Job summary
The Leith Hill Practice is looking to welcome a capable and motivated Advanced Nurse Practitioner (ANP) to our collaborative and forward-thinking team. This part-time opportunity (15-20 hours per week) offers the chance to play a meaningful role in delivering high-quality care at a well-established rural practice with a loyal and varied patient population. The role reports to the practice manager.
As an ANP, you will manage a broad clinical caseload across acute, urgent, and long-term conditions. You will be involved in chronic disease management, on-the-day care, and collaborative decision-making alongside our GPs, nurses, HCAs, and wider multi-professional team.
Independent prescribing (V300) is highly desirable.
What were looking for:
-
MSc/Postgraduate Diploma in Advanced Clinical Practice (or equivalent)
-
Registered Nurse with current NMC registration
-
Independent Prescriber (V300) preferred
-
Strong clinical reasoning, communication, and decision-making skills
-
Experience in primary or urgent care
-
A reflective, team-oriented professional with emotional intelligence and a commitment to high standards
Main duties of the job
This is a varied and autonomous clinical role suited to a highly skilled Advanced Nurse Practitioner. You will assess, diagnose, treat, and manage patients with a wide range of acute and chronic conditions, using expert clinical reasoning and evidence-based decision-making. You will provide personalised care in partnership with patients and families, contribute to chronic disease management, and may prescribe medications and treatments where qualified.
You will be a key part of the multidisciplinary team, working within your professional code and scope of practice, exercising judgement, managing risk, and recognising the limits of your competence. You will reflect critically on your practice, support safeguarding, lead service improvements, and help shape high-quality patient care.
The role also includes mentoring, peer support, and contributing to governance, QOF, audit, and significant event reviews.
If you're passionate about delivering excellent care and supporting innovation in primary care, we welcome your application.
About us
The Leith Hill Practice is a high-performing, rural GP surgery with two sites in Capel and South Holmwood, serving around 8,000 patients. We are a well-established training and dispensing practice known for our patient-centred care, collaborative ethos, and strong community links. We've been rated Good by the CQC across all domains and consistently rank among the top practices in Surrey and nationally most recently scoring 97% positive feedback in the 2025 GP Patient Survey.
Our team includes GP Partners, nurses, healthcare assistants, pharmacists, dispensers, reception and admin staff working together to deliver high-quality care.
This is a great opportunity to join a forward-thinking, friendly team in a role that offers real autonomy, variety, and the chance to make a difference to a loyal and diverse patient population.
Job description
Job responsibilities
- Practise in compliance with their respective code of
professional conduct and within their scope of practice, being responsible and
accountable for their decisions, actions and omissions at this level of
practice
- Demonstrate a critical understanding of their broadened
level of responsibility and autonomy and the limits of own competence and
professional scope of practice, including when working with complexity, risk,
uncertainty and incomplete information
- Act on professional judgement about when to seek help,
demonstrating critical reflection on own practice, self-awareness, emotional
intelligence, and openness to change
- Work in partnership with individuals, families and carers,
using a range of assessment methods as appropriate
- Demonstrate effective communication skills, supporting
people in making decisions, planning care or seeking to make a positive change
- Use expertise and decision-making skills to inform clinical
reasoning
- Initiate, evaluate and modify a range of interventions which
may include prescribing medicines, therapies, lifestyle advice and care
- Exercise professional judgement to manage risk
- Manage patients presenting with a range of acute and chronic
medical conditions, providing subject matter expert advice
- Implement and evaluate individual specialised treatment
plans for chronic disease patients
- Identify, manage and support patients at risk of developing
long-term conditions, preventing adverse effects to the patients health
- Be a professional role model for the organisation
- Actively engage in peer review to inform own and others
practice, formulating and implementing strategies to act on learning and make
improvements
- Actively seek feedback and involvement from individuals,
families, carers, communities and colleagues in the co-production of service
improvements
- Critically assess and address own learning needs,
negotiating a personal development plan that reflects the breadth of ongoing
professional development across the four pillars of advanced nurse practice
(clinical practice, leadership and management, education and research).
