Advanced Nurse Practitioner

We are a semi-rural dispensing and training practice serving a list size of around 16,700 patients. We are looking for an Advanced Nurse Practitioner (ANP) to join our forward-thinking practice.

This is a key clinical role, supporting same-day and routine patient access, delivering high-quality care through advanced assessment, diagnosis, and treatment. There is always a Duty GP on shift to support as needed.

We are seeking to recruit an ANP who can work a minimum of 15 hours up to 30 hours per week. This will include some Friday hours as part of the current shift pattern requirements, ie either a full day, morning or afternoon shift. There is a requirement to cover a mix of 8am starts and 6.30pm finishes as part of the weekly rota. Days and shifts patterns are set and agreed in advance to ensure a work life balance.

The current practice shift pattern is Monday-Friday 8am-6.30pm with occasional Saturdays as required.

Main duties of the job

We are seeking an experienced Advanced Practice Nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing leadership as required.

About us

We are a semi-rural dispensing and training practice serving a list size of around 16,700 patients in addition, we are part of Carlisle Rural Primary Care Network (PCN). The practice operates across 4 sites including: Brampton Main, Brampton White Lion, Corby Hill & Wetheral. Staff can be based at any site in line with clinical rota or operational need

We have 6 GP partners and Business Manager together with a Practice Manager & Finance Manager making up the Senior Leadership Team.

Job responsibilities

SCOPE AND PURPOSE OF THE ROLE

To deliver a high standard of patient care as an Advanced Practitioner (AP) in general practice, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base

To manage a clinical caseload, dealing with presenting patients needs in a primary care setting

To undertake the assessment and management of patients within the home environment, if required

To actively participate in the delivery of existing targets for General Practice relating to patient care, prescribing and others as deemed by the arrangements in general practice contracting.

PRIMARY DUTIES & AREAS OF RESPONSIBILITY

A. CLINICAL ROLE

Have the autonomy to manage and treat patients, using advanced clinical reasoning to assess, diagnose, prescribe, and evaluate care.

Your expertise will support QOF reviews as required and ensure proactive patient management.

Provide care and assessment for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan

Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports

Where the post holder is an independent prescriber: to prescribe safe, effective and appropriate medication as defined by current legislative framework

Provide safe, evidence-based, cost-effective, individualised patient care

To prioritise health problems and intervene appropriately, including initiation of effective emergency care.

Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care

Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills

Refer patients directly to other services/agencies as appropriate

Work with multi-disciplinary team within the Practice, and across the wider Health care community to promote integrated and seamless pathways of care

Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery

To work within the practice guidelines, policies and protocols.

B. TEACHING AND MENTORING:

We believe in continuous development. As a training practice, we foster a culture of learning. You will have the opportunity, as required, to mentor junior colleagues/trainees

Promote a learning environment for patients and other health professionals.

Contribute to the planning and implementation of the teaching for existing staff, such as medical students, GP registrars, Nurses and Health Care Assistants, within the Practice.

C. PROFESSIONAL ROLE:

Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.

Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review

Maintain their professional registration

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

Work within Code of Professional Conduct appropriate to role.

Record accurate and contemporaneous consultation data in patients records in accordance with the latest guidance and other pertinent standards.

Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation

Work collaboratively with colleagues within and external to the practice.

Participate in practice meetings and practice management meetings, reporting progress as required.

Participate in audits and inspections as appropriate.

As required work with the senior leadership team and partners to help shape services and mentor others. Get involved in service development, influence best practices, and, if desired, take on lead roles in Safeguarding or End-of-Life Care, helping drive positive change for patients and the wider team.

Person Specification

Qualifications

- Educated to Masters degree as detailed within the HEE document tilted Multi-professional framework for advanced clinical practice in England

- Registered on the appropriate professional register

- Qualified independent prescriber

- Teaching / Mentoring experience and /or qualification

Experience

- At least 2 years of clinical experience as a Nurse Practitioner

- Strong communication and interpersonal skills

- Ability to work independently and as part of a multidisciplinary team

- Commitment to providing patient-centred care

- Knowledge in acute and chronic disease management

- Experience of Emergency Care

- Experience of General Practice

Other Essential Criteria

- Holds current valid driving licence and access to a vehicle to transport to enable travel between sites, training and/or home visits if required.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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