Address
Form of work
SalaryANPs will be expected to help deliver care to each of these tiers on a rota basis. - Tier 1 represents those patients with the lowest physiological risk factors for illness and no other significant or combinations of chronic health problems. The ANP will be part of a multidisciplinary team compromised of GPs, Nurse Practitioners, Advanced Clinical Practitioners and Physician Associates. They will have their own appointment schedule working within the wider MDT team and have an available Tier 1 GP to consult with over any more complex problems and queries. - Tier 2 represents patients who have one or more significant chronic health problem or are at a time in their life of increased physiological risk for example, pregnancy or older age. This is the group of patients where continuity of care can have the greatest impact on patient outcomes and the practice will be striving to achieve this. The ANP here will work alongside GPs and the nursing team delivering chronic health management, with their own appointment schedule but also supporting the nursing team where appropriate. The ANP will be involved in liaising with PCN health professionals, community and secondary health regarding patient care. - Tier 3 represents the most complex patients, these patients maybe palliative, represent safeguarding risks or be going through a time of crisis which is impacting on their health. Care home patients will be included in this Tier and the ANP will be expected to support the MDT teams and meetings to plan these patients care. These patients are likely to require the ANP at times to perform home visits where remote consults are not appropriate. - Administrative duties such as issuing of prescriptions, checking pathology results, tasks and incoming letters/documents for the practice will be performed in dedicated working time in the appointment schedule or a dedicated session as part of the rota. - The ANP with appropriate training may also be asked to participate and hold Group Consultations. - The ANP will also be expected to attend the daily team huddles. In performing the duties above the ANP will be expected to: To work autonomously and is accountable for own professional actions Undertake clinical nursing practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to patients at the practice Assess diagnose and treat patients attending with a range of acute, non-acute and chronic medical conditions and refer to appropriate agency. Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs or with undifferentiated diagnosis Work within the Tier-Based Care Model appointment schedule with different sessions delivering care to Tiers from 1-3. Take a share of home visits Undertake face to face appointments, telephone and video consultations Review and action path reports Directly admit patients to secondary care hospital in acute medical need Clinically examine and assess patients needs from a holistic approach including the physiological and psychological perspective, and plan clinical care accordingly. Proactively identify diagnose and manage treatment plans for patients at risk of developing a long-term condition as appropriate Undertake and interpret a range of diagnostic tests and routine clinical procedures e.g. cytology, venepuncture and blood pressure monitoring. Undertake and manage both acute and chronic conditions, integrating both drug and non-drug-based treatment methods into a management plan Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and local formularies Work with patients and their carers in order to support compliance with and adherence to prescribed treatments Provide information and advice on prescribed or over the counter medication or medication regimens side effects and interactions Prioritise health problems and intervene appropriately to assist the patients in complex, urgent or emergency situations, including initiation of effective emergency care Read code all treatment and results to support the QoF and excellent patient care Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care Develop care plans with the patients and their family and regularly monitors and updates Assess, identify and refer patients presenting with mental health needs in accordance with guidelines
