Advanced Nurse Practitioner

Job description

Job responsibilities

Job Summary

The Advanced Nurse Practitioner (ANP) works autonomously within the GP practice, providing advanced, evidencebased clinical assessment, diagnosis, treatment, and management for patients presenting with a wide range of acute, chronic, and complex conditions.

The postholder will independently prescribe, undertake clinical investigations, interpret results, and develop comprehensive management plans in line with national and local guidelines.

The ANP plays a key role in improving patient access, supporting safe clinical decision making, and contributing to the ongoing development of high quality primary care services. The role requires strong leadership, excellent clinical judgement, and commitment to multidisciplinary working to ensure continuity of care and optimal patient outcomes.

Purpose of Job

The Advanced Nurse Practitioner (ANP) works as an autonomous, highly skilled clinician within the GP practice, delivering advanced patient assessment, diagnosis, treatment, and follow up care. The purpose of the role is to enhance clinical capacity, improve access, and provide high quality, patient centred care for individuals presenting with acute, chronic, and complex conditions.

The ANP is expected to use advanced clinical reasoning, independent prescribing, and expert judgement to manage undifferentiated presentations and support continuity of care. The postholder contributes to improving clinical outcomes, reducing GP workload, and strengthening the practices ability to meet demand safely and effectively. The role incorporates leadership, service improvement, and the professional development of the wider multidisciplinary team, supporting excellence in patient care, clinical governance, and continuous improvement across the practice.

Accountable to the Practice Board of Directors to provide a timely and responsive service of all business, administrative, clinical and patient services.

Clinical Responsibilities

• Provide advanced clinical assessment, diagnosis and management of patients with acute, chronic and complex conditions
• Independently prescribe medications in line with national guidance and practice policies.
• Request and interpret diagnostic tests such as bloods, ECGs and imaging where appropriate
• Manage long-term conditions in line with local and national clinical pathways.
• Provide urgent/on-the-day care and triage according to clinical risk.
• Deliver health promotion, disease prevention, and self-care education
• Undertake home visits and care home reviews where required.
• Maintain accurate, contemporaneous clinical records.
• Contribute to QOF, DES/LES and other quality initiatives.

Leadership, Quality & Governance

• Uphold the NMC Code and ensure safe, evidence based clinical practice
• Participate in audits, quality improvement and significant event reviews
• Support safeguarding responsibilities for both children and adults.
• Ensure safe prescribing, medicines optimisation, and infection prevention.
• Participate in mandatory training, appraisal and revalidation.

Multidisciplinary Team working

• Work closely with GPs, clinicians, pharmacists, nurses and the wider MDT
• Liaise with community teams, secondary care and external agencies
• Support escalation for complex cases and provide clinical advice to colleagues

Education & Development

• Act as a clinical resource for the wider team
• Support training, induction and supervision of junior staff or trainees
• Engage in ongoing CPD and maintain advanced practice competencies
• Participate in peer review, clinical supervision and reflective practice

General Duties

• Provide clear and concise information to patients.
• Put patients at ease and give them the opportunity to explain their needs.
• Employ a variety of questioning techniques to develop a full picture of the nature of the patients requirements.
• Identify potentially serious problems and bring those to the immediate attention of the appropriate clinician.
• For less serious problems, identify and agree an appropriate timeframe for the patient to be seen, with the appropriate clinician.
• Build and maintain strong relationships with all colleagues.
• Develop and maintain an in-depth knowledge and understanding of the services provided by the Practice and the wider health community.
• Demonstrate assertiveness without being domineering and have the ability to gain confidence of the service user.
• Assess own performance and take accountability for own actions, either directly or under supervision.
• Effectively manage own time, workload and resources.
• Any other duties that may be requested by the Doctors, Practice Nurses or the Practice Manager
• Maintain confidentiality and comply with GDPR regulations.

Equality and diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/professional development

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work

Quality

The post-holder will strive to maintain quality within the practice, and will:

• Alert other team members to issues of quality and risk
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
• Work effectively with individuals in other agencies to meet patients needs
• Effectively manage own time, workload and resources

Communication

The post-holder should recognize the importance of effective communication within the team and will strive to:

• Communicate effectively with other team members
• Communicate effectively with patients and carers
• Recognize peoples needs for alternative methods of communication and respond accordingly

Safeguarding

Thornton Practice is committed to safeguarding and promoting the welfare of all children and young people and vulnerable adults who attend the surgery, either as patients or when accompanying patients. The post-holder will be expected to share this commitment.

If the post-holder has a concern regarding a child or young person or vulnerable adult they have a duty to act upon that concern. This may mean sharing that concern with another professional and following local and national guidance.

This job description is not exhaustive and may need to be amended as the practice develops. A flexible attitude and close liaison with other members of the practice is an integral part of this post.

Person Specification

Qualifications

Essential

• Experience of working in a primary care environment
• Experience of continued professional development
• General understanding of the GMS contract

Desirable

• Experience of QOF and clinical audit
• Experience of medicines management
• Experience of ICS / ICP / CCG initiatives

Experience

Essential

• Excellent communication skills (written and oral)
• Strong IT skills
• Clear, polite telephone manner
• EMIS Web
• Effective time management
• Ability to work as a team member and autonomously
• Excellent interpersonal skills
• Problem solving & analytical skills
• Ability to follow clinical policy and procedure
• Experience with audit and able to lead audit programmes
• Experience with clinical risk 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).

Employer details

Employer name

The Thornton Practice

Address

The Thornton Practice

Church Road

Thornton-cleveleys

Lancashire

FY5 2TZ

Employer's website

https://www.thedoctors.co.uk/ (Opens in a new tab)