Advanced Nurse Practitioner (ANP) - Primary Care

Advanced Nurse Practitioner (ANP) - Primary Care Full Time (or Part Time applications considered)

We are looking for an ANP to join our friendly and supportive team at Newport Health Centre, based on the Isle of Wight.

This is a fantastic opportunity for an ANP to work alongside a supportive multidisciplinary team that includes Nursing, Allied Health Professionals and GPs, who have a real commitment to continuous improvement, shared learning and best practice, while being passionate about providing patients with the highest possible quality care.

Main duties of the job The Advanced Nurse Practitioner (ANP) will act autonomously within their professional scope of practice providing care for patients face to face, telephone consultations and home visits. They will also provide support on our 'ChatDoc' WhatsApp service (which has replaced our e-consult service).

You will be a core member of our innovative Acute Hub which provides on the day telephone or face to face appointments, working in a team of lead GPs, ANPs, Paramedics and Physician Associates.

The postholder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence.

The Advanced Nurse Practitioner will need to prioritise and triage the needs of patients accordingly, making any necessary referrals for investigations in the appropriate manner.

The postholder will use skills, knowledge and competencies as a qualified Advanced Nurse Practitioner in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate.

The ANP will treat children and adults with a wide range of acute & minor ailments and common infections including, but not limited to:

• Respiratory problems
• Rashes
• Urinary tract infections
• Ear, nose and throat problems
• Abdominal pain
• Lumps and bumps and recent back pain

About us Newport Health Centre is based centrally on the Isle of Wight operating across two sites; situated at our Carisbrooke practice and our town centre practice, Dower House, Pyle Street.

Our practice supports circa 24,500 patients on the Isle of Wight where we have a diverse, multi-disciplinary team which includes GP Partners, Advanced Nurse Practitioners, Paramedics, Physician Associates, MSK Practitioners, Mental Health Practitioners, Practice Nurses, HCAs, Chronic Pain Coach, Care Coordinators, a Social Prescriber and many more vital roles to support our community. We are also an active part of the Central and West Primary Care Network (PCN).

Job responsibilities Clinical practice 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 and seek appropriate advice from GP colleagues if necessary

Provide general and specific health screening and 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- & non-drug-based treatment methods into a management plan

In conjunction with the doctors, 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 situations, including initiation of effective care

Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care

Assess, identify and refer patients presenting with mental health needs in accordance with Mental Health pathways

Implement and participate in vaccination and immunisation programmes for both adults and children, when required.

Advise, support and administer vaccinations for patients travelling abroad, where appropriate

Delivering a quality service Recognise and work within own competence and professional code of conduct as regulated by the RGN 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

Initiate and participate in the maintenance of quality governance systems and processes for the surgery 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

Approve the performance of the team, providing feedback as appropriate

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

Ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required

Encourage the principles of clinical governance within the team in order to embed them within practice and help to maintain and drive high levels of personal and professional practice.

Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice

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 role in planning and implementing changes within the area of care and responsibility

Communication and Relationships Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment

Act as an advocate when representing patients and colleagues

Produce written documents that evidence the contribution of the clinical team to the practice priorities

Provide and receive confidential and complex information from a range of sources, and escalating as required.

To identify and use the most effective means of communication, appropriate to the situation and individuals involved.

To manage own behaviour in a positive manner to maintain effective working relationships

To always behave professionally and uphold the reputation of the Practice

To observe complete confidentiality of all information including awareness and adherence to the legal requirements of the Data Protection Act.

Analysis and Judgement To ensure you are competent and appropriately trained to carry out any delegated responsibility you accept.

Ensure you undertake mandatory and statutory training requirements

Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients

Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines

Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriate

Apply infection-control measures within the practice according to local and national guidelines

Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all

Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice

Recognise and inform managers of any matters requiring their immediate attention or expedite and progress issues with appropriate lead, as and when necessary, to ensure that deadlines are met.

Planning and Organising Prioritise own and others workload and ensure effective time-management strategies are embedded within the culture of the team

Expectation to be flexible in undertaking any other duties as deemed appropriate to the role

Support the Practice Team with providing clinical leadership when setting up clinics and appointments where needed, and support with directing and monitoring cancellation of clinics click apply for full job details