Application for Advanced Nurse Practitioner status

Instructions

To complete this form you will need:

Job description

KSF outline

Agenda for Change Job Match Report* (you may need to request this from HR)

1. Copy and paste information from the Job Description and/or Job Match Report into Form 1 – Post Summary

2. Enter the names, GG&C Pay number, and NMC Number of all the post-holders formally attached to this specific Job Description into Form 2 – Post holders

3. Using information from the Agenda for Change Job Match Report tick the appropriate boxes in Form 3 – Evidence from the Job Match Report. [If you have any difficulty completing this section contact the Chair of the GG&C Advanced Practice Group]

4. Cut and paste evidence from the Job Description and/or KSF Outline into the right-hand column. Select the evidence which best demonstrates that competency. You may put several pieces of evidence into each box if necessary.

Once this form is completed it should be sent to the GG&C Advanced Practice Group along with electronic copies of the Job Description, KSF Outline and Job Match Report. The email address, dates and times of meetings and closing date for applications can be found on StaffNet at:

Form 1 – Post summary

Job Title / Minor Illness Nurse Practitioner
CAJE Number/Job ID / PCA697
Band / Band 7
Job Statement (from Job Description) / This advanced practitioner nursing role is to work as part of a multidisciplinary medical team providing
emergency medical services in the out of hours (OOH) period.The Nurse Practitioner will have commandof a specific expert knowledge base and clinical competence to be able to make complex, clinicaldecisions when consulting with patients presenting with a variety of illnesses. Patient consultations willrequire specialised clinical judgement and experience to make a differential diagnosis, treat, prescribeand discharge the patient or refer the patient to the GP.The Nurse Practitioner will work independentlyand autonomously without supervision.
Knowledge, Training And Experience Required To Do The Job (from Job Description) / Essential
1st Level Registration with the NMC
Degree level with appropriate experience and post registration training - equivalent to Masters level
Minimum of 5 years post-registration experience
Post Registration Nurse Practitioner Qualification with supervision / consolidation
of practice (Course 1 yr – level 3 or 4)
Independent Extended Nurse Prescriber
(Course 6 months – with Doctor Mentoring)
Substantial Evidence of continuing professional development relating to Advanced Practice, this may include short courses at Degree and or Masters Level.
IT skills
Excellent communication skills (both verbal and written)
Ability to work on own initiative
Problem-solving skills
Leadership skills
Ability to work as part of a team
Previous experience in primary care/ community/clinic setting
Ability to understand Judgement safe practice
Desirable – or willing to undertake training
CPR Training
Moving & Handling Training
Wound Management experience
Relevant Post Registration Qualification
Full Driving License

Form 2 - Postholders

Job title / Minor Illness Nurse Practitioner
CAJE Number/Job ID / PCA697

Please list all Individual(s) who are formally attached to this Job Description

Name / Pay Number[1] / NMC Number1
A. N. Other / G123456 / 90J1234S

Form 3 – Evidence from Job Match Report

Matched Job Report comparison with National Profile for Nurse-Advanced

JE Level / 1. Communication and Relationship skills / 2. Knowledge, Training & Experience / 3. Analytical & Judgemental Skills / 4. Planning & Organisational Skills / 5. Physical Skills / 6. Responsibility for Patient/Client Care / 7. Responsibility for Policy/Service Development / 8. Responsibility for Financial & Physical Resources / 9. Responsibility for Human resources / 10. Responsibility for Information Resources / 11. Responsibility for Research & Development / 12. Freedom to Act / 13. Physical Effort / 14. Mental Effort / 15. Emotional Effort / 16. Working Conditions
1 /  / 
2 /  /  /  /  /  /  / 
3 /  / 
4 /  /  / 
5
6 / 
7 / 
8

Office use only:

Matched to Nurse- Advanced National template? /  Yes – Profile Matched
 Yes – Band Matched
 No – Exceeds
 No – Not matched and doesn’t exceed