- Provide chronic disease clinics, delivering patient care as
necessary, referring patients to secondary/specialist care as required
- Maintain accurate clinical records in conjunction with
extant legislation
- and to ensure SNOMED CT codes are used effectively
- Develop, implement and embed an effective call/recall system
- Critically appraise and synthesise the outcome of relevant
research, evaluation and audit, using the results to underpin own practice and
to inform that of others
- Develop and implement robust governance systems and
contribute to practice targets (QOF, etc.), complying with local and regional
guidance
- Chaperone patients where necessary
- Support the team in dealing with clinical emergencies
- Support the team with all safeguarding matters in accordance
with local and national policies
- Understand practice and local policies for substance abuse
and addictive behaviour, referring patients appropriately
Secondary
ResponsibilitiesIn addition to the primary responsibilities, the Advanced
Nurse Practitioner may be requested to:
- Support the IPC lead, ensuring compliance, and undertaking
audit as necessary
- Monitor and ensure the safe storage, rotation and disposal
of medicines
- Undertake overall management of a clinical team, providing
guidance when necessary, acting as a mentor to students and newly qualified
staff
- Maintain an effective clinical staff rota ensuring all
clinics are staffed appropriately
- Participate in local initiatives to enhance service delivery
and patient care
- Support and participate in shared learning within the
organisation
- Develop an area of specialist interest, taking the lead
within the organisation
- Continually review clinical practices, responding to
national policies and initiatives where appropriate
- Participate in the review of significant and near-miss
events applying a structured approach i.e., root cause analysis (RCA)
- Commensurate with their role, support the development of
clinical services within the organisation, liaising with external agencies and
professional organisations as required
- Develop practice administrative and clinical protocols in
line with the needs of the patient and current legislation
Job description
Job responsibilities
- Practise in compliance with their respective code of
professional conduct and within their scope of practice, being responsible and
accountable for their decisions, actions and omissions at this level of
practice
- Demonstrate a critical understanding of their broadened
level of responsibility and autonomy and the limits of own competence and
professional scope of practice, including when working with complexity, risk,
uncertainty and incomplete information
- Act on professional judgement about when to seek help,
demonstrating critical reflection on own practice, self-awareness, emotional
intelligence, and openness to change
- Work in partnership with individuals, families and carers,
using a range of assessment methods as appropriate
- Demonstrate effective communication skills, supporting
people in making decisions, planning care or seeking to make a positive change
- Use expertise and decision-making skills to inform clinical
reasoning
- Initiate, evaluate and modify a range of interventions which
may include prescribing medicines, therapies, lifestyle advice and care
- Exercise professional judgement to manage risk
- Manage patients presenting with a range of acute and chronic
medical conditions, providing subject matter expert advice
- Implement and evaluate individual specialised treatment
plans for chronic disease patients
- Identify, manage and support patients at risk of developing
long-term conditions, preventing adverse effects to the patients health
- Be a professional role model for the organisation
- Actively engage in peer review to inform own and others
practice, formulating and implementing strategies to act on learning and make
improvements
- Actively seek feedback and involvement from individuals,
families, carers, communities and colleagues in the co-production of service
improvements
- Critically assess and address own learning needs,
negotiating a personal development plan that reflects the breadth of ongoing
professional development across the four pillars of advanced nurse practice
(clinical practice, leadership and management, education and research).
