Mayfield Surgery
JOB DESCRIPTION
JOB TITLE: Advanced Nurse Practitioner
REPORTS TO: The Partners (clinically);
Practice Management Team (administratively)
HOURS: Dependant on contract
The post holder will work within professional boundaries in managing and providing high quality, holistic care to patients in a safe, multi-disciplinary environment through the provision of specialist clinics including chronic disease management, cervical smears, child/adult immunisations, contraception review and health education.
NMC requirements must be met and the individual will work within the NMC Code of Conduct to agreed practice standards and protocols.
Clinical Nursing Practice:
- The Advanced Nurse Practitioner works autonomously and is accountable for own professional actions.
- Undertake 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.
- Directly admits patients to secondary care hospital in acute medical need.
- Refer patients to other medical specialities for assessment if deemed appropriate.
- Refer patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for x-ray.
Job Description: Advanced Nurse Practitioner
- 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.
- Extended and supplementary prescriber.
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.
- Communicates highly sensitive condition related information to patients, relatives and carers.
- Initiate 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.
- Audit outcomes of care against standards and initiate changes as necessary.
- Undertake 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.
- Actively implement safeguarding protocols for children and vulnerable adults and to know who to refer to and how to escalate concerns about radicalisation.
Advanced Nurse Practitioner 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 and 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.
- Recognition and involvement in the Maple Access Partnership as a teaching unit and help drive the Nursing element of training, including trainee NP’s.
- Develop links within the ICB and other local and national bodies relevant to primary care nursing initiatives.
- Initiates and carries out programmes of health screening and ensures other team members are aware of health agendas and screening programmes.
- Introduce 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
- Share innovation and new learning with others.
- Supports practitioners in profiling the practice population in order to initiate contribute and promote improved health and prevent disease in individuals and groups.
- Represent individuals and families interests when they are not able to do so themselves.
- Make referrals to statutory and voluntary agencies as appropriate.
Management and leadership
- Work with the management team to deliver high quality patient care
- To lead the Nurse team
- Take an active role in clinical governance, particularly in clinical audit, guidelines and protocols
- To have an understanding of and work towards achieving the Quality and Outcomes
Framework and work with the lead nurse and management team to deliver this
- Contribute and access clinical supervision, reflection and peer review with the nursing team
- Lead and monitor training within the nursing team
- Provide evidence of ongoing personal development through appraisal and revalidation.
- Contribute to appraisal of other nurses in the team
- Attend and contribute to practice meetings, locality meetings and external collaborative meetings
- Maintain own professional development and registration in line with the Nursing and
Midwifery Council regulations
- Contribute in recruitment of other nurses in line with practice policy
- Support staff development in order to maximise 4
- Critically evaluate and review innovations and developments that are relevant to the area of work
- Proactively promote the role of the advanced nurse practitioner within practice and externally
- Attend any training required in relation to management and leadership
- To play an active role in the development of the practice and new services including research.
- Contribute to a culture of ongoing review, taking into account new methods of working
This Job Description will be subject to review in the light of changing circumstances and is not intended to be rigid or inflexible but should be regarded as providing guidelines within which the individual works. Other duties, of a similar nature and appropriate to the grade, may be assigned from time to time to meet the changing needs of the practice.
The above list of duties is not exhaustive but it is designed to outline the key elements of the role. The
post holder may be expected to undertake other duties/responsibilities at the discretion of the
partnership. This job description will be reviewed periodically.
Confidentiality:
- In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
- In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
- Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data
Health & safety:
The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures. This will include:
- Using personal security systems within the workplace according to practice guidelines
- Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
- Making effective use of training to update knowledge and skills
- Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
- Actively reporting of health and safety hazards and infection hazards immediately when recognised
- Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holder’s role
- Undertaking periodic infection control training (minimum annually)
- Reporting potential risks identified
Equality and diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
- Acting in a way that recognizes the importance of people’s rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
- Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
- Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Personal/professional development:
The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:
- Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
- Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work
Quality:
The post-holder will strive to maintain quality within the practice, and will:
- Alert other team members to issues of quality and risk
- Assess own performance and take accountability for own actions, either directly or under supervision
- Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance
- Work effectively with individuals in other agencies to meet patients needs
- Effectively manage own time, workload and resources
Communication:
The post-holder should recognise the importance of effective communication within the team and will strive to:
- Communicate effectively with other team members
- Communicate effectively with patients and carers
- Recognise people’s needs for alternative methods of communication and respond accordingly
Contribution to the implementation of services:
The post-holder will:
- Apply practice policies, standards and guidance
- Discuss with other members of the team how the policies, standards and guidelines will affect own work
- Participate in audit where appropriate
Job Type: Full-time
Pay: £50,000.00-£60,000.00 per year
Benefits:
Licence/Certification:
Work Location: In person
