Job description and person specification
Job title
Advanced Nurse Practitioner
Line manager
Felicia Ibhazehikholor
Accountable to
Senior Management Team
Hours per week
32
Job summary
The post-holder is an Advanced Nurse Practitioner (ANP)
They have been assessed as competent in practice using their expert clinical knowledge and skills. They have the freedom and authority to act and make autonomous decisions in the assessment, diagnosis and treatment of patients.
The ANP provides an opportunity for patients to avoid the need to be referred to a GP, thereby enabling them to receive timely care and negate unnecessary delay in receiving treatment.
ANPs in primary care can develop close, long-term relationships with their patients and work in partnership with them to achieve optimum health. They are autonomous in making decisions based on assessment, diagnosis and the interpretation of test results. They can independently prescribe appropriate medication, evaluate or refer to other specialists if necessary.
Mission statement
1. Improve patient satisfaction
· Ethos – The patient comes first
2. Create a solid team
· Increasing staff numbers
· Improving morale
· Diverse and Multiskilled Leadership
Generic responsibilities
All staff at this organisation have a duty to conform to the following:
Equality, Diversity and Inclusion
A good attitude and positive action towards Equality Diversity & Inclusion (ED&I) creates an environment where all individuals can achieve their full potential. Creating such an environment is important for three reasons – it improves operational effectiveness, it is morally the right thing to do, and it is required by law.
Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.
Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued, and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.
Safety, Health, Environment and Fire (SHEF)
The organisation is committed to supporting and promoting opportunities for staff to maintain their health, wellbeing and safety.
The post-holder is to manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients and 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.
All personnel have a duty to take reasonable care of health and safety at work for themselves, their team and others and to cooperate with employers to ensure compliance with health and safety requirements.
All personnel are to comply with the:
· Health and Safety at Work Act 1974
· Environmental Protection Act 1990
· Environment Act 1995
· Fire Precautions (workplace) Regulations 1999
· Other statutory legislation which may be brought to the post holder’s attention
Confidentiality
The organisation is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times.
It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff must protect patient information and provide a confidential service.
Quality and Continuous Improvement (CI)
To preserve and improve the quality of this organisation’s outputs, all personnel are required to think not only of what they do but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work.
The responsibility for this rests with everyone working within this practice to look for opportunities to improve quality and share good practice and to discuss, highlight and collaborate with the team to create opportunities to improve patient care.
This organisation continually strives to improve work processes which deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuous improvement where everyone counts, and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.
Staff should interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice. All staff are to contribute to investigations and root cause analyses whilst participating in serious incident investigations and multidisciplinary case reviews.
Induction
We will provide a full induction programme, and management will support you throughout the process.
Learning and development
The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to partake in, and complete mandatory training as directed. It is an expectation for this post-holder to assess their own learning needs and undertake learning as appropriate.
The post-holder will undertake mentorship for team members and disseminate learning and information gained to other team members to share good practice and inform others about current and future developments (e.g., courses and conferences). The post-holder will provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.
Collaborative working
All staff are to recognise the significance of collaborative working and understand their own role and scope and identify how this may develop over time. Staff are to prioritise their own workload and ensure effective time-management strategies are embedded within the culture of the team.
Teamwork is essential in multidisciplinary environments, and the post-holder is to work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working and to work effectively with others to clearly define values, direction and policies impacting upon care delivery
Effective communication is essential, and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner. All staff should delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence. Plans and outcomes by which to measure success should be agreed.
Managing information
All staff should use technology and appropriate software as an aid to management in the planning, implementation and monitoring of care and presenting and communicating information.
Data should be reviewed and processed using accurate SNOMED codes to ensure easy and accurate information retrieval for monitoring and audit processes.
Service delivery
Staff will be given detailed information during the induction process regarding policy and procedure.
The post-holder must adhere to the information contained within the organisation’s policies and regional directives, ensuring protocols are always adhered to.
Security
The security of the organisation is the responsibility of all personnel. The post-holder must ensure they always remain vigilant and report any suspicious activity immediately to their line manager.
Under no circumstances are staff to share the codes for the door locks with anyone and are to ensure that restricted areas remain effectively secured. Likewise, password controls are to be maintained and are not to be shared.
Professional conduct, uniforms and appearance
All staff are required to dress appropriately for their role and in accordance with the organisation’s Uniforms, Dress and Appearance Policy. All staff members are to ensure that their conduct is commensurate with line management expectations and practice protocol.
Leave
All personnel are entitled to take leave. Line managers are to ensure all their staff are afforded the opportunity to take a minimum of 27 days’ leave each year and should be encouraged to take all their leave entitlement.
Public holidays will be calculated on a pro-rated basis dependent on the number of hours worked.
