About this role
Job summary
Lower Gornal Medical Practice is looking for an experienced Advanced Nurse Practitioner (ANP) or Advanced Clinical Practitioner (ACP) to join our team based in Gornal, Dudley.
You'll assess, diagnose, treat and manage a wide range of undifferentiated presentations autonomously, within your professional scope of practice, as part of the wider Practice team.
We welcome applications from suitably qualified ANPs and ACPs with the appropriate registration, advanced practice qualifications and primary care, urgent care or out-of-hours experience.
Service hours: Monday to Friday 08.00 18-30
Working pattern: This is a regular, fixed-slot role. You'll be offered a set day or days (negotiable) each week (maximum of three days per week) and are expected to cover them consistently.
Main duties of the job
Assess, diagnose and treat patients aged 2 years and over presenting with minor illness and other undifferentiated, acute conditions, in 15-minute appointments.
Review and manage patients with long-term conditions, as clinically appropriate within the practice.
Work autonomously within your professional scope of practice, using sound clinical reasoning to manage risk and make safe decisions.
Prescribe as an independent prescriber, in line with local formularies, national guidance and safe prescribing standards.
Request and interpret investigations where clinically appropriate, and act on the results.
Safety-net appropriately, and escalate or refer on to the right urgent, emergency or onward care when needed.
Keep accurate, timely and contemporaneous clinical records on the practice clinical system (EMIS).
Follow practice policies, including safeguarding, infection control, information governance and clinical governance.
Work as part of the wider practice team, communicating well with colleagues across the PCN and it's member practices.
Take part in audit, learning and service improvement where appropriate, and keep your own professional development and revalidation up to date.
About us
On behalf of Lower Gornal Medical Practice we would like to welcome you to our website. We are a friendly, traditional doctors practice serving almost 7600 local residents. We believe in listening to our patients, and continually improving our services.
As a team of professionals within the practice we work together in order to facilitate the best care for our patients. We hope we will provide you with useful information on a range of services we offer.
The practice operates under a general partnership model and our managing partners are Dr Sarah Stanley and Dr Durratulamaz Bharmal. Russell Gardner the Practice Manager is part of the management team.
Our recent CQC inspection in October 2026 was rated Good
Job description
Job responsibilities
To assess, diagnose, treat and provide advice/care to patients either via telephone or face to face accessing Urgent Primary Care, with undiagnosed, undifferentiated minor injury and illness, where necessary refer to other appropriate health care services e.g. Patients own GP, Secondary Care, Community Services. They will support the delivery of policy and procedures, and providing nurse leadership as required. This may required outreach provision or telephone based support.
Key duties and responsibilities
1.Clinical Practice
a)Assess patients with both minor and complex needs through history taking, physical examination and appropriate use of investigations to confirm diagnosis.
b)Clinically examine and assess patient needs from a physiological, psychological and social perspective, and plan clinical care accordingly.
- c) Plan, implement and evaluate an effective management plan for the patient, ensuring safe discharge/referral and/or transfer to an appropriate health care service.
d)Diagnose and manage acute, integrating both drug- and non-drug-based treatment methods into a management plan.
e)Perform safe triage of patients when necessary via telephone or face to face.
f)Prescribe medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.
g)Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.
h)Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
i)Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care where appropriate.
2.Communication
a)Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
b)Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
c)Anticipate barriers to communication and take action to improve communication.
d)Maintain effective communication within the organisation and with external stakeholders.
f)Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.
3.Delivering a Quality Service
a)Recognise and work within own competence and professional code of conduct as regulated by the NMC.
b)Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
c)Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
d)Deliver care according to NSF, NICE guidelines and evidence-based care.
e)Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
f)Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
g)Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.
h)In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate eg DQoF
i)Evaluate patients response to health care provision and the effectiveness of care.
j)Support and participate in shared learning across the organisation and wider organisation.
k)Assess the impact of policy implementation on care delivery.
l)Understand and apply legal issues that support the safeguarding identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures, domestic abuse and local guidance.
