Job description

Job responsibilities

If you would like to find out more information about this role, please see the attached job specification.

Person Specification

Qualifications

Essential

• Active NMC as a Registered Nurse (Adult) with no restrictions or conditions
• V300 Independent and Supplementary Prescriber
• MSc in Advanced Clinical Practice or equivalent qualification

Desirable

• Active NMC as a Registered Nurse (Adult) with no restrictions or conditions
• V300 Independent and Supplementary Prescriber
• MSc in Advanced Clinical Practice or equivalent qualification

Experience

Essential

• Advanced clinical skills
• Strong clinical leadership skills

Desirable

• Experience of mentoring ANP or student nurses

Disclosure and Barring Service Check

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Primary Care Careers

Address

Botesdale

Diss

Norfolk

IP22 1DW

United Kingdom

Employer's website

https://www.eoeprimarycarecareers.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Main Responsibilities

Autonomous clinical consultations

• Assess patients presenting with undifferentiated and undiagnosed conditions across all age groups, using comprehensive history-taking, clinical examination, and clinical reasoning to formulate differential diagnoses
• Initiate evidence-based treatment plans, including medication prescribing, lifestyle advice, and onward referral where appropriate
• Manage same-day acute and urgent presentations, including minor illness, minor injury, infections, musculoskeletal complaints, and exacerbations of chronic conditions
• Conduct routine and follow-up consultations for patients with complex or multi-morbid long-term conditions
• Deliver consultations face-to-face, by telephone, and by video
• Manage clinical emergencies in the practice in accordance with the practice emergency protocol
• Conduct home visits to housebound patients as part of the daily clinical workload

Independent prescribing

• Prescribe medicines independently from the British National Formulary (BNF) within scope of competence, including some controlled drugs (Schedules 2-5, subject to regulatory restrictions)
• Conduct medication reviews, optimise medication regimes, and deprescribe where clinically appropriate
• Prescribe in accordance with NICE guidelines, local formulary, and evidence-based practice
• Monitor therapeutic outcomes and adjust prescribing in response to clinical findings
• Maintain prescribing competence through CPD, prescribing audit, and peer review

Investigations and referrals

• Order and interpret diagnostic investigations, including blood tests, radiology, ECGs, spirometry, and urinalysis
• Process pathology results and take appropriate clinical action on findings
• Make direct referrals to secondary care and specialist services, including two-week-wait (urgent suspected cancer) referrals
• Arrange emergency admissions where clinically indicated
• Coordinate care with other healthcare providers and services

Chronic disease management (advanced level)

• Manage patients with complex, multi-morbid long-term conditions, including diabetes, dementia, COPD, asthma, cardiovascular disease, heart failure, hypertension, CKD, thyroid disease, and mental health conditions
• Initiate and adjust medication regimes for chronic conditions, including insulin initiation, dose titration, and complex polypharmacy review
• Manage patients whose clinical complexity exceeds practice nurse protocols, providing a step-up clinical resource within the practice
• Support QOF achievement through structured disease management, care planning, and population health approaches

Clinical governance

• Participate in clinical audits, significant event analysis (SEA), and quality improvement initiatives
• Develop, review, and update clinical protocols and pathways, ensuring alignment with current NICE guidelines
• Contribute to practice clinical governance meetings, safeguarding meetings, MDT meetings
• Report clinical incidents, near misses, and concerns through the practice incident reporting system
• Act as nursing lead for our Care Homes

Research and evidence-based practice

• Critically appraise and apply research evidence to clinical practice and service development
• Participate in clinical audit cycles, using findings to improve care quality
• Use evidence to inform protocol development and policy updates

Professional development and revalidation

• Maintain personal clinical competence at advanced practice level through ongoing CPD
• Complete NMC revalidation requirements every three years: 450 practice hours, 35 hours of CPD, 5 pieces of feedback, 5 reflective accounts, and a reflective discussion
• Maintain an advanced practice portfolio evidencing practice across the four pillars
• Participate in structured clinical supervision
• Keep up to date with developments in advanced practice, prescribing, and primary care

Person Specification

Qualifications

Essential

• Active NMC registration as a Registered Nurse (Adult) with no restrictions or conditions
• V300 Independent and Supplementary Prescriber qualification, annotated on NMC register
• MSc in Advanced Clinical Practice or equivalent qualification, or RCN ANP accreditation

Desirable

• Additional post-graduate clinical qualifications (e.g., minor illness, dermatology, respiratory, diabetes)

Disclosure and Barring Service Check

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Botesdale Health Centre

Address

Back Hills

Botesdale

Diss

Norfolk

IP22 1DW

United Kingdom

Employer's website

http://www.botesdalehealthcentre.nhs.uk/ (Opens in a new tab)