Autonomous Nurse Practitioner – Primary Care Leadership

We are a friendly, forward thinking GP Practice committed to delivering high quality, patient centred care to our local community. With a supportive multidisciplinary team and a strong focus on innovation, we are looking for an experienced Advanced Nurse Practitioner to join us and play a key role in shaping our clinical services.

Main duties of the job

• As an ANP, you will work autonomously and as part of our clinical team to provide comprehensive assessment, diagnosis, treatment, and evaluation of patient care.
• You will manage acute and long-term conditions, undertake clinical decision-making, and contribute to the ongoing development of our services.
• Providing same-day and routine patient consultations.
• Assessing, diagnosing, and managing a wide range of conditions.
• Prescribing medications as an independent prescriber.
• Managing long-term conditions in line with QOF and best practice guidelines.
• Undertaking clinical examinations and investigations.
• Supporting the practice with clinical leadership and service development.
• Working collaboratively with GPs, nurses, HCAs, pharmacists, and the wider MDT.
• Maintaining accurate, high-quality clinical records.

About us

What We Offer

• A supportive, collaborative team environment.
• Competitive salary and NHS pension.
• CPD support and protected learning time.
• Opportunities to develop specialist interests.
• Well organised practice with strong admin and management support.

Job responsibilities

The following are the core responsibilities of the ANP. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

• 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 the NSF.
• Provide wound care (ulcer/Doppler, etc.).
• Provide specialist clinics such as contraception, etc.
• 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 legislation. Ensure SNOMED CT codes are used effectively.
• Maintain chronic disease registers.
• Be responsible for the implementation of an effective immunisation programme.
• Prioritise health issues and intervene appropriately.
• 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 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).
• 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.

In addition to the primary responsibilities, the Advanced Nurse Practitioner may be requested to:

• Act as the audit lead, effectively utilising the audit cycle.
• Act as the IPC lead for the practice, ensuring compliance, undertaking audit as necessary.
• Monitor and ensure the safe storage, rotation and disposal of medicaments.
• Undertake overall management of the nursing team, providing guidance when necessary, acting as a mentor to students and newly qualified staff.
• Maintain an effective nursing staff rota ensuring all clinics are staffed appropriately.
• 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.
• Participate in the review of significant and near-miss events applying a structured approach i.e., root cause analysis (RCA).
• 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

• Experience of working in Primary Care.
• Experience of working in a GP practice.
• Experience of working within a nursing team.
• Experience of dealing with vulnerable patients.

Qualifications

• Registered Nurse with NMC registration.
• MSc/PGDip in Advanced Clinical Practice (or equivalent experience).
• Proven experience working autonomously in a primary care or urgent care setting.
• Strong clinical assessment and diagnostic skills.
• Excellent communication and teamwork abilities.
• Experience with SystmOne.
• Interest in chronic disease management or minor illness.
• Ability to contribute to quality improvement and service development.

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.