4.Leadership Personal and People Development
a)Workon the Professional development of the nursing workforce in collaboration with the Clinical Nurse Lead , Practice Manager and Lead GP
b)Work collaboratively on the development of nursing recruitment and retention strategies for the practice to support a stable workforce.
c)Contribute on nursing staff development to maximise individual potential, provide clinical supervision, always acting as a positive role model.
d)Actively promote the workplace as a learning environment, encouraging everyone to learn form each other and from external good practice.
e)Encourage reflective practice within the nursing team demonstrating a positive and supportive approach.
f)Work proactively within the team to support and develop user and carer involvement in service delivery and service redesign to ensure the development of patient centred care.
g)Ensure the continued development of nursing standards building on good practice by developing a professional accountability framework for nurses across the practice
h)Contribute to the collective senior management team. Participate in teamwork and a corporate approach to decision making.
i)Ensure the nursing team maintain high quality standards for the environment, medical equipment and infection control issues in line with the practice, ICB and CQC standards
j)Ensure the nursing team implement and maintain national and organisational governance standards.
5.Team Working
a)Understand own role and scope and identify how this may develop over time
b)Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
c)Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
d)Create clear referral mechanisms to meet patient need.
e)Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team.
f)Work effectively with others to clearly define values, direction and policies impacting upon care delivery.
g)Discuss, highlight and work with the team to create opportunities to improve patient care.
h)Manage and lead on the delivery of specifically identified services or projects as agreed with the organisations management team.
i)Agree plans and outcomes by which to measure success.
6.Management of Risk
a)Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
b)Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.
c)Apply infection-control measures within the organisation according to local and national guidelines.
7.Managing Information
a)Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information.
b)Review and process data using accurate Snowmed codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.
8.Learning and Development
a)Undertake mentorship for more junior staff, assessing competence against set standards.
b)Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences).
c)Assess own learning needs and undertake learning as appropriate.
d)Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.
Confidentiality
In the course of your employment you will have access to confidential information relating to the organisations business. You are required to exercise due consideration in the way you use such information and should not act in any way, which might be prejudicial to the organisations interests. Information which may be included in the category which requires extra consideration covers both access and to the general business of the organisation and information regarding individuals. If you are in any doubt regarding the use of information in the pursuit of your duties you should seek advice from your manager before communicating such information to any third party.
Data Protection
Lower Gornal Medical Practice is registered under the Data Protection Act 1998. You must not at anytime use the personal data held by organisation for a purpose not described in the Register entry or disclose such data to a third party. If you are in any doubt regarding what you should or should not do in connection with the Data Protection Act then you must contact your line manager or appropriate senior lead at the time.
Health & Safety
Employees must be aware of the responsibility placed on them under the Health and Safety at Work Act (1974) to maintain a healthy and safe working environment for both staff and visitors.
Employees also have a duty to observe obligation under the organisation Safety policies, and to maintain awareness of safe practices and assessment of risk.
Other duties
Any other duties, as agreed with the line manager to meet the needs of the organisation. This may involve travel to other sites within the organisation
Person Specification
Qualifications
Essential
- Significant post-registration experience, including recent experience in primary care, and or urgent care, out-of-hours or an equivalent setting.
- Experience of independently assessing, diagnosing and managing undifferentiated patients, including minor illness.
- Experience of assessing and managing children aged 2 years and over.
- Experience of prescribing independently in a clinical setting.
- Experience of managing risk, recognising the acutely unwell patient, and escalating appropriately.
- Experience of working autonomously within your scope of practice.
- Experience of using an electronic clinical record systems EMIS, Docman.
Desirable
- Experience of reviewing patients with long-term conditions in primary care.
- Experience of EMIS Web.
- Experience of audit or quality improvement work.
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
Lower Gornal Medical Practice
Address
Bull Street
Lower Gornal
Dudley
DY3 2NQ
United Kingdom
Employer's website
https://www.lowergornalmedicalpractice.nhs.uk/ (Opens in a new tab)