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Buckinghamshire

Advanced Nurse PractitionerNHS

Marlow, SL7 1DN Fixed-Term
Posted 11 August 2026 Closing date 31 October 2026
Marlow Rail Station (0.2 miles, direct) Amersham Underground Station (9.8 miles, direct) Coachway (2.8 miles, direct)

Job summary

FIXED TERM MATERNITY COVER

The successful candidate will be working as part of a multi-disciplinary team including Nurse Practitioners, Community Paramedics, Nursing Associates, Clinical Pharmacists and Social Prescribers delivering care within their scope of practice to our patient population both in the surgery and on home visits.

Main duties of the job

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 description

Key responsibilities:

  • Work collaboratively as part of a multidisciplinary team to deliver a comprehensive spectrum of clinical services, encompassing triage, assessment, diagnosis, treatment, and the management of acute and chronic conditions for patients of all age groups.
  • Conducting assessments and formulating management plans in close collaboration with patients and other healthcare team members.

Demonstrate critical thinking in the clinical decision-making process, referring or signposting patients who present with undifferentiated or undiagnosed conditions

  • relating to minor illness or minor injury.
  • As an independent prescriber: prescribe/ de-prescribe safe, effective, and appropriate medication as defined by current legislative framework.
  • Request and interpret investigations such as blood results and cultures.
  • Maintaining meticulous and up-to-date medical records, aligning with clinical and professional standards.
  • Embrace opportunities to work and liaise with others, both internally and externally, across multi-professional and multi-agency boundaries, in the interests of improving patient outcomes.

•

  • Provide assessment, screening treatment, services and health education advice.
  • Assist with the organisation and co-ordination of the provision of nursing services for the practice.
  • Provide nursing treatment to patients in participation with general practitioners, using agreed protocols, including the taking of cervical smears.
  • Provide general and specific health screening to the practice patients (within the agreed protocols) with referral to general practitioners as necessary.
  • Be competent in administration of childhood immunisation and travel vaccination.
  • Be competent and confident in managing people with long-term health conditions
  • Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
  • Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
  • Diagnose and manage both acute and chronic conditions, integrating both drug-and nondrug-based treatment methods into a management plan.
  • Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.
  • Work with patients in order to support compliance with, and adherence to, prescribed treatments.
  • Provide information and advice on prescribed or over-the-counter medication, medication regimes, side-effects and interactions
  • Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care.
  • Implement and participate in vaccination and immunisation programmes for both adults and children.
  • Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
  • Recognise and work within own competence and professional code of conduct as regulated by the NMC
  • Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
  • Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
  • Deliver care according to NSF, NICE guidelines and evidence-based care
  • Maintain and control injectable and oral drug stocks in the treatment room and doctors surgeries.
  • Advise manager regarding health and safety aspects. Pathological specimens and investigatory procedures
  • Undertake the collection of pathological specimens, including intravenous blood samples, swabs, smears, etc.
  • Oversee the duties undertaken by the HCA and assist with training and mentoring as and when required.
  • Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team.
  • Ensure accurate notes of all consultations and treatments are recorded adequately on the computer.
  • Assist in the formulation of practice philosophy, strategy and policy.

About us

Marlow Medical Group offers a supportive environment where you will autonomously assess, diagnose, treat, and evaluate a wide variety of patients and pathologies in line with local and national guidelines.The post holder is an experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking right through to diagnosis, treatment, and evaluation of care.The post holder will be under the supervision of a senior clinician, providing a range of services, such as triage, telephone and face-to-face appointments, clinical decision-making, referring patients appropriately and interpreting results.Asking advice or learning is very much encouraged and career development is supported.

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