Job responsibilities

Generic responsibilities

All staff at this organisation have a duty to conform to the following:

Equality, Diversity and Inclusion

A good attitude and positive action towards Equality Diversity & Inclusion creates an environment where all individuals can achieve their full potential. Creating such an environment is important for three reasons it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued, and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire

The organisation is committed to supporting and promoting opportunities for staff to maintain their health, wellbeing and safety.

The post-holder is to manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients and monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.

All personnel have a duty to take reasonable care of health and safety at work for themselves, their team and others and to cooperate with employers to ensure compliance with health and safety requirements.

All personnel are to comply with the:

Health and Safety at Work Act 1974

Environmental Protection Act 1990

Environment Act 1995

Fire Precautions workplace Regulations 1999

Other statutory legislation which may be brought to the post holders attention

Confidentiality

The organisation is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times.

It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff must protect patient information and provide a confidential service.

Quality and Continuous Improvement

To preserve and improve the quality of this organisations outputs, all personnel are required to think not only of what they do but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work.

The responsibility for this rests with everyone working within this practice to look for opportunities to improve quality and share good practice and to discuss, highlight and collaborate with the team to create opportunities to improve patient care.

This organisation continually strives to improve work processes which deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuous improvement where everyone counts, and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Staff should interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice. All staff are to contribute to investigations and root cause analyses whilst participating in serious incident investigations and multidisciplinary case reviews.

Induction

We will provide a full induction programme, and management will support you throughout the process.

Learning and development

The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to partake in, and complete mandatory training as directed. It is an expectation for this post-holder to assess their own learning needs and undertake learning as appropriate.

The post-holder will undertake mentorship for team members and disseminate learning and information gained to other team members to share good practice and inform others about current and future developments e.g., courses and conferences. The post-holder will provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.

Collaborative working

All staff are to recognise the significance of collaborative working and understand their own role and scope and identify how this may develop over time. Staff are to prioritise their own workload and ensure effective time-management strategies are embedded within the culture of the team.

Teamwork is essential in multidisciplinary environments, and the post-holder is to work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working and to work effectively with others to clearly define values, direction and policies impacting upon care delivery

Effective communication is essential, and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner. All staff should delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence. Plans and outcomes by which to measure success should be agreed.

Managing information

All staff should use technology and appropriate software as an aid to management in the planning, implementation and monitoring of care and presenting and communicating information.

Data should be reviewed and processed using accurate SNOMED codes to ensure easy and accurate information retrieval for monitoring and audit processes.

Service delivery

Staff will be given detailed information during the induction process regarding policy and procedure.

The post holder must adhere to the information contained within the organisations policies and regional directives, ensuring protocols are always adhered to.

Primary key responsibilities

The following are the core responsibilities of the ANP in delivering health services:

• Independently assess, diagnose and manage patients presenting with acute illness, minor illness and undifferentiated conditions.
• Deliver face-to-face and telephone same-day access appointments.
• Undertake advanced history taking and physical examination.
• Formulate differential diagnoses and management plans.
• Prescribe medicines safely and effectively as an Independent Prescriber.
• Request, interpret and act upon diagnostic investigations.
• Manage acute presentations and exacerbations of chronic disease within scope of practice.
• Work collaboratively as part of the multidisciplinary Duty Team.
• Refer patients appropriately to secondary care and community services.
• Identify, assess and appropriately manage clinical risk.
• Deliver patient-centred care based upon current evidence and best practice.
• Maintain accurate and contemporaneous clinical records using appropriate clinical systems and SNOMED coding.
• Support safeguarding processes in accordance with local and national guidance.
• Participate in clinical audit, quality improvement and service development.
• Contribute towards achievement of QOF and enhanced service requirements.
• Participate in significant event reviews and patient safety activities.
• Support the team in managing clinical emergencies.
• Undertake mandatory training and maintain professional registration and competencies.
• Contribute to and embrace clinical governance.

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 clinical leadership and support to the multidisciplinary team.

• Promote evidence-based practice and shared learning.
• Support service development and quality improvement initiatives.
• Contribute to the development of clinical protocols and pathways.
• Support workforce development and mentorship of colleagues where appropriate.
• Participate in local and PCN-wide initiatives to improve patient outcomes.

Qualifications

Essential

• Qualifications
• Qualified healthcare professional with current NMC registration.
• Educated to masters degree level in accordance with the NHS England. Multi-Professional Framework for Advanced Clinical Practice.
• Registered on the appropriate professional register.
• Independent Prescriber Qualification (V300).
• Evidence of ongoing Continuing Professional Development.

Desirable

• Teaching, mentoring or supervision qualification
• Minor illness or urgent care qualification

Clinical Knowledge and Skills

Essential

• Advanced clinical assessment skills.
• Ability to independently assess, diagnose and manage acute and minor illness.
• Strong clinical reasoning and decision-making skills.
• Competent Independent Prescriber.
• Ability to request, interpret and act upon investigations.
• Understanding of evidence-based practice.
• Good clinical system knowledge and accurate record keeping.
• Understanding of safeguarding adults and children.
• Understanding of clinical governance and risk management.
• Knowledge of QOF and enhanced services.

