The Advanced Nurse Practitioner (ANP) has 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 receive timely care and negate unnecessarily delay in receiving treatment and without the need to refer to a GP.
ANPs in primary care are able to 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 interpretation of test results.
Main duties of the job
- Working collaboratively with the General Practitioners, and the wider Primary Health Care Team to support the clinical and wellbeing needs of the patient.
- Safe and competent clinical decision-making skills must be demonstrable including assessment, diagnosis, treatment and evaluation of care for patients presenting with minor illness within a Primary Care setting.
- Provide high quality nursing care from the patient’s first contact through to resolution or referral as appropriate, in accordance with standards of good practice.
- To administer and prescribe medication accurately and safely according to established organisational policies and directions, and in accordance with NMC guidelines.
Job responsibilities
- Develop, implement and embed health promotion and well‑being programmes.
- 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 the patient’s health.
- Provide advanced, specialist nursing care to patients as required in accordance with clinical evidence, NICE and the NSF.
- Undertake the collection of pathological specimens.
- Request pathology services as necessary.
- Process and interpret pathology and other test results as required.
- Maintain accurate clinical records in conjunction with extant legislation.
- Ensure Read codes are used effectively.
- Maintain chronic disease registers.
- Chaperone patients where necessary.
- Prioritise health issues and intervene appropriately.
- Support the team in dealing with clinical emergencies.
- Recognise, assess and refer patients presenting with mental health needs.
- Act as an 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.
- Delegate clinical responsibilities appropriately (ensuring safe practice and the task is 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.
Qualifications
- RGN with current NMC pin or Emergency Care Practitioner.
- Independent/Supplementary Prescribing.
- MSc/Postgraduate Diploma: Nurse.
- Practitioner in Primary Care or equivalent.
Knowledge
- Knowledge of health promotion strategies.
- Awareness of local and national health policy.
- Knowledge of clinical governance issues in primary care.
- Knowledge of patient group directives.
- Knowledge of public health issues.
- Able to identify determinants of health in the local area.
Experience
- Employment within a Primary or Urgent Care setting.
- Experience of Chronic Diseases.
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.
Salary £55,690 – £58,497 (depending on experience).
