Job Description Template for Non-Streamlined Positions

Latham House Medical Practice

Job Description

Role Details Job Title: Advanced Nurse Practitioner Salary Grade: £39,632 to £47,559 per annum (full time) Team: Urgent Care Primary Location: Latham House Medical Practice, Melton Mowbray and upon occasions at the Practice’s Asfordby site. Responsible to: Lead Nurse/Practice Manager Responsible for: Urgent Care Team

Role Purpose 1. To work autonomously as an Advanced Nurse Practitioner providing care to patients requesting an urgent appointment on the day. 2. You will work at an advanced level and provide assessment/diagnosis/treatment referral and discharge of patients presenting with a wide range of undiagnosed/undifferentiated conditions, without the need for Doctor involvement in the majority of patient contacts. 3. Manage, monitor and maintain the efficient and continued development of Urgent Care Services, and needs led services, within the Practice. 4. Manage and support clinical practitioners to ensure the consistent delivery of high quality care within the Urgent Care Clinic.

Role Responsibilities Clinical: • Use high level decision making skills. • Undertake consultation, ensuring patients receive high quality care, delivered in a timely manner. • Maintain accurate and contemporaneous records using the practice clinic system (EMIS web). • Undertake comprehensive history taking and physical examination and request interpret results and investigations in order to reach a diagnosis for patients with undifferentiated/undiagnosed conditions. • Prescribe appropriately in line with local guidance. • To offer health promotion advice and sign post to appropriate agencies when required. • Make direct referrals to secondary care, mental health and social services within locally agreed pathways. • Protect and promote the health and well-being of patients, their relatives and carers, by receiving, triaging. • Work collaboratively with stakeholders across the Health and Social Care sectors, and in partnership with patients and/or carers, develop effective, efficient and preventative care plans.

Professional Role • Maintain an up to date professional registration. • Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review. • Maintain own clinical/professional expertise by participating in clinical activities, personal development planning, clinical governance and revalidation. • Participate in continuing professional development opportunities to ensure that up-to-date evidence- based knowledge and competence in all aspects of the role is maintained. • Training requirements will be monitored by yearly appraisal and will be in accordance with practice requirements. • Work in accordance with NMC code. • Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation. • Demonstrate leadership within the Urgent Care Clinic. • Pro-actively promote the role of the ANP within the Practice, and externally to key stakeholders and agencies. • Promote a professional approach at all times by dress and attitude to patients and colleagues. • It will be necessary to attend and contribute to various practice meetings as requested. (The only reason for not attending will be annual, study or sick leave). • Develop referral pathways with tertiary services to enable the Urgent Care Clinics to be led by ANP in future.

Communication • To be aware of data protection issues. • To liaise effectively with other health professionals both inside and outside the organisation, with regard to accepting and making clinical referrals. • Communicate effectively with patients and relatives, considering differences in language, literacy and culture.

Confidentiality • 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 will have access to confidential 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.

Health & Safety The post-holder will support, promote and maintain the Practice’s Health & Safety Policy and Procedures and the Practice’s Infection Control Policy and Procedures.

Equality and Diversity The post-holder will support, promote and maintain the Practice’s Equality & Diversity Policy.

This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post-holder commensurate with the position. This description will be subject to regular review and may be amended to take into account development within the Practice. All members of staff should be prepared to take on additional duties or relinquish existing duties in order to maintain the efficient running of the Practice.

Job Description: Advanced Nurse Practitioner Page 2 of 5 Person Specification The person specification provides a list of essential and desirable criteria (skills and competencies) that a candidate should have in order to perform the job.

Each of the criteria listed below will be measured through; the application form (A), a test / exercise (T), an interview (I), a presentation (P) or documentation and certificates (D).

Criteria: Qualifications Essential Assessed or By Desirable Registered General Nurse (Registered with the Nursing & Midwifery Council). E A D Recognised and accredited Advanced Nurse Practitioner qualification (minimum E A D degree level or equivalent). Independent Nurse Prescriber Qualification (Qualified to Diploma/Degree Module E A D Level) Teaching/Mentoring qualification, or qualification by experience to Diploma/Degree D A D Module Level). Sexual Health/Family Planning (Qualified to Diploma/Degree Module Level) D A D

