Advanced Clinical Practitioner; Nurse

Tonbridge

PCN is seeking to recruit an Advanced Nurse Practitioner to complement our growing PCN team of ANPs, paramedics, pharmacists, and care coordinators to support our practices in the delivery of urgent care. We are looking particularly for an ANP who is confident in triage, management of 'on the day' primary care and communication with GP and MDT colleagues in the ongoing follow up and treatment of patients as required and willing to work in multiple sites around Tonbridge area.

The Nurse Advanced Clinical Practitioner will play a key role in delivering high-quality, patient-centred care within the PCN Same Day Access Hub, primarily managing urgent, on-the-day presentations. Working closely with GP supervisors and the wider PCN multidisciplinary team, the Nurse ACP will assess, diagnose and manage patients with acute, long-term and complex health needs.

The role may also include cross-cover for the Frailty Visiting Team, providing urgent care to housebound patients in their own homes. The Nurse ACP will practice autonomously at an advanced level, managing undifferentiated and undiagnosed conditions, identifying red flags and taking appropriate action, including referral and escalation where required.

Key responsibilities include same-day triage, clinical assessment, treatment planning, prescribing, and interpretation of diagnostic investigations in line with evidence-based practice and agreed protocols. The Nurse ACP will proactively support the prevention and management of long-term conditions, using both pharmacological and non-pharmacological approaches, and will coordinate care with patients, carers and other professionals to enable personalised and shared decision-making.

The post holder will request and interpret investigations, review and optimise medications, and refer patients appropriately to primary care colleagues, secondary care and other services, ensuring safe, effective and integrated care delivery across settings.

About Tonbridge PCN

Serving approximately 70,000 patients;
Tonbridge PCN strives to develop collaborative working across Tonbridge GP practices and local health and care services. Tonbridge recently won a Kent and Medway award for its Integrated Home Visiting Service, jointly staffed by PCN GPs, paramedics and local community nursing teams.

The PCN aims to support and strengthen delivery of primary care, offering high standards of patient care centred on the needs of our population, whilst working to support a happy and resilient workforce through the development of robust multi-disciplinary teams. A Same Day Access PCN Hub service with GP supervision using ACP clinical skills is currently in development, and we hope this will not only support patient access but provide a greater range of clinical experience for ACPs working at PCN level.

Clinical practice

The role will mainly involve working in our Same Day Access Hub seeing patients for urgent on the day issues. The role will involve working alongside PCN team of GP supervisor in the PCN Same Day Access Hub seeing patients on the day with urgent issues.

The post may include cross cover with the award-winning Frailty Visiting Team visiting patients who are housebound for urgent on the day issues.

Work as part of a multi-disciplinary team to deliver safe and high-quality care.

Carry out clinical practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with acute, long term and complex health needs.

Manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action

Triage and treat patients, including same day triage, performing assessment of their needs and makes referrals as necessary to other members of the primary and secondary health care teams as appropriate.

Interpret investigation findings to determine effective treatment plans & discuss with GPs where a second opinion is required

Proactively identify, diagnose and manage…