Form 4 – Evidence that post meets definition of an Advanced Nurse Practitioner

Nursing and Midwifery Council definition of advanced nurse
practitioners (NMC, 2005)
Advanced nurse practitioners are highly experienced and educated members of the care team who are able to diagnose and treat your healthcare needs or refer you to an appropriate specialist if needed.
Advanced nurse practitioners are highly skilled nurses who can:
Core Competencies / Additional Guidance Notes / Evidence (from Job Description +/- KSF outline) / Office Use only
0 / 1
  • Take a comprehensive patient history
/ Take a systematic and focused patient history
  • Carry out physical examinations
/ Or detailed clinical assessment / Undertake a full systematic physical examination of at least one complete body system depending on the presenting complaint of the patient.
Advanced Physical examination skills ie. Ear, Eye, Throat, Chest, Abdomen, Musculoskeletal and Dermatological
  • Use their expert knowledge and clinical judgment to identify the potential diagnosis
/ Makes complex clinical decisions including diagnosis and clinical management based on an in-depth specialist knowledge and interpretation of clinical and other findings. This can only be done by being aware of other medical conditions which may or may not be within their remit to diagnose and treat i.e. differential diagnosis.
Making independent clinical decisions based on own clinical assessment and interpretation of findings without the benefit of Clinical Case Notes.
  • Refer patients for investigations where appropriate
/ Screen patients for disease or make diagnostic decisions based on interpretation of clinical and other findings.
Conduct invasive and non-invasive diagnostic and therapeutic procedures where appropriate.
  • Make a final diagnosis
/ This refers to the practitioner having the authority to make a decision about the identification of an illness or other clinical problem / The Nurse Practitioners decision making skills will be at an advanced level to allow a full clinical analysis of the presenting symptoms to inform decision making, diagnosis, management including a prescription if appropriate.
  • Decide on and carry out treatment, including the prescribing of medicines, or refer patients to an appropriate specialist
/ Prescribing may include: non-medical prescribing, Patient Group Directions or the prescription of other therapeutic interventions such as cognitive behavioural therapy. / The Nurse Practitioners decision making skills will be at an advanced level to allow a full clinical analysis of the presenting symptoms to inform decision making, diagnosis, management including a prescription if appropriate.
Treat patients in accordance with Pharmacology guidelines when prescribing or using Patient Group Directions / Protocols.
  • Use their extensive practice experience to plan and provide skilled and competent care to meet patient’s health and social care needs, involving other members of the health care team as appropriate
/ Take into consideration the lifestyle, gender and cultural background of the patient, ensuring involvement with the patient, family, carers and significant others.
The Nurse Practitioners decision making skills will be at an advanced level to allow a full clinical analysis of the presenting symptoms to inform decision making, diagnosis, management including a prescription if appropriate. All Nurse Practitioners use judgement safe practice and there is always a GP available if they need to refer on.
  • Ensure the provision of continuity of care including follow-up visits
/ Maintenance of the accurate and inclusive clinical records is vital to ensure transfer of the consultation within the OOH period to the GP during the day, the in line with NHS GEMS procedures
  • Assess and evaluate, with patients, the effectiveness of the treatment and care provided and make changes as needed
/ Audit and evaluation of current practice will ensure effectiveness of this new role in relation to both patient outcomes, service needs and professional requirements and support.
  • Patient satisfaction / opinion following treatment received by NPs
  • Are patients seen by NP more likely to contact GP within the next few days.
  • Why do some patients choose to be seen OOH rather than see own GP. Do they see the GEMS service as an alternative to GP practice or as an emergency service

  • Work independently, although often as part of a health care team
/ Use own initiative and act independently as an autonomous practitioner within the bounds of own existing knowledge, skills and scope of practice.
  • Provide leadership
/ Leadership can be defined as “a process by which a person influences a group of individuals to achieve a common goal.”
ANPs may occasionally lead a team, but they also may influence others by acting as an expert and providing advice to others. / Act as a role model through the provision of professional leadership and demonstration of competent and effective practice.
Act as an effective change agent integrating information gained from research and audit and disseminating this throughout the whole nursing service or indeed to their medical colleagues.
Teach and mentor undergraduate Minor Illness Nurse Practitioners and assist other multidisciplinary colleagues who require to have an overview of the role and department.
Contribute to strategic issues relating to the nurse practitioner service and the speciality.
Act in a collaborative and advisory role to senior management.
  • Make sure that each patient’s treatment and care is based on best practice
/ Maintain professional practice through continuing education, professional updating and involvement with professional specialist groups.
Actively promote and disseminate research based practice.

NHSGG&C Advanced Practice Group

(v.4March 2012)

[1] Pay and NMC numbers are required to ensure the correct individual is recorded on SWISS