Enhanced Nurse Practitioner

Job description

Job responsibilities

Enhanced Nurse Practitioner Role Overview

The Enhanced Nurse Practitioner works as part of the primary care multidisciplinary team to deliver highquality, evidencebased nursing care. Sitting between a Practice Nurse and an Advanced Nurse Practitioner, this role provides extended clinical skills, increased autonomy, and leadership within the practice or PCN.

The postholder will manage longterm conditions, undertake clinical assessments, contribute to service development, and support the delivery of highquality patient care across the practice.

Care Homes Responsibilities (Advanced/Enhanced Practice)

• Able to travel to different sites during the working week (allocated site per day).
• Work autonomously within a defined scope of practice, providing advanced clinical assessment, diagnosis, treatment, and ongoing management of care home residents.
• Deliver urgent care, longterm condition management, and endoflife care.
• Conduct weekly inperson ward rounds in allocated care homes.
• Provide sameday and urgent clinical assessments.
• Complete comprehensive assessments for new admissions and postdischarge reviews.
• Manage frailty, dementia, longterm conditions, and endoflife care needs.
• Undertake prescribing, referrals, escalation, and safetynetting within scope of competence.
• Maintain accurate, timely, highquality clinical documentation.

Professional & Leadership Responsibilities

• Act as a clinical resource for the nursing team and wider MDT.
• Support junior nurses, HCAs, and trainees through supervision and mentorship.
• Contribute to clinical governance, quality improvement, and audit activities.
• Participate in the development and implementation of clinical pathways.
• Maintain accurate and timely documentation.
• Work within the NMC Code of Conduct and national/local policies.

Service Development

• Contribute to the design and delivery of enhanced services and PCN initiatives.
• Support the practice in meeting QOF, IIF, and other performance targets.
• Identify opportunities to improve patient experience and service efficiency.
• Participate in MDT meetings, case reviews, and clinical discussions.

Qualifications & Experience

Essential

• Registered Nurse (NMC)
• Significant experience in primary care or community nursing
• Evidence of extended clinical skills (e.g., clinical assessment modules, LTC management)
• Strong understanding of safeguarding, infection control, and clinical governance
• Ability to work autonomously and manage a varied caseload
• Excellent communication and interpersonal skills
• Ability to travel between sites as required
• NonMedical Prescribing (V300) qualification

Desirable

• Level 6/7 modules in clinical assessment, diagnostics, or longterm condition management
• Experience supervising or mentoring staff
• Experience in quality improvement or service development
• Working toward or interested in progressing to Advanced Clinical Practice

Personal Attributes

• Compassionate, patientcentred approach
• Strong clinical judgement and decisionmaking ability
• Ability to work collaboratively within a multidisciplinary team
• Commitment to ongoing professional development
• Flexible, organised, and able to prioritise effectively

Equality, Diversity and Inclusion

Primary Care Physio (PCP) is committed to creating a fair, inclusive, and supportive environment for all applicants and employees. We welcome applications from people of all backgrounds and are happy to provide reasonable adjustments throughout the recruitment and employment process.

If you require support with your application due to a disability or longterm health condition, please contact:primarycarefcp.talent@nhs.net.

Our approach aligns with:

• Equality Act 2010 reasonable adjustments duty
• NHS People Promise Belonging, Compassionate and Inclusive
• CQC WellLed domain inclusive culture and fair treatment

Person Specification

Experience

Essential

• - Significant postregistration experience in primary care, community nursing or care home settings
• - Experience delivering comprehensive clinical assessments, including urgent and sameday presentations
• - Proven ability to manage longterm conditions (e.g., frailty, dementia, COPD, diabetes, hypertension)
• - Experience working autonomously and managing a varied caseload
• - Experience supporting patients with complex needs, including endoflife care
• - Experience conducting holistic assessments for new admissions and postdischarge reviews
• - Experience working within multidisciplinary teams across health and social care
• - Strong understanding of safeguarding (adults and children) and escalation processes
• - Experience in accurate clinical documentation and use of electronic clinical systems
• - Experience providing patientcentred care in care homes, community settings or similar environments

Desirable

• - Experience working within Primary Care Networks (PCNs) or across multiple practice sites
• - Experience conducting weekly ward rounds in care homes or similar settings
• - Experience in advanced clinical assessment, diagnostics or managing undifferentiated presentations
• - Experience supporting service development, quality improvement or audit projects
• - Experience supervising, mentoring or assessing students, HCAs or junior nurses
• - Experience in palliative and endoflife care planning, including advance care plans
• - Experience managing complex frailty, polypharmacy and multimorbidity
• - Experience working closely with MDT partners such as care home staff, social care, pharmacists and geriatric teams
• - Experience using EMIS, SystmOne or other primary care clinical systems

Qualifications

Essential

• - Registered Nurse (Adult) with current NMC registration
• - MSc in Advanced Clinical Practice or relevant postgraduate clinical certificate with equivalent experience
• - Independent Prescribing qualification (V300)

Desirable

• - Postgraduate qualifications in frailty, dementia, or longterm condition management
• - Physical assessment and clinical diagnostics training at Level 7
• - Mentorship, supervision or teaching qualification (e.g., Practice Assessor/Practice Supervisor)

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

Primary Care Physio

Address

Burnley Wood Medical Centre

50 Parliament Street

Burnley

Lancashire

BB11 3HR

Employer's website

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