Advanced Nurse Practitioner (ANP)

Job Title: Advanced Nurse Practitioner (ANP)

Salary: £58K - £67K

Hours: 37.5 hours per week

Responsible to: Lead ANP

Key Relationships: 31 General Practices, 4 PCNs, NWL ICB, Central London Borough Team, Westminster City Council, Bi-Borough (West London), Central and North West London NHS Foundation Trust (CNWL), Central London Community Healthcare NHS Trust (CLCH); One Westminster, Imperial College Health Partners

WHO WE ARE

Healthcare Central London Ltd (HCL) is the GP Federation owned by our 31 General Practices covering the Central London (Westminster) area.  The organisation supports 4 Primary Care Networks (PCNs). We operate several NHS contracts on behalf of our PCNs including a Community Dermatology Service; Community Cardiology Service and a Secondary Care Referral Service and an out-of-hospitals provision which is sub-contracted to our 31 General Practices.

On behalf of our practices we are the host employers of a large, and rapidly growing team of ARRS (Additional Roles Reimbursement scheme) roles including Clinical Pharmacists; Pharmacy Technicians; First Contact Physiotherapists; Dieticians; Paramedics; Social Prescribers; Care Coordinators, Digital & Transformation Leads, Nursing Associates, GPAs and Care Co-ordinators.

HCL's company values:

Compassionate - We listen respectfully, offer the opportunity for different viewpoints and are kind to each other.

Accountable - We work with integrity, taking accountability for our work to achieve the highest quality outcomes.

Resilient - We listen and with this feedback, we constantly build and improve.

Pioneering - We champion change, embrace creativity and promote innovation and new ways of working.

Aspirational - We nurture and motivate so our people are enabled to reach their full potential.

HOW WE WORK

Our vision is to be recognised as a leading GP provider network, run by clinicians for the benefit of our local population and practices.  We will achieve this by working with patients and partners to ensure that general practice remains sustainable and independent. We aim to further diversify our income by exploring commercial joint ventures and expanding our research team in the coming years.

Our people are our greatest asset. When we feel included, valued and supported in work this positivity reaches those very people we are here for, the patients.  HCL is committed to actively supporting diversity and inclusion and ensuring that all our employees are valued, treated with dignity and respect and enabled and supported to reach their potential.

Our employees work flexibly according to the needs of our customers, typically onsite at our practices or hub sites or at our offices near Marylebone/Edgware Road.  Our office-based roles are typically worked as hybrid roles the pattern of which are agreed and reviewed according to service/team requirements. 

ROLE PURPOSE

• We run a range of services and our ANPs work across 3 key services.
• Additional Access weekday afternoons Monday to Friday across 6 hub locations: South Westminster Centre for Health, Lisson Grove Health Centre, Marylebone Medical Centre, Paddington Green Health Centre, St John's Wood Medical Practice and Third Floor Lanark Medical Centre,
• Enhanced Access service weekday evenings and Saturdays at South Westminster Centre for Health
• eHub service (econsults) is a digital same-day service for our GP practices. ANPs complete telephone consultations with patients from HCL's offices at Capital House (NW1 5DH)..
• We run research clinics, where we see and screen patients who are eligible for our studies.
• We run research clinics, where we see and screen patients who are eligible for our studies.
• Furthermore, we employ Nurse Associates and ANPs may be involved in the training and supervision of these staff.
• The post holder will demonstrate courageous and critical thinking and is a caring, compassionate and committed 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, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice and other clinical settings.
• The post holder will commit to demonstrating critical thinking in the safe clinical decision-making process. They will communicate and 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.

KEY TASKS AND RESPONSIBILITIES

Clinical

• Working across the following specialties; Additional Access, Enhanced Access, eHub, and clinical research 
• Triage urgent care requests if required, consulting with patients or directing them appropriately.
• Provide advanced nursing care to patients, including assessment, diagnosis, treatment, and follow-up.
• Conduct holistic assessments on patients and ensure appropriate care and action plans based on their needs are clearly recorded and documented.
• Undertake regular patient reviews.
• Plan patient discharges safely and effectively, including use of independent prescribing in respect of providing medications on discharge.
• Following assessment where appropriate/necessary and with the patients’ consent refer appropriately to other services and agencies.
• Perform and interpret diagnostic tests, such as laboratory and radiological tests.
• Prescribe and administer medications in accordance with the law and established protocols.
• Collaborate with the healthcare team, including physicians, nurses, and allied health professionals, to ensure comprehensive patient care.
• Maintain accurate patient records, including medical histories, treatment plans, and progress notes.
• Educate patients and their families about their health conditions and treatment options.
• Stay up-to-date on the latest medical research and guidelines relevant to the clinical specialty.
• Maintain compliance with all relevant clinical standards and regulations.
• Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports.
• Promote health and well-being using health promotion, health education, screening, and therapeutic communication skills (i.e. smoking cessation, weight management, alcohol misuse).
• Refer patients directly to other services/agencies as appropriate.

Education & Qualifications

• Current registration of Part 1 of NMC Register
• 1st Degree/Master’s level qualification (Advanced Practitioner)
• Two years post qualification experience - consideration given to ANPs with primary healthcare experience
• Teaching/Assessing/Mentorship Qualification
• Independent Prescriber
• Advanced communication skills
• Physical examination skills
  

Experience

• Demonstrate previous successful ability of working at Advanced Practice Level
  

Advanced Clinical Skills

• Leading and managing change in collaboration with the multi-disciplined team
• Partnership working across sectors
• Clinical leadership in a Multi-Professional Service
• Ability to plan and prioritise care with advanced decision-making skills
• Demonstrate evidence of delivering formal and informal teaching
• Previously worked within Primary care setting
• Research

Skills, knowledge and abilities

• Excellent communication skills, multi-agency and multi-disciplinary
• Applied pharmacology and evidence-based prescribing.
• Comprehensive physical assessment, history taking and clinical decision-making skills.
• Leadership and team working abilities.
• Motivational skills for self and others
• Effective IT skills, competent in Microsoft office programmes and SystmOne
• Critical evaluation skills
• Clear understanding of the systems of clinical governance and quality assurance, specifically relating to advanced practice

Aptitude and personal characteristics

• Ability to direct and co-ordinate programmes of care, able to work both collaboratively and autonomously
• Ability to work across traditional professional and organisational boundaries and agencies
• Empathy with palliative care setting
• Non-judgmental
• Ability to prioritise workload and delegate effectively
• Ability to liaise and network effectively
• Commitment to equal opportunities
• Ability to work flexibly.
• Ability to think creatively, laterally and problem solve

• Cycle to work scheme
• Discretionary pay progression and bonus scheme
• Employee Assistance Program (EAP)
• Enhanced annual leave entitlement (30 days full-time, pro-rata for part-time)
• Eye care voucher scheme through partnership with Specsavers
• Free tea/coffee etc.
• Life Assurance scheme
• Modern clinic at South Westminster Centre
• Modern office
• NHS Pension
• Refer & Earn scheme
• We Care Wellbeing through Canada Life including 24/7 GP access for employee and immediate family, Toothfairy Dentist on Demand, myStrength personal wellbeing support and CBT Therapy