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Detailed job description and main responsibilities

CLINICAL & PROFESSIONAL RESPONSIBILITIES

• Provide advanced levels of clinical practice, knowledge, and skills in General Practice.
• Undertake history and physical examination to accurately assess the patient’s condition.
• Request, interpret and act upon relevant diagnostic tests and procedures.
• Interpret, convey and act upon complex and conflicting information to MDT members/patients/relatives including in possible stressful situations, which may be delicate or offensive in nature (i.e. breaking bad news).
• Act as a clinical expert providing continuous support to the nursing staff and other MDT members within and outside designated area of work.
• Undertake advanced (invasive and non-invasive) procedures pertaining to patient need, in accordance with appropriate training and clinical supervision.
• Prescribe medication in accordance with current legislation and Trust policy.
• Maintain comprehensive, contemporaneous, and accurate nursing/medical records and documentation, utilising information technology where available to facilitate caseload management.
• Effectively manage acute life-threatening conditions in accordance with current ALS guidelines (as appropriate at area of work/need).
• Act as a role model through demonstration of high standards of practice, providing a clinical environment that motivates and encourages effective working partnerships.
• Participate in multidisciplinary, case conferences, clinical and audit meetings.
• Gain informed consent from patients for procedures undertaken by self or on behalf of others, both written and verbal, according to Trust policy.
• Provide evidence-based specialist knowledge and advice to patients, families/carers throughout the patient’s journey to meet their physical, emotional and psychological needs.
• Provide clinical expertise in the management of patients utilising specialist theoretical and clinical skills.
• Issue Fit Notes and Prescriptions.
• Certify expected deaths as per Trust policy.
• Facilitate and support general practice doctors/Matron/Trainees to develop effective working relationships with the multi-disciplinary team to enhance the care and management of patients.
• Act as an autonomous practitioner exercising judgement, discretion and decision making in clinical care.
• To support junior medical staff, sharing clinical workload and allowing junior doctors to achieve training and development requirements.
• Act autonomously, referring to appropriate specialists/care agencies

EDUCATIONAL RESPONSIBILITIES

• Adherence to competency framework.
• Attend mentor meetings with respective Consultants.
• Take responsibility for one’s own professional development and continually assess and acknowledge areas for development as they arise.
• Advise on the promotion of health and prevention of illness to all client/carer groups and empower individuals to make informed health choices
• Recognise situations which may be detrimental to the health and well-being of the individual and manage risk accordingly
• Seek opportunities to publicise and promote the role of the Advanced Nurse Practitioner and disseminate information regarding the development of practice
• Assist in identified training and educational needs of the nursing staff/medical staff and participate in its delivery

LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES

• Ensure that the patient experience remains the focal point for service improvement within the Division.
• Provide support for nursing staff in relation to clinical support to complaints, SIRI / SUI investigations.
• To contribute effectively to service developments both within the divisions and at strategic level.
• Attend General Practice meetings as required.
• To act as a role model by demonstrating excellent communication and listening skills with patients, relatives and staff.
• Promote effective team working within the team along with nursing and medical staff in the service.
• Network locally, regionally and nationally to share and exchange ideas and principles.
• Provide an effective leadership role in contributing to own departmental issue pertaining to clinical governance agendas and shared governance within the Trust e.g., maintaining standards, risk management, clinical audit and research, standard setting, benchmarking, evidence-based practice, etc.
• Develop clinic skills as required and assist where necessary.

RESEARCH & AUDIT

• Lead the reporting of clinical incidents/concerns and take appropriate action to address any safety and quality issues raised.
• Develop and implement policies and strategies in line with evidence-based practice e.g. NICE/DoH.
• Be involved in identification, development and implementation of relevant policy/guidelines to aid future management by the MDT.
• Facilitate and identify clinical audit/research and disseminate findings.

PERSONAL RESPONSIBILITIES

• Develop good working relationships with medical and nursing staff and other members of the multidisciplinary team within and other departments within the Trust and external.
• Act in accordance with the NMC guidelines/Code of Professional Conduct.

SAFEGUARDING RESPONSIBILITIES

• Comply with Trust Safeguarding Children Policy and standard operating procedures to safeguard vulnerable children up to 18 years throughout the Trust, this includes the Protocol for Children who Do Not Attend Clinics, fulfilling your role as defined in these documents.
• Liaise with all relevant professionals (Police, Social Services) in relation to safeguarding work undertaken by your Consultant.  Type any medical reports for child protection cases as requested by the Consultant, nurse or junior medical staff.  Arrange multi-professional meetings regarding child protection/child in need cases.  Minute multi-professional meetings as necessary.
• Provide administrative support for the Named Consultant and Named Nurse for Safeguarding Children
• Know about the range of physical abuse, emotional abuse, neglect and sexual abuse.
• Be able to recognise signs of abuse appropriate to role and what action to take
• Know what to do if concerned that a child is being abused.
• Know about the Trust’s local policies/procedures.
• Understand the importance of sharing information, how it can help and the dangers of not sharing information.
• Be able to recognise signs of child abuse as this relates to their role. e.g observe inappropriate parenting, an unusually quiet and withdrawn child etc
• Be able to seek advice and report concerns, ensuring that they are listened to.