Clinical Working independently and alongside GPs to identify appropriate care paths and treatment methods for patients through face to face appointments, telephone consultations and home visits Making professional, autonomous decisions in relation to presenting problems whether self-referred or referred from other health care professionals Using clinical nursing practice at an advanced level to deliver quality care and advice to patients and demonstrate an in depth knowledge of the options for achieving control of symptoms and assessing the health needs of patients with undifferentiated and undiagnosed problems Perform safe triage of patients when necessary via telephone, video, e-consultation and face to face consultations Prescribe medication appropriate to patient needs or refer the patient to a community pharmacy who will provide designated minor aliment services and prescription advice Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions Support and educate patients to adopt and promote healthy lifestyles and apply principles of self-care Maintain a concept of nursing which incorporates physiological, social and spiritual components Supporting nursing team Management of Chronic Disease and QOF areas Therapeutic Monitoring advice Wound Care and Management advice Home Visits and housebound immunisation visits Path Lab results 111 Triage e-Consultation triage Workflow, administrative and Medication task Communication Ensuring that all written documentation is completed and that appropriate data is collected. Promoting and maintaining effective liaison, communication and relationships with all of the providers involved in caring for the patient Utilise and demonstrate sensitive communication styles to ensure patients fully understand advice and instructions. Recognise peoples needs for alternative methods of communication and respond accordingly Promote and practice excellent verbal communication skills with patients and colleagues Maintain effective communication within the project team and with external stakeholders, providers and organisations as appropriate Communicate with and support patients with complex mental health issue Quality Recognise and work within own competence and professional code of conduct Produce accurate, contemporaneous and complete records of patient consultations to agreed standards Effectively manage own time, workload and resources Support and participate in shared learning across the company and wider organisation In partnership with other clinical teams, collaborate on improving the quality of health care responding to local initiatives as appropriate Evaluate patients response to the consultation and the effectiveness of care Understand and apply legal issues that support the identification of vulnerable and abused children and adults and be aware of the statutory child/vulnerable patients health procedures and local guidance Health and Safety 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 Awareness of local and national standards of infection control and cleanliness and regulatory/ contractual / profession requirements and good practice guidelines Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses / training needs are identified and escalating issues as appropriate Maintenance of sterile environments and awareness of spillage control procedures Correct and safe management of the specimens process including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements Waste Management including collection, handling, segregation, container management, storage and collection Reporting potential risks identified Apply practice policies, standards and guidance Team Working Understand own role and scope and identify how this may develop Work as an effective and responsible team member and be supportive to others Work effectively with others to clearly define values, direction and policies impacting upon effective care delivery Discuss, highlight and work with the team to create opportunities to improve patient care Learning and Development Assess own learning needs and undertake learning as appropriate Participate in annual individual performance review including taking responsibility for maintaining a record of personal and professional development Disseminate learning and information gained to other team members in order to share good practice and inform other about current and future developments Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice Evaluate and review innovations and developments that are relevant to the area of work. Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services Managing information Use technology and appropriate software as an aid to implementation and monitoring of care, presenting and communicating information Review and process data using accurate codes in order to ensure easy and accurate information retrieval for monitoring and audit purposes Manage information searches using the internet and local library databases Collate, analyse and present clinical data and information to the team In general the post holder will be expected to undertake all of the normal duties and responsibilities associated with an Advanced Nurse Practitioner working within Primary Care This job description may be reviewed in the light of changing organisational and service needs. Any changes will be fully discussed with the post holder. The post holder may also be required to carry out other work appropriate to the grade of the post.