Advanced Nurse Practitioner

The post-holder will: Provide the choice of direct access to a NP, both in the Practice and over the telephone, for the General Practice registered population Make professionally autonomous decisions for which he/she is accountable Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports Where the post-holder is an independent prescriber: to prescribe safe, effective and appropriate medication as defined by current legislative framework Provide safe, evidence-based, cost-effective, individualised patient care Offer a holistic service to patients and their families, developing where appropriate an ongoing plan of care/support, with an emphasis on prevention and self-care Promote health and wellbeing through the use of health promotion, health education, screening and therapeutic communication skills Refer patients directly to other services/agencies as appropriate Work with the Practice lead in developing and delivering specialist primary care services, such as long-term disease management (Diabetes, Asthma, Chronic Obstructive Pulmonary Disease and Hypertension) Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks (eg Coronary Heart Disease/Older People/Diabetes/Mental Health) are being delivered Work with multi-disciplinary team within the Practice and across the wider partnership, to promote integrated and seamless pathways of care Contribute to the Practice achieving its quality targets to sustain the high standards of patient care and service delivery Participate in identification of community health needs and develop patient/family-centred strategies to address them Help develop and set up new patient services and participate in initiatives to improve existing patient services Be aware of and contribute to planning and delivery of Practice-based commissioning B. Teaching and Mentoring Role: The post-holder will: Promote a learning environment for patients, nurses and other health professionals Contribute to the planning and implementation of the teaching for existing staff, such as medical students, NP students, GP registrars, Health Care Assistance, within the Practice C. Professional Role: The post-holder will: Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review Maintain their professional registration Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained Work within the latest NMC Code of Professional Conduct Record accurate consultation data in patients' records in accordance with the latest NMC guidance and other pertinent standards -Keep up-to-date with pertinent health-related policy and work with the Practice team to consider the impact and strategies for implementation Personal/Professional Development In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that professional development requirements for PREP are met, the post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include: -Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development and working towards annual appraisals and revalidation -Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work Job description Job responsibilities The post-holder will: Provide the choice of direct access to a NP, both in the Practice and over the telephone, for the General Practice registered population Make professionally autonomous decisions for which he/she is accountable Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports Where the post-holder is an independent prescriber: to prescribe safe, effective and appropriate medication as defined by current legislative framework Provide safe, evidence-based, cost-effective, individualised patient care Offer a holistic service to patients and their families, developing where appropriate an ongoing plan of care/support, with an emphasis on prevention and self-care Promote health and wellbeing through the use of health promotion, health education, screening and therapeutic communication skills Refer patients directly to other services/agencies as appropriate Work with the Practice lead in developing and delivering specialist primary care services, such as long-term disease management (Diabetes, Asthma, Chronic Obstructive Pulmonary Disease and Hypertension) Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks (eg Coronary Heart Disease/Older People/Diabetes/Mental Health) are being delivered Work with multi-disciplinary team within the Practice and across the wider partnership, to promote integrated and seamless pathways of care Contribute to the Practice achieving its quality targets to sustain the high standards of patient care and service delivery Participate in identification of community health needs and develop patient/family-centred strategies to address them Help develop and set up new patient services and participate in initiatives to improve existing patient services Be aware of and contribute to planning and delivery of Practice-based commissioning B. Teaching and Mentoring Role: The post-holder will: Promote a learning environment for patients, nurses and other health professionals Contribute to the planning and implementation of the teaching for existing staff, such as medical students, NP students, GP registrars, Health Care Assistance, within the Practice C. Professional Role: The post-holder will: Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review Maintain their professional registration Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained Work within the latest NMC Code of Professional Conduct Record accurate consultation data in patients' records in accordance with the latest NMC guidance and other pertinent standards -Keep up-to-date with pertinent health-related policy and work with the Practice team to consider the impact and strategies for implementation Personal/Professional Development In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that professional development requirements for PREP are met, the post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include: -Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development and working towards annual appraisals and revalidation -Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work