, who have active
registration with the NMC or the practitioners professional regulatory body.
As a prescriber, you must maintain your knowledge and skills with
regards to prescribing and administration of drugs, keeping up to date with any
changes, alerts, recalls and other reasonable professional knowledge.
4. Delivering a
Quality Service
Recognise and work within own competence and professional code of
conduct as regulated by the NMC HPC etc. Understand own role and scope and
identify how this may develop over time.
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.
Ensure professional revalidation requirements are met.
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.
In partnership with other clinical teams, collaborate on improving
the quality of health care responding to local and national policies and
initiatives as appropriate.
Support and participate in shared learning across the organisation
and wider organisation.
Understand and apply guidance that supports the identification of
vulnerable and abused children and
adults, and be aware of statutory child vulnerable patient health procedures
and local guidance.
5. Leadership
Personal and People Development
Take responsibility for own learning and performance including
participating in clinical supervision and acting as a positive role model.
Provide supervision and mentoring and support staff development in
order 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.
Take a lead role in planning and implementing changes within the
area of care and responsibility.
Work with senior clinical and management teams to ensure
sufficient staff of appropriate ability, quality and skill-mix is available to
meet current and future service delivery, that selection and recruitment
processes are effective and that equality of treatment of the team incorporates
quality HR principles and processes.
Contribute to the development of local guidelines, protocols and
standards.
Maintain effective communication with those responsible for the
overall commissioning and procurement process.
To attend and be proactively involved in professional meetings at
base and corporately.
Take the lead develop a special interest within certain areas to
allow the sharing of clinical knowledge and expertise.
6. Corporate
Responsibility
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.
Prioritise own workload and ensure effective time-management.
Work effectively with others to clearly define values, direction
and policies impacting upon care delivery.
Discuss, highlight and work with the team to create opportunities
to improve patient care.
7. Management of
Risk
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.
Apply infection-control measures within the organisation according
to local and national guidelines.
8. Managing Information
Use technology and appropriate software as an aid to management in
planning, implementation and monitoring of care, presenting and communicating
information.
Review and process data in order to ensure easy and accurate
information retrieval for monitoring and audit processes.
Please see attached JD for more
