Advanced Nurse Practitioner

Advanced Nurse Practitioner

Reference: HW-1026

Permanent Full-Time role

Job summary

The post holder will demonstrate critical thinking and be a caring, compassionate and committed experienced practitioner who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. This will be either face to face, or via the telephone.  They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice. They will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse and Health Care Assistant leadership.

Job responsibilities:

Clinical Practice

·         Work as part of a multi-disciplinary team to deliver safe and high quality care.

·         Carries out clinical practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

·         Delivery of care in line with NSF, NICE guidelines and evidence-based care

·         Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.

·         Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.

·         Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.

·         Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.

·         Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.

·         Assess, diagnose and treat patients in practice premises or visiting them in their own home or care home.

·         Refers patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.

Care Management

·         Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.

·         Provide highly specialised care advice beyond the scope of normal practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).

·         Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.

·         To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.

Health Improvement

·         Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.

·         Innovation in practice to meet ongoing demands on the practice’s delivery of care.

·         Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.

·         Supports practitioners in reporting the practice population to promote health improvement and disease prevention.

·         Makes referrals to appropriate agencies (statutory and voluntary) where necessary

·         Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions

·         Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care

Providing assessment, screening services, health education advice:

·         These may include carrying out and interpreting (but not restricted to);

o   Blood pressure checks

o   Urinalysis

o   Ear syringing

o   Dressings

o   Contraception/ fitting contraceptive devices

o   Routine immunisations and vaccinations

o   Removal of sutures / clips

o   First registration checks / health surveillance / general health advice

Administration and professional responsibilities

·         Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

·         Participate in the administrative and professional responsibilities of the practice team

·         Accurate and legible notes of all consultations and treatments are recorded in the patient’s notes

·         Ensure clinical systems kept up to date, recording and/or amending accurate details

·         Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator

·         Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice

·         Attend and participate in practice meetings as required

·         Restocking and maintenance of clinical areas and consulting rooms

Training and personal development

·         Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.

     Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

·         Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.

·         Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.

·         Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education.

·         Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.

·         Develop and maintain an in house training programme for nurses and Health Care Assistants reporting to the practice manager.

·         Act as a mentor for junior staff, assessing competence against set standards.

·         Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.

·         Develop and maintain a Personal Learning Plan.

·         Regularly participate in clinical supervision.

Leadership – personal and people development

·         Act as a clinical leader ensuring that the needs of the patient are a priority

·         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

·         Critically evaluate and review innovations and developments that are relevant to the area of work

·         Work with practice management to ensure sufficient staffing to provide a safe service, and that staff have the appropriate ability, quality and skill-mix to meet current and future service delivery

·         Take part in recruitment processes where appropriate.

·         Maintain effective communication and active involvement in the planning and processes of practice-based commissioning or similar initiatives

Manage, supervise, co-ordinate and guide the nursing team

·         To manage the Nursing and Health Care Assistant Team in participation with the practice manager, ensuring relevant information is disseminated to and from the relevant staff

·         In participation with the practice manager, carry out yearly appraisals of all the nursing and Health Care Assistant staff and produce a training programme

·         Ensure adequate nursing and HCA cover is provided while within the practice guidelines, keeping the practice manager informed of any problems

·         Develop and maintain practice policies and protocols for all nursing and HCA activity

·         To be the infection control lead in the practice and ensure all staff are aware of current procedures

·         To plan, chair and minute management and training meetings for all nurses following the training programme.

·         Ensure agreed practice audits are carried out

·         Ensure the practice manager is aware of any matters arising or problems / potential problems

·         Ensure all surgery-produced nursing leaflets are kept up to date

The above list of duties is not exhaustive and may be subject to change as deemed necessary.


  • In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters.   They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
  • In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential
  • Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

Health & Safety:

The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the Practice Health & Safety Policy, to include:

  • Using personal security systems within the workplace according to Practice guidelines
  • Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
  • Making effective use of training to update knowledge and skills
  • Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
  • Reporting potential risks identified

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

  • Acting in a way that recognizes the importance of people’s rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation
  • Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
  • Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.


The post-holder will strive to maintain quality within the Practice, and will:

  • Alert other team members to issues of quality and risk
  • Assess own performance and take accountability for own actions, either directly or under supervision
  • Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance
  • Work effectively with individuals in other agencies to meet patients’ needs
  • Effectively manage own time, workload and resources


The post-holder should recognize the importance of effective communication within the team and will strive to:

  • Communicate effectively with other team members
  • Communicate effectively with patients and carers
  • Recognise people’s needs for alternative methods of communication and respond accordingly

Contribution to the Implementation of Services:

The post-holder will:

  • Apply Practice policies, standards and guidance
  • Discuss with other members of the team how the policies, standards and guidelines will affect own work
  • Participate in audit where appropriate

General Information

This job description is not intended to be an exhaustive list of duties, but merely to highlight the current main responsibilities of the post. The post holder must also carry out any other reasonable manager requests if required.   It may be reviewed from time to time in agreement with the post holder and the Practice Manager. 

Person Specification – ADVANCED PRACTITIONER




(Should possess to do the job)


(Could also possess)




High      = 3

Medium = 2

Low       = 1


RGN with current NMC registration, post graduate qualification in advanced clinical practice, MSc, PgDip, or equivalent






A demonstrable commitment to professional development






Health assessment skills qualification – MSc  level or equivalent






Independent prescribing qualification registered with NMC





Wargrave House Surgery,


Wargrave House Surgery,, 23 St Owen Street, Hereford, Herefordshire, HR12JB
See Map


Dependent on Experience


Nurse Practitioner

Employment Type:



Full Time

Closing Date:


Contact Name:

Rachael Knill



01432 272285

How to Apply:

Email application form to alongside your CV Alternatively please press 'apply here'

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Application Form.doc