Advanced Nurse Practitioner Hours of work: 37.5 Reports to: Clinical Director
Location: Permanent Salary: £44,606 – £46,800 depending on experience
Benefits & perks: NHS Pension, clinical progression supported and encouraged.
Social enterprise that works collaboratively with people, statutory agencies and voluntary and community groups to deliver a non-traditional model of primary care that provides for the social, emotional and medical requirements of people at the point of need.
The Advanced Nurse Practitioner (ANP) will be an integral part of the clinical management team, demonstrating advanced autonomous practice skills across the practice portfolio.
Acting within their professional boundaries, the ANP will demonstrate safe clinical decision-making skills and will manage their own caseload, including the treatment and care of patients from initial history taking, assessment, diagnosis, treatment and evaluation of care for registered patients. The ANP will lead and participate in educational sessions, clinical supervision, research and audits, as well as quality and service improvements to ensure high quality care and effective management of patients.
· Voluntary and community services
· Statutory agencies
· All CCC staff
· To provide advanced levels of clinical practice, knowledge and skills in General and Acute Medicine.
· To undertake history and physical examination to accurately assess the patient’s condition.
· To request, interpret and act upon relevant diagnostic tests and procedures.
· To interpret, convey and act upon complex and conflicting information to CCC staff, patients and relatives including potentially stressful situations which may be sensitive in nature.
· To act as a clinical expert providing continuous support to nursing staff and other healthcare professionals within and outside designated area of work.
· To undertake advanced (invasive and non-invasive) procedures pertaining to patient need, in accordance with appropriate training and clinical supervision.
· To prescribe and review medication in accordance with current legislation and CCC policy.
· To effectively manage acute life threatening conditions in accordance with current ALS/ATLS/ALERT guidelines (as appropriate to area of work/need).
· To gain informed consent from patients for procedures undertaken by self or on behalf of others, both written and verbal, according to CCC policy.
· To provide evidence based specialist knowledge and advice to patients, families and carers throughout the patient’s journey to meet their physical, emotional and psychological needs.
· To act as an autonomous Practitioner exercising sound judgement, discretion and decision making in clinical care.
· To undertake nurse prescribing as part of the designated role.
· To support patients to adopt health promotion activities through social prescribing. Promote healthy lifestyles and support patients to apply principles of self-care and management.
· To work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed, or over-the-counter medication, medication regimes, side-effects and interactions.
Leadership & Management Responsibilities
· To maintain and promote effective working relationships with staff at all levels, internal and external across the Wrexham Borough.
· To cultivate an environment of shared learning and a willingness to guide nursing staff in the appropriate and timely care of patients.
· Provide an effective leadership role in contributing to resolving practice issues pertaining to clinical governance agendas and shared governance across the Community portfolio. E.g. maintaining standards, risk management, clinical audit and research, standing setting, benchmarking, evidence based practice.
· To support the practice in the safe and effective flow of patients.
· To provide leadership to nursing and HCA staff with regard to training and development, ensuring the delivery of consistently high quality care.
Information Governance & Data Responsibilities
· To maintain comprehensive, contemporaneous and accurate medical records and documentation, utilising EMIS (or similar) to facilitate caseload management that is consistent with legislation, policies and procedure.
· To ensure others in general practice nursing recognise the importance of data collection and quality assurance an ensure that findings and other results are disseminated in meaningful ways to staff. Policy and Service Development Responsibilities
· To work to agreed organisational standards and standard operating procedures.
· To attend Practice audit. ? To develop and implement policies and strategies in line with evidence based practice, e.g NICE, in partnership with other clinical teams.
Research and Development Responsibilities
· To assess the effectiveness of care delivery through self and peer review, benchmarking, formal evaluation and consideration of patient responses.
· To facilitate and identify clinical audit/research and disseminate findings. Safeguarding Responsibilities
· To comply with CCC’s Safeguarding Children Policy and standard operating procedures to safeguard vulnerable children up to 18 years, this includes the Protocol for Children Who Do Not Attend Clinics, fulfilling your role as defined in these documents.
· To know about the range of physical abuse, emotional abuse, neglect and sexual abuse.
· To be able to recognise the signs of abuse appropriate to role and what action to take.
· To be able to seek advice and report concerns, ensuring that they are listened to.
· To know what to do if concerned that a child is being abused.
· To understand the importance of sharing information, how it can help and the dangers of not sharing information. Freedom to Act
· To work within clearly defined organisational policies and procedures. Work will be managed and assessed at agreed intervals.
· The range of duties and responsibilities outlined above are indicative only and are intended to give a broad flavour of the range and type of duties that will be allocated to Advanced Nurse Practitioners. They are subject to modification in light of changing service demands and the development requirements of the individual.
Health and Safety
As a member of the Community team, the Advanced Nurse Practitioner has the following duties:
Legal duties and responsibilities under Health and Safety legislation in addition to a general duty to work safely and not to put others at risk, e.g. patients, visitors and colleagues as a result of any activity or omission at work.
A duty to report any practice that they consider compromises standards of risk and health and safety.
The Whistleblowing Policy gives effect to the Public Interest Disclosure Act under which an individual who raises such concerns for unfair treatment is protected.
Safeguarding all staff that have contact with patients, their families or systems to support them have a responsibility to safeguard and promote the welfare of children, adults and vulnerable families.
All staff employed within clinical environments who have contact with children, vulnerable adults, patients and their families must familiarise themselves and be aware of their responsibilities and adhere to Local Safeguarding Children’s Board and Local Safeguarding Adult Board procedures for safeguarding and protecting children and vulnerable adults.
Great emphasis on the need for the strictest confidentiality in respect of personal data – both that of patients and staff.
All information about people will be treated in the strictest confidence at all times. Breaches of confidentiality will be investigated and may lead to disciplinary action being taken. Its responsibility under the Data Protection Act 2018 and the Caldicott Principles as central to all activities that are carried out in its name. Staff are therefore expected to acquaint themselves with the principles of Information Governance and to complete the mandated training modules.
Promoting Equality and Reducing Inequalities All members of team must:
Understand and uphold organisational policies and principles on the everyday promotion of equality, diversity and inclusion.
Create an inclusive working environment which values a variety of ideas, experience and practice, where differences are respected and celebrated for the benefit or our patients and ourselves.