Advanced Nurse Practitioner

Provide a first point of contact in the practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision making to establish a diagnosis and management plan Be active and part of our online triage team As an Advanced Nurse Practitioner (ANP), you will play a key role in the safe, effective triage and prioritisation of patient care requests, utilising our accrux system. Key Responsibilities • Clinical triage of patient requests • Review and assess patient submissions via AccuRx online triage platforms • Identify urgency, risk, and appropriate care pathway using advanced clinical judgement • Prioritisation and decision-making • Determine whether patients require: • Same-day urgent assessment • Routine appointment • Advice/self-care • Referral to other services (e.g. pharmacy, GP, urgent care) • Escalate high-risk or complex cases appropriately • Autonomous clinical management • Manage suitable cases independently, including: • Remote assessment (telephone/video) • Diagnosing and treatment planning • Prescribing where appropriate • Arrange investigations, follow-up, or onward referrals • Risk assessment and safety-netting • Identify red flags and safeguarding concerns • Provide clear safety-netting advice and ensure timely follow-up • Collaborative working • Work as part of the wider multidisciplinary team (GPs, nurses, pharmacists, admin) • Support efficient patient flow and demand management within the practice • Improving access and demand management • Contribute to effective use of online triage systems to improve patient access • Support service development and optimisation of digital triage pathways Instigate necessary diagnostic tests or investigations and interpret findings/reports Instigate radiology requests ensuring training in accordance with the local hospital trust Monitor indicators of chronic disease anticipating possible decline and proactively manage to enhance well-being and maintain independence Prescribe medication and review medication for therapeutic effectiveness Develop evidence based specialised care plans for patients Plan interventions in light of patients expressed wishes and goals of care Evaluate possible treatment options as diseases progress Refer patients directly to other services/agencies as appropriate Admit patients directly to secondary care hospitals in acute medical need Communicating effectively with patients and carers, and recognising their needs for alternative methods of communication Provide expert advice to patients Undertake consultations to a high standard in the surgery, over the telephone and in the patients own home Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards Know the general principles of first aid and resuscitation to be able to undertake initial actions as appropriate Provide teaching to e.g. existing staff, HCAs, practice nurses, nurse practitioners, medical students, GP registrars Provide leadership and advice to the nurse practitioner, practice nurses and healthcare assistant supporting them to develop and maintain their clinical skills To write, and maintain policies within the practice for clinical areas and to oversee the development of policies written by the practice nurses To promote best practice in the implementation of such policies To work with colleagues to ensure contractual targets are met Identify, monitor and review deficiencies in procedures and implement remedial action Carry out audits and research as required and monitor own practice Attend and participate in any Practice meetings Develop the nursing service provided by the practice Help develop and set up new patient services and participate in initiatives to improve existing patient services Develop own professional knowledge and skills Maintain professional registration Work in accordance with the latest NMC code of professional conduct To adhere to all practice policies procedures and guidelines To comply with the standards set out in the contract of employment To undertake any other duties as appropriate to the role Job description Job responsibilities Provide a first point of contact in the practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision making to establish a diagnosis and management plan Be active and part of our online triage team As an Advanced Nurse Practitioner (ANP), you will play a key role in the safe, effective triage and prioritisation of patient care requests, utilising our accrux system. Key Responsibilities • Clinical triage of patient requests • Review and assess patient submissions via AccuRx online triage platforms • Identify urgency, risk, and appropriate care pathway using advanced clinical judgement • Prioritisation and decision-making • Determine whether patients require: • Same-day urgent assessment • Routine appointment • Advice/self-care • Referral to other services (e.g. pharmacy, GP, urgent care) • Escalate high-risk or complex cases appropriately • Autonomous clinical management • Manage suitable cases independently, including: • Remote assessment (telephone/video) • Diagnosing and treatment planning • Prescribing where appropriate • Arrange investigations, follow-up, or onward referrals • Risk assessment and safety-netting • Identify red flags and safeguarding concerns • Provide clear safety-netting advice and ensure timely follow-up • Collaborative working • Work as part of the wider multidisciplinary team (GPs, nurses, pharmacists, admin) • Support efficient patient flow and demand management within the practice • Improving access and demand management • Contribute to effective use of online triage systems to improve patient access • Support service development and optimisation of digital triage pathways Instigate necessary diagnostic tests or investigations and interpret findings/reports Instigate radiology requests ensuring training in accordance with the local hospital trust Monitor indicators of chronic disease anticipating possible decline and proactively manage to enhance well-being and maintain independence Prescribe medication and review medication for therapeutic effectiveness Develop evidence based specialised care plans for patients Plan interventions in light of patients expressed wishes and goals of care Evaluate possible treatment options as diseases progress Refer patients directly to other services/agencies as appropriate Admit patients directly to secondary care hospitals in acute medical need Communicating effectively with patients and carers, and recognising their needs for alternative methods of communication Provide expert advice to patients Undertake consultations to a high standard in the surgery, over the telephone and in the patients own home Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards Know the general principles of first aid and resuscitation to be able to undertake initial actions as appropriate Provide teaching to e.g. existing staff, HCAs, practice nurses, nurse practitioners, medical students, GP registrars Provide leadership and advice to the nurse practitioner, practice nurses and healthcare assistant supporting them to develop and maintain their clinical skills To write, and maintain policies within the practice for clinical areas and to oversee the development of policies written by the practice nurses To promote best practice in the implementation of such policies To work with colleagues to ensure contractual targets are met Identify, monitor and review deficiencies in procedures and implement remedial action Carry out audits and research as required and monitor own practice Attend and participate in any Practice meetings Develop the nursing service provided by the practice Help develop and set up new patient services and participate in initiatives to improve existing patient services Develop own professional knowledge and skills Maintain professional registration Work in accordance with the latest NMC code of professional conduct To adhere to all practice policies procedures and guidelines To comply with the standards set out in the contract of employment To undertake any other duties as appropriate to the role