Job summary Are you currently an ANP working in General Practice or are you looking for a change in career? Do you feel your qualifications are underutilised? Primary Care and Trinity Surgery needs you. Trinity Surgery is a 2 partner training practice in the Fenland town of Wisbech. The surgery provides excellent quality health care for its 14,200 patients and is a consistently high QoF achiever. We are looking for a full-time/ part-time Advanced Nurse Practitioner to join our existing professional and friendly team of salaried GP, 6 Advanced Nurse Practitioners, 7 Practice Nurses and 2 HCAs. We are seeking a highly motivated and experienced nurse who will embrace the challenge of this dynamic and interesting role. The position includes telephone triage, working with the duty team and holding own clinics. Applicants will need to have the relevant Master/degree qualifications or equivalent, be an independent nurse prescriber and be on the NMC register. Previous experience of working in General Practice and knowledge of SystmOne are desirable, however we have a local roadmap in place for transition from secondary to primary care. Main duties of the job The position includes working as a member of the duty team, completing telephone triage and holding own clinics. The successful applicant must be able to: Work autonomously Provide care that is based on best practice and up to date clinical evidence Take a comprehensive history Carry out in depth assessments Use expert knowledge and clinical judgement to identify the potential diagnosis Refer patients for investigations where appropriate and make a final diagnosis Decide on and carry out treatment, including the prescribing of medicines or refer patients to the appropriate specialist Assess and evaluate with patients the effectiveness of the treatment and care provided and make changes as needed Chronic disease management. The successful applicant will have: Excellent communication, interpersonal and organisational skills About us Trinity Surgery is a 2 partner training practice in the Fenland town of Wisbech. The surgery provides excellent quality health care for its 14,200 patients and is a consistently high QoF achiever. Trinity Surgery has a skilled, professional and dedicated team comprising of salaried GP, 6 Nurse Practitioners, Emergency Care Practitioner, treatment room nurses plus supporting medical staff provided through the PCN including full-time Pharmacist, physiotherapists, social prescriber and mental health practitioners Trinity Surgery is the lead practice for Research within the Wisbech PCN Details Date posted 19 June 2025 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Full-time, Part-time Reference number A4998-25-0003 Job locations Trinity Surgery 29 St. Augustines Road Wisbech Cambridgeshire PE13 3UZ Job description Job responsibilities JOB SUMMARY The post holder is an experienced nurse, who acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice and their own homes. They will work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required. In order to work at this level, NMC requirements for advanced practice must be met. 1. SCOPE AND PURPOSE OF THE ROLE To deliver a high standard of patient care as Advanced Nurse Practitioner (ANP) in general practice, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base To manage a clinical caseload, dealing with presenting patient’s needs in a primary care setting To develop the nursing services offered by the practice To provide clinical leadership within the practice within specialist fields. 2. JOB DIMENSIONS To manage own clinical workload in general practice responding effectively to patient need and ensuring patient choice and ease of access to services. The development and use of referral pathways for NPs to the local acute NHS Trust services and to Diagnostic and Treatment Centres . To mentor and support other nurses in developing and maintaining clinical skills 3. KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED See person specification 4. PRIMARY DUTIES & AREAS OF RESPONSIBILITY A. CLINICAL ROLE: The post-holder will : Provide the choice of direct access to a ANP, both in the Practice and over the telephone, for the general practice population Make professionally autonomous decisions for which he/she is accountable Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports Where the post holder is an independent prescriber : to prescribe safe, effective and appropriate medication as defined by current legislative framework Provide safe, evidence-based, cost-effective, individualised patient care Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care Undertake home visits as requested Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills Refer patients directly to other services/agencies as appropriate Assist the Practice in developing and delivering specialist primary care services, such as long term disease management (diabetes, asthma, chronic obstructive pulmonary disease, coronary heart disease and hypertension) Work with nursing, medical and health care assistant colleagues to ensure that NICE Guidelines (eg Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered Work with mutli-disciplinary team within the Practice, and across the wider CCG, to promote integrated and seamless pathways of care Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery · Participate in identification of community health needs and develop patient/family-centred strategies to address them · Help develop and set up new patient services and participate in initiatives to improve existing patient services Be aware of and contribute to planning and delivery of practice-based commissioning B. TEACHING AND MENTORING ROLE: The post-holder will : Promote a learning environment for patients, nurses and other health professionals. Contribute to the planning and implementation of the teaching for existing staff, such as medical students, GP registrars, Health Care Assistants, within the Practice. C. PROFESSIONAL ROLE : The post-holder will : Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research. Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review Maintain their professional registration Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained Work within the latest NMC Code of Professional Conduct Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation Work collaboratively with colleagues within and external to the practice. Demonstrate leadership D. MANAGERIAL ROLE : The post-holder will : · Act as mentor for if required for nurses and through this, support colleagues personal development. · Participate in clinical supervision with the nursing team · Encourage and develop teamwork within the practice. · Participate in multi-disciplinary protocol and Patient Group Directions development · Identify appropriate opportunities to delegate both clinical and administrative tasks to more junior staff. · Help the practice operate in a cost-effective manner. · Identify and manage nursing care risks on a continuing basis. · Participate in practice meetings as appropriate. · Participate in audits and inspections as appropriate. · Work closely with the doctors and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets. · Ensure that all Practice Policy’s are fully implemented E. AREAS OF PRACTICE EXCLUDED FROM THE POST-HOLDERS REMIT: The post-holder will not undertake the following : All aspects of antenatal/obstetric care 5. HEALTH AND SAFETY/RISK MANAGEMENT · The post-holder must comply at all times with the Practice’s Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System. · The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990). 6. EQUALITY AND DIVERSITY · The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc. 7. RESPECT FOR PATIENT CONFIDENTIALITY · The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role. 8. COMMUNICATION & WORKING RELATIONSHIPS The post-holder will establish and maintain effective communication pathways with the multidisciplinary team internally and externally. 9. REHABILITATION OF OFFENDERS ACT 1994 (optional) Because of the nature of the work, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1994 (Exceptions) Order 1995. Applicants for posts are not entitled to withhold information about convictions which for other purposes are “spent” under the provisions of the Act and in the event of employment any failure to disclose such convictions could result in disciplinary action or dismissal by the Practice. Any information given will be completely confidential and will be considered only in relation to an applicant of a position to which the order applies. Job description Job responsibilities JOB SUMMARY The post holder is an experienced nurse, who acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice and their own homes. They will work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required. In order to work at this level, NMC requirements for advanced practice must be met. 1. SCOPE AND PURPOSE OF THE ROLE To deliver a high standard of patient care as Advanced Nurse Practitioner (ANP) in general practice, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base To manage a clinical caseload, dealing with presenting patient’s needs in a primary care setting To develop the nursing services offered by the practice To provide clinical leadership within the practice within specialist fields. 2. JOB DIMENSIONS To manage own clinical workload in general practice responding effectively to patient need and ensuring patient choice and ease of access to services. The development and use of referral pathways for NPs to the local acute NHS Trust services and to Diagnostic and Treatment Centres . To mentor and support other nurses in developing and maintaining clinical skills 3. KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED See person specification 4. PRIMARY DUTIES & AREAS OF RESPONSIBILITY A. CLINICAL ROLE: The post-holder will : Provide the choice of direct access to a ANP, both in the Practice and over the telephone, for the general practice population Make professionally autonomous decisions for which he/she is accountable Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports Where the post holder is an independent prescriber : to prescribe safe, effective and appropriate medication as defined by current legislative framework Provide safe, evidence-based, cost-effective, individualised patient care Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care Undertake home visits as requested Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills Refer patients directly to other services/agencies as appropriate Assist the Practice in developing and delivering specialist primary care services, such as long term disease management (diabetes, asthma, chronic obstructive pulmonary disease, coronary heart disease and hypertension) Work with nursing, medical and health care assistant colleagues to ensure that NICE Guidelines (eg Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered Work with mutli-disciplinary team within the Practice, and across the wider CCG, to promote integrated and seamless pathways of care Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery · Participate in identification of community health needs and develop patient/family-centred strategies to address them · Help develop and set up new patient services and participate in initiatives to improve existing patient services Be aware of and contribute to planning and delivery of practice-based commissioning B. TEACHING AND MENTORING ROLE: The post-holder will : Promote a learning environment for patients, nurses and other health professionals. Contribute to the planning and implementation of the teaching for existing staff, such as medical students, GP registrars, Health Care Assistants, within the Practice. C. PROFESSIONAL ROLE : The post-holder will : Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research. Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review Maintain their professional registration Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained Work within the latest NMC Code of Professional Conduct Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation Work collaboratively with colleagues within and external to the practice. Demonstrate leadership D. MANAGERIAL ROLE : The post-holder will : · Act as mentor for if required for nurses and through this, support colleagues personal development. · Participate in clinical supervision with the nursing team · Encourage and develop teamwork within the practice. · Participate in multi-disciplinary protocol and Patient Group Directions development · Identify appropriate opportunities to delegate both clinical and administrative tasks to more junior staff. · Help the practice operate in a cost-effective manner. · Identify and manage nursing care risks on a continuing basis. · Participate in practice meetings as appropriate. · Participate in audits and inspections as appropriate. · Work closely with the doctors and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets. · Ensure that all Practice Policy’s are fully implemented E. AREAS OF PRACTICE EXCLUDED FROM THE POST-HOLDERS REMIT: The post-holder will not undertake the following : All aspects of antenatal/obstetric care 5. HEALTH AND SAFETY/RISK MANAGEMENT · The post-holder must comply at all times with the Practice’s Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System. · The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990). 