Advanced Nurse PractitionerNHS

Job summary

Honiton Surgery is seeking an experienced and motivated Advanced Nurse Practitioner (ANP) to join our friendly, forward-thinking Practice, serving approximately 18,500 patients across East Devon. As a well-established Practice and lead Practice within our Primary Care Network, we are committed to delivering high-quality, patient-centred care through innovation, collaboration and continuous service improvement.

This is an exciting opportunity for an autonomous clinician who is passionate about primary care and wishes to work within a highly supportive multidisciplinary team. You will play a key role in delivering same-day access services, leading acute minor illness clinics and managing patients presenting with acute, minor illness and undifferentiated conditions.

Salary will be offered between Band 7 and Band 8a equivalent, depending on experience, clinical capability and whether a recognised Advanced Clinical Practice qualification has been obtained.

Main duties of the job

As an Advanced Nurse Practitioner, you will:

• Independently assess, diagnose and manage acute and minor illness presentations.
• Undertake advanced clinical assessment and clinical decision-making.
• Prescribe safely and effectively as an Independent Prescriber.
• Request, interpret and act upon appropriate investigations.
• Deliver both face-to-face and telephone consultations.
• Work collaboratively within the Practice Duty Team alongside GPs, Pharmacists, and Nursing colleagues.
• Contribute to quality improvement, clinical governance and service development initiatives.

Job description

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.

About us

Honiton Surgery is a friendly forward thinking practice, serving approximately 17,500 patients across East Devon. We have a diverse clinical team that includes GP Partners, Salaried GPs, ANP, Nursing and HCA team, pharmacists, pharmacy technicians and FCP physiotherapists and a Health and Wellbeing Team. We are an RCGP Research Ready practice with many active research studies. As a well-established Practice and lead Practice within our Primary Care Network, we are committed to delivering high-quality, patient-centred care through innovation, collaboration and continuous service improvement.