Advanced Nurse Practitioner - Independent Prescriber

• Independently assess, diagnose and treat patients with acute illness and undifferentiated symptoms.
• Undertake routine, urgent and same-day appointments, including minor illness consultations.
• Conduct home visits for housebound patients requiring clinical assessment and treatment.
• Undertake 1 care home ward round per week, assessing and managing residents' clinical needs.
• Independently prescribe medication and manage treatment plans.
• Request and interpret investigations, review results and arrange appropriate referrals.
• Recognise red flags and escalate clinical concerns appropriately.
• Manage patients with complex needs and support continuity of care.
• Work collaboratively with GPs and the wider multidisciplinary team.
• Maintain accurate clinical records using SystmOne.

• Independently assess, diagnose and manage patients with acute illness and undifferentiated symptoms.
• Undertake routine, urgent and same-day consultations.
• Manage minor illnesses and common primary care presentations.
• Obtain comprehensive clinical histories and undertake advanced physical examinations.
• Formulate differential diagnoses and develop appropriate treatment plans.
• Independently prescribe medication within professional competence and current prescribing guidance.
• Request, interpret and act upon clinical investigations, including pathology and diagnostic tests.
• Arrange appropriate referrals to secondary care, community services and other healthcare professionals.
• Recognise red flags, clinical deterioration and potentially serious conditions, escalating appropriately.
• Provide safety-netting, follow-up advice and patient education.

• Undertake home visits to assess and manage housebound patients.
• Conduct 1 care home ward round per week.
• Assess, diagnose and treat care home residents, including those with complex and multiple health conditions.
• Review medication and clinical management plans where appropriate.
• Liaise with care home staff, GPs, community nursing teams and other healthcare professionals.
• Arrange investigations, referrals and follow-up care as required.
• Maintain accurate clinical documentation and ensure effective communication of care plans.

• Support the management of patients with multiple long-term conditions.
• Undertake medication reviews and optimise treatment within clinical competence.
• Recognise deterioration and arrange timely clinical intervention.
• Work collaboratively with the wider clinical team to ensure continuity of care.

• Maintain accurate and timely clinical records using SystmOne.
• Use Anima and other practice systems as required.
• Work independently while recognising professional limitations and escalating appropriately.
• Participate in clinical meetings, audits, significant event reviews and quality improvement.
• Follow NICE guidance, safeguarding procedures, infection prevention and control requirements, and practice policies.
• Maintain professional registration, prescribing competence and continuing professional development.
• Contribute to a safe, effective and patient-centred clinical service.

• Permanent, part-time position.
• 2430 hours per week.
• Working days to be agreed.
• Salary dependent on experience.
• Based at The Cornerstone Practice, March, Cambridgeshire.
• Role includes home visits and a weekly care home ward round.
• Appointment subject to satisfactory pre-employment checks.

Essential

• Substantial experience working autonomously as an Advanced Nurse Practitioner.
• Proven experience assessing, diagnosing and managing acute and undifferentiated presentations.
• Experience undertaking routine, urgent and minor illness consultations.
• Confident undertaking independent face-to-face and telephone consultations.
• Experience conducting home visits and assessing patients in their own homes.
• Experience managing older patients with complex and multiple health conditions.
• Proven independent prescribing and medication management experience.
• Experience requesting, interpreting and acting upon investigations.
• Ability to recognise red flags, manage clinical risk and make safe autonomous decisions.
• Experience developing treatment plans, arranging referrals and providing appropriate follow-up.
• Ability to manage a varied clinical workload and work effectively within a multidisciplinary team.

Desirable

• Previous experience working in general practice or primary care.
• Experience undertaking care home ward rounds.
• Experience using SystmOne.
• Experience using Anima or another digital triage system.
• Experience managing diabetes, COPD and asthma.
• Experience in frailty and complex older-person care.

Essential

• **If you are an experienced ANP who enjoys the variety of general practice, we'd love to hear from you!**
• This is an opportunity to join an established clinical team in a varied role combining routine and urgent appointments, home visits and a weekly care home ward round.
• We are looking for someone who is confident working autonomously, has excellent clinical assessment skills and takes pride in providing safe, high-quality patient care.
• **Independent Prescribing (V300), Level 7 advanced practice qualification and substantial autonomous ANP experience are essential.**
• For an informal discussion about the role, please contact Dr Laura Richardson at laura.richardson28@nhs.net.
• **Closing date: Sunday 15 November 2026.**

Essential

• Registered Nurse with current NMC registration.
• Independent Prescribing qualification (V300).
• Recognised Level 7 advanced clinical practice qualification.
• Advanced clinical assessment and diagnostic skills.
• Evidence of relevant continuing professional development.

Desirable

• MSc in Advanced Clinical Practice.
• Additional qualifications or training in urgent and same-day care.
• Relevant training in long-term condition management.