Advanced Nurse Practitioner

About the Role

This is an exciting opportunity for an Advanced Nurse Practitioner with an independent prescribing qualification to join a friendly and supportive Primary Care Team at Primary Integrated Community Services. You will be working alongside GPs and other ANPs, complemented by an excellent Nursing Team and a supportive Administration team.

The post holder will be a caring, compassionate, and committed experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment, and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice.

The candidate will have an independent prescriber qualification diploma/certificate of advanced practice. GP practice experience is desirable.

Main Duties of the Job

Key Responsibilities

• Focus on minor illnesses and urgent, on-the-day appointments
• Support fellow clinicians as and when required
• Utilize your Prescribing qualification

Key Requirements

• Independent prescriber qualification diploma/certificate of advanced practice
• Work collaboratively with the general practice team to meet the needs of patients
• Demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills

About Us

Primary Integrated Community Services is the employer for this role. We collaborate with patients and partners to design and deliver clinically robust health and social care solutions through Community Services, Out-of-Hospital Services, GP Practices, and Primary Care Networks.

Benefits of Working for Primary Integrated Community Services

We offer a comprehensive package, including:

• NHS Pension 2015 Scheme (subject to eligibility)
• Alternative government-based scheme (subject to eligibility)
• Competitive leave entitlement that includes maternity, paternity, and adoption leave, study leave allowance, and sickness provisions
• Access to education and training opportunities, depending on your role
• Working in a multi-disciplinary team with support from a wide variety of professionals
• A flexible approach to work-life balance
• Cycle to work scheme (subject to eligibility)
• Access to Blue Light Card scheme
• All staff events and conferences
• Staff engagement (Wellbeing Group, EDI Network, Staff Focus group)
• Free parking across many sites
• Personalized induction into the company and job role

Job Responsibilities

Key Responsibilities

Clinical Nursing Practice

• The Advanced Nurse Practitioner (ANP) works 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 their own home who require acute medical attention and refers to appropriate agencies.
• Assesses, diagnoses, and treats patients in care homes who require medical attention and refers to appropriate agencies.
• Triage requests for home visits to establish which clinician is required for the visit requested.
• Telephone Consultations.
• Refers patients to other medical specialties for assessment if deemed appropriate.
• Refers patients as appropriate to other members of the multidisciplinary team, secondary care, and to other statutory and voluntary organizations, including referral for x-ray.
• Interprets a range of diagnostic tests and routine clinical procedures.
• Makes critical judgments of the highest order to satisfy the expectations and demands of the job, 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, 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, infection control, chaperoning, risk management.

Care and Programme Management

• Develops and manages highly specialized programs of care and care packages and provides highly specialized advice concerning care normally beyond the scope of normal Nursing practice, 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, diabetes, COPD, asthma, IHD, referring to other clinical staff as appropriate.
• Contributes to practice targets both local and national within the disease management agenda, QOF, prescribing incentive scheme.
• Contributes to disease registers.
• Audits outcomes of care against standards and initiates 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, 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 radicalization.

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 organization. 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.
• Develops links within the CCG and other local and national bodies relevant to primary care Nursing initiatives.

Health Improvement

• Initiates and carries out programs of health screening and ensures other team members are aware of health agendas and screening programs.
• Introduces innovation in practice to meet ongoing 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, 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 that are hostile or emotive.
• Uses developed communication, negotiation, conflict management skills that require empathy, reassurance, and persuasive skills where there can be significant barriers to acceptance that need to be overcome.
• Regularly communicates service-related information to GPs, Practice Manager, Nursing and Administrative staff, patients, relatives, and carers.
• Makes operational judgments, manages conflicting views, and reconciles inter and intra-professional differences of opinion.
• Builts and communicates therapeutic working relationships with a wide array of statutory and voluntary organizations for the benefit of patient care and facilitates good working relationships.
• Develops and delivers presentations to large groups, local and national conferences, clinical meetings, empowers staff to develop presentation skills to promote good practice.

Manage and Lead Self and Others

• Develops a special interest (dependent on experience) within the practice, teenage clinic, baby clinic, nursing home, cytology.
• Encourages and motivates others to be forward-thinking in ideas that address the health needs of the practice that will be innovative while managing and developing new ways of working, Implanon clinic, teenage health clinic.
• Develops and leads on evidence-based practice.
• Promotes effective communication and relationships within the team.
• Partakes in monthly clinical supervision for own development.
• Actively participates in clinical and practice meetings.
• Develops own knowledge and practice to meet objectives/changes in service, through attendance on study days, self-directed learning, and reflection on practice.
• Integrates theory into practice and establishes formal links with educational institutions.
• Assists in the mentorship and assessment of trainee Nurse Practitioners.
• Acts as mentor for pre-registration students and other staff within the practice.
• Leads on setting standards and promotes best practice.
• Operates high standards of probity.

Influence and Develop Policies for the Role as ANP

• Responsible for establishing how policies should be interpreted and translated within the practice.
• Implements and adheres to local/national, clinical commissioning group, and practice policies, proposes developments and improvements to service delivery.

Manage and Use Information

• Makes effective use of the clinical system by ensuring the consistent and accurate entering of data and use of Read Codes.
• Facilitates the use of up-to-date information technology to collate accurate and timely information as and when required by the practice.
• Ensures a satisfactory call and recall system of patients.
• Assists in the development of practice protocols for the surgery and clinical protocols for the clinical team.
• Identifies, monitors, and reviews deficiencies in procedures and implements remedial action.

Research and Development

• Continuous involvement in research/evaluation and/or development work that may be as part of one or more formal research programs or activities.
• Actively contributes to Practice/Service/Team audit/Research activity as required.
• Instigates audit activity as required, new services.
• Identifies, applies, and disseminates research findings relating to clinical practice.

Areas of Practice Excluded from ANPs Remit

• The ANP will not undertake any aspect of antenatal/obstetric care.