Advanced Nurse Practitioner

• Assess, diagnose, plan, implement and evaluate treatment/care for patients
• Clinically examine and assess patient needs
• Assess, diagnose, plan, implement and evaluate treatment/care for patients with complex need
• Diagnose and manage both acute and chronic

• Precribe and review medication for therapeutic efectiveness
• Prioritise health problems and intervene

• Support patients to adopt health promotion

• 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, diagnosis, 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 Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation
• Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health Implement and participate in vaccination and immunisation programmes for both adults and children
• Advise, support and administer vaccinations for patients travelling abroad, where appropriate
• Promote and deliver evidence-based care for patients presenting with aural conditions
• Meet the needs of patients presenting for opportunistic wound care
• Undertake minor surgery as appropriate to competence

• 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 (eg PALS) 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 NSF, NICE guidelines and evidence-based care
• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
• In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

• Using personal security systems within the workplace according to practice guidelines
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
• Making effective use of training to update knowledge and skills
• Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
• Reporting potential risks identified.

• Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

• Alert other team members to issues of quality and risk
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
• Work effectively with individuals in other agencies to meet patients needs
• Effectively manage own time, workload and resources.

• Communicate effectively with other team members
• Communicate effectively with patients and carers
• Recognise peoples needs for alternative methods of communication and respond accordingly.

• Apply practice policies, standards and guidance
• Discuss with other members of the team how the policies, standards and guidelines will affect own work
• Participate in audit where appropriate.

Essential

• Ability to work independently and as part of a multidisciplinary team
• High level of professionalism and accountability
• Strong organisational and time-management skills
• Patient-focused and compassionate approach
• Adaptability in a fast-paced environment
• Flexibility to meet service needs
• Commitment to maintaining registration with the Nursing and Midwifery Council
• Awareness of safeguarding, confidentiality, and clinical governance

Essential

• Qualifications & Training
• Essential:
• Registered Nurse with the Nursing and Midwifery Council
• Masters degree in Advanced Clinical Practice (or working towards)
• Independent Nurse Prescriber qualification (V300)
• Evidence of continued professional development

Essential

• Significant post-registration experience (typically 35+ years)
• Managing patients with acute and chronic conditions
• Autonomous clinical decision-making
• Experience in prescribing and medication management
• Advanced clinical assessment and diagnostic skills
• Ability to interpret diagnostic tests (e.g., blood results, ECGs)
• Knowledge of evidence-based practice and clinical guidelines
• Strong communication and interpersonal skills
• IT literacy (e.g., electronic patient records systems)

Desirable

• Experience working in primary care or general practice is an advantage
• Experience in triage systems (e.g., same-day appointments)
• Leadership or supervisory experience
• Involvement in audit, research, or service development
• Knowledge & Skills
• Additional specialist qualifications (e.g., minor illness, chronic disease management)
• Teaching/mentorship qualification
• Knowledge of local and national primary care policies
• Experience with quality improvement initiatives