Nurse Practitioner

Job responsibilities

KEY TASKS AND RESPONSIBILITIES

The Nurse Practitioner will provide advanced, autonomous, and person-centred care within a 24/7 integrated triage and coordination service. Working across in hours and out-of-hours provision, Nurses will work on three workstreams; Oncology and Haematology Helpline, Powys Care Co-ordination (CCC) including Single Point of Access (SPA) and Integrated Urgent care (IUC) for Powys. The postholder will deliver expert clinical assessment, care planning and autonomous decision making to achieve the best outcome for patients and the referring Clinicians. They will operate within an extended scope of practice and act as a clinical anchor across acute, primary, community, and voluntary sectors, particularly supporting patients with cancer, complex needs, and those requiring urgent care navigation.

CLINICAL AND PROFESSIONAL RESPONSIBILITIES

• Deliver safe and effective triage and clinical assessment services via telephone and digital platforms both in-hours and out-of-hours, accurately collating information using electronic clinical systems and determining the most appropriate care response or escalation.
• Independently assess, interpret, and synthesise clinical information from a range of sources (including directly from patients or via call handlers) to make professionally autonomous decisions, avoiding unnecessary onward referral where safe to do so.
• Provide an evidence-based, nurse-led Oncology and Haematology Helpline managing chemotherapy-related toxicities, treatment side effects, and life threatening symptoms, with a strong emphasis on holistic support.
• Act as a Care Coordination Centre clinician, liaising with referring GPs, health and social care teams, and third-party providers to agree and implement care plans, ensuring safe and timely navigation through complex care pathways. This is or both local DGHs and Northwest area OOH for Oncology Patients.
• Provide health promotion, self-management education, and personalised care planning, working in partnership with patients and carers to support autonomy, wellbeing, and prevention of deterioration.
• Support clinical safeguarding responsibilities by identifying and escalating concerns in line with organisational policy, and by placing vulnerable adults or children at the centre of all risk-based decisions.
• Document all patient contact, interventions, and clinical risk decisions accurately using the appropriate electronic systems. Ensure adherence to professional, legal, and organisational documentation standards.
• Always uphold professional standards and ethical practice, maintaining registration, engaging in revalidation processes, and working within the scope of practice defined by the NMC or other relevant regulatory body.
• Maintain and promote dignity, respect, and inclusivity for all patients and carers, particularly addressing cultural, language, age, disability, or other barriers to health equity.
• Participate in and receive regular clinical supervision and mentorship to support safe practice, reflective development, and emotional resilience in high-pressure environments.
• Communicate and collaborate effectively with other health professionals, ensuring smooth handovers, continuity of care, and coordinated multidisciplinary responses

SERVICE IMPROVEMENT DEVELOPMENT AND IMPLEMENTATION

• Contribute to the development and continuous improvement of a 24/7 integrated unscheduled care service, proactively identifying system gaps, inefficiencies, or opportunities for innovation.
• Participate in the creation and review of clinical protocols, care pathways, and operating procedures to align service delivery with evidence-based practice and local population needs.
• Lead or contribute to service audits, quality improvement projects, and research activity designed to evaluate and enhance patient outcomes, clinical safety, and staff performance.
• Represent the organisation with professionalism and act as a clinical ambassador in collaborative forums, partnership meetings, and when liaising with external providers.
• Promote safe working environments by complying with all statutory Health & Safety, fire safety, infection prevention, and clinical incident reporting policies. Report any adverse clinical events with recommendations for service learning and improvement.
• Take responsibility for clinical equipment care, ensuring safe use, calibration, and prompt reporting of faults or risks.
• Support the ongoing development of the workforce, mentoring junior or newly appointed colleagues and contributing to the organisational learning culture through formal and informal training opportunities.
• Maintain awareness of national and local developments in oncology, urgent care, and digital triage innovation, integrating relevant updates into local practice and sharing insights with the wider team.

Qualifications

Essential

• Professional registration (NMC).

Desirable

• HCPC considered if applicant has previous NMC registration

Personal Attributes

Essential

• Excellent communication, listening and interpersonal skills.
• Ability to concentrate for prolonged periods of time.
• Ability to use own initiative and prioritise work but also be an
• enthusiastic team player.
• Confident decision maker.
• Systematic approach to problem solving.
• Kind, empathetic and caring attitude to all patients.

Experience

Essential

• Experience of multi-disciplinary working.
• Excellent communication, reasoning and interpersonal skills
• including emotional intelligence in order to deal effectively with
• complex and sensitive patient information, distressed or
• aggressive patients, or those with an impaired level of
• understanding.
• Ability to perform holistic assessment, critically analyse complex
• patient information or situations.
• Ability to critically analyse patient information or situations and
• make clinical judgements and decisions as to the best course of
• action.
• Ability to act independently within occupational guidelines.
• Skilled in clinical history taking and accurate recording of clinical
• notes.
• Clear understanding of professional responsibility and
• accountability.
• Practical knowledge across a wide range of clinical conditions.
• Knowledge of current clinical evidence-based practice.

Desirable

• Experience of delivering patient care in urgent care primary care or
• community setting.
• Ability to liaise and communicate effectively with all members of
• the multi-disciplinary team and other services.
• Computer literate - able to use various forms of media and IT
• systems. Ability to type patient notes when on the phone.
• Broad understanding of managing patients in a primary care or
• emergency setting.
• Understanding of equality and diversity issues in a healthcare
• delivery setting.

Other

Essential

• Ability to attend work on a regular basis and meet the requirements
• of the role with any reasonable adjustments which have been
• notified and arrangements made under the Equality Act.
• Flexibility in working in a rostered environment including night
• shifts, bank holidays and weekend working.
• To work in the call centre for every shift. Remote working to be
• utilised only in times of escalation to assist Shropdoc in meeting
• clinical demand.

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).