Advanced Nurse Practitioner

The Methodist Church in Britain; Royal Borough of Greenwich; On-site; GBP 50,000 - 70,000; Full time

Job summary

One Health Lewisham seeks an Advanced Nurse Practitioner to provide home-based care for housebound patients across the borough. You will assess, diagnose and treat undifferentiated conditions, order investigations, and refer when necessary in collaboration with senior medical staff.

Applicants must be an independent prescriber with Full NMC registration, UK practice qualification, and EMIS experience. A car and clean licence are essential for doorstep visits.

Qualifications

• NMC registration is required to practise in the UK.
• Prescribing qualification is essential.
• Minimum 2 years' general practice experience is required.

Responsibilities

• Assess and manage complex undifferentiated presentations.
• Order investigations (blood, urine tests, ECGs, imaging) and refer as needed.
• Prescribe and review medications as an independent prescriber.
• Provide clinical cover across services as needed.
• Communicate with patients, carers and colleagues with clear consent.

Skills

Verbal and written communication

Interpersonal skills

Clinical leadership

Stakeholder engagement

Education

Full NMC registration

Appropriate UK practice qualification

Tools

EMIS Clinical System

Job description

This Advanced Nurse Practitioner post sits within One Health Lewisham's frailty work, seeing housebound patients in their own homes. The post holder assesses, diagnoses and treats patients with undifferentiated conditions, orders investigations and refers on, and works with senior medical colleagues when a case goes beyond their scope. It is a home-based role covering at least eight patients a day across the borough, so a car and clean driving licence are essential. Applicants need a prescribing qualification and at least two years' general practice experience, plus EMIS use.

What the job involves

• Independently assess, diagnose, plan, implement and evaluate treatment for complex undifferentiated presentations, escalating to senior medical staff when beyond scope
• Recommend investigations including blood and urine tests, ECGs, ultrasound, X-ray and CT under IR(ME)R
• Prescribe and review medication as an independent prescriber, integrating pharmacological and non-pharmacological treatment
• Prioritise health problems and intervene in complex, urgent and emergency situations
• Refer patients to colleagues or specialities for follow-up, review or investigations, and ensure timely transfer of care
• Provide clinical cover across OHL services according to patient and staffing needs
• Communicate with patients, carers and colleagues, keeping patients informed and securing consent
• Work with senior medical, nursing and AHP teams to drive development and change
• Support patients, carers and staff through difficult situations, including breaking bad news
• Develop clinical pathways with the multi-professional team and share learning
• Facilitate links with the wider community and give advice to professionals, carers, voluntary organisations and the public
• Take responsibility for own learning and clinical supervision, and complete appraisal and NMC revalidation

Qualifications

• Full NMC registration
• Appropriate qualification to practise in the UK
• Prescribing qualification

Registration & licences

• Not suspended, disqualified or on a conditional inclusion list with any ICs

Experience

• Minimum 2 years' post-graduation experience in general practice
• EMIS Clinical System use

Skills & knowledge

• Using computers for clinical records, data analysis and communication
• Taking the lead clinically
• Engaging effectively with a wide range of stakeholders, with two-way communication with member practices
• Identifying barriers and finding solutions to support best practice across local practices
• Good verbal and written communication
• Excellent interpersonal and relationship skills

Checks & eligibility

• Car owner with full clean driving licence and business insurance

Other

• Motivating self and others
• Leading and working within a team
• Upholding professional values and ethics

Nice to have

• Experience of working in an organisation that has affected care delivery in Lewisham
• Experience of leading a service or clinical team
• Experience of working with digital technology
• Clinical audit and quality improvement projects showing significant change in healthcare services
• Understanding of digital health systems outside the NHS