Job summary
Millway Medical Practice is a large, forward-thinking, high-performing NHS GP practice in Mill Hill, North London. With a patient list of 25,000+ and a growing multidisciplinary team of over 60 staff, we are seeking an experienced and confident Advanced Nurse Practitioner (ANP) to join our dynamic clinical team.
We are a digitally progressive practice with strong governance, clear clinical pathways, and a supportive leadership structure. This is an excellent opportunity for an autonomous ANP who thrives in a busy primary care environment and is passionate about high-quality patient care.
Main duties of the job
You will work as an autonomous clinician managing a broad range of acute presentations and minor illness within general practice. You will be expected to assess, diagnose, treat, prescribe (if qualified), and safely manage patients independently.
The role includes:
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Assessment and management of minor illness and urgent same-day presentations
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Independent prescribing (if qualified)
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Triage and management of acute eConsult requests
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Clinical documentation and workflow management
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Undertaking home visits where clinically appropriate
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Supporting the wider MDT with clinical advice and shared care
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Working collaboratively with GPs, pharmacists, paramedics and nursing colleagues
About us
Millway Medical Practice is a large, high-performing, forward-thinking NHS GP practice serving over 25,000 patients in Mill Hill. We are a well-established Partnership with strong clinical leadership, clear governance structures, and a supportive Operations Team.
Our multidisciplinary team includes:
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GP Partners and Salaried GPs
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Practice Nurses
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Clinical Pharmacists and Pharmacy Technicians
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Physicians Associates
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HCAs and Phlebotomists
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A highly organised Admin and Reception Team
We pride ourselves on being structured, professional and team-oriented. We work hard, but we work together. There is a strong culture of accountability, mutual respect and continuous improvement.
Our Atmosphere
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Supportive but high-performing
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Clear processes and SOPs no chaos
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Digitally mature (EMIS, Accurx, Docman, eConsult)
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Transparent leadership
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Open communication
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Focused on patient safety and quality
We encourage autonomy, but never isolation. Clinical support is always available, and we promote collaborative decision-making across the MDT.
Job description
Job responsibilities
1. Job Purpose
To work as an autonomous Advanced Nurse Practitioner within Millway Medical Practice, delivering high-quality, safe, evidence-based care to patients presenting with acute and minor illness.
The post holder will assess, diagnose, treat, prescribe (where qualified), and manage patients independently within their scope of practice, contributing to the overall clinical performance and governance of the practice.
2. Key ResponsibilitiesClinical Practice
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Provide autonomous assessment, diagnosis and management of:
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Undertake independent prescribing (if V300 qualified)
-
Order, interpret and act on diagnostic investigations
-
Provide appropriate safety-netting and follow-up
-
Complete accurate, timely and comprehensive clinical documentation on EMIS Web
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Participate in clinical triage of online consultation requests (e.g. eConsult)
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Undertake home visits where clinically appropriate
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Escalate appropriately to GP colleagues when outside scope or complexity threshold
Digital & Administrative Responsibilities
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Use EMIS Web proficiently for documentation, workflow and task management
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Manage and action tasks via Docman
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Use Accurx for patient communication and clinical messaging
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Participate in workflow optimisation and digital triage processes
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Contribute to safe and efficient management of clinical correspondence
Governance & Quality
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Practice within NMC Code and Advanced Practice competencies
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Work within practice SOPs and clinical pathways
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Participate in clinical audits, SEA processes and quality improvement initiatives
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Maintain up-to-date mandatory training
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Support CQC compliance and safe practice standards
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Identify and report significant events and risks appropriately
Team & Leadership
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Work collaboratively within the multidisciplinary team
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Provide clinical support and advice to nursing and administrative colleagues
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Contribute to service development and pathway improvements
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Participate in practice meetings and protected learning time
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Support training of junior staff where appropriate
3. Professional Responsibilities
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Maintain NMC registration without restriction
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Maintain professional indemnity cover
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Maintain CPD in line with Advanced Clinical Practice framework
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Work within scope of competence and escalate appropriately
Job description
Job responsibilities
1. Job Purpose
To work as an autonomous Advanced Nurse Practitioner within Millway Medical Practice, delivering high-quality, safe, evidence-based care to patients presenting with acute and minor illness.
