Advanced Nurse Practitioner/Clinical Practitioner (Primary Care)

Advanced Nurse Practitioner/Clinical Practitioner (Primary Care)

Key Clinical Responsibilities

• 1. To provide a first point of contact for patients with undifferentiated and undiagnosed health needs.
• 2. Provide domiciliary visits
• 3. Using advanced assessment skills of history taking and clinical examination, make a diagnosis and initiate an appropriate plan of care, including referral to other health and social care professionals as necessary.
• 4. Provide ongoing education and health promotion in relation to primary prevention/secondary prevention.
• 5. Organise and manage own patient caseload.
• 6. Request, interpret and evaluate diagnostic tests to assess patients’ clinical problems or monitor progress.
• 7. Manage patients with long term conditions, including the development, implementation and evaluation of individualised treatment plans.
• 8. To provide a holistic clinical assessment drawing on knowledge about the wider determinants of health and ill health.
• 9. Independently prescribe medication within own scope of practice and undertake medication reviews in accordance with current guidance.
• 10. Participate in the development and implementation of Practice/PCN and wider system clinical pathways and guidelines where appropriate.
• 11. Provide clinical care within own scope of practice and recognise, assess and appropriately refer patients presenting with mental health or safeguarding needs.
• 12. Provide expert clinical advice and support within the practitioners area of competence.
• 13. Establish links with Secondary Care providers to help deliver changes in care pathways and protocols.
• 14. Work with nursing/medical teams in providing proactive management of patients with chronic diseases in accordance with local/national policy.
• 15. Collating data and involvement in Chronic Disease Management for disease specific areas including Hypertension, Diabetes, Cardiovascular Disease, Asthma and COPD as part of the Quality and Outcomes Framework.
• 16. Reviewing patients on other registers including Mental Health, Frailty and Epilepsy Registers and inputting data where appropriate as part of the Quality and Outcomes Framework.
• 17. Undertaking audit of patients requiring review of further intervention.

Clinical Developments

• 1. Establish initiatives which will contribute to improving access to quality services such as rapid access to minor injuries/minor illness, Chronic Disease management.
• 2. Contribute to the establishment and maintenance of peer clinical supervision and appraisal.
• 3. Take an active role in clinical governance, quality improvement, clinical audit and significant event/ near miss review, contributing to the development and implementation of clinical policies, pathways and guidelines.

General Responsibilities

• 1. To contribute to the overall development and implementation of clinical developments at practice level.
• 2. Provide evidence of continued professional development.
• 3. Participate in regular and ongoing appraisal, taking responsibility for professional competency.
• 4. To be aware of and utilise risk management strategies both clinical and organisational in all aspects of practice.
• 5. Maintain current registration with the relevant statutory professional regulator and practise in accordance with its Code and requirements.
• 6. To comply with health, safety and welfare of self and others within the requirements of health and safety regulations.
• 7. To ensure confidentiality at all times and comply with the practice Caldicott requirements.

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