About this role
Job summary
Harewood Surgery are looking to welcome an experienced Advanced Nurse Practitioner to join our team on a part-time basis.
Main duties of the job
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 Prescribe medicines independently from the British National Formulary (BNF) within scope of competence, including some controlled drugs (Schedules 2-5, subject to regulatory restrictions) 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
About us
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.
Job description Job responsibilities
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.
Key Details
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
About the Practice
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.
Main Responsibilities
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
Complete NMC revalidation requirements every three years: 450 practice hours, 35 hours of CPD, 5 pieces of feedback, 5 reflective accounts, and a reflective discussion
Maintain an advanced practice portfolio evidencing practice across the four pillars
Participate in structured clinical supervision
Keep up to date with developments in advanced practice, prescribing, and primary care
Person Specification
Essential Criteria
Criterion
Type
Active NMC registration as a Registered Nurse (Adult) with no restrictions or conditions
Qualifications
Independent and Supplementary Prescriber qualification, annotated on NMC register
Qualifications
MSc in Advanced Clinical Practice or equivalent qualification, or RCN ANP accreditation
Qualifications
Substantial clinical nursing experience post-registration, including autonomous assessment, diagnosis, and treatment of undifferentiated conditions
Experience
Experience of independent prescribing and medication review across a broad range of conditions
Experience
Experience of managing patients with complex, multi-morbid long-term conditions
Experience
Advanced clinical assessment and examination skills comprehensive history-taking, clinical reasoning, and differential diagnosis
Skills
Independent prescribing competence across the BNF within scope of practice
Skills
Strong clinical leadership skills ability to lead, influence, and support within a multidisciplinary team
Skills
Effective communication skills ability to communicate complex clinical information to patients and colleagues
Skills
IT competence ability to use clinical systems for prescribing, clinical record-keeping, and referrals
Skills
Understanding of clinical governance, including audit, SEA, evidence-based practice, and risk management
Knowledge
Understanding of the NMC Code and personal professional accountability at advanced practice level
Knowledge
Understanding of safeguarding responsibilities-adults and children
Knowledge
Desirable Criteria
Criterion
Type
Additional post-graduate clinical qualifications (e.g., minor illness, dermatology, respiratory, diabetes)
Qualifications
Teaching or mentorship qualification (Practice Assessor / Supervisor status)
Qualifications
Experience of working as an ANP in general practice or primary care
Experience
Experience of mentoring trainee ANPs or student nurses
Experience
Experience of clinical service development and quality improvement
Experience
Knowledge of QOF and experience of contributing to target achievement
Knowledge
Centre for Advancing Practice digital badge
Qualifications
Terms and Conditions
Term
Detail
Annual leave
Five weeks plus bank holidays, increases with service at five years and ten years
Pension
NHS Pension Scheme
Notice period
Twelve weeks
Probationary period
Six months
Training and CPD
Protected time for CPD, revalidation activities, and supervision sessions.
Clinical supervision
Clinical Supervision with Prescribing Lead GP. Daily access to Duty GP
Indemnity
NHS clinical work is covered under CNSGP.
We are an equal opportunities employer and welcome applications from all backgrounds in line with the Equality Act 2010.
We are committed to safeguarding and promoting the welfare of children and vulnerable adults. All appointments are subject to appropriate pre-employment checks, including DBS clearance.
Person Specification
Qualifications Essential
-NMC registration as a Registered Adult Nurse with no restrictions -Independent and supplementary prescriber qualifications -MSc in Advanced Clinical Practice or equivalent
Desirable
-Additional post-graduate clinical qualifications (e.g., minor illness, dermatology, respiratory, diabetes) -Teaching or mentorship qualification (Practice Assessor / Supervisor status) -Centre for Advancing Practice digital badge
Experience Essential
-Substantial clinical nursing experience post-registration, including autonomous assessment, diagnosis, and treatment of undifferentiated conditions -Experience of independent prescribing and medication review across a broad range of conditions -Experience of managing patients with complex, multi-morbid long-term conditions
Desirable
-Experience of working as an ANP in general practice / primary care -Experience of mentoring trainee ANPs or student nurses -Experience of clinical service development and quality 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 Harewood Surgery
Address Harwich Road
Great Oakley
Harwich
Essex
CO12 5AD
United Kingdom
Employer's website http://harewoodsurgery.nhs.uk/ (Opens in a new tab)