Advanced Nurse Practitioner (Primary Care)

Main responsibilities Clinical Leads and manages the Enhanced Health in Care Homes programme which includes: o Undertaking weekly ward rounds o Supporting person centred holistic assessments of all patients admitted / readmitted to a care home within 7 days. o Ensuring that all residents have a personalised support care plan within 7 days of re/admission. Develops and manages highly specialised programmes of care and care packages and provides highly specialised advice concerning care normally beyond the scope of normal advance clinical practice e.g. establishes differential diagnoses, management/treatment plans and makes referrals as appropriate. Makes fast track referrals. Works autonomously and be accountable for his/ her professional actions. Undertakes clinical nursing practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to registered patients. Assesses patients with a range of acute, non-acute, and chronic medical conditions. To
take history, conduct appropriate physical examinations, formulate differential diagnoses and carry through management treatment plans ensuring relevant follow-up. Manages undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action. Uses complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice. Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person. Where appropriate makes referrals to other healthcare professionals in primary and secondary care. Prescribes medications as appropriate. Maintains accurate record keeping in Emis Web. Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g., first contact with patients presenting acutely and manages care in the presence and absence of protocols. Makes decisions where
precedents do not exist, where appropriate without recourse to others e.g., direct referral of patients to Hospital Consultants without prior reference to other medical colleagues. Advises and supports others where standard protocols do not apply. Works within professional guidelines and codes of conduct Visits patients at home and within care homes as part of the wider clinical team. Communicate complex and sensitive information concerning a patients medical condition effectively to patients/carers, recognising that sometimes there are barriers to understanding. Fosters good public relations by ensuring courtesy and discretion when dealing with patients and their relatives. Supports and advises patients on the promotion of health, prevention of ill-health and the self-management of their health within their limitations. Recognises situations that may be detrimental to the health and well-being of the individual and act on the findings. Ensures that care given is supported by the
best available evidence and local policies and procedures. Maintains professional competency whilst remaining current and in date for NMC revalidation. Education Complete the relevant training to provide multi-professional clinical practice and CPD for other roles within Primary Care for example Community Paramedic, nurses, HCAs and Care Co-ordinators The postholder will link with the Training Hub and other colleagues across BNSSG to ensure that Care Home staff are aware of local training opportunities. The postholder will organise at least one training session per year for PCN and Practice staff to update on issues relating to the care of frail elderly people. Research Connexus PCN has an active research programme, and the postholder will have Continuous involvement in research/evaluation and/or development work which may be as part of one or more formal research programmes or activities. In addition, they will: Actively contribute to PCN/Service/Team audit/Research
activity as required. Instigate audit activity as required for new and existing services. Identify, apply and disseminate research findings relating to clinical practice. Leadership The postholder will establish strong working relationships with nursing and management staff in care homes to encourage good clinical practice. The postholder will work with the GP lead for care homes in each of the five Practices to identify and follow up opportunities for the improvement of care for frail elderly and care home residents. The postholder will provide clinical support and advice to colleagues including Care Co-ordinators and Community Paramedic. This list of responsibilities is not exhaustive and is subject to changed based on clinical and organisational needs and contractual requirements.