About this role
Job summary
Job Summary
St Margarets Medical Practice is seeking an experienced and highly motivated Advanced Nurse Practitioner (ANP) to join our friendly and forward-thinking primary care team.
We are a well-established GP practice serving approximately 13,000 patients in the heart of St Margarets, Twickenham. The successful candidate will play a key role in managing patient demand through clinical triage, ensuring patients receive timely access to the most appropriate healthcare professional and level of care.
The ANP will be responsible for reviewing and assessing online consultation requests submitted by patients, determining clinical urgency, and directing patients to the most appropriate clinician or service. This role is central to ensuring safe, effective, and patient-centred care while supporting efficient utilisation of the multidisciplinary team.
Main duties of the job
The successful post holder will:
Clinically assess patient requests submitted via the practice's online consultation system. Review patient-provided information and determine the appropriate clinical priority. Triage patients into urgent or routine pathways based on clinical need and risk assessment. Allocate patients to the most appropriate healthcare professional, including: General Practitioner (GP) Advanced Nurse Practitioner (ANP) Practice Nurse Healthcare Assistant (HCA) First Contact Physiotherapist (FCP) Clinical Pharmacist Physician Associate Community or external services where appropriate Manage same-day and urgent care demand safely and effectively. Provide autonomous clinical assessment, diagnosis, treatment, and prescribing (where qualified). Undertake face-to-face, telephone, and online consultations as required. Develop management plans and provide health promotion and preventative care advice. Escalate complex or high-risk cases appropriately. Contribute to safeguarding processes and identify vulnerable patients. Work collaboratively within the multidisciplinary team to ensure high-quality patient care. Support service development and continuous improvement initiatives within the practice. Maintain accurate and contemporaneous clinical records in accordance with professional and organisational standards.
About us
St Margarets Medical Practice is a busy, friendly, and well-established GP practice located in the heart of St Margarets, Twickenham. We provide high-quality primary care services to approximately 13,000 registered patients and are committed to delivering safe, effective, and patient-centred care to our local community.
We are proud to be a training practice.Education, learning, and professional development are at the heart of our organisation. We believe that investing in our people leads to better outcomes for our patients, and upskilling staff is a key part of the practice ethos. We actively encourage and support ongoing training, clinical development, leadership opportunities, and career progression for all members of our multidisciplinary team.
Our team includes GPs, Advanced Nurse Practitioner, Practice Nurse, Healthcare Assistants, Clinical Pharmacist, First Contact Physiotherapists, Physician Assistant, Care Coordinator, and administrative staff who work collaboratively to provide comprehensive and responsive care to our diverse patient population.
We foster a supportive working environment where innovation, teamwork, and continuous improvement are encouraged. As a forward-thinking practice, we embrace new ways of working and are committed to developing services that meet the evolving needs of our patients while supporting staff to reach their full potential.
Job description Job responsibilities
Job TitleAdvanced Nurse Practitioner (ANP)
Reports ToClinical Lead GP and Practice Manager
Accountable ToPartners of St Margarets Medical Practice
LocationSt Margarets Medical Practice, St Margarets, Twickenham
HoursAs agreed within contract
Job SummaryThe Advanced Nurse Practitioner (ANP) will work as an autonomous practitioner within St Margarets Medical Practice, providing advanced clinical assessment, diagnosis, treatment, and management of patients presenting with a wide range of acute and chronic health conditions.
A key function of the role will be the clinical triage and management of patient requests received through the practice's online consultation system. The ANP will assess patient-submitted information, determine the clinical urgency of requests, and ensure patients are booked with the most appropriate healthcare professional or service based on their needs.
The post holder will play a pivotal role in managing patient demand, supporting timely access to care, improving patient outcomes, and ensuring efficient utilisation of the multidisciplinary team (MDT).
As a member of a GP training practice, the ANP will contribute to a culture of continuous learning and development and support the practice ethos of investing in and upskilling staff.
