Advanced Nurse Practitioner in Lincolnshire

The Advanced Nurse Practitioner (ANP) has been assessed competent in practice using their 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 avoid the need to be referred to a GP, thereby enabling them to receive timely care and negate unnecessary delay in receiving treatment.

Main duties of the job:

• 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 interpretation of test results.
• They can independently prescribe appropriate medication, evaluate and refer to other specialists if necessary.

Job responsibilities:

• 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.
• Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and NSF.
• Provide wound care (ulcer/doppler, etc).
• Provide specialist clinics such as contraception.
• Undertake the collection of pathological specimens.
• Request pathology services as necessary.
• 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 in conjunction with extant legislation.
• Ensure SNOMED CT codes are used effectively.
• Maintain chronic disease registers.
• Develop, implement and maintain well woman, well man and travel clinics.
• Take part in implementation of an effective immunisation programme.
• Prioritise health issues and intervene where necessary.
• Support the team in dealing with clinical emergencies.
• Recognise, assess and refer patients presenting with mental health needs.
• Implement vaccination programmes for adults and children.
• Be 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 both local and regional guidance.
• Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc).
• Delegate clinical responsibilities where appropriate (ensuring safe practice and that 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.

Person Specification:

• Qualifications: Masters degree in advanced clinical practice or Post-graduate diploma/degree for Advanced Practice.
• Experience: Experience of working within Primary Care, chronic disease management, wound care/removal of sutures and staples, ECGs, venepuncture, new patient medicals, requesting pathology tests and processing results, understanding requirement of PGDs and associated policies, immunisations (routine, childhood and travel), chronic disease management (Diabetes, Asthma, COPD, etc), experience in infection prevention and control measures, experience in a GP practice, experience with SystmOne, experience leading a nursing team, experience managing elderly and housebound patients.
• Clear, polite telephone manner.
• Competent in the use of Office and Outlook.
• Ability to follow clinical policy and procedure.
• Effective time management.

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.