Job summary
Hours: 22.5 Hrs per Week (3 days) - Fixed Term until the end of March 2026.
Salary: Dependant on experience and qualifications
Location: Under One Roof, Norwich
Service Overview:
The Vulnerable Adult Service (VAS) provides enhanced primary medical support to
individuals facing severe and multiple disadvantages. The service operates
Monday to Friday, 9 AM to 5 PM, from Under One Roof in Norwich, supporting
individuals who are:
- Homeless or at risk of losing their home
- Living in temporary accommodation
- Rough sleepers or staying in hostels
- Recently released from prison
- Asylum seekers and refugees
- Sex workers
- Gypsies, Travellers, and Roma populations (excluding settled communities)
Eligible service users must be 18 years or older and reside within the Norwich Primary Care Network (PCN) catchment area.
Job Summary
As an Advanced Nurse Practitioner (ANP) within the Vulnerable Adult Service, you will work as part of a multidisciplinary team to provide both in-reach and outreach clinical support. Your role will involve proactive and person-centered care for marginalised populations, ensuring their complex health and social care needs are met.
You will act within your professional boundaries and competencies, delivering expert clinical assessment, diagnosis, treatment, and referral. This role requires an understanding of trauma-informed care, health inequalities, and safeguarding practices.
Main duties of the job
- Conduct comprehensive physical, psychological, and social assessments for service users.
- Diagnose and manage acute and chronic conditions, prescribing medications as an Independent Non-Medical Prescriber (or working towards).
- Provide opportunistic and proactive health interventions, including vaccinations, wound care, and sexual health services.
- Support continuity of care through follow-ups and collaboration with local healthcare and support services.
- Prioritise safeguarding concerns and liaise with relevant agencies to ensure the safety and well-being of vulnerable individuals.
- Deliver outreach clinical support to service users in hostels, temporary accommodations, and community settings.
- Facilitate access to primary and secondary care services, reducing barriers for marginalised populations.
- Educate and empower service users regarding self-care and long-term health management.
- Participate in clinical audits, quality improvement initiatives, and service evaluations.
- Maintain accurate clinical documentation in line with governance policies.
- Work collaboratively with a multidisciplinary team, including GPs, mental health specialists, social workers, and voluntary sector organisations.
This is an opportunity to make
a meaningful impact on the lives of vulnerable individuals by providing
accessible, compassionate, and person-centered healthcare. If you are
passionate about reducing health inequalities and working with marginalised
communities, we encourage you to apply.
About us
Norfolk Primary Care Ltd is a Community Interest
Company. It is established to:
- Support and strengthen primary care and to
promote and assist practices to improve quality by working with and on behalf
of primary care in Norfolk.
- Help with challenges identified by practices
workload, GP recruitment, sharing best practice.
- Recognise the changing nature of primary care and
assist to ensure that the right level of service is provided to address the
needs of the local population.
- Provide benefit to patients of primary care, the
clinicians and administrators who work in it and practice organisations in
Norfolk.
- Work within health systems to provide patient
care in innovative and solution-focussed ways.
Job description
Job responsibilities
Norfolk Primary Care
Generic Job Description Areas
Communication
-
Utilise and demonstrate sensitive
communication styles.
-
Communicate effectively with stakeholders,
patients and carers, recognising the need for alternative methods of
communication to overcome different levels of understanding, cultural
background and preferred ways of communicating.
-
Anticipate barriers to communication and
take action to improve communication.
-
Maintain effective communication within the
office environment and with external stakeholders.
-
Ensure awareness of sources of support and
guidance (eg PALS) and provide information in an acceptable format to service
users, recognising any difficulties and referring for further support where
appropriate.
Delivering a quality service
-
Prioritise, organise and manage own workload
in a manner that maintains and promotes quality.
-
Participate in quality assurance and safety
processes across the organisation and its activities.
-
Participate in shared learning across the
organisation and wider health and social care system.
-
Use a structured framework (e.g. root-cause
analysis) to manage, review and identify learning from complaints, clinical
incidents and near-miss events.
-
Assess the impact of policy implementation
on care delivery.
-
Understand and apply legal issues that
support the identification of vulnerable and abused children and adults, and be
aware of statutory child/vulnerable patients health procedures and local
guidance.
Leadership personal and
people development
-
Take responsibility for own learning and
performance including participating in coaching/supervision and acting as a
positive role mode.
-
Support staff development in order to
maximise potential.
-
Actively promote the workplace as a learning
environment, encouraging everyone to learn from each other and from external
good practice.
-
Encourage others to make realistic
self-assessment of their application of knowledge and skills, challenging any
complacency or actions that are not in the interest of the public and/or users
of services.
-
Critically evaluate and review innovations
and developments that are relevant to the area of work.
-
Enlist support and influence stakeholders
and decision-makers in order to bring about new developments in the provision
of services.
-
Contribute to planning and implementing
changes within the area of care and responsibility.
-
Contribute to the development of local
guidelines, protocols and standards.
Team working
-
Understand own role and scope and identify
how this may develop over time.
