ANP/Trainee ANP (annex 21)(AA)

NHS National Services Scotland; Kirkcaldy; On-site; GBP 42,000 - 54,000; Full time

Job summary

NHS Fife is seeking an Advanced Nurse Practitioner to join the Orthopaedic Department. The role offers exposure to both trauma and elective pathways and opportunities to contribute to innovative ANP‑led care models.

You will provide expert assessment, decision‑making, and management for patients across orthopaedics, working within a senior clinical team to optimise patient flow and safety. Training support for PGDip and related modules is available.

Qualifications

• Postgraduate Diploma in Advanced Practice is required.
• Progression toward advanced practice with ANP/Nurse Practitioner status is expected.
• Completion or progression through Advanced Clinical Assessment and Decision‑Making module and/or Non‑Medical Prescribing at SCQF Level 11 is preferred.

Responsibilities

• Provide expert assessment, decision‑making, and management for patients in Orthopaedics.
• Work autonomously within an ANP‑led unit to improve patient care and flow.
• Collaborate across multidisciplinary teams including acute and primary care, medical staff, and allied health professionals.
• Involve teaching, supervision, and mentoring within the department.

Skills

Advanced Nurse Practitioner

Clinical assessment

Independent practice

Decision‑making

Education

Postgraduate Diploma in Advanced Practice

Advanced Clinical Assessment and Decision‑Making

Non‑Medical Prescribing (SCQF Level 11)

Job description

We are looking to appoint an Advanced Nurse Practitioner (ANP), or an experienced Nurse Practitioner progressing toward advanced practice, to join our established ANP team within the Orthopaedic Department. This is an excellent opportunity for individuals seeking to advance their career in a dynamic and fast paced environment, gaining experience across both trauma and elective orthopaedic pathways. The post offers exposure to a wide range of ANP‑led services and the chance to contribute to innovative models of care.

As a senior clinical practitioner, you will provide expert assessment, decision‑making, and management for patients across the Orthopaedic unit. Your role will be central to enhancing patient care, supporting safe and effective service delivery, and improving patient flow in line with national standards.

You will work across the Fife Elective Orthopaedic Centre, Orthopaedic trauma wards, and the dedicated hip fracture ward alongside the Ortho‑geriatric Consultant. The post also supports the outpatient arthroplasty pathway, including identifying suitable candidates for same‑day arthroplasty.

Our ANPs are integral senior members of the Orthopaedic Team, delivering high quality, clinically effective care using advanced skills and knowledge. Working within the new National Treatment Centre provides a unique opportunity to practise autonomously within an ANP‑led unit. This innovative workforce model has significantly contributed to meeting national targets and improving patient experience.

You will bring experience in delivering safe, effective care and working collaboratively across professional and organisational boundaries. This includes close partnership with acute and primary care teams, medical staff, allied health professionals, and senior management. You will provide direct patient management alongside senior medical staff, demonstrating strong clinical knowledge and highly developed decision‑making skills in acute care. The ability to prioritise a fluctuating workload, work flexibly, and adapt within a busy environment is essential.

You should be an ANP or Nurse Practitioner who, within your professional boundaries, can provide comprehensive care from initial history taking and clinical assessment through to diagnosis, treatment, and evaluation. You will demonstrate safe clinical judgement and deliver expert patient care.

The role includes responsibility for teaching, supervising, assessing, and mentoring others, as well as planning, prioritising, and delegating work. You will contribute across all four Pillars of Practice and maintain effective professional relationships within the multidisciplinary team.

Applicants must hold a Postgraduate Diploma in Advanced Practice and demonstrate clear evidence of clinical competence. We also welcome applications from Nurse Practitioners currently working toward the PGDip. Ideally, candidates will already have completed the Advanced Clinical Assessment and Decision‑Making module and/or Non‑Medical Prescribing at SCQF Level 11.

Candidates who have not yet completed the full PGDip will be supported through funded study, allocated study leave, and guidance from our dedicated Lead for Advanced Practice. Upon successful completion, the postholder will transition into a fully qualified ANP role.

Trainees are paid a percentage of the pay band maximum for the qualified rate which is dependent on the duration of the training period (see annex 21 Terms and Conditions).

For informal enquiries please contact Emma Davidson, Lead Orthopaedic Advanced Practitioner, Victoria Hospital, Hayfield Road, Kirkcaldy, KY2 5AH on 01592 643355 or email: emma [e-mail]

A requirement of this post is to become a member of the Protection of Vulnerable Groups (PVG) Scheme Prior to appointment.

NHS Fife is legally obliged to ensure all its employees are legally entitled to work in the United Kingdom. If you are not a United Kingdom (UK) or Irish National, you are required to confirm your right to work in your application.

We offer flexible working and family-friendly policies and fully support disabled candidates, and candidates with long-term conditions or who are neurodivergent by making reasonable adjustments to our recruitment policy and practices.

To work in the United Kingdom, there is a legal requirement for an individual to demonstrate that they have the relevant permission to work in the country.
As part of the pre-employment checks for a preferred candidate, NHS Scotland Boards will check your entitlement to work in the UK. It can be evidenced through a number of routes including specific types of visa as well as EU settled and pre-settled status. To find out more about these routes of permission, please refer to the GOV.UK websitehere.

For specific types of post, if you do not have the necessary eligibility to work in the UK, it might be possible (though not guaranteed) to secure sponsorship via a UK Skilled Worker/Health & Care Worker Visa. However, this is only possible if the employer is a licenced Sponsor, and if the post does not fall below the current minimum salary threshold or ‘going rate’. Further information on these criteria can be foundhere.
It is ESSENTIAL that you have checked that you either already have an appropriate right to work in the UK or that the post would be eligible to be sponsoredBEFORE submitting your application form.

NHS Fife is legally obliged to ensure all its employees are legally entitled to work in the United Kingdom. If you are not a United Kingdom (UK) or Irish National, you are required to confirm your right to work in your application.