Advanced Nurse Practitioner

The Advanced Nurse Practitioner (ANP) is a senior clinical role within the practice multidisciplinary team. The ANP is an experienced, NMC-registered nurse who has preferably completed education to Master's level in clinical practice and holds an independent prescriber qualification (V300), enabling them to assess, diagnose, treat, and prescribe autonomously for patients presenting with undifferentiated and undiagnosed conditions. The role operates across the four pillars of advanced practice clinical practice, leadership, education, and research and functions at a level comparable to a GP for many primary care presentations.

• Job title:
  
  Advanced Nurse Practitioner
• Reports to:
  
  Lead Advanced Nurse Practitioner/Nurse Manager
• Band:
  Depending on experience
• Salary:
  Depending on experience
• Hour:
  Part-time
• Contract type:
  Permanent
• Base:
  Harewood Surgery, Oakley Road, Great Oakley, Harwich, Essex, CO12 5AD
• DBS required:
  Yes Enhanced with adults barred list check
• Professional registration: NMC active registration with V300 Independent Prescriber annotation

Harewood Surgery is a well-established and highly regarded NHS GP practice serving Approx 3000 patients across Great Oakley and the surrounding rural communities. Harewood Surgery is part of Stour Estuary PCN. The practice is committed to delivering high-quality, patient-centred healthcare in a friendly, professional, and supportive environment. Led by a dedicated multidisciplinary team of 2 GPs, 2 Advanced Nurse Practitioners, a Practice Nurse, Healthcare Assistant and Phlebotomist, Dispensers and Administration staff, as well as Allied Healthcare team, Harewood Surgery places a strong emphasis on teamwork, continuous learning, and excellent patient care.

• Autonomous clinical consultations Assess patients presenting with undifferentiated and undiagnosed conditions across all age groups, using comprehensive history-taking, clinical examination, and clinical reasoning to formulate differential diagnoses
• Initiate evidence-based treatment plans, including medication prescribing, lifestyle advice, and onward referral where appropriate
• Manage same-day acute and urgent presentations, including minor illness, minor injury, infections, musculoskeletal complaints, and exacerbations of chronic conditions
• Conduct routine and follow-up consultations for patients with complex or multi-morbid long-term conditions
• Deliver consultations face-to-face, by telephone, and by video
• Manage clinical emergencies in the practice in accordance with the practice emergency protocol
• Independent prescribing Prescribe medicines independently from the British National Formulary within scope of competence, including some controlled drugs. Conduct medication reviews, optimise medication regimes, and deprescribe where clinically appropriate Prescribe in accordance with NICE guidelines, local formulary, and evidence-based practice Monitor therapeutic outcomes and adjust prescribing in response to clinical findings Maintain prescribing competence through CPD, prescribing audit, and peer review
• Investigations and referrals Order and interpret diagnostic investigations, including blood tests, radiology, ECGs, spirometry, and urinalysis Process pathology results and take appropriate clinical action on findings Make direct referrals to secondary care and specialist services, including two-week-wait (urgent suspected cancer) referrals Arrange emergency admissions where clinically indicated Coordinate care with other healthcare providers and services
• Chronic disease management-advanced level Manage patients with complex, multi-morbid long-term conditions, including diabetes, dementia, COPD, asthma, cardiovascular disease, heart failure, hypertension, CKD, thyroid disease, and mental health conditions Initiate and adjust medication regimes for chronic conditions, including insulin initiation, dose titration, and complex polypharmacy review Manage patients whose clinical complexity exceeds practice nurse protocols, providing a step-up clinical resource within the practice
• Support QOF achievement through structured disease management, care planning, and population health approaches Clinical governance Participate in clinical audits, significant event analysis (SEA), and quality improvement initiatives Develop, review, and update clinical protocols and pathways, ensuring alignment with current NICE guidelines Contribute to practice clinical governance meetings, safeguarding meetings, MDT meetings Report clinical incidents, near misses, and concerns through the practice incident reporting system
• Research and evidence-based practice Critically appraise and apply research evidence to clinical practice and service development Participate in clinical audit cycles, using findings to improve care quality Use evidence to inform protocol development and policy updates
• Professional development and revalidation Maintain personal clinical competence at advanced practice level through ongoing CPD…