Advanced Nurse Practitioner (ANP)

Scope of Advanced Practice Four Pillars 1. Clinical Practice The ANP will demonstrate expert clinical judgement, autonomous decision-making and advanced clinical skills.

Responsibilities include

Advanced Clinical Assessment and Treatment Undertake comprehensive history taking, clinical assessment, examination and diagnosis. Assess and manage patients presenting with acute, chronic, minor illness and complex conditions. Independently formulate treatment plans and deliver evidence-based interventions. Prescribe safely and effectively within scope of practice and prescribing qualification. Request, interpret and act on diagnostic investigations and test results. Identify deterioration and manage clinical risk appropriately. Refer patients to secondary care, community services and allied professionals where required. Deliver same-day urgent care and telephone triage services. Nursing Procedures and Long-Term Condition Management Deliver basic and advanced nursing interventions. Perform wound care and management. Undertake venepuncture and ECG recording. Fit and monitor 24-hour ECG and blood pressure monitoring equipment. Administer vaccinations and immunisations in accordance with national guidance. Undertake cervical cytology where trained. Deliver family planning and sexual health services where competent. Support chronic disease management including asthma, diabetes, cardiovascular disease and respiratory conditions. Undertake INR monitoring and spirometry where appropriately trained. Deliver travel health services where required. Support achievement of Quality and Outcomes Framework (QOF) objectives. Operational Clinical Responsibilities Ensure accurate and timely recording of clinical data within practice clinical systems. Maintain familiarity with GMS/PMS contractual requirements. Maintain emergency equipment and clinical stock. Ensure safe storage and management of medicines. Adhere to treatment room protocols and infection prevention standards. Act as a chaperone in accordance with Practice policy. Maintain patient dignity, confidentiality and person-centred care. Service requirements may evolve to meet operational demands including seasonal vaccination programmes and service redesign. 2. Leadership and Management The ANP will contribute to effective leadership and delivery of high-quality services.

Responsibilities include

Act as a clinical role model and advocate for advanced nursing practice. Support development and implementation of practice objectives. Participate in service redesign and continuous improvement initiatives. Lead and support clinical governance, patient safety and risk management. Contribute to audit and quality improvement programmes. Support operational effectiveness and workforce planning. Participate in multidisciplinary meetings and collaborative working. Promote equality, diversity and inclusion. Support implementation of local and national healthcare priorities. 3. Education The ANP will support learning, professional development and knowledge sharing.

Responsibilities include

Support and supervise student nurses and junior colleagues. Provide mentorship, coaching and clinical supervision where appropriate. Facilitate development of nursing and multidisciplinary teams. Deliver patient education and self-management support. Participate in teaching and educational activities. Maintain personal Continuing Professional Development (CPD). Participate in appraisal and professional revalidation processes. Maintain competence and develop specialist clinical skills. 4. Research The ANP will contribute to evidence-based practice and service improvement.

Responsibilities include

Apply current evidence and clinical guidance to practice. Participate in clinical audit and service evaluation. Support quality improvement initiatives. Monitor and evaluate patient outcomes. Contribute to practice data collection and reporting. Support implementation of research findings into practice. Maintain awareness of developments in advanced clinical practice. Accountability and Professional Practice Practise in accordance with the Nursing and Midwifery Council Code and maintain current registration. Work within professional competence and scope of practice. Remain accountable for all clinical decisions and actions. Seek support and escalate concerns appropriately. Comply with Information Governance, Health and Safety, Infection Prevention and Control and Practice policies. Maintain professional standards and contribute positively to team culture. Safeguarding Whitstable Medical Practice is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults.

All staff are expected to

Understand and fulfil safeguarding responsibilities. Maintain safeguarding training requirements. Identify and escalate safeguarding concerns in accordance with Practice policy.