Key ResponsibilitiesClinical Triage and Care NavigationReview and assess patient requests submitted through the practice's online consultation platform.Analyse clinical information provided by patients and identify potential risks and safeguarding concerns.Determine the urgency of patient presentations and prioritise requests appropriately.Categorise appointments as:Urgent (same day or clinically appropriate urgent review)RoutineSelf-care or alternative service where appropriateDirect patients to the most appropriate clinician or service, including:GPAdvanced Nurse PractitionerPractice NurseHealthcare AssistantClinical PharmacistFirst Contact PhysiotherapistPhysician AssociateMental Health PractitionerCommunity servicesUrgent Care ServicesEnsure all triage decisions are clinically safe, evidence-based, and documented appropriately.Advanced Clinical PracticeUndertake comprehensive history taking and clinical assessment.Diagnose and manage acute and minor illness presentations.Request, interpret, and act upon investigations as appropriate.Formulate differential diagnoses and management plans.Prescribe medications independently within scope of practice.Refer patients to secondary care and community services when clinically indicated.Provide health promotion and preventative healthcare advice.Undertake face-to-face, telephone, video, and online consultations.Patient Safety and Clinical GovernanceRecognise and respond appropriately to deteriorating patients.Identify safeguarding concerns relating to children and vulnerable adults.Participate in significant event reviews and learning activities.Contribute to quality improvement initiatives.Ensure compliance with practice policies, NICE guidance, and local clinical pathways.Maintain accurate and contemporaneous patient records.Multidisciplinary Team WorkingWork collaboratively with the wider practice team.Support effective utilisation of practice resources through appropriate patient allocation.Participate in MDT meetings and clinical discussions.Contribute to service redesign and improvements in patient access.Develop effective working relationships with external healthcare providers and community teams.Education and TrainingParticipate in appraisal and personal development planning.Maintain professional registration and competency requirements.Support the educational objectives of the practice as a GP training practice.Contribute to teaching, mentoring, and supporting less experienced staff where appropriate.Actively participate in continuous professional development activities.Leadership and Service DevelopmentSupport the delivery of practice objectives and strategic priorities.Contribute to the development of triage pathways and patient access systems.Identify opportunities for service improvement.Promote innovation and best practice within the organisation.Support initiatives aimed at improving patient experience and outcomes.Professional ResponsibilitiesThe post holder will:
Practice in accordance with the Nursing and Midwifery Council (NMC) Code.Work within their scope of professional competence.Adhere to all practice policies and procedures.Comply with Information Governance, Data Protection, and Confidentiality requirements.Maintain mandatory training requirements.Demonstrate commitment to equality, diversity, and inclusion.Person SpecificationQualificationsEssentialRegistered Nurse with current NMC registration.Master's Degree in Advanced Clinical Practice or equivalent advanced practice qualification.Independent Prescriber Qualification.Evidence of ongoing Continuing Professional Development (CPD).DesirableMinor Illness Qualification.Minor Injury Qualification.Teaching or mentorship qualification.ExperienceEssentialSubstantial experience working as an Advanced Nurse Practitioner in Primary Care.Experience of autonomous clinical decision-making.Experience of managing acute presentations.Experience of patient triage and prioritisation.Experience working within a multidisciplinary healthcare team.Experience using electronic patient record systems.DesirableExperience using online consultation and digital triage systems.Experience within a GP training practice.Experience of quality improvement and service development.Knowledge and SkillsEssentialAdvanced clinical assessment skills.Excellent diagnostic and decision-making abilities.Strong understanding of primary care pathways.Ability to identify urgent and potentially serious conditions.Excellent communication and consultation skills.Strong organisational and time-management skills.Effective IT and digital consultation skills.DesirableKnowledge of local healthcare pathways and community services.Experience of population health management initiatives.Personal AttributesEssentialPatient-centred approach to care.Professional and compassionate manner.Ability to work independently and within a team.Flexible and adaptable approach.Commitment to learning and development.Ability to remain calm under pressure and manage competing priorities.Values and BehavioursThe post holder will demonstrate the values of St Margarets Medical Practice by:
Putting patients at the centre of everything we do.Working collaboratively and respectfully with colleagues.Supporting the development and upskilling of staff.Promoting a positive learning culture.Striving for continuous improvement and innovation.Delivering care that is safe, effective, and responsive to patient needs.St Margarets Medical Practice is committed to safeguarding and promoting the welfare of children, young people, and vulnerable adults and expects all staff and volunteers to share this commitment.
Person Specification
Qualifications Essential
Registered Nurse with current registration with the Nursing and Midwifery Council (NMC). Master's level qualification in Advanced Clinical Practice or equivalent experience. Independent Non-Medical Prescriber qualification. Evidence of continuing professional development.
Desirable
Advanced Clinical Practice MSc. Minor illness and/or minor injury qualification. Teaching or mentorship qualification.
Experience Essential
Significant experience working as an Advanced Nurse Practitioner in Primary Care. Experience of autonomous clinical assessment, diagnosis, and management of patients. Experience of clinical triage and prioritisation of patient care. Experience using online consultation systems and electronic patient records. Experience working within a multidisciplinary team. Ability to prioritise workload effectively. Excellent communication and interpersonal skills. Competent IT skills and experience using clinical systems. Understanding of safeguarding principles and information governance requirements. Experience of working within primary care.
Desirable
Experience of population health management initiatives. Knowledge of local healthcare services and referral pathways
Personal Qualities Essential
Professional, compassionate, and patient-focused approach. Ability to work independently and as part of a team. Flexible and adaptable. Strong organisational skills. Commitment to continuous learning and service improvement
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 St Margarets Medical Practice
Address 237 St Margarets Road
Twickenham
TW1 1NE
United Kingdom
Employer's website https://stmargaretsmedical.com/ (Opens in a new tab)