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Friary House Surgery are additionally keen to recruit a Advanced Nurse Practitioner (30hrs per week) to work within the team. Whilst this is not a PCN role, we do closely work with PCNpharmacists, physiotherapists, social prescribers, podiatrists and mentalhealth workers.

The Advanced NursePractitioner (ANP) has been assessed competent in practice using their clinicalknowledge and skills. They have the freedom and authority to act and makeautonomous decisions in the assessment, diagnosis and treatment of patients.

The ANP provides anopportunity for patients to avoid the need to be referred to a GP, therebyenabling them to receive timely care and negate unnecessary delay in receivingtreatment.

ANPs in primarycare can develop close, long-term relationships with their patients and work inpartnership with them to achieve optimum health. They are autonomous in makingdecisions based on assessment, diagnosis and interpretation of test results.They can independently prescribe appropriate medication, evaluate and refer toother specialists if necessary.

We are a surgery of approximately 12,500 patients, covering a wide geographical area in Plymouth. As a surgery, we are very involved with education andencourage all staff to partake as applicable to their role. Involvement with research and audit are alsoan expectation, meeting the four pillars of advanced practice.

The coreresponsibilities of the Advanced Nurse Practitioner (ANP) are as follows. Onoccasion, there may be a requirement to carry out tasks not listed below, thatare within the reasonable scope of the role.

• Develop,implement and embed health promotion and wellbeing programmes
• Managepatients presenting with a range of acute and chronic medical conditions,providing subject matter expert advice
• Implementand evaluate individual specialised treatment plans for chronic diseasepatients
• Identify,manage and support patients at risk of developing long-term conditions,preventing adverse effects to the patients health
• Provideadvanced, specialist nursing care t patients are required in accordance withclinical based evidence, NICE and NSF
• Providewound care (ulcer/doppler, etc)
• Providespecialist clinics such as contraception etc
• Undertakethe collection of pathological specimens
• Requestpathology services as necessary
• Processand interpret pathology and other test results as required
• Providechronic disease clinics, delivering patient care as necessary, referringpatients to secondary/specialist care as required
• Maintainaccurate clinical records in conjunction with extant legislation
• EnsureSNOMED CT codes are used effectively
• Maintainchronic disease registers
• Develop,implement and maintain well woman, well man and travel clinics
• Take partin implementation of an effective immunisation programme
• Prioritisehealth issues and intervene where necessary
• Supportthe team in dealing with clinical emergencies
• Recognise,assess and refer patients presenting with mental health needs
• Implementvaccination programmes for adults and children
• Be anextended and supplementary prescriber, adhering to extant guidance
• Supportpatients in the use of their prescribed medicines or over the counter medicines(within own scope of practice), reviewing annually as required
• Contributeto practice targets (QOF etc), complying with both local and regional guidance
• Liaisewith the external services/agencies to ensure the patient is supportedappropriately (vulnerable patients etc)
• Delegateclinical responsibilities where appropriate (ensuring safe practice and thatthe task is within the scope of practice of the individual)
• Supportthe clinical team with all safeguarding matters in accordance with local andnational policies
• Understandpractice and local policies for substance abuse and addictive behaviour,referring patients appropriately
• Deliveropportunistic health promotion where appropriate

• Educated to GCSE level or equivalent
• Registered Nurse (NMC Pin)
• Masters degree in advanced clinical Practice or Post-graduate diploma/degree for Advanced Practice

• Experience of working within Primary Care
• Experience of chronic disease management
• Wound care/removal of sutures and staples
• ECGs
• Venepuncture
• New patient medicals
• Requesting pathology tests and processing results
• Understanding requirement of PGDs and associated policies
• Immunisations (routine, childhood and travel)
• Chronic disease management (Diabetes, Asthma, COPD, etc)
• Experience in infection prevention and control measures
• Experience with SystemOne
• Experience leading a nursing team
• Experience managing elderly and housebound patients
• Clear, polite telephone manner
• Competent in the use of Office and Outlook
• Ability to follow clinical policy and procedure
• Effective time management

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.