Advanced Nurse Practitioner

• Assess patients presenting with undifferentiated and undiagnosed conditions across all age groups, using comprehensive history-taking, clinical examination, and clinical reasoning to formulate differential diagnoses
• Initiate evidence-based treatment plans, including medication prescribing, lifestyle advice, and onward referral where appropriate
• Manage same-day acute and urgent presentations, including minor illness, minor injury, infections, musculoskeletal complaints, and exacerbations of chronic conditions
• Conduct routine and follow-up consultations for patients with complex or multi-morbid long-term conditions
• Deliver consultations face-to-face, by telephone, and by video
• Manage clinical emergencies in the practice in accordance with the practice emergency protocol
• Conduct home visits to housebound patients as part of the daily clinical workload

• Prescribe medicines independently from the British National Formulary (BNF) within scope of competence, including some controlled drugs (Schedules 2-5, subject to regulatory restrictions)
• Conduct medication reviews, optimise medication regimes, and deprescribe where clinically appropriate
• Prescribe in accordance with NICE guidelines, local formulary, and evidence-based practice
• Monitor therapeutic outcomes and adjust prescribing in response to clinical findings
• Maintain prescribing competence through CPD, prescribing audit, and peer review

• Order and interpret diagnostic investigations, including blood tests, radiology, ECGs, spirometry, and urinalysis
• Process pathology results and take appropriate clinical action on findings
• Make direct referrals to secondary care and specialist services, including two-week-wait (urgent suspected cancer) referrals
• Arrange emergency admissions where clinically indicated
• Coordinate care with other healthcare providers and services

• Manage patients with complex, multi-morbid long-term conditions, including diabetes, dementia, COPD, asthma, cardiovascular disease, heart failure, hypertension, CKD, thyroid disease, and mental health conditions
• Initiate and adjust medication regimes for chronic conditions, including insulin initiation, dose titration, and complex polypharmacy review
• Manage patients whose clinical complexity exceeds practice nurse protocols, providing a step-up clinical resource within the practice
• Support QOF achievement through structured disease management, care planning, and population health approaches

• Participate in clinical audits, significant event analysis (SEA), and quality improvement initiatives
• Develop, review, and update clinical protocols and pathways, ensuring alignment with current NICE guidelines
• Contribute to practice clinical governance meetings, safeguarding meetings, MDT meetings
• Report clinical incidents, near misses, and concerns through the practice incident reporting system
• Act as nursing lead for our Care Homes

• Critically appraise and apply research evidence to clinical practice and service development
• Participate in clinical audit cycles, using findings to improve care quality
• Use evidence to inform protocol development and policy updates

• Maintain personal clinical competence at advanced practice level through ongoing CPD
• Complete NMC revalidation requirements every three years: 450 practice hours, 35 hours of CPD, 5 pieces of feedback, 5 reflective accounts, and a reflective discussion
• Maintain an advanced practice portfolio evidencing practice across the four pillars
• Participate in structured clinical supervision
• Keep up to date with developments in advanced practice, prescribing, and primary care

Essential

• Active NMC registration as a Registered Nurse (Adult) with no restrictions or conditions
• V300 Independent and Supplementary Prescriber qualification, annotated on NMC register
• MSc in Advanced Clinical Practice or equivalent qualification, or RCN ANP accreditation