PCN Advanced Nurse Practitioner

Location

Warrington, Cheshire | United Kingdom

Job description

Job description and person specification Job title Advanced Nurse Practitioner Line manager PCN Manager Accountable to Clinical Director Hours per week 37.5 Job summary The Advanced Nurse Practitioner (ANP) has been assessed as competent in practice using their expert 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. 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 or refer to other specialists if necessary. Primary responsibilities The following are the core responsibilities of the PCN Advanced Nurse Practitioner. 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 home visits to patients Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF 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 extant legislation Ensure SNOMED CT codes are used effectively Maintain chronic disease registers Chaperone patients where necessary Prioritise health issues and intervene appropriately Support the team in dealing with clinical emergencies Recognise, assess and refer patients presenting with mental health needs 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 Issue sick notes Complete direct referrals for radiology Complete direct referrals for blood tests Complete 2WW referrals Refer onto other specialities Prescribe within full range of formulary Titrate medications as required The ability to deal with mental health patients complete gynae/PR exams as required Women's health and contraception Secondary responsibilities In addition to the primary responsibilities, the PCN Advanced Nurse Practitioner may be requested to: a. Act as the audit lead, effectively utilising the audit cycle b. Monitor and ensure the safe storage, rotation and disposal of medication c. Participate in local initiatives to enhance service delivery and patient care d. Support and participate in shared learning within the organisation e. Develop an area of specialist interest, taking the lead within the organisation f. Continually review clinical practices, responding to national policies and initiatives where appropriate g. Participate in the review of significant and near-miss events applying a structured approach i.e., root cause analysis (RCA) h. Drive the development of nursing services within the organisation, liaising with external agencies and professional organisations as required i. Develop practice administrative and clinical protocols in line with the needs of the patient and current legislation Person Specification available on request Job locations Guardian Medical Centre Four Seasons Medical Centre Westbrook Medical Centre Culcheth Medical Centre Springfields Medical Centre Parkview Medical Centre Chapelford Medical Centre

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