LCD
Job Description – SeniorAdvanced Nurse Practitioner(Primary Care)

Job Title:Senior Advanced Nurse Practitioner

Hours:Up to37.5 hours a week Monday – Friday (job share

considered, may include weekends in the future in line

with national initiative of 8-8, 7 days opening plans)

Accountable to:Senior Clinical Nurse Manager / Andrew Sugden

Responsible to: Director of Primary Care

Location: Hillside Bridge Health Centre, Bradford.

JOB SUMMARY

An exciting opportunity has arisen for a Senior Advanced Nurse Practitioner to join our innovative team at Local Care Directs primary Care site at Hillside Bridge Bradford.We are looking for ambitious, flexible, independent individuals who will be able to provide a high level of clinicalcare for our GMS patients managing a range of acute, non-acute and chronic disease conditions. The successful applicant will be taking on a senior role as lead ANP for a designated primary care site which will involve working closely with our GP’s, nursing staff and non-clinical staff. He/She will possess an Advanced Nurse Practitioner qualification and be proficientin non-medical prescribing V300 equivalent, other duties will include home visits, dealing with pathology results, correspondence and proving leadership for the nursing team at Hillside Bridge.

In return we will offer: Support to develop special interest

  • NHS Pension Scheme
  • 27 days annual leave (pro rata)
  • One week study leave(pro rata)
  • Competitive rate of Pay
  • Indemnity Insurance Cover
  • Supportive clinical / non clinical team
  • Working in a high QoF achieving team
  • SystmOne Clinical System
  • Active involvement in CCG +/- federation work
  • CPD, appraisal and Revalidation support
  • Develop Management skills

Duties and Responsibilities:

Clinical

  • Practice, without direct supervision, as an independent primary care Advanced Nurse Practitioner within various clinical environments, participating in care of all age ranges and presenting conditions chronic, acute and non-acute.
  • Independently prioritise, assess, diagnose, treat, and safely discharge/refer patients attending with undifferentiated and undiagnosed primary/urgent health care problems. Formulate management plans ensuring relevant follow up.
  • To manage daily surgeries comprising of 10 minute face to face consultations, 5 minute telephone consultations and telephone triage work. Undertake home visits and acute visits for certain medical emergencies arranging hospital admission if required.
  • Prescribe and review medication as necessary within NMC and local formulary guidance for areas such as chronic disease and long term health needs. This will include prescribing for areas such as asthma, diabetes, Hypertension, COPD, CHD and HRT. This list is not exhaustive and may expand with patient need and clinical experience.
  • Act as a referral agent and care co-ordinator by establishing multi-agency collaboration across the primary/secondary interface to meet the needs of the patient.
  • Take an active role in the processing of Pathology Links and Post actioning changes to patient care as directed by Secondary Care / other MDT’s.
  • To actively lead, formulate plans and contribute to the achievement of revised Quality outcomes Framework (QoF) indicators.
  • Actively participate with the implementation of Clinical Enhanced Services as directed by the CCG and Practice.
  • To provide clinical leadership and support to the Practice Nurse and team of Health Care Assistance performing annual PDR’s
  • Work within the parameters of current nurse prescribing legislation and NMC code of Conduct.
  • Work with clinical and non-clinical team to ensure that the LCD makes a significant contribution to health improvement and the reduction of health inequalities. Use His / Her individual skills and experience in order to make a positive contribution to the organisation and the development of the ‘one team’ approach
  • Ensure the nursing profession contribute to the LCD vision for integrated, high quality and patient focused health services.
  • Provide professional and clinical advice within the multi-disciplinary team.
  • Maintain accurate, contemporaneous records
  • Discuss patients continuing care with GP if required
  • Take responsibility for continuity of care for registered patients

Research and Quality

  • Demonstrate evidence based care, working within agreed guidelines and protocols.
  • Take an active role in research studies within the policy framework of the organisation.
  • Actively lead and participate in Peer / Clinical audit, data collection and monitoring to improve performance and inform future service developments.
  • Make effective use of the clinical system by ensuring consistent and accurate data entry and use of Read codes on SystmOne.

