Advanced nurse practitioner

• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
• Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs.
• Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)
• Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan
• Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice
• 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 on medication regimens, side-effects and interactions
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
• Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
• Communicate with and support patients who are receiving bad news
• Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating
• Anticipate barriers to communication and take action to improve communication
• Maintain effective communication within the practice environment and with external stakeholders
• Act as an advocate for patients and colleagues
• Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate

• Recognise and work within own competence and professional code of conduct as regulated by the NMC.
• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
• Prioritise, organise and manage own workload in a manner that maintains and promotes quality
• Deliver care according to NICE guidelines and evidence-based care
• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
• Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities
• Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
• In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate
• Evaluate patients response to health care provision and the effectiveness of care
• Support and participate in shared learning across the practice and wider organisation
• Use a structured framework (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events
• Assess the impact of policy implementation on care delivery
• Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance

• Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode
• Support staff development in order to maximise potential
• Critically evaluate and review innovations and developments that are relevant to the area of work
• Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services
• Take a lead role in planning and implementing changes within the area of care and responsibility
• Contribute to the development of local guidelines, protocols and standards

• Understand own role and scope and identify how this may develop over time
• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
• Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence
• Create clear referral mechanisms to meet patient need
• Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team
• Work effectively with others to clearly define values, direction and policies impacting upon care delivery
• Discuss, highlight and work with the team to create opportunities to improve patient care

Essential

• A minimum of 3 years working within general practice.
• Ability to assess and manage a wide range of acute and chronic conditions, seeing both urgent and routine patients with general medical conditions.
• Confident in assessing patients from birth.
• Must be a prescriber.
• Awareness and the antibiotic guardian programme. With a commitment to managing antibiotic prescribing in accordance with the principles of the antibiotic guardian programme and local/national guidance. Support the practice in meeting targets to reduce antibiotic prescribing.
• Able to make a long term commitment to the practice and to make an active contribution towards the continuing success of the practice.
• Keen to work collaboratively with our clinical and administrative staff.

Desirable

• Ability to undertake breast examination.
• Ability to undertake gynaecological examination.
• Experience assessing low level mental health conditions.
• Consult with pregnant women with acute presentations such as acute infection.

Essential

• NMC registration
• Advanced nurse practitioner qualification
• Prescribing qualification