gp practice nurse jobs

Job Purpose

The Advanced Clinical Practitioner (ACP) will work autonomously at an advanced level of clinical practice, providing assessment, diagnosis, treatment, and management of patients across the Primary Care Network.

The post holder will work across three GP surgeries, supporting delivery of high-quality, safe, and effective care, improving access for patients, and contributing to workforce sustainability. The ACP will demonstrate leadership across the four pillars of advanced practice: Clinical practice, leadership and management, education, and research/service development.

Key Responsibilities

1. Clinical Practice

· Undertake comprehensive, autonomous assessment of patients, including history taking, physical examination, and interpretation of investigations

· Diagnose, treat, and manage acute, chronic, and complex conditions within primary care

· Independently prescribe medications (where qualified) and manage medicines safely and effectively

· Manage same-day demand, urgent care presentations, and long-term conditions

· Refer patients appropriately to secondary care, community services, or other professionals

· Provide continuity of care and holistic, person-centred management

· Manage risk, uncertainty, and complexity in clinical decision-making

· Maintain accurate, clinical records using the practice clinical system EMIS

· Contribute to safeguarding adults and children in line with local and national policies

2. Leadership and Management

· Support multidisciplinary team (MDT) working across practices

· Provide clinical supervision and support to junior clinicians and the wider team where appropriate

· Contribute to quality improvement initiatives

· Support workforce resilience by sharing expertise across all three surgeries

· Participate in clinical governance, audit, and risk management activities

3. Education and Training

· Support education and development of the primary care workforce, including trainees, nurses, paramedics, and physician associates

· Act as a role model for advanced clinical practice

· Participate in mentorship, preceptorship, and supervision where appropriate

· Maintain own professional development in line with ACP frameworks and revalidation requirements

4. Research and Service Development

· Contribute to audit, research, and evaluation of services within the PCN

· Use evidence-based practice to inform clinical care and service improvement

· Support implementation of national and local guidelines

Working Relationships

· GPs and Practice Teams across three surgeries

· PCN Clinical Director and PCN management team

· Community services, secondary care clinicians, and allied health professionals

· Patients, carers, and families

Qualifications and Training (Essential)

· Registered healthcare professional (e.g. Nurse, Paramedic, Physiotherapist, Pharmacist) with current professional registration

· Master’s level qualification in Advanced Clinical Practice aligned with HEE / NHS England ACP framework

· Independent Prescribing qualification

· Evidence of advanced clinical assessment skills

Experience (Essential)

· Significant post-registration clinical experience

· Experience working in primary care, urgent care, or a relevant clinical setting

· Experience of autonomous clinical decision-making

· Experience working within a multidisciplinary team

Desirable

· Experience working across multiple sites or services

· Experience of leadership or service development

· Experience of teaching or mentoring

Skills and Competencies

· Advanced clinical assessment and diagnostic skills

· Excellent communication and interpersonal skills

· Ability to work autonomously and manage clinical risk

· Leadership and influencing skills

· IT literacy, including use of clinical systems

· Ability to work flexibly across sites

Other Requirements

· Ability to travel between PCN sites

· Commitment to equality, diversity, and inclusion

· Commitment to ongoing professional development

· Willingness to work flexibly to meet service needs

Values

The post holder is expected to work in line with NHS values, including compassion, respect, quality, and teamwork.

Band

Agenda for Change Band 8a (subject to qualifications, experience, and scope of practice)

Base

Primary Care Network (PCN) covering three GP surgeries (Some cross-site working required)

Job Type: Full-time

Pay: £55,690.00-£62,682.00 per year

Benefits:

• Company events
• Company pension
• Free flu jabs

Work Location: In person