Advanced Nurse Practitioner (Independent Prescriber)

NHS; Hereford; On-site; GBP 30,000 - 50,000; Part time

Job summary

A healthcare service provider in Hereford is seeking an Advanced Nurse Practitioner (Independent Prescriber) to deliver patient care autonomously in both clinic and home settings. The ideal candidate will possess advanced clinical skills for decision-making, assessment, and treatment. This part-time role offers a flexible schedule of up to 20 hours per week, along with benefits such as an NHS pension scheme and generous annual leave entitlement.

Benefits

Access to a generous NHS pension scheme

25 or 30 days annual leave entitlement

Access to Blue Light discount scheme

Qualifications

• Experience as an Independent Prescriber required.
• Demonstrable commitment to professional development.
• In date CPR training (within last 18 months) is necessary.

Responsibilities

• Provide face to face and telephonic consultations.
• Participate in treatment and preventative healthcare services.
• Document all aspects of patient care accurately.

Skills

Experience of working in Primary Care in autonomous ACP role

Excellent communication skills both written and verbal

Organised, friendly, approachable

IT skills computer and keyboard literate

Education

RGN current NMC registration with minimum 4 years experience

Advanced Clinical Practice (ACP) qualification MSc level or equivalent

NMC registered Independent Prescriber

Tools

EMIS clinical system

Job description

Advanced Nurse Practitioner (Independent Prescriber)

Taurus Healthcare have an exciting opportunity for an Advanced Nurse Practitioner.

They will act as an autonomous practitioner working independently in Taurus Healthcare Clinical service areas to assess, diagnose and treat the conditions of patients attending within primary care services and their own homes, initiating direct referrals as appropriate. Provide expert professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence.

The post holder must possess competencies and capabilities across all four pillars of advanced practice

The role: Face to face and telephone consultations to assess and manage patients in general practice and the wider system, implementing agreed management plans, personalised care planning and following approved protocols as appropriate. Demonstrate critical thinking in the clinical decision-making process, including assessment and diagnostic skills, leading to the delivery of safe care for all patients.

* This is a flexible role for up to 20 hours per week, working between 9 am to 6 pm Monday to Friday (in hours) *

*Closing date is Friday 26th September 2025*

* Interview dates are to be confirmed*

Main duties of the job

Clinical

• Participate in all treatment and preventative healthcare services within the Herefordshire Remote Health Service as delegated and agreed by the supervising physician(s).
• Recognise the need for adapting the style of consultation required in a remote role.
• Recommend and explain appropriate diagnostic tests and treatment.
• Request and interpret results of laboratory investigations when necessary. Review and communicate results where appropriate.
• Refer patients as appropriate; in primary, secondary or community care. And participate in peer and expert discussion to determine appropriateness of referral
• Adopt a Making Every Contact Count approach within the confines of a duty remote consultation, ensuring that patients have been dealt with holistically.
• Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes. Use SNOMED coding wherever possible.
• Update the patient record with information for QOF/DRUMS and other practice monitoring and review systems and understand the implication of record keeping for contractual purposes
• Undertake other activities when needed that are within the post holders clinical competence and which would not otherwise jeopardise the delivery of primary medical services to the patients.
• Engage with the nursing and non-clinical members of the Primary care team as required, requesting action where appropriate.

About us

Taurus Healthcare was established in 2012, as the provider arm of the GP Federation serving 185,000 patients in Herefordshire. Founded and owned by the partners of the entire Herefordshire Primary Care community, Taurus is focused on providing excellent out of hospital services for patients. Our ethos is to provide high quality and cost-effective health outcomes that are delivered as close as possible to the patients home, whilst ensuring that patients who do require in hospital services are seen as quickly and effectively as possible.

At Taurus Healthcare we strive to create a diverse, inclusive workplace, and welcome applications from candidates from all backgrounds including those from Military Veterans and family members of serving personnel.

Taurus Healthcare offer many employee benefits, such as:

• Access to a generous NHS pension scheme with 20.68% employer contribution.
• 25 or 30 days annual leave entitlement (plus bank holidays), including bank holidays, depending on service (pro rata for part-time staff)
• Access to the Blue Light extensive discount scheme.
• Access to Vivup benefit platform

We reserve the right to close this vacancy early if we receive sufficient applications for the role. Therefore, if you are interested, please submit your application as early as possible.

