About this role
Job summary
The post-holder is an Advanced Nurse Practitioner (ANP).
They will work autonomously within their professional scope of practice at an advanced level, to deliver safe, effective and individualised care. Achieved through evidence-informed knowledge and skills. Providing care for patients face to face and during telephone consultations.
The postholder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence. They will need to prioritise and triage the needs of patients, accordingly, making any necessary referrals for investigations in the appropriate manner.
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.
Main duties of the job
The ANP is responsible for the entire patient journey from initial consultation, history taking, clinical assessment, and examination to diagnosis, treatment and follow up. They make clinical decisions independently with support available from a GP when required.
About us
We are a progressive and thriving, 2 partner Practice located in a prime coastal part of the Isle of Wight serving an affluent elderly population. Serving a patient list size of approximately 6,700 patients, we operate out of our own, purpose-built, well-equipped premises, with a branch surgery in the neighbouring village of Bembridge.
We seek to progress, develop and maintain high standards in our busy training practice. We are proud to maintain the ethos of traditional family medicine whilst embracing modern ways of working. With a strong multidisciplinary team, consistently high clinical standards and a supportive practice culture, we offer an environment where clinicians can focus on delivering high-quality patient care. We are actively engaged in commissioning and innovations to develop our services to meet local population needs and have consistently high QOF achievement.
Job description
Job responsibilities
The following are the core responsibilities of the ANP in delivering health services:
- Develop, implement and embed health promotion and wellbeing programmes.
- Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice.
- 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 to the patients health.
- Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.
- Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence and guidelines.
- Work as part of a multi-disciplinary team to deliver safe and high-quality care.
- Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children.
- Request and collect pathological specimens. Upon receipt, to 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.
- Chaperone patients where necessary.
- Prioritise health issues and intervene appropriately.
- Support the team in dealing with clinical emergencies.
- Support in the provision of vaccination programmes for both adults and children
- Be a prescriber, adhering to guidelines.
- 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.).
- Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual).
- 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:
- Provide holistic support in the clinical governance spectrum assuming a senior role in its compliance.
- Support the IPC lead for the practice, ensuring compliance.
- Monitor and ensure the safe storage, rotation and disposal of medications.
- Provide guidance when necessary to the nursing team.
- Participate in local initiatives to enhance service delivery and patient care.
- Support and participate in shared learning within the organisation.
- Develop an area of specialist interest, taking the lead within the organisation.
- Continually review clinical practices, responding to national policies and initiatives where appropriate.
- Drive the development of nursing services within the organisation, liaising with external agencies and professional organisations as required.
- Develop practice administrative and clinical protocols in line with the needs of the patient and current legislation.
Person Specification
Experience
Essential
- Understanding of general practice and the wider NHS.
- Substantial post-registration clinical experience.
- Experience of working independently with patients. Making safe clinical decisions and recognising when escalation is required.
- Experience of prescribing in clinical practice.
- Experience of infection prevention and control measures
Desirable
- Experience of leading in chronic disease management.
Additional
Essential
- Ability to work as a team member and autonomously.
- Good interpersonal and organisational skills.
- Sensitive and empathetic in distressing situations.
- Knowledge of and ability to work to key policies and procedures.
- Effective time management (planning and organising).
Other requirements
Essential
- Disclosure Barring Service (DBS) check.
- Occupational Health clearance.
- Meet the requirements and produce evidence for nurse revalidation,
- Evidence of continuing professional development (CPD) commensurate with the role.
Qualifications
Essential
- Registered Nurse with Nursing and Midwifery Council (NMC)
- V300 Independent Prescribing qualification
- MSc Advanced Clinical Practice / MSc Advanced Practice at Level 7, ideally from a Centre for Advancing Practice accredited programme; or completed Centre for Advancing Practice ePortfolio Supported Route confirming advanced practice recognition.
Knowledge and Skills
Essential
- Understanding of the importance of evidence-based practice.
- Ability to work within own scope of practice and understanding when to refer to GPs.
- The ability to record accurate clinical notes.
- Broad knowledge of clinical governance.
- Understanding of safeguarding adults and children.
- Understanding of health promotion strategies.
Desirable
- Knowledge of SystmOne.
- Understanding and knowledge of healthcare provision in GP surgeries, QOF and enhanced service.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details
Employer name
St Helens Medical Centre
Address
St. Helens Medical Centre
Upper Green Road
St. Helens
Ryde
Isle Of Wight
PO33 1UG
United Kingdom
Employer's website
https://www.sthelensmedicalcentre.nhs.uk (Opens in a new tab)