-
Work as an effective and responsible team
member, supporting others and exploring the mechanisms to develop new ways of
working.
-
Delegate clearly and appropriately, adopting
the principles of safe practice and assessment of competence.
-
Prioritise own workload and ensure effective
time-management strategies are embedded within the culture of the team.
-
Work effectively with others to clearly
define values, direction and policies impacting upon care delivery.
-
Discuss, highlight and work with the team to
create opportunities to improve patient care and employee satisfaction.
-
Agree plans and outcomes by which to measure
success.
Management of risk
-
Manage and assess risk within the areas of
responsibility, ensuring adequate measures are in place to protect staff and
service users.
-
Monitor work areas and practices to ensure
they are safe and free from hazards and conform to health, safety and security
legislation, policies, procedures and guidelines.
-
Ensure appropriate supervision of safe
storage, rotation and disposal of vaccines and drugs.
-
Complete mandatory and statutory training
requirements.
-
Apply infection-control measures within the
organisation according to local and national guidelines.
-
Interpret national strategies and policies
into local implementation strategies that are aligned to the values and culture
of the organisation.
Managing information
-
Use technology and appropriate software as
an aid to management in planning, implementation and monitoring of care,
presenting and communicating information.
-
Review and process data in order to ensure
easy and accurate information retrieval for monitoring and audit processes.
-
Manage information searches using the
internet and local library databases.
-
Understand responsibility of self and others
to the organisation regarding Data Protection (Data Protection Act 1998,
General Data Protection Regulations, 2018 and Freedom and Information Act,
2000).
Learning and development
-
Undertake mentorship for team members.
-
Disseminate learning and information gained
to other team members in order to share good practice and inform others about
current and future developments (eg courses and conferences).
-
Assess own learning needs and undertake
learning as appropriate.
Equality and diversity
-
Identify patterns of discrimination and take
action to overcome this and promote diversity and equality of opportunity.
-
Enable others to promote equality and
diversity in a non-discriminatory culture.
-
Support people who need assistance in
exercising their rights.
-
Monitor and evaluate adherence to local
chaperoning policies.
-
Act as a role model in the observance of
equality and diversity good practice.
-
Accept the rights of individuals to choose
their care providers, participate in care and refuse care.
-
Assist patients from marginalised groups to
access quality care.
Infection Control
-
NNPC staff are responsible for protecting
themselves and others against infection risks. All staff, regardless of whether
or not they deliver a clinical role, are expected to comply with current
infection control policies and procedures.
Sustainability and Carbon
Reduction
-
All staff are expected to work in a
sustainable manner, demonstrating consideration for environmental issues and
the adoption of alternative working practices where possible to contribute to
carbon reduction.
Job description
Job responsibilities
Norfolk Primary Care
Generic Job Description Areas
Communication
-
Utilise and demonstrate sensitive
communication styles.
-
Communicate effectively with stakeholders,
patients and carers, recognising the need for alternative methods of
communication to overcome different levels of understanding, cultural
background and preferred ways of communicating.
-
Anticipate barriers to communication and
take action to improve communication.
-
Maintain effective communication within the
office environment and with external stakeholders.
-
Ensure awareness of sources of support and
guidance (eg PALS) and provide information in an acceptable format to service
users, recognising any difficulties and referring for further support where
appropriate.
Delivering a quality service
-
Prioritise, organise and manage own workload
in a manner that maintains and promotes quality.
-
Participate in quality assurance and safety
processes across the organisation and its activities.
-
Participate in shared learning across the
organisation and wider health and social care system.
-
Use a structured framework (e.g. root-cause
analysis) to manage, review and identify learning from complaints, clinical
incidents and near-miss events.
-
Assess the impact of policy implementation
on care delivery.
-
Understand and apply legal issues that
support the identification of vulnerable and abused children and adults, and be
aware of statutory child/vulnerable patients health procedures and local
guidance.
Leadership personal and
people development
-
Take responsibility for own learning and
performance including participating in coaching/supervision and acting as a
positive role mode.
-
Support staff development in order to
maximise potential.
-
Actively promote the workplace as a learning
environment, encouraging everyone to learn from each other and from external
good practice.
-
Encourage others to make realistic
self-assessment of their application of knowledge and skills, challenging any
complacency or actions that are not in the interest of the public and/or users
of services.
-
Critically evaluate and review innovations
and developments that are relevant to the area of work.
-
Enlist support and influence stakeholders
and decision-makers in order to bring about new developments in the provision
of services.
-
Contribute to planning and implementing
changes within the area of care and responsibility.
-
Contribute to the development of local
guidelines, protocols and standards.
Team working
-
Understand own role and scope and identify
how this may develop over time.
-
Work as an effective and responsible team
member, supporting others and exploring the mechanisms to develop new ways of
working.
-
Delegate clearly and appropriately, adopting
the principles of safe practice and assessment of competence.
-
Prioritise own workload and ensure effective
time-management strategies are embedded within the culture of the team.
-
Work effectively with others to clearly
define values, direction and policies impacting upon care delivery.