Desirable

• Minor injury assessment and management skills.
• Experience supporting service development initiatives.

Personal Qualities & Other Requirements

Essential

• Effective time management and organisational skills.
• Ability to work autonomously and within a team.
• Excellent communication and interpersonal skills.
• Demonstrates personal accountability and professionalism.
• Resilient and able to work under pressure.
• Compassionate and patient-focused approach.
• Flexible and adaptable.
• Commitment to ongoing professional development.
• Disclosure Barring Service (DBS) check.
• Occupational Health clearance.
• Meet the requirements and produce evidence for professional revalidation.
• Evidence of CPD commensurate with the role.
• Flexibility to work outside core office hours if required by service need.

Experience

Essential

• Minimum two years' experience as a Nurse Practitioner or Advanced Nurse Practitioner.
• Demonstrable evidence of autonomous clinical practice.
• Experience assessing, diagnosing and managing acute and minor illness.
• Experience managing undifferentiated presentations.
• Strong communication and interpersonal skills.
• Ability to work independently and within a multidisciplinary team.
• Commitment to delivering patient-centred care.
• Knowledge and experience of acute and chronic disease management.
• Knowledge of safeguarding, clinical governance and risk management.

Desirable

• Experience of Emergency Care, Urgent Treatment Centre or Minor Injury Unit settings.
• Experience of working in General Practice.
• Experience of same-day access or Duty Team working.
• Experience using Systmone.

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).

Job responsibilities

Primary Responsibilities

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

a. Support the Infection Prevention Control (IPC) lead and work to the IPC Policy

b. Consult with patients and their families to undertake assessments of patient need

c. Support in the long-term condition management within the organisation, including being involved with quality improvement and assurance initiatives

d. Develop, implement and embed an effective care management programme for the frail and housebound patients registered with the organisation

e. Support public health and screening programmes, including immunisations, vaccinations, and cervical screening and also provide opportunistic health promotion advice

f. Embed population health management approaches within general practice, targeting health inequalities and improving access

g. As required, provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF

h. Support new-to-practice nurses and other healthcare professionals within the organisation

i. Teach and advise patients and their families on how to manage their condition

j. Participate in clinical audits and research projects and implements changes as required, including supporting with the development, and updating of practice protocols/guidelines and procedures locally

k. Work within national and local protocols where these exist

l. Recognise the boundaries of their practice and know when and to whom patients should be referred

m. Support in the delivery of enhanced services and other service requirements

n. Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children

o. Participate in the management of patient complaints when requested to do so and participate in the identification of any necessary learning brought about through incidents and near-miss events

p. Undertake all mandatory training and induction programmes

q. Contribute to and embrace the spectrum of clinical governance

r. Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation

s. Attend a formal appraisal with their manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed

t. Lead on public health campaigns (e.g., flu clinics)

u. Provide travel advice services

v. Provide wound care (ulcer/Doppler, etc.) to patients

w. Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively

x. Contribute to practice targets (QOF, etc.), complying with relevant guidance

y. Maintain chronic disease registers and implement an effective call/recall system

z. Maintain a clean, tidy, effective working area at all times

To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)

Secondary Responsibilities

In addition to the primary responsibilities, the Deputy Lead Practice Nurse may be requested to:

a. Develop, review and implement nursing protocols in conjunction with the partners

b. Participate in local initiatives to enhance service delivery and patient care

c. Support and participate in shared learning in order to improve patient care

d. Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs

e. Support with the planning and implementation of changes within the nursing team, enhancing the provision of services to patients

f. Support in the coordination of the nursing team rota

Experience

Essential

• Experience of working as a practice nurse
• Experience of chronic disease management
• Experience of working autonomously

Desirable

• Experience leading or managing a team
• Experience of managing elderly and housebound patients
• Experience of quality initiatives, i.e. Benchmarking

Knowledge and Skills

Essential

• Wound Care/removal or sutures and staples
• ECGs
• Venepuncture
• New Patient Medicals
• Requesting pathology tests and processing the results, advising patients accordingly
• Understanding the requirement for PGDs and associated policy
• Understanding the importance of evidence based practice
• Ability to record accurate clinical notes
• Chaperone procedure
• Women's health
• Immunisations (routine, childhood and travel)
• Excellent communication skills
• Effective time management
• Team Working
• Good Interpersonal Skills
• Problem Solving and Analytical Skills
• Ability to Follow clinical policy and procedure

Desirable

• Travel Medicine
• Spirometry
• Board Knowledge of Clinical Governance
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena
• Knowledge of health promotion strategies
• Experience of Audit and able to lead audit programmes
• Experience with clinical risk management

Qualifications

Essential

• Registered Nurse
• Post Graduate Diploma or Degree (Chronic Disease Management)

Desirable

• Mentor or Teaching Qualification
• Family Planning Qualification
• Nurse Prescriber

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).