Advanced Nurse Practitioner/Advanced Clinical Practitioner

Job summary

The post holder 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, including assessment and diagnostic skills, for patients within the general practice and the patients place of residence as required. The post holder will commit to demonstrating critical thinking in the safe clinical decision-making process. They will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership. The post holder will be educated to level seven or higher.

Key responsibilities

Clinical practice

Holistic clinical assessment and management of both acute and chronic physical and mental health patients presenting to primary care and within their scope of practice.

Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition.

Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan.

Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.

Work with patients to support compliance with and adherence to prescribed treatments.Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects, and interactions.

Priorities health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.

Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care.

Communication

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment

Communicate with and support patients who are receiving bad news

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 practice environment and with external stakeholders

Act as an advocate for patients and colleagues

Delivering a quality service

Recognise and work within own competence and professional code of conduct as regulated by the NMC to deliver evidence-based care

Comply with NMC revalidation process, company appraisal process and participate in the maintenance of quality governance systems and processes across the organisation and its activities

Produce accurate, contemporaneous, 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

Assess effectiveness of care delivery through self and peer review, benchmarking, audit and formal evaluation

Evaluate patients response to health care provision and the effectiveness of care

Support and participate in shared learning across the practice and wider organisation

Contribute to the appraisal of the performance of the team by providing feedback as appropriate

Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance.

Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required

Leadership personal and people development

Act as a clinical leader to provide daily support alongside the duty team and Practice Management in the delivery of same day services

Problem solve clinical matters arising and support the nursing team to deliver a quality service communicating and providing feedback to Directors

Take the lead to document, investigate and report on significant events.

Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model

Support staff development 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.

Promote the role of the advanced nurse practitioner in general practice

Manage and lead on the delivery of specifically identified services or projects as agreed with the Director of Nursing/Board of Directors

Team working

Understand own role and scope and identify how this may develop over time

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 strategies are embedded within the culture of the team

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

Agree plans and outcomes by which to measure success

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 practice according to local and national guidelines

Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all

Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice

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 using accurate Read codes to ensure easy and accurate information retrieval for monitoring and audit processes

Understand responsibility of self and others to the practice regarding the Freedom of Information Act

Collate, analyse, and present clinical data and information to the team

Communicate essential financial restraints with the team and discuss with them ideas for effective and efficient working within these constraints

Learning and development

As required undertake mentorship for more junior staff, assessing competence against set standards

Disseminate learning and information gained to other team members to share good practice and inform others about current and future developments (eg courses and conferences)

Assess own learning needs and undertake learning as appropriate

Provide an educational role to patients, carers, families, and colleagues in an environment that facilitates learning

Equality and diversity

Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity

Enable others to promote equality and diversity in a non-discriminatory culture

Support people who need assistance in exercising their rights

Monitor and evaluate adherence to local chaperoning policies

Act as a role model in the observance of equality and diversity good practice

Accept the rights of individuals to choose their care providers, participate in care and refuse care

Assist patients from marginalised groups to access quality care

This job description reflects the present requirements of the post. The duties of the post may develop and change, as this happens the job description will be reviewed and will be subject to amendment in consultation with the post holder. It is the Board of Directors aim to reach agreement on reasonable changes, but if agreement is not possible the Board of Directors reserves the right to effect changes to the post holders job description after consultation with them. Appropriate notice of such changes will be given.

Person Specification

Qualifications

Essential

Registration with a professional body NMC/HCPC Evidence of education at level 7 or Digital Badge Non Medical Prescriber Experience of working clinically as an advanced practitioner in Primary or Emergency care

Desirable

Management of long term conditions Leadership experience Research experience

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