-
Discuss, highlight and work with the team to
create opportunities to improve patient care and employee satisfaction.
-
Agree plans and outcomes by which to measure
success.
Management of risk
-
Manage and assess risk within the areas of
responsibility, ensuring adequate measures are in place to protect staff and
service users.
-
Monitor work areas and practices to ensure
they are safe and free from hazards and conform to health, safety and security
legislation, policies, procedures and guidelines.
-
Ensure appropriate supervision of safe
storage, rotation and disposal of vaccines and drugs.
-
Complete mandatory and statutory training
requirements.
-
Apply infection-control measures within the
organisation according to local and national guidelines.
-
Interpret national strategies and policies
into local implementation strategies that are aligned to the values and culture
of the organisation.
Managing information
-
Use technology and appropriate software as
an aid to management in planning, implementation and monitoring of care,
presenting and communicating information.
-
Review and process data in order to ensure
easy and accurate information retrieval for monitoring and audit processes.
-
Manage information searches using the
internet and local library databases.
-
Understand responsibility of self and others
to the organisation regarding Data Protection (Data Protection Act 1998,
General Data Protection Regulations, 2018 and Freedom and Information Act,
2000).
Learning and development
-
Undertake mentorship for team members.
-
Disseminate learning and information gained
to other team members in order to share good practice and inform others about
current and future developments (eg courses and conferences).
-
Assess own learning needs and undertake
learning as appropriate.
Equality and diversity
-
Identify patterns of discrimination and take
action to overcome this and promote diversity and equality of opportunity.
-
Enable others to promote equality and
diversity in a non-discriminatory culture.
-
Support people who need assistance in
exercising their rights.
-
Monitor and evaluate adherence to local
chaperoning policies.
-
Act as a role model in the observance of
equality and diversity good practice.
-
Accept the rights of individuals to choose
their care providers, participate in care and refuse care.
-
Assist patients from marginalised groups to
access quality care.
Infection Control
-
NNPC staff are responsible for protecting
themselves and others against infection risks. All staff, regardless of whether
or not they deliver a clinical role, are expected to comply with current
infection control policies and procedures.
Sustainability and Carbon
Reduction
-
All staff are expected to work in a
sustainable manner, demonstrating consideration for environmental issues and
the adoption of alternative working practices where possible to contribute to
carbon reduction.
Person Specification
Experience
Essential
- Experience working in primary care, outreach healthcare, or similar settings.
- Experience providing care to patients with complex health and social needs.
- Experience in prescribing and managing medication for vulnerable populations.
- Understanding of safeguarding, trauma-informed care, and risk management.
Other Requirements
Essential
- Full driving license with access to a vehicle for outreach work.
- Willingness to undertake training in trauma-informed care, safeguarding, and harm reduction approaches.
- Ability to work with external stakeholders, including social services, housing providers, and criminal justice agencies.
Skills & Attributes
Essential
- Advanced clinical assessment and diagnostic skills.
- Strong understanding of health inequalities and social determinants of health.
- Excellent communication and interpersonal skills to engage with diverse and vulnerable populations.
- Ability to work flexibly and autonomously within a multidisciplinary team.
- Commitment to improving health access and reducing inequalities.
Qualifications
Essential
- Registered Nurse with NMC registration or equivalent qualification.
- MSc Advanced Clinical Practice or equivalent qualification.
- Independent Non-Medical Prescriber (or working towards).
- Evidence of continued professional development in primary care, homelessness healthcare, or health inclusion.
Safeguarding Responsibilities
Essential
- Recognise and act on safeguarding concerns for vulnerable adults.
- Follow local and national safeguarding policies and procedures.
- Attend safeguarding training and contribute to multi-agency safeguarding discussions.
Person Specification
Experience
Essential
- Experience working in primary care, outreach healthcare, or similar settings.
- Experience providing care to patients with complex health and social needs.
- Experience in prescribing and managing medication for vulnerable populations.
- Understanding of safeguarding, trauma-informed care, and risk management.
Other Requirements
Essential
- Full driving license with access to a vehicle for outreach work.
- Willingness to undertake training in trauma-informed care, safeguarding, and harm reduction approaches.
- Ability to work with external stakeholders, including social services, housing providers, and criminal justice agencies.
Skills & Attributes
Essential
- Advanced clinical assessment and diagnostic skills.
- Strong understanding of health inequalities and social determinants of health.
- Excellent communication and interpersonal skills to engage with diverse and vulnerable populations.
- Ability to work flexibly and autonomously within a multidisciplinary team.
- Commitment to improving health access and reducing inequalities.
Qualifications
Essential
- Registered Nurse with NMC registration or equivalent qualification.
- MSc Advanced Clinical Practice or equivalent qualification.
- Independent Non-Medical Prescriber (or working towards).
- Evidence of continued professional development in primary care, homelessness healthcare, or health inclusion.
Safeguarding Responsibilities
Essential
- Recognise and act on safeguarding concerns for vulnerable adults.
- Follow local and national safeguarding policies and procedures.
- Attend safeguarding training and contribute to multi-agency safeguarding discussions.
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).
