Senior Advanced Neonatal Nurse Practitioner

This senior advanced practice post sits in the neonatal team at Worcestershire Royal Hospital, with work on the middle-grade rota. The core of the role is autonomous assessment and management of premature and sick newborns, alongside clinical leadership and supervision of junior ANNPs and medical staff. The postholder also leads a designated service portfolio across the Neonatal Unit, a 9-cot Transitional Care Unit, delivery areas and community outreach, as the service builds towards a seven-day ANNP rota.

Applicants need NMC registration and independent non-medical prescribing.

• Autonomous assessment, diagnosis and management of premature and sick newborns across the neonatal pathway
• Senior clinical leadership on the middle-grade rota, holding the neonatal bleep and escalating to consultants as needed
• Manage and coordinate complex care when a neonatal consultant is not immediately available
• Attend high-risk deliveries and emergency calls, leading immediate management of sick or premature infants
• Perform advanced practical and diagnostic procedures, including ventilation, surfactant, lumbar puncture, central and arterial lines, exchange transfusion and cranial ultrasound
• Provide supervision, teaching and mentorship to ANNPs, junior medical, nursing and allied health staff
• Review babies across the Neonatal Unit, Delivery Suite, Transitional Care Unit, postnatal ward and Meadow Birth Centre
• Advise on admission, transfer and discharge, and stabilise sick neonates for urgent transfer to tertiary centres
• Lead discharge planning for complex and long-term patients with the community outreach service
• Lead a designated service portfolio, including objectives, standards and service improvement
• Contribute to audit, quality improvement, guideline development, clinical governance and research
• Communicate with families about progress, document care accurately, and assess psychosocial needs with the team

• Registered Nurse, RSCN, RN Child
• ENB 405
• MSc in Advanced Clinical Practice (Neonatal Pathway)
• Recognised mentor/assessor or teaching qualification
• Accredited newborn infant physical examination and current NLS certification

• NMC registration as a nurse
• Independent non-medical prescriber qualification

• Extensive ANNP experience, Tier 1 rota or equivalent
• Expert knowledge of neonatal pathophysiology, diagnostics and evidence-based care
• Autonomous decision-making in complex neonatal cases
• Experience delivering and assessing Neonatal Life Support

• Advanced neonatal clinical skills such as intubation and lumbar puncture
• Clinical leadership coordinating multidisciplinary teams
• Teaching, mentorship and supervision of colleagues and trainees

• Emotional resilience and composure under pressure
• Empathy and commitment to family-centred neonatal care

• Neonatal transport experience
• Cranial ultrasound competence
• Intubation skills
• Research
• NLS Instructor
• ARNI qualification
• Counselling or bereavement training
• Qualification in leadership or management

• Flexible working, with Timewise accreditation as a flex positive employer