Primary key responsibilities
The following are the core responsibilities of the ANP in delivering health services.
a. Develop, implement and embed health promotion and wellbeing programmes
b. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice
c. Implement and evaluate individual specialised treatment plans for chronic disease patients
d. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patient’s health
e. Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
f. Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children
g. Request and collect pathological specimens. Upon receipt, to process and interpret pathology and other test results as required
h. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
i. Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively
j. Maintain chronic disease registers and implement and embed an effective call/recall system
k. Develop, implement and embed well woman and well man clinics
l. Chaperone patients where necessary
m. Prioritise health issues and intervene appropriately
n. Support the team in dealing with clinical emergencies
o. Recognise, assess and refer patients presenting with mental health needs
p. Support in the provision of vaccination programmes for both adults and children
q. Be an extended and supplementary prescriber, adhering to extant guidance
r. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
s. Contribute to practice targets (QOF, etc.), complying with local and regional guidance
t. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
u. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)
v. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
w. Deliver opportunistic health promotion where appropriate
There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels
Wider responsibilities
In addition to the primary responsibilities, the ANP has the following wider responsibilities:
a. Provide holistic support in the clinical governance spectrum assuming a senior role in its compliance
b. Support the IPC lead for the practice, ensuring compliance
c. Monitor and ensure the safe storage, rotation and disposal of medications
d. Undertake overall management of the nursing team, providing guidance when necessary, acting as a mentor to students and newly qualified staff
e. Participate in local initiatives to enhance service delivery and patient care
f. Support and participate in shared learning within the organisation
g. Develop an area of specialist interest, taking the lead within the organisation
h. Continually review clinical practices, responding to national policies and initiatives where appropriate
i. Drive the development of nursing services within the organisation, liaising with external agencies and professional organisations as required
j. Develop practice administrative and clinical protocols in line with the needs of the patient and current legislation
Person specification – Advanced Nurse Practitioner
Qualifications
Essential
Desirable
Registered Nurse with Nursing and Midwifery Council (NMC)
ü
Master’s degree required for qualification post December 2020 – refer to RCN Credentialing for Advanced Level of Nursing Practice (ALNP) or, a degree for Advanced Practice Qualification up to December 2020
ü
Qualified Independent Nurse Prescriber on the NMC register
ü
Has evidence of working at an enhanced level, as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework
ü
Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
ü
Confirmation of registration with the NMC
ü
Qualified triage nurse
ü
Minor illness qualification
ü
Teaching qualification
ü
ALS and PALS
ü
Experience
Essential
Desirable
Understanding of general practice and the wider NHS
ü
Experience of practice within the four pillars
ü
Experience of leading in chronic disease management
ü
Experience of working as a practice nurse or community nurse
ü
Experience of prescribing and undertaking medication reviews
ü
Experience of infection prevention and control measures
ü
Experience of quality initiatives, i.e., benchmarking
ü
An appreciation of the new NHS landscape including the relationship between individual organisations, PCNs and the commissioners
ü
Clinical knowledge and skills
Essential
Desirable
Understanding of the importance of evidence-based practice
ü
Ability to promote best practice regarding nursing matters
ü
Clinical knowledge and skills including:
· ECGs
· Venepuncture
· New patient medicals
· Chaperone procedure
· Requesting and processing pathology tests
· Advising patients accordingly
· Diabetes
· Hypertension
· Asthma
· Spirometry
· CHD
· Immunisations (routine and childhood)
· Women’s health (cervical cytology, contraception, etc.)
· Minor Ilness
· Independent prescriber
ü
Ability to work within own scope of practice and understanding when to refer to GPs
ü
Good clinical system IT knowledge and the ability to record accurate clinical notes
ü
Broad knowledge of clinical governance
ü
Understanding of safeguarding adults and children
ü
Knowledge of public health issues in the local area and issues in the wider health arena
ü
Understanding of health promotion strategies
ü
Excellent interpersonal, influencing, negotiation and organisation skills with the ability to constructively challenge the view and practices of managers and clinicians
ü
Understanding and knowledge of healthcare provision in GP surgeries, QOF and enhanced service
ü
Detailed knowledge of national standards that inform general practice (NSF NICE guidelines)
ü
Personal qualities
Essential
Desirable
Effective time management (planning and organising)
ü
Demonstrate personal accountability, emotional resilience and work well under pressure
ü
Ability to follow legal, ethical and professional policies/ procedures and codes of conduct
ü
Knowledge of IT systems including the ability to use word processing skills, emails and the internet
ü
Ability to identify risk and assess/manage risk when working with individuals
ü
Ability to work as a team member and autonomously
ü
Good interpersonal and organisational skills
ü
Sensitive and empathetic in distressing situations
ü
Knowledge of and ability to work to key policies and procedures
ü
Other requirements/wider responsibilities
Essential
Desirable
Disclosure Barring Service (DBS) check
ü
Occupational Health clearance
ü
Meet the requirements and produce evidence for nurse revalidation
ü
Evidence of continuing professional development (CPD) commensurate with the role
ü
Access to own transport and ability to travel across the locality on a regular basis
ü
Flexibility to work outside core office hours
ü
Pay: £38.00 per hour
Work Location: In person