The post holder will assess, diagnose, treat, prescribe (where qualified), and manage patients independently within their scope of practice, contributing to the overall clinical performance and governance of the practice.
2. Key ResponsibilitiesClinical Practice
-
Provide autonomous assessment, diagnosis and management of:
-
Undertake independent prescribing (if V300 qualified)
-
Order, interpret and act on diagnostic investigations
-
Provide appropriate safety-netting and follow-up
-
Complete accurate, timely and comprehensive clinical documentation on EMIS Web
-
Participate in clinical triage of online consultation requests (e.g. eConsult)
-
Undertake home visits where clinically appropriate
-
Escalate appropriately to GP colleagues when outside scope or complexity threshold
Digital & Administrative Responsibilities
-
Use EMIS Web proficiently for documentation, workflow and task management
-
Manage and action tasks via Docman
-
Use Accurx for patient communication and clinical messaging
-
Participate in workflow optimisation and digital triage processes
-
Contribute to safe and efficient management of clinical correspondence
Governance & Quality
-
Practice within NMC Code and Advanced Practice competencies
-
Work within practice SOPs and clinical pathways
-
Participate in clinical audits, SEA processes and quality improvement initiatives
-
Maintain up-to-date mandatory training
-
Support CQC compliance and safe practice standards
-
Identify and report significant events and risks appropriately
Team & Leadership
-
Work collaboratively within the multidisciplinary team
-
Provide clinical support and advice to nursing and administrative colleagues
-
Contribute to service development and pathway improvements
-
Participate in practice meetings and protected learning time
-
Support training of junior staff where appropriate
3. Professional Responsibilities
-
Maintain NMC registration without restriction
-
Maintain professional indemnity cover
-
Maintain CPD in line with Advanced Clinical Practice framework
-
Work within scope of competence and escalate appropriately
Person Specification
Experience
Essential
- Registered Nurse (NMC)
- MSc in Advanced Clinical Practice (or equivalent)
- Independent Prescriber (V300) or working towards
- Significant experience in General Practice
- Confident autonomous minor illness practitioner
- Able to undertake home visits
- EMIS Web proficient
- Docman proficient
- Accurx proficient
- Strong clinical reasoning and decision-making skills
Desirable
- Experience in high-volume urban GP practice
- Experience with digital triage systems
- Understanding of QOF and Enhanced Services
- Experience working within a PCN environment
Qualifications
Essential
- 1. Professional Registration
- Registered Nurse (Adult) Active NMC registration with no restrictions
- 2. Advanced Clinical Practice Qualification
- MSc in Advanced Clinical Practice (ACP)
- or
- Postgraduate Diploma in Advanced Practice (working towards MSc)
- The qualification should cover:
- Advanced clinical assessment
- Clinical reasoning and diagnostics
- Pharmacology
- Evidence-based practice
Desirable
- Independent Prescribing (V300 Independent Prescriber qualification)
- Minimum 35 years post-registration experience
- Significant experience in General Practice or urgent primary care
- Evidence of autonomous minor illness management
Person Specification
Experience
Essential
- Registered Nurse (NMC)
- MSc in Advanced Clinical Practice (or equivalent)
- Independent Prescriber (V300) or working towards
- Significant experience in General Practice
- Confident autonomous minor illness practitioner
- Able to undertake home visits
- EMIS Web proficient
- Docman proficient
- Accurx proficient
- Strong clinical reasoning and decision-making skills
Desirable
- Experience in high-volume urban GP practice
- Experience with digital triage systems
- Understanding of QOF and Enhanced Services
- Experience working within a PCN environment
Qualifications
Essential
- 1. Professional Registration
- Registered Nurse (Adult) Active NMC registration with no restrictions
- 2. Advanced Clinical Practice Qualification
- MSc in Advanced Clinical Practice (ACP)
- or
- Postgraduate Diploma in Advanced Practice (working towards MSc)
- The qualification should cover:
- Advanced clinical assessment
- Clinical reasoning and diagnostics
- Pharmacology
- Evidence-based practice
Desirable
- Independent Prescribing (V300 Independent Prescriber qualification)
- Minimum 35 years post-registration experience
- Significant experience in General Practice or urgent primary care
- Evidence of autonomous minor illness management
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).
Additional information
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).
