Job Summary The Advanced Nurse Practitioner (ANP) has been assessed as competent in practice using their expert clinical knowledge and skills. They have the freedom and authority to act and make autonomous decisions in the assessment, diagnosis and treatment of patients. The ANP provides an opportunity for patients to avoid the need to be referred to a GP, thereby enabling them to receive timely care and negate unnecessary delay in receiving treatment. ANPs in primary care can develop close, long-term relationships with their patients and work in partnership with them to achieve optimum health. They are autonomous in making decisions based on assessment, diagnosis and interpretation of test results. They can independently prescribe appropriate medication, evaluate or refer to other specialists if necessary. Job responsibilities - Practice in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice. - Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice. Including when working with complexity, risk, uncertainty and incomplete information. - Act on professional judgement on when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence and openness to change. - Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate. - Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive change. - Use expertise and decision-making skills to inform clinical reasoning. - Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care. - Exercise professional judgement to manage risk - Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice. - Identify, manage and support patients at risk of developing long term conditions, preventing adverse effects to the patients health. - Maintain accurate clinical records in conjunction with extant legislation and to ensure SNOMED CT codes are used effectively. - Develop and implement robust governance systems and contribute to practice targets (QoF etc), complying with local and regional guidance. - Support the team in dealing with clinical emergencies - Support the team with all safeguarding matters in accordance with local and national policies - Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately. - Deliver opportunistic health promotion where appropriate - Conduct comprehensive patient assessments, including medical history, physical examinations and diagnostic tests. This list is not exhaustive.