Advanced Nurse Practitioner

Clinical responsibilities

Use highly

developed clinical knowledge to independently assess, diagnose, plan, implement

and evaluate treatments and interventions for patients presenting frequently

with complex undifferentiated or undefined presentations. Presenting this

information to senior medical staff for advice when scope of practice is

exceeded.

Recommend

investigations such as blood, urine and other laboratory tests,

electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography

(CT) scans in accordance with IR(ME)R regulations and as local policy allows.

Prioritise health

problems and intervene appropriately in complex, urgent and emergency

situations.

Provide clinical

cover across OHL services, according to patient and staffing needs.

Prescribe and

review medication as an independent prescriber, for therapeutic effectiveness

appropriate to patient need and in accordance with best/evidence-based practice

and national and local protocols and within the roles scope of practice and

legal framework. Integrates both pharmacological and non-pharmacological

treatment in patient care/management plans

Communicate

effectively with patients, carers, colleagues, and others using appropriate

communication styles. Anticipates barriers to communication and ensures

patients and significant others are kept fully informed and consent to

treatment.

Job

Summary

The Advanced Nurse

Practitioner (ANP) will use specialist knowledge and skills to provide

healthcare autonomously to at least 8 housebound frailty patients per day

across the whole Lewisham borough, in peoples homes. The ANP is accountable

for independent clinical assessment, diagnosis, and treatment of patients with

undiagnosed and undifferentiated conditions and for appropriately referring

patients to relevant colleagues or specialities for any necessary follow-up,

inpatient or outpatient review and/or investigations. Ability to drive and

access to own vehicle is essential.

Key

Clinical responsibilities

Use highly

developed clinical knowledge to independently assess, diagnose, plan, implement

and evaluate treatments and interventions for patients presenting frequently

with complex undifferentiated or undefined presentations. Presenting this

information to senior medical staff for advice when scope of practice is

exceeded.

Recommend

investigations such as blood, urine and other laboratory tests,

electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography

(CT) scans in accordance with IR(ME)R regulations and as local policy allows.

Prioritise health

problems and intervene appropriately in complex, urgent and emergency

situations.

Provide clinical

cover across OHL services, according to patient and staffing needs.

Prescribe and

review medication as an independent prescriber, for therapeutic effectiveness

appropriate to patient need and in accordance with best/evidence-based practice

and national and local protocols and within the roles scope of practice and

legal framework. Integrates both pharmacological and non-pharmacological

treatment in patient care/management plans

Communicate

effectively with patients, carers, colleagues, and others using appropriate

communication styles. Anticipates barriers to communication and ensures

patients and significant others are kept fully informed and consent to

treatment.

Leadership/ Management

Work in

partnership with the existing senior medical, nursing and AHP teams in driving

development and change.

Support patients,

carers and staff during difficult situations that arise e.g. breaking bad news

or following an unexpected event.

Education Training and Development

Take

responsibility for their own learning and performance including the

participation in clinical supervision and maintaining an awareness of relevant

research evidence.

Works with the

multi-professional team to further develop appropriate clinical pathways and

care approaches. Disseminates their own learning and good practice to other

team members.

Participate in

own annual NHS appraisal, annual OHL appraisal, the revalidation process as

required by the NMC and support others as required.

Additional

Facilitate pro-active links and relationships between the

Team & the wider community giving advice & guidance to fellow

professionals, carers, voluntary organisations & the public.

Foster collaborative working relationships with the whole

system.

Ensure appropriate and timely transfer of care between

services.

Observe all policies relating to health and safety, confidentiality

and data protection, equality and diversity. All applicable policies are

available in the Employee Handbook, which will be shared prior to starting

employment.

One Health Lewisham (OHL) is the integrated community provider working across SEL, delivering a variety of innovative services for patients supporting practices and PCNs. We are a forward-thinking innovation partner, striving to develop streamlined and transformative pathways which support the wider integrated care system. We are passionate about our mission to provide the best possible care for our patients, and we work hard to support and develop our team to strive for excellence.

We are a fast-growing organisation, providing a range of services which are fully integrated into primary care. We deliver specialist support to some of the most complex patients in the system through our Special Allocation Service contract across all boroughs in South-East London and North-East London ICSs, as well as the Enhanced Care Home Service in Lambeth. We also provide a range of services across Lewisham:

Qualifications

Qualities/Attributes

Experience

Knowledge/ Skills