Job Description - Nurse Practitioner
The post holder is an experienced 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 care. They will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.
Clinical Practice Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly. Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs. Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition (as appropriate). Diagnose 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 practice protocols, and within scope of practice. Work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side effects, and interactions. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent, or emergency situations, including initiation of effective emergency care. Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care. Support and manage health needs of women presenting for family planning, cervical cytology, or sexual health consultation. Assess, identify, and refer patients presenting with mental health needs in accordance with the NSF for Mental Health. Implement and participate in vaccination and immunisation programmes for both adults and children. Advise, support, and administer vaccinations for patients travelling abroad, where appropriate. Promote and deliver evidence-based care for patients presenting with aural conditions. Meet the needs of patients presenting for opportunistic wound care. Undertake minor surgery as appropriate to competence. Understand how to identify and act upon safeguarding concerns (about children and vulnerable adults) in an appropriate manner (to Level 3 East of England Guidance on Safeguarding Children).
Delivering a Quality Service Recognise and work within own competence and professional code of conduct as regulated by the NMC. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies, and procedures. Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Deliver care according to National Service Frameworks, NICE guidelines, and evidence-based care. Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation. Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities. Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required. In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate. Evaluate patients' response to health care provision and the effectiveness of care. Support and participate in shared learning across the practice and wider organisation. Use a structured framework (e.g., root-cause analysis) to manage, review, and identify learning from patient complaints, clinical incidents, and near-miss events. Assess the impact of policy implementation on care delivery.
Leadership, Personal and People Development Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model. Support staff development in order to maximise potential. Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice. Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services. Critically evaluate and review innovations and developments that are relevant to the area of work. Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services. Work with practice management to ensure sufficient staff of appropriate ability, quality and skill-mix are available to meet current and future service delivery. Contribute to the development of local guidelines, protocols, and standards.
Team Working Understand own role and scope and identify how this may develop over time. Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working. Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence. Create clear referral mechanisms to meet patient need. Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team. Work effectively with others to clearly define values, direction, and policies impacting upon care delivery.
Managing Information Use technology and appropriate software as an aid to management in planning, implementation, and monitoring of care, presenting and communicating information. Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes. Understand responsibility of self and others to the practice and primary care trust regarding the Freedom and Information Act.
Learning and Development Undertake mentorship for more junior staff, assessing competence against set standards. Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g., courses and conferences).
Equality and Diversity Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity. Enable others to promote equality and diversity in a non-discriminatory culture.
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Clinical Practice Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly. Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs. Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition (as appropriate). Diagnose 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 practice protocols, and within scope of practice. Work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side effects, and interactions. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent, or emergency situations, including initiation of effective emergency care. Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care. Support and manage health needs of women presenting for family planning, cervical cytology, or sexual health consultation. Assess, identify, and refer patients presenting with mental health needs in accordance with the NSF for Mental Health. Implement and participate in vaccination and immunisation programmes for both adults and children. Advise, support, and administer vaccinations for patients travelling abroad, where appropriate. Promote and deliver evidence-based care for patients presenting with aural conditions. Meet the needs of patients presenting for opportunistic wound care. Undertake minor surgery as appropriate to competence. Understand how to identify and act upon safeguarding concerns (about children and vulnerable adults) in an appropriate manner (to Level 3 East of England Guidance on Safeguarding Children).
Delivering a Quality Service Recognise and work within own competence and professional code of conduct as regulated by the NMC. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies, and procedures. Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Deliver care according to National Service Frameworks, NICE guidelines, and evidence-based care. Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation. Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities. Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required. In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate. Evaluate patients' response to health care provision and the effectiveness of care. Support and participate in shared learning across the practice and wider organisation. Use a structured framework (e.g., root-cause analysis) to manage, review, and identify learning from patient complaints, clinical incidents, and near-miss events. Assess the impact of policy implementation on care delivery.
Leadership, Personal and People Development Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model. Support staff development in order to maximise potential. Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice. Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services. Critically evaluate and review innovations and developments that are relevant to the area of work. Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services. Work with practice management to ensure sufficient staff of appropriate ability, quality and skill-mix are available to meet current and future service delivery. Contribute to the development of local guidelines, protocols, and standards.
Team Working Understand own role and scope and identify how this may develop over time. Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working. Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence. Create clear referral mechanisms to meet patient need. Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team. Work effectively with others to clearly define values, direction, and policies impacting upon care delivery.
Managing Information Use technology and appropriate software as an aid to management in planning, implementation, and monitoring of care, presenting and communicating information. Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes. Understand responsibility of self and others to the practice and primary care trust regarding the Freedom and Information Act.
Learning and Development Undertake mentorship for more junior staff, assessing competence against set standards. Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g., courses and conferences).
Equality and Diversity Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity. Enable others to promote equality and diversity in a non-discriminatory culture.
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