- Provide chronic disease clinics, delivering patient care as
necessary, referring patients to secondary/specialist care as required
- Maintain accurate clinical records in conjunction with
extant legislation
- and to ensure SNOMED CT codes are used effectively
- Develop, implement and embed an effective call/recall system
- Critically appraise and synthesise the outcome of relevant
research, evaluation and audit, using the results to underpin own practice and
to inform that of others
- Develop and implement robust governance systems and
contribute to practice targets (QOF, etc.), complying with local and regional
guidance
- Chaperone patients where necessary
- Support the team in dealing with clinical emergencies
- Support the team with all safeguarding matters in accordance
with local and national policies
- Understand practice and local policies for substance abuse
and addictive behaviour, referring patients appropriately
Secondary
ResponsibilitiesIn addition to the primary responsibilities, the Advanced
Nurse Practitioner may be requested to:
- Support the IPC lead, ensuring compliance, and undertaking
audit as necessary
- Monitor and ensure the safe storage, rotation and disposal
of medicines
- Undertake overall management of a clinical team, providing
guidance when necessary, acting as a mentor to students and newly qualified
staff
- Maintain an effective clinical staff rota ensuring all
clinics are staffed appropriately
- Participate in local initiatives to enhance service delivery
and patient care
- Support and participate in shared learning within the
organisation
- Develop an area of specialist interest, taking the lead
within the organisation
- Continually review clinical practices, responding to
national policies and initiatives where appropriate
- Participate in the review of significant and near-miss
events applying a structured approach i.e., root cause analysis (RCA)
- Commensurate with their role, support the development of
clinical services within the organisation, liaising with external agencies and
professional organisations as required
- Develop practice administrative and clinical protocols in
line with the needs of the patient and current legislation
Person Specification
Qualifications
Essential
- Qualified healthcare professional
- Educated to Masters degree as detailed within the HEE document tilted Multi-professional framework for advanced clinical practice in England
- Registered on their appropriate professional register
- BLS
Desirable
- Qualified independent prescriber - V300
Clinical Knowledge and Skills
Essential
- To see acutely ill patients of all ages on the day and to support the team with chronic disease reviews
- Understand the importance of evidence-based practice
- Broad knowledge of clinical governance
- Ability to record accurate clinical notes
- Ability to work within own scope of practice and understand when to refer to GPs
- Knowledge of health promotion strategies
- Understand the requirement for PGDs and associated policy
- Polite and confident, flexible and cooperative
- Motivated, forward thinker
- Problem solver with the ability to process information accurately and effectively, interpreting data as required
- High levels of integrity and loyalty
- Sensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situations
Desirable
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
Other Requirements
Essential
- Enhanced Disclosure Barring Service (DBS) check
- Occupational health clearance
- Meet the requirements and produce evidence for revalidation
- Evidence of continuing professional development (CPD) commensurate with the role of an ANP
- Access to own transport and ability to travel across locality on a regular basis
- Flexibility to work outside core office hours
Experience
Essential
- Experience of practice within the four pillars
- Job plan that demonstrates advanced nursing practice and has equity with peers working at this level
Desirable
- Experience of prescribing and undertaking medication reviews
- Experience of working in a primary care environment
Person Specification
Qualifications
Essential
- Qualified healthcare professional
- Educated to Masters degree as detailed within the HEE document tilted Multi-professional framework for advanced clinical practice in England
- Registered on their appropriate professional register
- BLS
Desirable
- Qualified independent prescriber - V300
Clinical Knowledge and Skills
Essential
- To see acutely ill patients of all ages on the day and to support the team with chronic disease reviews
- Understand the importance of evidence-based practice
- Broad knowledge of clinical governance
- Ability to record accurate clinical notes
- Ability to work within own scope of practice and understand when to refer to GPs
- Knowledge of health promotion strategies
- Understand the requirement for PGDs and associated policy
- Polite and confident, flexible and cooperative
- Motivated, forward thinker
- Problem solver with the ability to process information accurately and effectively, interpreting data as required
- High levels of integrity and loyalty
- Sensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situations
Desirable
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
Other Requirements
Essential
- Enhanced Disclosure Barring Service (DBS) check
- Occupational health clearance
- Meet the requirements and produce evidence for revalidation
- Evidence of continuing professional development (CPD) commensurate with the role of an ANP
- Access to own transport and ability to travel across locality on a regular basis
- Flexibility to work outside core office hours
Experience
Essential
- Experience of practice within the four pillars
- Job plan that demonstrates advanced nursing practice and has equity with peers working at this level
Desirable
- Experience of prescribing and undertaking medication reviews
- Experience of working in a primary care environment
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).
