Job description

Job responsibilities

The ANP will deliver a dedicated service across the PCN, working autonomously within advanced clinical practice scope.

The role involves managing a caseload of patients, providing both planned and urgent care, and delivering holistic enhanced reviews, medication optimisation, and end-of-life care.

Main Duties and Responsibilities

Clinical duties

• 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

Home visiting

• 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

• 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 regular clinical input to 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

Person Specification

Experience

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

Desirable

• Experience working within a PCN
• Experience supporting care homes
• Interest in proactive and preventative care

Qualifications

Essential

• Registered Nurse (NMC)
• MSc Advanced Clinical Practice (or equivalent)
• Independent Prescriber (V300)

Essential Skills

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

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).

Employer details

Employer name

Fenland PCN Ltd

Address

Fenland PCN

23 Marylebone Road

March

Cambridgeshire

PE15 8BG

United Kingdom

Employer's website

https://www.fenlandpcn.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

• Assess and treat patients, undertaking comprehensive assessment, diagnosis, care planning, treatment and evaluation for patients.
• Clinically examine and assess patients, interpret test results and plan clinical care accordingly.
• To Practice within professional competencies and escalate to the referring or duty clinician for guidance where clinical presentations exceed individual experience or scope of practice.
• Make any necessary referrals in collaboration with the referring or duty clinician to other members of the primary health care team, community or hospital teams or social care team as appropriate.
• Where appropriate, discuss with the referring or duty clinician doctor the needs of patients presenting with complex health needs or conditions requiring specific treatment, hospital admission or referral.
• Follow-up patients in the short term and post discharge / 999 call to ensure continuity of care and assist with reducing unnecessary hospital admission or re-admission.
• Ensure clinical practice is safe and effective and remains within the boundaries of competence, and to acknowledge limitations.
• Advise patients on general health care and minor ailments, with referral to other members of the primary and secondary health care team as necessary.
• Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care where appropriate.
• Work as an autonomous practitioner in accordance with the Health and Care Professions Council Standards and Proficiency, Standards of Conduct, Performance and Ethics and ensure that personal and professional clinical standards and development are maintained.
• Prescribe/issue medications as appropriate following national policies, patient group directives and local pathways and in accordance with own competence.
• Formally and informally impart knowledge and skills to colleagues promoting peer review and best practice within the work environment, ensuring the delivery of a safe and effective service.
• Undertake the collection of pathological specimens including intravenous blood samples, swabs etc. Perform investigatory procedures requested by the GPs, only accepting to carry out procedures that you are appropriately trained to complete.
• Maintain accurate, contemporaneous healthcare records appropriate to the consultation.
• Participate in PCN MDTs where appropriate.
• Explore the potential for collaborative working and take opportunities to initiate and sustain such relationships.
• Liaise with other stakeholders as needed for the collective benefit of patients.

Person Specification

Experience

Essential

• Demonstrable experience working in, or a good understanding of primary care environments, including the operational and clinical demands of this setting.
• Comprehensive patient examination skills of body systems.
• Knowledge of common acute and chronic conditions that are likely to be seen in primary care.
• Collaborative working and of building relationships across a variety of organisations.
• Facilitating change to improve clinical practice. Undertaking policy review and clinical audit.
• Good knowledge of SystmOne Clinical system.
• Understanding of clinical governance and quality issues.

Disclosure and Barring Service Check

Essential

• 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.

Qualifications

Essential

• Applicants must have current UK professional registration.
• Independent prescribing (V300).
• Experience of working within a Primary Care setting.

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).

Employer details

Employer name

Fenland PCN Ltd

Address

The Riverside Practice

23 Marylebone Road

March

Cambridgeshire

PE15 8BG

United Kingdom

Employer's website

https://www.fenlandpcn.nhs.uk/ (Opens in a new tab)