Job responsibilities

The ANP will work providing care for presenting patients from initial history taking and clinical assessment through to the diagnosis, treatment and evaluation of care. They will demonstrate critical thinking in the clinical decision-making process, including assessment and diagnostic skills, leading to the delivery of safe care for all patients. They will work collaboratively with the healthcare team to meet the needs of the patients, supporting the delivery of policy and procedures.

To act as an autonomous practitioner working independently in Taurus Healthcare Clinical service areas to assess, diagnose and treat the conditions of patients attending within primary care services and their own homes initiating direct referrals as appropriate. Provide expert professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence.

Lead prescribing clinician supporting nursing services and taking overall clinical responsibility for clinical areas where GP is physically not present -GP support available if needed which may be virtual.

The post holder must possess competencies and capabilities across all four pillars of advanced practice

Clinical Practice Responsibilities

Participate in all treatment and preventative healthcare services within Taurus Services

Undertake safe clinical decision-making and expert care, including assessment and diagnostic skills and safety netting for patients using face to face (clinic and home visits), telephony and online consultation platforms

Demonstrate critical thinking in the clinical decision-making process, with the ability to prioritise and triage the needs of patients, accordingly, instigating appropriate investigations or referrals to colleagues and other care providers

Demonstrate highly developed clinical reasoning and decision-making

Follow local and national guidelines and pathways, working to the latest evidence base, and will practise in a reflective manner, completing significant event analyses and audits to evaluate the effectiveness of the care they provide. Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation

Use advanced clinical skills to provide education to service users, promoting self-care and empowering them to make informed choices about their treatment.

Prevent inappropriate hospital admissions or attendances by providing/co-coordinating the provision of specialist care by other agencies for the patient in the most appropriate and agreed environment

Work collaboratively with hospital and community colleagues ensuring patients receive the right care in the right place at the right time.

Refer patients to other medical specialities for assessment if deemed appropriate.

Refer patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for x-ray.

Undertakes and interprets a range of diagnostic tests and routine clinical procedures

Work independently and without direct supervision in the home environment as required

To act as an autonomous practitioner who directs, provides and evaluates the highest standard of evidence based clinical care to patients within their own home, founded on agreed management care plans and protocols

• Prioritise own clinical workload
• work with wider clinical team to manage on the day demand and priorities
• Appropriate intervene to manage the patient in complex, urgent or emergency situations, including initiation of effective emergency care

Review, prescribe and administer medication in line with national guidance and local formularies utilising EMIS local guidance and cost saving software prompts

• Recognise professional responsibility in promoting welfare and safeguarding of children, young people and adults and statutory reporting of safeguarding concerns.
• Ensuring patients are protected from abuse, or the risk of abuse and that their human rights are respected
• Work within own competence and scope of practice
• Report and manage clinical incidents

*A full Job Description & Person Specification is attached to this advert*

Person Specification

Skills

• Experience of working in Primary Care in autonomous ACP role.
• Experience of working in a multi-professional environment.
• Experience as an Independent Prescriber.
• Awareness of own accountability and other aspects of NMC code of conduct.
• An understanding, acceptance and adherence to the need for strict confidentiality.
• Experience of working under pressure.
• Experience of EMIS clinical system and using templates.
• Understanding of Quality Outcomes Framework.

Experience

• Works autonomously and collaboratively, recognising when referrals are required.
• Excellent communication skills both written and verbal
• IT skills computer and keyboard literate.
• Good time management and the ability to work under pressure prioritising workload.
• Relay clinical information and maintain accurate, comprehensive consultation records in line with NMC requirements.
• Managerial experience.

Qualifications

• RGN current NMC registration with minimum 4 years experience in primary care.
• A demonstrable commitment to professional
• development.
• Advanced Clinical Practice (ACP) qualification MSc level or equivalent (demonstrated by professional credentialling or professional
• Safeguarding adult and children Level 3.
• In date CPR training (within 18 months)
• NMC registered Independent Prescriber.

Personal Qualities and Attributes

• Organised, friendly, approachable, polite and empathetic.
• Adaptable and comfortable dealing with changing priorities and a team player.
• Driver with clean licence.

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.