Epsom Primary Care Network

Advanced Nurse Practitioner

The closing date is 30 November 2025

Job summary

This is a great opportunity to join a dynamic Primary Care Network in Epsom, Surrey. The role offers a mix of 1) home visits with close liaison with our practices and our community team (matrons, DNs, physiotherapists etc) and 2) practice based role within a large, thriving practice in the centre of Epsom.

Main duties of the job

The post-holder is an Advanced Nurse Practitioner(ANP)

They have 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 the interpretation of test results. They can independently prescribe appropriate medication, evaluate or refer to other specialists if necessary.

About us

Epsom PCN brings together six GP practices across the Epsom and Ewell area, serving a population of approximately 63,000 patients. We are a well-established and forward-thinking network, supported by a multidisciplinary team of around 25 to 30 additional roles, including Clinical Pharmacists, Paramedics, Physician Associates, First Contact Physiotherapists, Pharmacy Technicians, Care Co-ordinators, GPs, and a dedicated Health & Wellbeing Team.

We work closely with our Community and Integrated Mental Health Teams to provide joined-up, person-centred care. Epsom PCN is proud to be among the first 43 areas in England selected for the governments new Neighbourhood Health Programme, reflecting our strong partnerships and collaborative working with the VCSE (Voluntary, Community and Social Enterprise) sector.

Our PCN is dynamic and ambitious, demonstrated by our success in securing two Surrey Heartlands test bed pilot projects including one focused on delivering transformative care at scale through an innovative new Electronic Patient Record (EPR) system.

Its an exciting time to join Epsom PCN as we continue to shape the future of integrated care in our community. We look forward to welcoming your application.

Date posted

30 October 2025

Pay scheme

Other

Salary

Depending on experience ARRS Band 8a

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

A4149-25-0002

Job locations

The Molebridge Practice

148 -152 Kingston Road

Leatherhead

Surrey

KT22 7PZ

Derby Medical Centre

8 The Derby Square

Epsom

Surrey

KT19 8AG

Job description

Job responsibilities

Primary key responsibilities

The following are the core responsibilities of the ANP in delivering health services.

a. Develop, implement and embed health promotion and wellbeing programmes

b. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice

c. Implement and evaluate individual specialised treatment plans for chronic disease patients

d. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health

e. Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF

f. Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children

g. Request and collect pathological specimens. Upon receipt, to process and interpret pathology and other test results as required

h. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required

i. Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively

j. Maintain chronic disease registers and implement and embed an effective call/recall system

k. Develop, implement and embed well woman and well man clinics

l. Chaperone patients where necessary

m. Prioritise health issues and intervene appropriately

n. Support the team in dealing with clinical emergencies

o. Recognise, assess and refer patients presenting with mental health needs

p. Support in the provision of vaccination programmes for both adults and children

q. Be an extended and supplementary prescriber, adhering to extant guidance

r. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required

s. Contribute to practice targets (QOF, etc.), complying with local and regional guidance

t. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)

u. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)

v. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

w. Deliver opportunistic health promotion where appropriate

x. Work as part of a multi-disciplinary team (MDT) within the organisation

y. Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team

z. Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to the social prescribing service and, where appropriate, other community or voluntary services

aa. Be able to:

bb. Perform specialist health checks and reviews within their scope of practice and in line with local and national guidance

cc. Perform and interpret ECGs

dd. Perform investigatory procedures as required and undertake the collection of pathological specimens including intravenous blood samples, swabs and other samples within their scope of practice and within line of local and national guidance

ee. Support the delivery of anticipatory care plans and lead certain services (e.g., monitoring blood pressure and diabetes risk of elderly patients)

ff. Provide an alternative model to urgent and same day GP home visit for the network

gg. Communicate at all levels across organisations ensuring that an effective, person-centred service is delivered

hh. Communicate proactively and effectively with all colleagues across the MDT, attending and contributing to meetings as required

There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels

Wider responsibilities

In addition to the primary responsibilities, the ANP has the following wider responsibilities:

a. Provide holistic support in the clinical governance spectrum assuming a senior role in its compliance

b. Support the IPC lead for the practice, ensuring compliance

c. Monitor and ensure the safe storage, rotation and disposal of medications

d. Undertake overall management of the nursing team, providing guidance when necessary, acting as a mentor to students and newly qualified staff

e. Participate in local initiatives to enhance service delivery and patient care

f. Support and participate in shared learning within the organisation

g. Develop an area of specialist interest, taking the lead within the organisation

h. Continually review clinical practices, responding to national policies and initiatives where appropriate

i. Drive the development of nursing services within the organisation, liaising with external agencies and professional organisations as required

j. Develop practice administrative and clinical protocols in line with the needs of the patient and current legislation