Criteria: Experience Essential Assessed or By Desirable Recent and relevant experience of working as a clinical practitioner within E A either an Urgent Care environment such as Urgent Care Centre/Clinic, Accident & Emergency Centre, in an ANP role. Post registration experience (Minimum 5 years). D A D Recent and relevant experience of acute medicine. E A Maintenance of up-to-date skills, knowledge and understanding; and on-going E A I D competence in all aspects of the Advanced Nurse Practitioner role. Evidence of capacity to work successfully, both as an autonomous clinician E A I and as part of a team. Proven ability to evaluate the safety and effectiveness of own clinical practice. E A I Interpreting and implementing local and National policies, agendas for Health. D A T I

Criteria: Knowledge Essential Assessed or By Desirable Paediatrics (under 2 years) D A I T Understanding and knowledge of policy developments related to the delivery of D A I primary care services including General Practice, the GMS/PMS contract, Clinical Governance, Quality & Outcomes Framework Understanding of systems to gain an understanding of the health needs of the Practice D A I population as they relate to primary care Understanding evidence based practice E A I Knowledge of national standards that inform practice (e.g National Service E A T I Frameworks, NICE guidelines etc.) Understanding of their accountability arising from the NMC Code of Professional E I Conduct (2015) and medico-legal aspects of the Nurse Practitioner role Understanding of equal opportunity and diversity issues E A I

Criteria: Skills Essential Assessed or By Desirable Ability to assess and manage patient risk effectively and safely in accordance with E T I policies/procedures/protocols/legislation and the needs of the patient and to refer when

Job Description: Advanced Nurse Practitioner Page 3 of 5 clinically appropriate using agreed pathways. Proficient in the effective use of MS Office, Word, Excel, EMIS or SystemOne and E A I clinical software Excellent interpersonal skills and strong communication skills. E A I Able to engage and communicate with individuals and groups, both on a face to face E A I basis and in writing. Able to establish and maintain effective communication pathways with internal and E A I external stakeholders. A conscientious and reflective clinical practitioner. E A I Excellent time management skills and proven ability to prioritise workload. E A Confident in the accurate analysis of data and information; and identifying implications E A I for the individual patient/impact on care plan. Proven record of effective use of networking and influencing skills. D A I A strategic thinker. D A I Experience of presenting information to wider audience. D A I

Additional Requirements Essential Assessed or By Desirable A flexible and adaptable approach to maintain the consistent delivery of high quality E A I services.

Job Description: Advanced Nurse Practitioner Page 4 of 5 Working Conditions The working conditions relate to those non-contractual elements of the job that may impact on the holder of the position, as well as those workplace-based responsibilities that are part of this job. These are not contractual but provide a guide to the working conditions and the potential hazards and risks that may be faced.

Health & Safety at Work To take responsibility for your own health, safety and wellbeing, and undertake health and safety duties and responsibilities for your role as specified by Latham House Medical Practice, and all other relevant health and safety policies, arrangements, procedures, systems of work as specified for the post/ role.

Potential Hazards & Risks The potential significant hazard(s) and risk(s) for this job are identified below (those ticked). The purpose of recording this information on the job description is so that the health status of the potential and actual post-holders can be assessed with regard to the significant hazards and risks. These hazards and risks should be based on the appropriate activity, process and/or operation risk assessment whereby all of the significant risks are identified, recorded and appropriately controlled. The list below is therefore not an exhaustive list because it is the risk assessment that details all significant risks that could arise out of or in connection with the work activity, but any others will be identified in the ‘other’ section.

Provision of personal care on a regular basis Face-to-face contact with members of the public Regular manual handling (which includes Any other frequent driving or prolonged driving at assisting, manoeuvring, pushing and pulling) of work activities (e.g. long journeys driving own people (including patients) or objects private vehicle or WCC vehicle for work purposes) Working at height/ using ladders on a regular/ Restricted postural change – prolonged sitting repetitive basis Lone working on a regular basis Restricted postural change – prolonged standing Night work Regular/repetitive bending/ squatting/ kneeling/crouching Rotating shift work Manual cleaning/ domestic duties Working on/ or near a road Regular work outdoors Significant use of computers (display screen Work with vulnerable children or vulnerable equipment) adults Undertaking repetitive tasks Working with challenging behaviours Continual telephone use Regular work with skin irritants/ allergens Work requiring hearing protection (exposure to Regular work with respiratory irritants/ allergens noise above action levels) (exposure to dust, fumes, chemicals, fibres) Work requiring respirators or masks Work with vibrating tools/ machinery Work involving food handling Work with clinical waste, non-clinical waste, refuse Potential exposure to blood or bodily fluids Other (please specify):

Job Description: Advanced Nurse Practitioner Page 5 of 5