Advanced Nurse Practitioner - Langley Corner Surgery
Advancednurse practitioners work autonomously within the practice using their enhancedclinical assessment and treatment skills, to provide first point of contact forpatients presenting with undifferentiated, undiagnosed problems relating tominor illness or other general practice presentations.
Please note, the employer will be Langley Corner Surgery.
Main duties of the job
Advanced Nurse Practitioner's are autonomous in making decisions based on assessment, diagnosis andinterpretation of test results. They can independently prescribe appropriatemedication, evaluate or refer to other specialists if necessary.
ANP'sin this role will work with all patients and be required to manage and supporthousebound patients with complex needs via weekly MDT meetings.
About us
Our surgery teams work closely, sharing expertise andresources to develop new services. Our vision is to continue to improve thequality of care that we provide in alignment with the needs of our patientpopulation.
Over the years, we have been medical officers to public schools in the Crawley area.
The partners have been and still remain Medical Officers to a number of Care Homes in the community.
Our partners have also served on the Local Medical Committees, CCG boards, and Educational Committees.
Job responsibilities
MAIN DUTIES AND RESPONSIBILITIES
The following are the core responsibilities of the Advanced Nurse Practitioner. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
1. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice
2. Implement and evaluate individual specialised treatment plans for chronic disease patients
3. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health
4. Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
5. Undertake the collection of pathological specimens
6. Request pathology services as necessary
7. Process and interpret pathology and other test results as required
8. Maintain accurate clinical records in conjunction with extant legislation
9. Ensure SNOMED CT codes are used effectively
10. Prioritise health issues and intervene appropriately
11. Support the team in dealing with clinical emergencies
12. Recognise, assess and refer patients presenting with mental health needs
13. Be an extended and supplementary prescriber, adhering to guidance
14. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
15. Contribute to practice targets (QOF, etc.), complying with local and regional guidance
16. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
17. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)
18. Support the clinical team with all safeguarding matters in accordance with local and national policies
19. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
20. Deliver opportunistic health promotion where appropriate
21. Support development and training of other colleagues e.g. medical students, GP trainees.
Personal attributes
1. Enhance own performance through continuous professional development, keep up to date with current evidence-based practice, and impart own knowledge and skills to all colleagues to meet the needs of the service
2. Be verified against the ANP roadmap
3. Recognise and work within own competence and professional code of conduct as regulated by the NMC
4. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
5. Participate in research and utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.
Administrative requirements
1. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
2. Be aware of data protection (GDPR) and confidentiality issues particularly within a GP practice.
3. Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information
4. Review and process data using accurate read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.
Supervision
The post holder will have access to appropriate clinical supervision and an appropriate named individual in the GP Practice to provide general advice and support on a day-to-day basis. We offer a daily lunchtime meeting where you will be able to discuss patients and seek colleague advice.
Please note, the employer will be Langley Corner Surgery
Person Specification
Knowledge and Skills
* Ability to evidence a sound understanding of the NHS principles and values.
* Ability to analyse and interpret complex/ often incomplete information, pre-empt and evaluate issues, and recommend an appropriate course of action to address the issues.
* Excellent interpersonal and organisational skills.
* Excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information.
* Ability to negotiate effectively.
* Build effective relationships with a range of stakeholders which are based on openness, honesty trust and confidence strong and inspirational leadership.
* Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated.
* Experience of working within a primary care setting.
* Evidence of working across organisational boundaries within health and social care.
* Independent thinker with good judgement, problem-solving and analytical skills.
* Clear communicator with excellent writing, report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences.
* Evidence of success in efficient and effective project and programme management.
* Evidence of inspiring and motivating teams with the ability to communicate passionately, effectively and persuasively across a diverse set of stakeholders.
* High degree of personal credibility, emotional intelligence, patience and flexibility.
* Ability to cope with unpredictable situations.
* Confident in facilitating and challenging others.
* Demonstrates a flexible approach in order to ensure patient care is delivered excellently.
Qualifications
* Registered Nurse with Nursing and Midwifery Council
* Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice.
* Post graduate diploma or degree for Advanced Practice Qualification up to December 2020
* Qualified Independent Nurse Prescriber on the NMC register
* Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
* Qualified triage nurse
Experience
* Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans.
* Essential clinical skills including phlebotomy, ECGs, urine analysis and swab taking.
* Working knowledge of Microsoft and GP practice and prescribing data monitoring systems (We use SystmOne for our clinical system).
* Ability to write comprehensive clinical notes, implement and evaluate care plans.
* Be aware of data protection (GDPR) and confidentiality issues particularly within a GP practice.
* Mentorship or supervisory skills training.
* Cognitive behavioural and motivational interviewing approaches / skills.
* Understanding and ability to undertake Long Term Conditions Reviews. (Hypertension, CVD, AF, Asthma, Diabetes and COPD)
* Ability to undertake adult immunisations including but not exclusively RSV, Flu, Pneumonia or willing to be trained in order to do so.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
£50,802.95 to £57,212.37 a yearPro rata and dependent on experience.
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