Advanced Nurse Practitioner - Independent PrescriberNHS

Job summary

If you love what you do, why not love where you do it?

The Cornerstone Practice in March, Cambridgeshire, is looking for an experienced Advanced Nurse Practitioner to join our friendly, supportive clinical team.

We're looking for a confident, autonomous clinician who enjoys the variety of general practice - from routine and same-day appointments and minor illness consultations to home visits and a weekly care home ward round.

You'll be working alongside our established multidisciplinary team, providing high-quality, patient-centred care to our practice population of approximately 9,500 patients.

We need someone who can hit the ground running, make independent clinical decisions and confidently manage a varied workload.

Independent Prescribing (V300), a recognised Level 7 advanced practice qualification and substantial autonomous ANP experience are essential.

2430 hours per week | Salary dependent on experience.

Main duties of the job

• Independently assess, diagnose and treat patients with acute illness and undifferentiated symptoms.
• Undertake routine, urgent and same-day appointments, including minor illness consultations.
• Conduct home visits for housebound patients requiring clinical assessment and treatment.
• Undertake 1 care home ward round per week, assessing and managing residents' clinical needs.
• Independently prescribe medication and manage treatment plans.
• Request and interpret investigations, review results and arrange appropriate referrals.
• Recognise red flags and escalate clinical concerns appropriately.
• Manage patients with complex needs and support continuity of care.
• Work collaboratively with GPs and the wider multidisciplinary team.
• Maintain accurate clinical records using SystmOne.

Job description

The Cornerstone Practice is seeking an experienced, motivated and confident Advanced Nurse Practitioner to join our established clinical team.

The successful candidate will work autonomously, providing assessment, diagnosis, treatment and ongoing management for patients presenting with a wide range of acute, routine and complex health needs.

The role includes routine and same-day appointments, minor illness consultations, home visits and a weekly care home ward round.

We are looking for an experienced practitioner who is confident making independent clinical decisions, prescribing safely and managing their own clinical workload.

Key responsibilities

Clinical assessment and treatment

• Independently assess, diagnose and manage patients with acute illness and undifferentiated symptoms.
• Undertake routine, urgent and same-day consultations.
• Manage minor illnesses and common primary care presentations.
• Obtain comprehensive clinical histories and undertake advanced physical examinations.
• Formulate differential diagnoses and develop appropriate treatment plans.
• Independently prescribe medication within professional competence and current prescribing guidance.
• Request, interpret and act upon clinical investigations, including pathology and diagnostic tests.
• Arrange appropriate referrals to secondary care, community services and other healthcare professionals.
• Recognise red flags, clinical deterioration and potentially serious conditions, escalating appropriately.
• Provide safety-netting, follow-up advice and patient education.

Home visits and care home responsibilities

• Undertake home visits to assess and manage housebound patients.
• Conduct 1 care home ward round per week.
• Assess, diagnose and treat care home residents, including those with complex and multiple health conditions.
• Review medication and clinical management plans where appropriate.
• Liaise with care home staff, GPs, community nursing teams and other healthcare professionals.
• Arrange investigations, referrals and follow-up care as required.
• Maintain accurate clinical documentation and ensure effective communication of care plans.

Long-term conditions and complex care

• Support the management of patients with multiple long-term conditions.
• Undertake medication reviews and optimise treatment within clinical competence.
• Recognise deterioration and arrange timely clinical intervention.
• Work collaboratively with the wider clinical team to ensure continuity of care.

Clinical governance and professional responsibilities

• Maintain accurate and timely clinical records using SystmOne.
• Use Anima and other practice systems as required.
• Work independently while recognising professional limitations and escalating appropriately.
• Participate in clinical meetings, audits, significant event reviews and quality improvement.
• Follow NICE guidance, safeguarding procedures, infection prevention and control requirements, and practice policies.
• Maintain professional registration, prescribing competence and continuing professional development.
• Contribute to a safe, effective and patient-centred clinical service.

Working arrangements

• Permanent, part-time position.
• 2430 hours per week.
• Working days to be agreed.
• Salary dependent on experience.
• Based at The Cornerstone Practice, March, Cambridgeshire.
• Role includes home visits and a weekly care home ward round.
• Appointment subject to satisfactory pre-employment checks.

About us

The Cornerstone Practice is a busy GP practice based in March, Cambridgeshire, providing care to approximately 9,500 patients.

Our established multidisciplinary team includes GPs, Advanced Nurse Practitioners, nurses, paramedics, healthcare assistants and administrative colleagues.

We are committed to delivering safe, high-quality patient care and are looking for an experienced clinician who enjoys the variety of general practice and working as part of a supportive multidisciplinary team.