6. EQUALITY AND DIVERSITY · The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc. 7. RESPECT FOR PATIENT CONFIDENTIALITY · The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role. 8. COMMUNICATION & WORKING RELATIONSHIPS The post-holder will establish and maintain effective communication pathways with the multidisciplinary team internally and externally. 9. REHABILITATION OF OFFENDERS ACT 1994 (optional) Because of the nature of the work, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1994 (Exceptions) Order 1995. Applicants for posts are not entitled to withhold information about convictions which for other purposes are “spent” under the provisions of the Act and in the event of employment any failure to disclose such convictions could result in disciplinary action or dismissal by the Practice. Any information given will be completely confidential and will be considered only in relation to an applicant of a position to which the order applies. Person Specification Experience Essential Minimum of 5 years post registration experience Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the ANP role Experience in management long term conditions e.g. asthma, COPD, diabetes, CHD Evidence of working autonomously and as part of a team Proven ability to evaluate the safety and effectiveness of their own clinical practice Desirable Interpreting and implementing local and National policy agendas for health Skills Essential Ability to assess and manage patient risk effectively and safely Well developed word processing/data collection/IT skills Excellent interpersonal, verbal and written communication skills Reflective practitioner Time management and ability to prioritise workload Able to analyse data and information, drawing out implications for the individual patient/impact on care plan Able to establish and maintain effective communication pathways within the organisation, the local PCT and with key external stakeholders Desirable Experience of use of SystmOne Proven record of effective use of networking and influencing skills Ability to think strategically Experience of presenting information to wider audience Knowledge Essential Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS/PMS contract, Clinical Governance. Understanding of systems to gain an understanding of the health needs of the practice population as they relate to primary care Understanding of evidence based practice Knowledge of national standards that inform practice (eg, NICE guidelines etc) Understanding of accountability arising from the NMC Code of Professional Conduct (2004) and medico-legal aspects of the Nurse Practitioner role Understanding of equal opportunity and diversity issues Qualifications Essential Registered General Nurse (Currently registered with the Nursing & Midwifery Council) Recognised ANP qualification at minimum of degree level or equivalent or Masters Desirable Independent Nurse Prescriber Teaching / Mentoring experience and /or qualification Person Specification Experience Essential Minimum of 5 years post registration experience Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the ANP role Experience in management long term conditions e.g. asthma, COPD, diabetes, CHD Evidence of working autonomously and as part of a team Proven ability to evaluate the safety and effectiveness of their own clinical practice Desirable Interpreting and implementing local and National policy agendas for health Skills Essential Ability to assess and manage patient risk effectively and safely Well developed word processing/data collection/IT skills Excellent interpersonal, verbal and written communication skills Reflective practitioner Time management and ability to prioritise workload Able to analyse data and information, drawing out implications for the individual patient/impact on care plan Able to establish and maintain effective communication pathways within the organisation, the local PCT and with key external stakeholders Desirable Experience of use of SystmOne Proven record of effective use of networking and influencing skills Ability to think strategically Experience of presenting information to wider audience Knowledge Essential Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS/PMS contract, Clinical Governance. Understanding of systems to gain an understanding of the health needs of the practice population as they relate to primary care Understanding of evidence based practice Knowledge of national standards that inform practice (eg, NICE guidelines etc) Understanding of accountability arising from the NMC Code of Professional Conduct (2004) and medico-legal aspects of the Nurse Practitioner role Understanding of equal opportunity and diversity issues Qualifications Essential Registered General Nurse (Currently registered with the Nursing & Midwifery Council) Recognised ANP qualification at minimum of degree level or equivalent or Masters Desirable Independent Nurse Prescriber Teaching / Mentoring experience and /or qualification 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). Additional information 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 Trinity Surgery Address Trinity Surgery 29 St. Augustines Road Wisbech Cambridgeshire PE13 3UZ Employer's website https://www.trinity-surgery.co.uk/ (Opens in a new tab) Employer details Employer name Trinity Surgery Address Trinity Surgery 29 St. Augustines Road Wisbech Cambridgeshire PE13 3UZ Employer's website https://www.trinity-surgery.co.uk/ (Opens in a new tab). Location : Trinity Surgery, 29 St. Augustines Road, PE13 3UZ Wisbech, Cambridgeshire, United Kingdom