We are seeking a skilled and experienced Advanced Nurse Practitioner (ANP) to join our multidisciplinary team at Chiltern House Medical Centre on a part-time basis. This is a fantastic opportunity for an autonomous clinician to play a key role in delivering high-quality care to our patient population. The role involves providing advanced clinical assessments, managing long-term conditions, leading on health promotion and disease prevention initiatives, and contributing to the development of clinical policies and procedures. The ANP will work collaboratively with the wider team to support the delivery of patient-centred care across a range of clinical areas including chronic disease management, well woman and well man clinics, and urgent care.
Main duties of the job
As an Advanced Nurse Practitioner, you will work autonomously within your scope of practice to deliver high-quality, patient-centred care. Key responsibilities include managing acute and chronic conditions, conducting health assessments, running specialist clinics, prescribing medications, and promoting health and disease prevention. You will also contribute to clinical policy development, support safeguarding, and play an active role in clinical audits and service improvement across the practice.
About us
Chiltern House Medical Centre is committed to delivering outstanding clinical services to our NHS patients. We pride ourselves on providing compassionate, patient-focused care from the first point of contact through to diagnosis and treatment. We promote a respectful and inclusive working environment and believe that our patients come first in everything we do.
Job responsibilities
Clinical Responsibilities:
* Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice to patients.
* Implement and evaluate individual specialised treatment plans for chronic disease patients.
* Identify, manage, and support patients at risk of developing long-term conditions, preventing adverse effects on their health.
* Provide advanced, specialist nursing care to patients as required in accordance with clinical evidence, NICE, and the NSF.
* Provide wound care (ulcer / Doppler etc.) to patients.
* Provide specialist clinics such as ear syringing, contraception, etc.
* Undertake the collection of pathological specimens.
* Request pathology services as necessary.
* Process and interpret pathology and other test results as required.
* Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / specialist care as required.
* Maintain accurate clinical records in conjunction with extant legislation.
* Ensure read codes are used effectively.
* Maintain chronic disease registers.
* Prioritise health issues and intervene appropriately.
* Support the team in dealing with clinical emergencies.
* Recognise, assess, and refer patients presenting with mental health needs.
* Implement vaccination programmes for adults and children.
* Delegate clinical responsibilities appropriately, ensuring safe practice and that tasks are within the scope of practice of the individual.
* Support the clinical team with all safeguarding matters, in accordance with local and national policies.
* Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately.
* Deliver opportunistic health promotion where appropriate.
* Extended and supplementary prescriber, adhering to extant guidance.
* Support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice), reviewing annually as required.
* Contribute to practice targets (QOF etc.), complying with local and regional guidance.
* Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.).
Other responsibilities within the organisation
* Awareness of and compliance with all relevant practice policies/guidelines, e.g., prescribing, confidentiality, data protection, health and safety.
* A commitment to lifelong learning and audit to ensure evidence-based best practice.
* Contributing to evaluation/audit and clinical standard setting within the organisation.
* Participate in local initiatives to enhance service delivery and patient care.
* Participate in the review of significant and near-miss events applying a structured approach, e.g., root cause analysis (RCA).
* Drive the development of nursing services within the practice, liaising with external agencies and professional organisations as required.
* Attend training and events organised by the practice or other agencies, where appropriate.
Person Specification
Qualifications
* Registered Nurse
* Postgraduate diploma or degree (Advanced Practice Qualification)
* Qualified Nurse Prescriber
* Qualified Triage Nurse
* Teaching Qualification
* ALS, PALS
Experience
* Experience working in a primary care environment
* Experience in chronic disease management
* Experience in prescribing and undertaking medication reviews
* Experience working as a practice nurse or community nurse
Clinical Knowledge
* Wound Care / Removal of sutures & staples
* ECGs
* Venepuncture
* New patient medicals
* Chaperone procedure
* Requesting pathology tests and processing the results, advising patients accordingly
* Diabetes, Asthma, CHD
* Immunisations (routine, childhood, and travel)
* Understanding the importance of evidence-based practice
* Broad knowledge of clinical governance
* Ability to record accurate clinical notes
* Ability to work within own scope of practice and understanding when to refer to GPs
* Knowledge of health promotion strategies
* Understanding the requirement for PGDs and associated policy
* Knowledge of public health issues in the local area
* Awareness of issues within the wider health arena
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975, and a disclosure check will be required.
#J-18808-Ljbffr