Management and Leadership

  • Lead team meeting’s and contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance.
  • Actively promote integrated working in collaboration with other health care professionals both within and outside the LCD organisation.
  • Promote effective communication and relationships within the team
  • In collaboration with Senior Nurse Manager and Lead GP’s actively contribute to the development, implementation, review and evaluation of clinical protocols. Take lead role in encouraging teamwork and sharing best practice.
  • Ensure effective communication, participating in meetings and liaising with other professionals, services and agencies as required.
  • Help develop clinical and business strategy working closely with senior primary care management.
  • Work to improve and implement clinical and business development KPI’s (Key Performance Indicators).
  • To act as the site clinical governance lead and to facilitate implementation of key clinical governance processes within the surgery as directed by the central clinical governance team.

Professional and Educational

  • Develop own skills and competencies through education, training and development activities related to the current and future demands of the role.
  • Understand and observe professional and national guidelines on confidentiality.
  • Comply with the corporate governance structure in keeping with the principles and standards set by the organisation.
  • Ensure clinical supervision needs are met, and that Nursing staff are supported with revalidation.
  • Participate in teaching and mentoring other health professionals and members of the multi-disciplinary team.

Infection Prevention and Control

  • Healthcare workers have a duty of care to patients and are expected to comply fully with the companies Infection Prevention and Control (IP&C) policies and attend/complete yearly IP&C training, for personal and patient safety and for prevention of healthcare-associated infection (HCAI). Knowledge, skills and behaviour in the workplace should reflect this.

Safeguarding

  • Individual’s have a duty of care to children and vulnerable adults that they come into contact with whilst at work to safeguard and promote their welfare and to work to prevent, recognise, respond, appropriately refer and record potential neglect or abuse, adhering to the company’s Safeguarding Children and Safeguarding Vulnerable Adults policies and procedures.
  • Effectively manage the safeguarding of adults, children, young people and refer appropriately including liaising with LCD’s Safeguarding Lead.

Person Specification – Senior Advanced Nurse Practitioner

The post holder will be required to work within the highest levels of confidentiality and discretion

ATTRIBUTES / ESSENTIAL / DESIRABLE / HOW IDENTIFIED
Experience
/
  • Evidence of a range of clinical expertise.
/
  • Experience of working independently in a healthcare role.
  • Experience of working in primary /urgent care
  • Experience of multidisciplinary teamwork
/ Application form
Interview
Qualifications /
  • NMC Registered General Nurse
  • Advanced Nurse Practitioner MSc or Post graduate Diploma to level 7. Minimum two years post graduate experience as an ANP.
  • Prescribing qualification V300 or equivalent
/
  • Additional qualifications relevant to primary / urgent care.
  • Evidence of continuing care for a cohort of patients ie specialist clinic such as Asthma or CVD.
/ Application
Certificates
Personal Circumstances
/
  • Flexibility in working hours
/
  • Flexibility in location of work.
/ Interview
Training
/
  • Evidence of continuing professional development and application to practice within the last 12 months
/
  • Understanding of training needs in relation to post.
/ Application
Interview
Special Knowledge/
Skills
/
  • Effective communication skills: verbal, written and non-verbal.
  • Able to work independently and accountably.
  • Knowledge of current clinical and professional issues.
  • Up-to-date knowledge of health agenda (local and national).
  • Innovative approach to practice.
  • Keyboard/PC skills
  • Awareness of the impact of evidence-based practice within nursing.
/
  • Able to develop self and others.
  • Aware of impact of change on self and service.
  • Experience of change management
  • Evidence of previous contribution to service change or improvement
  • Evidence of development of others in previous roles
/ Application
Interview
Other requirements
/
  • Able to pass pre-employment health assessment
/ Pre employment health Screening

Measures of Performance

Performance will be regularly monitored and assessed via monthly review of business performance, personal objectives and delivery against this job and person specification.

The main duties and responsibilities shown above are not exhaustive but should merely be regarded as a guide. The jobholder will be expected to conduct any reasonable activities according to the business needs at that time. These will be subject to periodic review and may be amended to meet the changing needs of the business. The job holder will be expected to participate in this process and the company would aim to reach agreement to changes.

Job Description Agreement

I have read and understood this job and person specification:
...... (Job holder) Date......
...... (Line Manager) Date......

September 2015