Advanced Nurse Practitioner

• Take patient histories, perform physical examinations, and make independent clinical diagnoses.
• Order diagnostic tests, interpret results, and prescribe medications as an independent prescriber.
• Refer patients directly to secondary care, specialists, or emergency hospital services.

• Undertake comprehensive, patient-centred assessments including:- Physical health
• Mental health and cognition
• Functional status
• Social and environmental factors
• Develop personalised care plans
• Identify and manage clinical risk and deterioration
• Manage patients with frailty and multiple long-term conditions
• Provide proactive care for high-risk patients
• Optimise long-term condition management in the community
• Undertake structured medication reviews, particularly in:- Polypharmacy
• Housebound patients
• Care home residents
• Prescribe independently (V300) within scope
• Work with PCN pharmacy team to optimise medicines use

• Provide cover for care homes
• Undertake resident reviews and acute care assessment
• Participate in MDT and care home ward rounds

• Deliver high-quality end-of-life care
• Support symptom control and patient comfort
• Contribute to advance care planning and DNACPR decisions
• Liaise with specialist and community teams

• Work collaboratively with PCN MDT:- GPs, nurses, pharmacists, social prescribers
• Participate in MDT meetings and care planning
• Contribute to PCN DES priorities and ARRS role expectations

• Conduct face-to-face, telephone, or video consultations for patients presenting with undifferentiated and undiagnosed problems
• Formulate clinical management plans, provide evidence-based care, and handle same-day urgent or acute presentations (such as minor illnesses, infections, and injuries)
• Prescribe safe and appropriate medications as an independent non-medical prescriber
• Order and interpret diagnostic tests (like blood tests or imaging) and make direct onward referrals to secondary care or specialist services
• Manage ongoing care for chronic illnesses such as diabetes, asthma, hypertension, and COPD

• Provide planned, routine, and urgent home visits as required to complement and support existing staff
• Assess, diagnose, and manage acute and chronic conditions
• Respond to same-day clinical need and prevent hospital admissions
• Deliver ongoing monitoring and continuity of care

• Mental health and cognition
• Functional status
• Social and environmental factors
• Develop personalised care plans
• Identify and manage clinical risk and deterioration

• Provide proactive care for high-risk patients
• Optimise long-term condition management in the community

• Housebound patients
• Care home residents
• Prescribe independently (V300) within scope
• Work with PCN pharmacy team to optimise medicines use

• Undertake resident reviews and acute care assessment
• Participate in MDT and care home ward rounds

• Support symptom control and patient comfort
• Contribute to advance care planning and DNACPR decisions
• Liaise with specialist and community teams

• Participate in MDT meetings and care planning
• Contribute to PCN DES priorities and ARRS role expectations

Essential

• Primary care, community, or home visiting experience
• Management of frailty and complex long-term conditions
• Medication reviews and prescribing
• Palliative and end-of-life care

Essential

• Advanced clinical assessment and diagnostic skills
• Autonomous working within scope of practice
• Clinical decision-making and risk management
• Holistic and patient-centred approach
• Excellent communication and MDT working